ある麻酔薬がどのようにして無意識を誘発するのか、研究により明らかになった(Study reveals how an anesthesia drug induces unconsciousness)

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2024-07-15 マサチューセッツ工科大学(MIT)

MITの神経科学者たちは、一般的に使用される麻酔薬プロポフォールが、脳の安定性と興奮性のバランスを乱すことで意識を失わせることを発見しました。この研究は、動物の脳活動を電気的に記録し、動的安定性を測定する手法を用いて行われました。プロポフォールはGABA受容体に結合し、抑制ニューロンの活動を強化しますが、これが逆に脳全体の活動を不安定にし、意識を失わせる原因となります。これらの発見は、麻酔管理の改善や他の神経精神疾患の研究にも応用できる可能性があります。

<関連情報>

プロポフォール麻酔は大脳皮質全体の神経ダイナミクスを不安定化させる Propofol anesthesia destabilizes neural dynamics across cortex

Adam J. Eisen,Leo Kozachkov,André M. Bastos,Emery N. Brown,Ila R. Fiete,Earl K. Miller
Neuron  Published:July 15, 2024
DOI:https://doi.org/10.1016/j.neuron.2024.06.011

Graphical abstract

ある麻酔薬がどのようにして無意識を誘発するのか、研究により明らかになった(Study reveals how an anesthesia drug induces unconsciousness)

Highlights

  • We developed DeLASE, a method for quantifying changes in neural stability
  • During propofol-induced unconsciousness, neural activity was destabilized
  • Destabilized artificial systems had similar dynamics to the destabilized brain
  • Increasing inhibition, as propofol does, destabilized artificial network activity

Summary

Every day, hundreds of thousands of people undergo general anesthesia. One hypothesis is that anesthesia disrupts dynamic stability—the ability of the brain to balance excitability with the need to be stable and controllable. To test this hypothesis, we developed a method for quantifying changes in population-level dynamic stability in complex systems: delayed linear analysis for stability estimation (DeLASE). Propofol was used to transition animals between the awake state and anesthetized unconsciousness. DeLASE was applied to macaque cortex local field potentials (LFPs). We found that neural dynamics were more unstable in unconsciousness compared with the awake state. Cortical trajectories mirrored predictions from destabilized linear systems. We mimicked the effect of propofol in simulated neural networks by increasing inhibitory tone. This in turn destabilized the networks, as observed in the neural data. Our results suggest that anesthesia disrupts dynamical stability that is required for consciousness.

有機化学・薬学
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