意識消失の脳内メカニズムを解明(Brain mechanisms underpinning loss of consciousness identified)

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2024-12-10 ペンシルベニア州立大学(PennState)

ペンシルベニア州立大学の研究者チームは、ラットを対象とした研究で、麻酔による意識喪失の瞬間に脳内で起こる変化を詳細にマッピングしました。この研究では、電気生理学的手法と機能的磁気共鳴画像法(fMRI)を組み合わせ、意識喪失時に内側前頭前皮質、海馬、視床の3つの脳領域が一時的に活動を変化させることを発見しました。これらの領域は以前から無意識状態に関与するとされていましたが、今回の研究により、これらの領域がどのように相互作用し、意識喪失を引き起こすかが明らかになりました。この成果は、麻酔下での意識喪失だけでなく、睡眠など他の意識変容状態の理解にも寄与する可能性があります。

<関連情報>

意識喪失時の海馬-タラマス-MPFC経路における連続的な不活性化 Sequential Deactivation Across the Hippocampus-Thalamus-mPFC Pathway During Loss of Consciousness

Xiaoai Chen, Samuel R. Cramer, Dennis C.Y. Chan, Xu Han, Nanyin Zhang
Advanced Science  Published: 09 September 2024
DOI:https://doi.org/10.1002/advs.202406320

意識消失の脳内メカニズムを解明(Brain mechanisms underpinning loss of consciousness identified)

Abstract

How consciousness is lost in states such as sleep or anesthesia remains a mystery. To gain insight into this phenomenon, concurrent recordings of electrophysiology signals in the anterior cingulate cortex and whole-brain functional magnetic resonance imaging (fMRI) are conducted in rats exposed to graded propofol, undergoing the transition from consciousness to unconsciousness. The results reveal that upon the loss of consciousness (LOC), there is a sharp increase in low-frequency power of the electrophysiological signal. Additionally, fMRI signals exhibit a cascade of deactivation across a pathway including the hippocampus, thalamus, and medial prefrontal cortex (mPFC) surrounding the moment of LOC, followed by a broader increase in brain activity across the cortex during sustained unconsciousness. Furthermore, sliding window analysis demonstrates a temporary increase in synchrony of fMRI signals across the hippocampus-thalamus-mPFC pathway preceding LOC. These data suggest that LOC may be triggered by sequential activities in the hippocampus, thalamus, and mPFC, while wide-spread activity increases in other cortical regions commonly observed during anesthesia-induced unconsciousness may be a consequence, rather than a cause of LOC. Taken together, the study identifies a cascade of neural events unfolding as the brain transitions into unconsciousness, offering insight into the systems-level neural mechanisms underpinning LOC.

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