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Publication : Effect of basal forebrain somatostatin and parvalbumin neurons in propofol and isoflurane anesthesia.

First Author  Cai S Year  2021
Journal  CNS Neurosci Ther Volume  27
Issue  7 Pages  792-804
PubMed ID  33764684 Mgi Jnum  J:359598
Mgi Id  MGI:7788543 Doi  10.1111/cns.13635
Citation  Cai S, et al. (2021) Effect of basal forebrain somatostatin and parvalbumin neurons in propofol and isoflurane anesthesia. CNS Neurosci Ther 27(7):792-804
abstractText  AIMS: The basal forebrain (BF) plays an essential role in wakefulness and cognition. Two subtypes of BF gamma-aminobutyric acid (GABA) neurons, including somatostatin-expressing (GABA(SOM) ) and parvalbumin-positive (GABA(Parv) ) neurons, function differently in mediating the natural sleep-wake cycle. Since the loss of consciousness induced by general anesthesia and the natural sleep-wake cycle probably share similar mechanisms, it is important to clarify the accurate roles of these neurons in general anesthesia procedure. METHODS: Based on two transgenic mouse lines expressing SOM-IRES-Cre and PV-IRES-Cre, we used a combination of genetic activation, inactivation, and chronic ablation approaches to further explore the behavioral and electroencephalography (EEG) roles of BF(SOM) and BF(Parv) neurons in general anesthesia. After a single intravenous injection of propofol and the induction and recovery times of isoflurane anesthesia, the anesthesia time was compared. The changes in cortical EEG under different conditions were also compared. RESULTS: Activation of BF GABA(SOM) neurons facilitates both the propofol and isoflurane anesthesia, manifesting as a longer anesthesia duration time with propofol anesthesia and a fast induction time and longer recovery time with isoflurane anesthesia. Moreover, BF GABA(SOM) -activated mice displayed a greater suppression of cortical electrical activity during anesthesia, showing an increase in delta power bands or a simultaneous decrease in high-frequency power bands. However, only a limited and nuanced effect on propofol and isoflurane anesthesia was observed with the manipulated BF GABA(Parv) neurons. CONCLUSIONS: Our results suggested that BF GABA(SOM) neurons play a critical role in propofol and isoflurane general anesthesia, while BF GABA(Parv) neurons appeared to have little effect.
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