Elevated preoptic brain activity in zebrafish glial glycine transporter mutants is linked to lethargy-like behaviors and delayed emergence from anesthesia

Sci Rep. 2021 Feb 4;11(1):3148. doi: 10.1038/s41598-021-82342-w.

Abstract

Delayed emergence from anesthesia was previously reported in a case study of a child with Glycine Encephalopathy. To investigate the neural basis of this delayed emergence, we developed a zebrafish glial glycine transporter (glyt1 - / -) mutant model. We compared locomotor behaviors; dose-response curves for tricaine, ketamine, and 2,6-diisopropylphenol (propofol); time to emergence from these anesthetics; and time to emergence from propofol after craniotomy in glyt1-/- mutants and their siblings. To identify differentially active brain regions in glyt1-/- mutants, we used pERK immunohistochemistry as a proxy for brain-wide neuronal activity. We show that glyt1-/- mutants initiated normal bouts of movement less frequently indicating lethargy-like behaviors. Despite similar anesthesia dose-response curves, glyt1-/- mutants took over twice as long as their siblings to emerge from ketamine or propofol, mimicking findings from the human case study. Reducing glycine levels rescued timely emergence in glyt1-/- mutants, pointing to a causal role for elevated glycine. Brain-wide pERK staining showed elevated activity in hypnotic brain regions in glyt1-/- mutants under baseline conditions and a delay in sensorimotor integration during emergence from anesthesia. Our study links elevated activity in preoptic brain regions and reduced sensorimotor integration to lethargy-like behaviors and delayed emergence from propofol in glyt1-/- mutants.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Aminobenzoates
  • Anesthesia, General
  • Anesthetics
  • Animals
  • Animals, Genetically Modified
  • Craniotomy
  • Delayed Emergence from Anesthesia / genetics*
  • Delayed Emergence from Anesthesia / metabolism
  • Delayed Emergence from Anesthesia / physiopathology
  • Delayed Emergence from Anesthesia / prevention & control
  • Disease Models, Animal
  • Gene Expression
  • Glycine / metabolism*
  • Glycine / pharmacology
  • Glycine Plasma Membrane Transport Proteins / deficiency
  • Glycine Plasma Membrane Transport Proteins / genetics*
  • Hyperglycinemia, Nonketotic / drug therapy
  • Hyperglycinemia, Nonketotic / genetics*
  • Hyperglycinemia, Nonketotic / metabolism
  • Hyperglycinemia, Nonketotic / physiopathology
  • Ketamine
  • Locomotion / physiology
  • Neurons / drug effects
  • Neurons / metabolism*
  • Neurons / pathology
  • Preoptic Area / drug effects
  • Preoptic Area / metabolism*
  • Preoptic Area / pathology
  • Propofol
  • Zebrafish
  • Zebrafish Proteins / deficiency
  • Zebrafish Proteins / genetics*
  • eIF-2 Kinase / genetics
  • eIF-2 Kinase / metabolism

Substances

  • Aminobenzoates
  • Anesthetics
  • Glycine Plasma Membrane Transport Proteins
  • SLC6A9 protein, zebrafish
  • Zebrafish Proteins
  • tricaine
  • Ketamine
  • PERK kinase
  • eIF-2 Kinase
  • Glycine
  • Propofol