General anesthesia is widely applied in clinical practice. However, the precise mechanism of loss of consciousness induced by general anesthetics remains unknown. Here, we measured the dynamics of five neurotransmitters, including γ-aminobutyric acid, glutamate, norepinephrine, acetylcholine, and dopamine, in the medial prefrontal cortex and primary visual cortex of C57BL/6 mice through in vivo fiber photometry and genetically encoded neurotransmitter sensors under anesthesia to reveal the mechanism of general anesthesia from a neurotransmitter perspective. Results revealed that the concentrations of γ-aminobutyric acid, glutamate, norepinephrine, and acetylcholine increased in the cortex during propofol-induced loss of consciousness. Dopamine levels did not change following the hypnotic dose of propofol but increased significantly following surgical doses of propofol anesthesia. Notably, the concentrations of the five neurotransmitters generally decreased during sevoflurane-induced loss of consciousness. Furthermore, the neurotransmitter dynamic networks were not synchronized in the non-anesthesia groups but were highly synchronized in the anesthetic groups. These findings suggest that neurotransmitter dynamic network synchronization may cause anesthetic-induced loss of consciousness.
全身麻醉在临床中应用广泛。然而,全身麻醉引起意识丧失的确切机制仍不清楚。该研究结合在体光纤光度法和基因编码的神经递质探针技术,测量了C57BL/6小鼠内侧前额叶皮层和初级视觉皮层中γ-氨基丁酸、谷氨酸、去甲肾上腺素、乙酰胆碱和多巴胺等五种神经递质的实时动态变化。试图从神经递质的角度揭示全身麻醉的机制。研究发现,在异丙酚引起的意识丧失过程中,皮质中γ-氨基丁酸、谷氨酸、去甲肾上腺素和乙酰胆碱的浓度增加。然而,在七氟烷引起的意识丧失期间,五种神经递质的浓度普遍下降。经过神经递质动态变化的相关性分析,结果发现,在非麻醉组中,神经递质动态变化网络不同步;然而,无论是丙泊酚还是七氟烷麻醉后,神经递质动态网络高度同步。这些数据表明,神经递质动态变化网络同步性变化可能是麻醉导致意识丧失的原因。.
Keywords: General anesthesia; In vivo neurotransmitter imaging; Loss of consciousness; Medial prefrontal cortex; Primary visual cortex.