Microtubule-stabilizer epothilone B delays anesthetic-induced unconsciousness in rats
Open accessAbstract
Volatile anesthetics are currently believed to cause unconsciousness by acting on one or more molecular targets including neural ion channels, receptors, mitochondria, synaptic proteins, and cytoskeletal proteins. Anesthetic gases including isoflurane bind to cytoskeletal microtubules (MTs) and dampen their quantum optical effects, potentially contributing to causing unconsciousness. This possibility is supported by the finding that taxane chemotherapy consisting of MT-stabilizing drugs reduces the effectiveness of anesthesia during surgery in human cancer patients. In order to experimentally assess the contribution of MTs as functionally relevant targets of volatile anesthetics, we measured latencies to loss of righting reflex (LORR) under 4% isoflurane in male rats injected subcutaneously with vehicle or 0.75 mg/kg of the brain-penetrant MT–stabilizing drug epothilone B (epoB). EpoB-treated rats took an average of 69 s longer to become unconscious as measured by latency to LORR. This was a statistically significant difference corresponding to a standardized mean difference (Cohen's d ) of 1.9, indicating a “large” normalized effect size. The effect could not be accounted for by tolerance from repeated exposure to isoflurane. Our results suggest that binding of the anesthetic gas isoflurane to MTs causes unconsciousness and loss of purposeful behavior in rats (and presumably humans and other animals). This finding is predicted by models that posit consciousness as a property of a quantum physical state of neural MTs.
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TL;DR
Subcutaneous epothilone B (0.75 mg/kg), a microtubule-stabilizing drug, significantly delayed isoflurane-induced loss of righting reflex in rats, suggesting microtubules contribute to anesthetic-induced unconsciousness. The authors argue this effect is not explained by isoflurane tolerance, though the study is small and limited to male rats.
Key findings
- In 8 male Long–Evans rats, average latency to loss of righting reflex (LORR) under 4% isoflurane increased by 69 s after epoB injection versus pre-epoB control (two-tailed permutation t test; N = 8 rats; p = 0.0016; Cohen’s d = 1.9; 95% CI [37.4, 109] s). Seven of eight rats showed higher average LORR latency post-epoB.
- After omitting eight post-epoB outliers, the difference remained significant (p = 0.005; d = 5.4; 95% CI [12.8, 43.0] s).
- Tolerance analyses estimated a pre-epoB slope of −1.3 s/d and a post-epoB slope of 4.5 s/d. A conservative 2-d-interval tolerance estimate of 2.5 s/d predicted only ~40 s increase over 16 d, which the authors say is not enough to account for the 69 s effect.
- In a separate tolerance group of 4 rats, LORR latency remained significantly elevated after a 41 d pause in anesthesia sessions (mean difference 40 s; paired t test; n = 12 vs 12 sessions; p = 0.0017; after outlier removal, 48 s; p = 0.009). Weight and age showed weak correlations with LORR latency (R² = 0.058 for weight; R² = 0.029 for age).
Methods
- Within-subject design: 12 male Long–Evans rats total; 8 in the main epoB experiment and 4 in a separate tolerance-control group. Rats received subcutaneous epoB (0.75 mg/kg) or vehicle (50/50% DMSO/saline), with injections given after isoflurane induction; LORR latency was measured under 4% isoflurane in oxygen (1.5 L/min).
- Main analysis compared each rat’s averaged pre- and post-epoB LORR latencies using a two-tailed permutation t test (N = 8 rats). Tolerance was assessed with linear fits to LORR latency over sessions and 2-d-interval slope estimates; additional t tests compared early versus late sessions in the tolerance group.
- Blinding: injection preparers and LORR measurers were blind to drug condition; six of eight main-group rats received one epoB injection, and two received a second epoB injection on day 14 after the first.
Limitations
- Stated by the paper: only male rats were used to avoid confounding by estrous phase; emergence measurements had large variability because injections were given after isoflurane induction, preventing firm conclusions from those data; the tolerance confound was considered but the authors note the interval difference made that consideration “inconclusive,” though their conservative estimate did not account for the full effect.
- Evident from the text: small sample sizes (N = 8 main, N = 4 tolerance), no female rats, fixed order of control before epoB despite blinding, and no direct measurement of microtubule binding or mechanism. LORR is used as a proxy for unconsciousness.
Model-written summary. Check it against the paper before relying on it.
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Claims the paper makes
0 of 83 cited sources checked · 0 supported · 0 flagged
- Findingown data
Seven of eight rats exhibited increased average LORR latencies in the epoB condition.
“Seven of the eight rats exhibited increased average LORR latencies in the epoB condition.”
- Also stated in: § Average LORR latency increased after epoB injection · plain
“Seven of eight rats show higher average LORR latency in the post-epoB injection condition.”
Quote in the paperSubstantial claim - Also stated in: § Average LORR latency increased after epoB injection · plain
- Findingown data
In the pre-epoB period, LORR latency decreased on average by 1.3 s/d (linear fit slope −1.3 s/d; 95% CI −3.43 to 0.90) in the context of isoflurane sessions on average once every 3.1 d.
“A linear fit to these data resulted in a slope of −1.3 s/d, meaning an average LORR latency decrease of 1.3 s/d in the context of isoflurane anesthesia sessions taking place on average once every 3.1 d (Table 3).”
- Also stated in: § EpoB-induced LORR latency increase is not accounted for by rats’ developing tolerance to isoflurane · plain
“Main pre-epoB | −1.3 | (−3.43, 0.90) | 8 | 36 | 3.1 | 1.8”
Quote in the paperSubstantial claim - Also stated in: § EpoB-induced LORR latency increase is not accounted for by rats’ developing tolerance to isoflurane · plain
- Findingown data
In the tolerance group before the 41 d pause, linear fit estimated 0.97 s of increased LORR latency per day, with sessions every 4.6 d on average.
“Before the pause, the linear fit resulted in an estimate of 0.97 s of increased LORR latency per day, in the context of anesthesia sessions taking place every 4.6 d on average.”
Quote in the paperSubstantial claim - Findingown data
The magnitude of the LORR latency difference corresponds to a standardized mean difference (Cohen's d) of 1.9, indicating a large normalized effect size.
“The magnitude of the difference corresponds to a standardized mean difference (Cohen's d) of 1.9, indicating a “large” normalized effect size.”
Quote in the paperNot a substantial claim - Findingown data
This difference remained significant after omitting one outlier session (mean difference 48 s; n=8 earlier vs 12 later; p=0.009).
“This difference remained significant after omitting one outlier session (mean difference, 48 s; n = 8 earlier vs 12 later sessions; p = 0.009h).”
Quote in the paperSubstantial claim
- Findingown data
In eight male Long-Evans rats, average latency to loss of righting reflex (LORR) under 4% isoflurane increased by 69 s after subcutaneous injection of 0.75 mg/kg epothilone B compared with pre-epoB control sessions.
“The average LORR latency increased by 69 s in the epoB condition, and this difference was significant (two-tailed permutation t test; N = 8 rats; p = 0.0016a; Fig. 2, Table 2).”
- Also stated in: § Discussion · plain
“Our main finding was that rats under the influence of the brain-penetrant MT–stabilizing drug epoB took longer to become unconscious under isoflurane, as measured by LORR latency, compared with the control condition (Fig. 2).”
Quote in the paperSubstantial claim - Also stated in: § Discussion · plain
- Findingown data
This difference remained significant after omitting one outlier (mean difference 109 s; n=12 vs n=8; p=0.00019).
“This difference remained significant after omitting one outlier (mean difference, 109 s; n = 12 vs n = 8 sessions; p = 0.00019f).”
Quote in the paperNot a substantial claim - Findingown data
In the tolerance group, LORR latencies were significantly higher toward the end of the pre-pause period compared with initial sessions (mean difference 69 s; unpaired t test; n=12 early vs n=9 late; p=0.009).
“A comparison of the initial sessions with the final sessions in the pre-pause period (Fig. 3C) shows that LORR latencies were significantly higher toward the end of that pre-pause period (mean difference, 69 s; unpaired t test; n = 12 early vs n = 9 late sessions; p = 0.009e).”
Quote in the paperSubstantial claim - Findingown data
In the tolerance group, average LORR latency after the 41 d hiatus was significantly higher than average LORR latency in the same animals' first anesthesia sessions (mean difference 40 s; paired t test; n=12 earlier vs 12 later; p=0.0017).
“The average LORR latency after the hiatus was significantly higher than the average LORR latency in the same animals’ first anesthesia sessions (mean difference, 40 s; paired t test; n = 12 earlier vs 12 later sessions; p = 0.0017g)”
Quote in the paperSubstantial claim - Findingown data
The difference in LORR latency between control and epoB conditions remained significant after omitting eight outliers (p = 0.005; Cohen's d = 5.4).
“Omitting outliers, the difference between the control and epoB conditions remained significant (p = 0.005b; d = 5.4).”
- Also stated in: § Average LORR latency increased after epoB injection · plain
“The difference remained significant when we omitted eight outliers from the post-epoB dataset (p = 0.005b; d = 5.4).”
Quote in the paperSubstantial claim - Also stated in: § Average LORR latency increased after epoB injection · plain
- Findingown data
Our data did not reveal any significant relationship between latency to LORR and our rats' ages.
“Our data did not reveal any significant relationship between latency to LORR and our rats’ ages.”
Quote in the paperNot a substantial claim - Findingown data
We found no significant relationship between LORR latencies and our rats' varying weights.
“We found no significant relationship between LORR latencies and our rats’ varying weights.”
Quote in the paperNot a substantial claim - Interpretationown data
The tolerance group developed a tolerance to isoflurane over ~70 d of anesthesia sessions repeated on average every 4.6 d.
“The average LORR latency was significantly higher in our tolerance group of rats after ∼70 d of anesthesia sessions repeated on average every 4.6 d, indicating that the rats did develop a tolerance to isoflurane in that context (Fig. 3C).”
Quote in the paperNot a substantial claim - Interpretationreasoning
Binding to microtubules is one of the molecular mechanisms by which isoflurane causes unconsciousness in rats.
“Thus, since our main result cannot be accounted for by our rats’ developing tolerance to isoflurane, it strongly suggests that binding to MTs is one of the molecular mechanisms by which isoflurane causes unconsciousness in rats.”
- Also stated in: § Significance Statement · boosted
“Our study establishes that action on intracellular microtubules (MTs) is the mechanism, or one of the mechanisms, by which the inhalational anesthetic gas isoflurane induces unconsciousness in rats.”
Quote in the paperSubstantial claim- Rests on an assumption: EpoB's effect on LORR latency under isoflurane is mediated by its microtubule-stabilizing action, not by other pharmacological effects.
- Also stated in: § Significance Statement · boosted
- Interpretationown data
The tolerance developed over 70 d of regular isoflurane exposure did not revert to shorter initial LORR latencies after more than a month without isoflurane.
“This result shows that the tolerance developed over the course of 70 d of regular exposure to isoflurane did not revert to the shorter initial LORR latencies, after more than a month without isoflurane.”
Quote in the paperNot a substantial claim - Interpretationown data
The increased LORR latency after epoB cannot be accounted for by rats developing tolerance to isoflurane.
“Thus, since our main result cannot be accounted for by our rats’ developing tolerance to isoflurane, it strongly suggests that binding to MTs is one of the molecular mechanisms by which isoflurane causes unconsciousness in rats.”
Quote in the paperSubstantial claim - Interpretationown data
The pre-epoB decrease of 1.3 s/d cannot account for the increase in average LORR latency after epoB.
“This decrease cannot account for the increase in average LORR latency shown in Figure 2.”
Quote in the paperSubstantial claim - Interpretationown data
The results were statistically consistent with no tolerance effect of isoflurane sessions repeated at a 3.3 d average interval.
“Although the average effect we measured was negative, the results were statistically consistent with no tolerance effect of isoflurane sessions repeated at that 3.3 d average interval.”
Quote in the paperNot a substantial claim - Interpretationown data
The negative 2-d slope in the tolerance group supports that the 2.5 s/d estimate may be an upper bound on the true tolerance effect contribution.
“This result also supports that our estimate of 2.5 s/d of increased LORR latency across sessions separated by 2 d may be an upper bound on the true tolerance effect contribution to the change in LORR latency we saw after epoB injection.”
Quote in the paperSubstantial claim - Interpretationown data
Conservatively using the 2.5 s/d slope, the predicted tolerance-related increase in LORR latency over 16 d is 40 s, which is not enough to plausibly account for the 69 s average increase after epoB.
“conservatively using this slope to estimate the tolerance contribution to the difference we observed between pre-epoB and post-epoB sessions results in a predicted tolerance-related increase in LORR latency of 2.5 s/d*16 d = 40 s. This is not enough to plausibly account for the 69 s average LORR latency increase we observed in the post-epoB period as compared with the pre-epoB period.”
Quote in the paperSubstantial claim - Interpretationcitation
Emerson et al.'s results corroborate that perturbing MTs can contribute to unconsciousness.
“They used anthracene and neurosteroid anesthetics rather than isoflurane, but they corroborate that perturbing MTs can contribute to unconsciousness.”
Quote in the paperNot a substantial claim - Premisecitation
Other membrane receptor and ion channel proteins were ruled out as possible unitary targets by exhaustive studies culminating in Eger et al. (2008).
“Other membrane receptor and ion channel proteins were ruled out as possible unitary targets by exhaustive studies culminating in Eger et al. (2008).”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Eger et al., 2008
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- Interpretationcitation
The taxane chemotherapy result suggests that binding to MTs contributes to inducing unconsciousness under volatile anesthetics.
“This result suggests that binding to MTs contributes to inducing unconsciousness under volatile anesthetics”
Quote in the paperSubstantial claim - Interpretationown data
A drop in LORR latencies could not account for the increase seen in the post-epoB condition.
“Obviously, a drop in LORR latencies could not account for the increase we saw in the post-epoB condition.”
Quote in the paperSubstantial claim - Interpretationown data
This supports that LORR latencies can actually drop across repeated sessions if the intersession interval is relatively short.
“This supports that LORR latencies can actually drop across repeated sessions if the intersession interval is relatively short.”
Quote in the paperSubstantial claim - Interpretationcitation
Our findings are consistent with the report of partial anesthetic resistance in human surgical patients treated with taxane MT-stabilizing chemotherapy.
“Our findings are consistent with the report of partial anesthetic resistance in human surgical patients treated with taxane MT-stabilizing chemotherapy (Linganna et al., 2015) that was a primary motivation for our study in rats.”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Linganna et al., 2015 source
Not checked in the free run.
- Interpretationown data
Our results provide support for MT-based theories of anesthetic action and consciousness.
“Our results are also theoretically important because they provide support for MT-based theories of anesthetic action and consciousness.”
Quote in the paperSubstantial claim - Premisecitation
Latency to loss of righting reflex (LORR) was used as a proxy for time to become unconscious, following standard practice in the field.
“Following standard practice in the field (Campagna et al., 2003; Icaza et al., 2009; McCarren et al., 2013), we used latency to loss of righting reflex (LORR) as a proxy for time to become unconscious.”
Quote in the paperSubstantial claim0 of 3 sources checked- cites Campagna et al., 2003
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- cites Icaza et al., 2009
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- cites McCarren et al., 2013
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- Study design and conductnone given
In our experiments, effects of age were confounded with potential effects of repeated isoflurane exposure and weight.
“Moreover, effects of age in our experiments were confounded with potential effects of repeated isoflurane exposure and weight.”
Quote in the paperNot a substantial claim - Premisecitation
Both these requirements have been experimentally verified by Anirban Bandyopadhyay's group.
“Actually both (1) and (2) have been experimentally verified by Anirban Bandyopadhyay's group (Singh et al., 2021b).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Singh et al., 2021b
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- Premisecitation
In cultured neuronal networks, megahertz and gigahertz oscillations from dendritic-somatic MTs correlated with axonal firings in the same and other neurons better than did membrane potentials.
“In cultured neuronal networks, they found megahertz and gigahertz oscillations from dendritic–somatic MTs correlated with axonal firings in the same and other neurons better than did membrane potentials.”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Singh et al., 2021b
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- Premisecitation
So far no evidence points to MTs as the cause of isoflurane-induced disruption of synaptic transmission.
“Moreover, while the classical membrane-centered viewpoint appears to predict that perturbing MTs would primarily contribute to unconsciousness by interfering with synaptic transmission, so far no evidence points to MTs as the cause of isoflurane-induced disruption of synaptic transmission.”
Quote in the paperSubstantial claim - Interpretationcitation
Isoflurane's effect on synaptic transmission might be fully accounted for in terms of its interaction with other proteins besides MTs.
“However, it does show that isoflurane's effect on synaptic transmission might be fully accounted for in terms of its interaction with other proteins besides MTs.”
Quote in the paperSubstantial claim - Interpretationreasoning
The age range of the rats in this study (7-25 weeks, ~2-6 months) may not have been sufficient to show effects of advanced age.
“Our rats ranged in age from 7 to 25 weeks, i.e., ∼2–6 months old, which may not have been sufficient to show effects of advanced age.”
Quote in the paperSubstantial claim
- May combine two claims. 39
- Classified as probably not a substantial claim. 69
May combine two claims.
Findingown dataIn the separate tolerance group, the 2-d-interval slope analysis resulted in a negative slope estimate of −11.5 s/d, not significantly different from zero (p = 0.1).
“In this case the 2-d-interval slope analysis resulted in a negative slope estimate of −11.5 s/d. This estimate also failed to be significantly different from zero but was a stronger trend [p = 0.1d; n = 36 session-pairs (i.e., intervals) in four rats]”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataThe 2-d interval slope estimate of tolerance in the main experimental group was 2.5 s/d, not significantly different from zero (p = 0.7).
“Averaging these latency differences (in seconds) across rats and dividing by the 2 d interval resulted in a 2 d interval slope estimate of 2.5 s/d [based on n = 20 session-pairs (i.e., intervals) in eight rats]. Although this slope estimate was not significantly different from zero slope (t test; n = 20 intervals; p = 0.7c; no significant tolerance effect)”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataLORR latency was very weakly correlated with rat weight and age; R2 = 0.058 for weight fit and 0.029 for age fit.
“LORR latency was very weakly correlated with rat weight and age.”
- Also stated in: § Neither rat weight nor age predicts LORR latency · plain
“Linear fits to these data resulted in correlation coefficient squared (R2) of 0.058 for the weight fit and 0.029 for the age fit.”
Quote in the paperNot a substantial claim- Also stated in: § Neither rat weight nor age predicts LORR latency · plain
May combine two claims.
Findingown dataIn the tolerance group after the 41 d pause, linear fit estimated a slope of 4.5 s/d, with sessions every 2.65 d on average.
“After the pause, the linear fit resulted in a slope of 4.5 s/d in the context of sessions taking place every 2.65 d on average (Table 3).”
Quote in the paperNot a substantial claimClassified as probably not a substantial claim.
Findingnone givenThese sessions were repeated with an average interval of 3.3 d between sessions.
“These sessions were repeated with an average interval of 3.3 d between sessions.”
Quote in the paperSubstantial claimProbably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.
PremisecitationMice repeatedly exposed to 4% isoflurane for 45 min at 3-4 d intervals for 3 weeks did not display significant differences in nest building behavior, home cage activity, body weight, or corticosterone concentrations compared with control mice.
“On the other hand, mice repeatedly exposed to 4% isoflurane for 45 min at 3–4 d intervals for 3 weeks did not display significant differences in terms of nest building behavior, home cage activity, body weight, or corticosterone concentrations when compared with control mice (Hohlbaum et al., 2017).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Hohlbaum et al., 2017 source
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PremisecitationStudies of mice with mutant GABAA receptors concluded that GABAA receptors contribute to LORR under isoflurane.
“studies of mice with mutant GABAA receptors concluded that GABAA receptors contribute to LORR under isoflurane (the standard proxy for loss of consciousness).”
Quote in the paperNot a substantial claimMay combine two claims.
Interpretationown dataMultiple competing processes of facilitation and depression of sensitivity to isoflurane with different characteristic time scales are active simultaneously, so complex nonlinear interactions may result if intersession interval varies.
“The fact that our slope estimate based only on pairs of sessions separated by 2 d was negative suggests that multiple competing processes of facilitation and depression of sensitivity to isoflurane with different characteristic time scales are active simultaneously, so that if intersession interval varies, complex nonlinear interactions may result.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationIsoflurane potentiates inhibitory GABA receptor activity in vitro.
“Isoflurane potentiates inhibitory GABA receptor activity in vitro (Hall et al., 1994; Garcia et al., 2010)”
Quote in the paperNot a substantial claim0 of 2 sources checked- cites Hall et al., 1994
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- cites Garcia et al., 2010
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PremisecitationIn mice, continuous exposure to 0.15-0.3% isoflurane for 2-3 weeks was not found to produce a tolerance effect based on time to LORR.
“In mice, continuous exposure to 0.15–0.3% isoflurane for 2–3 weeks was not found to produce a tolerance effect based on time to LORR (Smith et al., 1979).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Smith et al., 1979
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PremisecitationIsoflurane directly activates sleep-promoting neurons of the hypothalamic ventrolateral preoptic nucleus, and this contributes to causing unconsciousness.
“Isoflurane directly activates sleep-promoting neurons of the hypothalamic ventrolateral preoptic nucleus, and this contributes to causing unconsciousness (Moore et al., 2012; Kottler et al., 2013; Jiang-Xie et al., 2019).”
Quote in the paperNot a substantial claim0 of 3 sources checked- cites Moore et al., 2012
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- cites Kottler et al., 2013
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- cites Jiang-Xie et al., 2019
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PremisecitationExposure to 1% isoflurane once a day for 10 consecutive days may produce a tolerance effect in mice as shown by longer LORR latencies.
“Another study found that exposure to 1% isoflurane given once a day for 10 consecutive days may produce a tolerance effect in mice as shown by longer LORR latencies (Chalon et al., 1983).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Chalon et al., 1983
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Interpretationown dataThe tolerance effect estimated in the main experimental group from the control period was negative, indicating greater sensitivity after repeated sessions rather than growing insensitivity.
“The tolerance effect we estimated in the main experimental group, from the control period of our epoB experiment, was negative, indicating a greater sensitivity after repeated sessions rather than a growing insensitivity (aka tolerance).”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
InterpretationreasoningAnesthetics may act on a unitary site, via relatively nonspecific physical interactions such as London/van der Waals forces between induced dipoles.
“Together these results suggest that anesthetics may act on a unitary site, via relatively nonspecific physical interactions (such as London/van der Waals forces between induced dipoles).”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationOlder rats took significantly longer to emerge from isoflurane-induced unconsciousness than younger rats.
“This contrasts with a study which found that older rats took significantly longer to emerge from isoflurane-induced unconsciousness than younger rats (Chemali et al., 2015).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Chemali et al., 2015
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PremisecitationCytoskeletal microtubules have been considered as a candidate target of anesthetic action for over 50 years.
“Cytoskeletal microtubules (MTs) have been considered as a candidate target of anesthetic action for over 50 years (Allison and Nunn, 1968; S. Hameroff, 1998).”
Quote in the paperNot a substantial claim0 of 2 sources checked- cites Allison and Nunn, 1968
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- cites S. Hameroff, 1998 source
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Study design and conductreasoningOnly male rats were used to avoid potentially confounding interactions with estrous phase in females.
“We used only male rats to avoid potentially confounding interactions with estrous phase in females.”
Quote in the paperSubstantial claimClassified as probably not a substantial claim. May combine two claims.
PremisecitationMTs have been proposed to process information, encode memory, and mediate consciousness.
“MTs have also been proposed to process information, encode memory, and mediate consciousness (S. R. Hameroff et al., 1982; S. Hameroff and Penrose, 1996; S. Hameroff, 2022).”
Quote in the paperSubstantial claim0 of 3 sources checked- cites S. R. Hameroff et al., 1982
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- cites S. Hameroff and Penrose, 1996 source
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- cites S. Hameroff, 2022
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Study design and conductreasoningInjections were given after isoflurane induction to avoid stressing rats before LORR measurements, which preserved LORR latency data but introduced large variability into emergence measurements, preventing firm conclusions from those data.
“To avoid stressing the rats before taking LORR measurements, which would likely introduce large uncontrolled variability into the data, we gave injections after isoflurane induction. This preserved the integrity of the LORR latency data but unfortunately did introduce large variability into the emergence (latency to regaining of righting response) measurements, which prevented our drawing any firm”
Quote in the paperSubstantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationThe possibility that general anesthesia might be explained by unitary action of all (or most) anesthetics on one target protein is supported by the Meyer-Overton correlation and the additivity of potencies of different anesthetics.
“The possibility that general anesthesia might be explained by unitary action of all (or most) anesthetics on one target protein is supported by the Meyer–Overton correlation and the additivity of potencies of different anesthetics (Eger et al., 2008).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Eger et al., 2008
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PremisecitationEmerson et al. used MT-stabilizing agents epothilone D and discodermolide to directly implicate MTs as a functional target of general anesthetics in tadpoles.
“Another study used MT-stabilizing agents epothilone D and discodermolide to directly implicate MTs as a functional target of general anesthetics in tadpoles (Emerson et al., 2013).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Emerson et al., 2013
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InterpretationcitationCraddock et al.'s modeling suggests possible unitary action of anesthetics in MTs.
“This suggests possible unitary action of anesthetics in MTs.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing), S4 (based).
InterpretationreasoningThis could occur if isoflurane remained in the animal's system long enough to contribute to hypnosis in subsequent anesthesia sessions after relatively short intervals without isoflurane exposure.
“This could occur, for example, if isoflurane remained in the animal's system long enough to contribute to hypnosis in subsequent anesthesia sessions after relatively short intervals without isoflurane exposure.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationGriffin et al. measured brain concentrations of epoB over time and found sustained levels of epoB in the brain through the 16 d period of their measurements.
“Those authors also measured brain concentrations of epoB over time and found sustained levels of epoB in the brain through the 16 d period of their measurements.”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Griffin et al., 2023 source
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PremisecitationRecipients of taxane chemotherapy had a significantly elevated blood pressure response to incision during breast cancer surgery and required significantly more opioid analgesic compared with patients who did not receive taxane chemotherapy.
“Recipients of taxane chemotherapy had a significantly elevated blood pressure response to incision during surgery for breast cancer and required significantly more opioid analgesic, as compared with patients who did not receive taxane chemotherapy (Linganna et al., 2015).”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Linganna et al., 2015 source
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Study design and conductown dataThe interval between sessions in the post-epoB period was 2 d (SD 0), more frequent than in the pre-epoB sessions.
“the interval between sessions in the post-epoB period was 2 d (SD, 0; Table 3), which is more frequent than in the pre-epoB sessions”
Quote in the paperSubstantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
Study design and conductnone givenResearchers taking LORR measurements and administering injections were blind to the injection and drug condition of the animal.
“Researchers taking the LORR latency measurements and administering injections were blind to the injection and drug condition of the animal.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationThe Meyer-Overton correlation is the finding that anesthetic potency of chemically diverse anesthetic molecules is directly correlated with their solubility in lipids akin to olive oil.
“The Meyer–Overton correlation refers to the venerable finding that the anesthetic potency of chemically diverse anesthetic molecules is directly correlated with their solubility in lipids akin to olive oil (S. R. Hameroff, 2018; Kelz and Mashour, 2019).”
Quote in the paperNot a substantial claim0 of 2 sources checked- cites S. R. Hameroff, 2018 source
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- cites Kelz and Mashour, 2019
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Classified as probably not a substantial claim.
PremisecitationEpothilones are distinguished from older MT-stabilizing drugs by their better ability to penetrate the blood-brain barrier and affect the brain and spinal cord.
“Epothilones are distinguished from older MT-stabilizing drugs by their better ability to penetrate the blood–brain barrier and affect the brain and spinal cord.”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Varidaki et al., 2018
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May combine two claims.
PremisecitationGriffin et al. (2023) compared intraperitoneal versus subcutaneous injections and found greater concentrations of the drug in the brain with subcutaneous injections.
“(Griffin et al., 2023) compared with the effectiveness of intraperitoneal versus subcutaneous injections and found greater concentrations of the drug in the brain with subcutaneous injections.”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Griffin et al., 2023 source
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Classified as probably not a substantial claim. May combine two claims.
InterpretationcitationMTs were not ruled out and remain a candidate for a unitary site of anesthetic action.
“However, MTs (composed of tubulin subunits) were not ruled out and remain a candidate for a unitary site of anesthetic action.”
Quote in the paperSubstantial claimClassified as probably not a substantial claim. May combine two claims.
Study design and conductnone givenAll researchers were trained to use the identical procedure for determining LORR latency, and at least two blind researchers were present for every experiment.
“All researchers were trained to use the identical procedure for determining LORR latency, and at least two researchers (both blind) were present for every experiment.”
Quote in the paperSubstantial claimProbably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.
PremisecitationThere was no significant change in heart rate or anesthetic delivery during surgery in the taxane group compared with controls.
“there was no significant change in the heart rate or anesthetic delivery during surgery in the taxane group as compared with controls.”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Linganna et al., 2015 source
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PremisecitationMTs are the major components of the cytoskeleton in all cells, and in neurons they have additional specialized roles in intracellular transport and neural plasticity.
“MTs are the major components of the cytoskeleton in all cells, and they also play an essential role in cell reproduction—and aberrant cell reproduction in cancer—but in neurons, they have additional specialized roles in intracellular transport and neural plasticity (Kapitein and Hoogenraad, 2015).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Kapitein and Hoogenraad, 2015
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Study design and conductnone givenThe epoB condition came after the control condition for every rat.
“even though the epoB condition came after the control condition for every rat”
Quote in the paperNot a substantial claimClassified as probably not a substantial claim.
Study design and conductreasoningTo eliminate any possibility of experimenter bias, epoB and vehicle injections were prepared by two researchers so that researchers taking LORR measurements could not know whether injections were epoB or vehicle.
“To eliminate any possibility of experimenter bias, epoB and vehicle injections were prepared for each anesthesia session for each rat by two of us (Y.H. and M.C.W.) so that researchers taking the LORR latency measurements could not know whether the injections were epoB or vehicle.”
Quote in the paperSubstantial claimClassified as probably not a substantial claim.
PremisecitationSingh et al. (2021a) showed that MT activities do regulate axonal firing, for example, overriding membrane potentials.
“Singh et al. (2021a) showed that MT activities do regulate axonal firing, for example, overriding membrane potentials.”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Singh et al. (2021a)
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PremisecitationThe orchestrated objective reduction (Orch OR) theory proposes that anesthesia directly blocks quantum effects in MTs necessary for consciousness.
“The orchestrated objective reduction (Orch OR) theory proposes that anesthesia directly blocks quantum effects in MTs necessary for consciousness (S. Hameroff and Penrose, 2014).”
Quote in the paperSubstantial claim0 of 1 sources checked- cites S. Hameroff and Penrose, 2014
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PremisecitationKnown side effects of epoB include tiredness/weakness and fatigue, but not hyperarousal, so epoB would not be expected to cause resistance to anesthesia through an off-target effect on arousal.
“Note that known side effects of epoB include tiredness/weakness and fatigue (Sessa et al., 2007), but not hyperarousal, so epoB would not be expected to cause resistance to anesthesia through an off-target effect on arousal.”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Sessa et al., 2007
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Interpretationown dataThe 2-d slope estimate in the separate tolerance group was negative like the overall slope of the pre-epoB data, and the 2-d slope used to estimate a 40 s tolerance effect was not significantly different from zero, making the 40 s estimate conservative.
“We emphasize that this is our most conservative estimate, given that our 2 d slope estimate in the separate tolerance group was negative like the overall slope of the pre-epoB data and that the 2 d slope we used to estimate a 40 s tolerance effect was not significantly different from zero (i.e., zero slope meaning no tolerance effect).”
Quote in the paperSubstantial claimClassified as probably not a substantial claim.
PremisecitationThe precise molecular mechanisms by which volatile anesthetics reversibly abolish consciousness remain elusive.
“the precise molecular mechanisms by which these molecules reversibly abolish consciousness remain elusive (Eger et al., 2008; Hemmings et al., 2019; Kelz and Mashour, 2019; Mashour, 2024).”
Quote in the paperSubstantial claim0 of 3 sources checked- cites Eger et al., 2008
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- cites Hemmings et al., 2019
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- cites Kelz and Mashour, 2019
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Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.
PremisecitationDetailed quantum chemical modeling found that anesthetic potency was predicted by the modeled disruption or failure to disrupt high-frequency vibrations inside MT protein subunits, and the latter study found a Meyer-Overton correlation for all eight anesthetics studied.
“detailed quantum chemical modeling of anesthetic and nonanesthetic molecules binding to the tubulin dimers that make up MTs found that anesthetic potency was predicted by the modeled disruption or failure to disrupt high-frequency vibrations inside MT protein subunits (Craddock et al., 2015, 2017). The latter study found a Meyer–Overton correlation for all eight anesthetics studied.”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Craddock et al., 2015, 2017
Couldn’t be matched to a paper in Crossref, so it can’t be checked.
Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.
Study design and conductnone givenResearchers did not know when LORR measurements would stop or whether additional doses of epoB would be provided after the first.
“Moreover, they did not know when we would stop taking LORR latency measurements or whether we would provide additional doses of epoB after the first.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationTegmark calculated MT decoherence would occur at 10−13 s, too fast for functional effects.
“Criticizing the Penrose–Hameroff Orch OR theory, Tegmark (Tegmark, 2000) calculated MT decoherence would occur at 10−13 s, too fast for functional effects.”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Tegmark, 2000
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PremisecitationTegmark erred, using a key term for superposition separation distance of tens of nanometers (10−8 m) rather than femtometers (10−15 m) as stipulated in Orch OR.
“However, Tegmark erred, using a key term for superposition separation distance of tens of nanometers (10−8 m) rather than femtometers (10−15 m) as stipulated in Orch OR.”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Hagan et al., 2002
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InterpretationcitationThese experimental results corroborate the plausibility of the MT-based quantum physical model of consciousness and the hypothesis that isoflurane could contribute to abolishing consciousness by interacting with an entangled state of MTs.
“These experimental results corroborate the plausibility of the MT-based quantum physical model of consciousness and the hypothesis that isoflurane could contribute to abolishing consciousness by interacting with an entangled state of MTs.”
Quote in the paperNot a substantial claimClassified as probably not a substantial claim.
PremisecitationAnother class of quantum model understands consciousness in terms of physical vibrational states of MTs in neurons.
“In contrast, another class of quantum model understands consciousness in terms of physical vibrational states of MTs in neurons (S. Hameroff and Penrose, 1996, 2014; Craddock et al., 2017; S. Hameroff, 2022).”
Quote in the paperSubstantial claim0 of 3 sources checkedMay combine two claims.
PremisecitationThe Orch OR MT-based consciousness theory was part of the Templeton World Charity Foundation program in Accelerating Research in Consciousness and produced the only confirmatory evidence among theories tested.
“The Orch OR MT-based consciousness theory was part of the Templeton World Charity Foundation program in Accelerating Research in Consciousness and produced the only confirmatory evidence among theories tested.”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites S. Hameroff, 2021 source
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PremisecitationIsoflurane's effect reducing synaptic transmission has been shown to proceed primarily via its effect on syntaxin 1A or via its effect inhibiting mitochondrial function.
“In different studies, isoflurane's effect reducing synaptic transmission has been shown to proceed primarily via its effect on syntaxin 1A (Herring et al., 2009) or via its effect inhibiting mitochondrial function (Zimin et al., 2018).”
Quote in the paperSubstantial claim0 of 2 sources checked- cites Herring et al., 2009
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- cites Zimin et al., 2018
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InterpretationcitationThese results support that the MT vibrational state and resultant electromagnetic field can interact systematically with the membrane voltage and that this coupling can traverse the physical gap between neurons.
“Additionally, these results support that the MT vibrational state and resultant electromagnetic field can interact systematically with the membrane voltage that we know is closely related to mental function and behavior and again that this coupling can traverse the physical gap between neurons.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
InterpretationcitationTheir results support the conjecture that MTs can couple across neurons.
“Their results support the conjecture of Babcock et al. that MTs can couple across neurons.”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Babcock et al., 2024 source
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InterpretationreasoningOur results are potentially consistent with classical models of consciousness, but they represent a more stringent test of MT-based models because MT-based models specifically predict that directly disrupting the physical state of MTs should contribute to loss of consciousness.
“Our results are potentially consistent with classical models of consciousness, but they represent a more stringent test of these MT-based models, because while the classical models are agnostic about MTs as a functional anesthetic target, the MT-based models specifically predict that directly disrupting the physical state of MTs should contribute to loss of consciousness.”
Quote in the paperSubstantial claim- Rests on an assumption: Classical models of consciousness are agnostic about MTs as a functional anesthetic target.
Probably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationThe prediction of quantum coherence in MTs at high temperatures (room temperature) has now been experimentally verified.
“The prediction of quantum coherence in MTs at high temperatures (i.e., room temperature) has now been experimentally verified (Saxena et al., 2020; Babcock et al., 2024).”
Quote in the paperNot a substantial claim0 of 2 sources checkedClassified as probably not a substantial claim. May combine two claims.
PremisecitationAnesthetics dampen the quantum dipole oscillations and cause unconsciousness.
“Anesthetics dampen the quantum dipole oscillations and cause unconsciousness.”
Quote in the paperSubstantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationIn classical models, consciousness is understood in terms of functional connectivity or classical integrated information among neurons, cortical areas, or parts of the system.
“because consciousness in these models is understood in terms of functional connectivity (Dehaene et al., 1998; Sergent and Dehaene, 2004; Tsuchiya et al., 2015; Mashour et al., 2020) or classical integrated information (Tononi, 2008; Tononi et al., 2016; Albantakis et al., 2023) among neurons, cortical areas, or parts of the system.”
Quote in the paperNot a substantial claim0 of 3 sources checked- cites Dehaene et al., 1998
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- cites Tononi, 2008
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- cites Albantakis et al., 2023
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Probably not a substantial claim: may not pass S1 (asserted). May combine two claims.
PremisecitationIn this quantum model, quantum dipole vibrations in MTs inside neurons mediate consciousness, modulate functional connectivity, and regulate neuronal firing.
“In this picture, quantum dipole vibrations in MTs inside neurons mediate consciousness, modulate functional connectivity, and regulate neuronal firing.”
Quote in the paperNot a substantial claimClassified as probably not a substantial claim. May combine two claims.
PremisecitationThe predictions were that MT quantum effects would be shown at ambient temperature and they would be inhibited by anesthesia.
“The predictions were that (1) MT quantum effects would be shown at ambient temperature and (2) they would be inhibited by anesthesia (S. Hameroff, 2021).”
Quote in the paperSubstantial claim0 of 1 sources checked- cites S. Hameroff, 2021 source
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PremisecitationIn humans, anesthetic sensitivity generally increases with age, as indicated by a ~6% per decade decrease in the minimum alveolar concentration of volatile anesthetics needed to abolish movement in response to a noxious stimulus.
“In humans, anesthetic sensitivity generally increases with age, as indicated, for example, by the decrease in the minimum alveolar concentration of volatile anesthetics needed to abolish movement in response to a noxious stimulus, by ∼6% per decade (Kanonidou and Karystianou, 2007).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Kanonidou and Karystianou, 2007
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PremisecitationDetailed quantum chemical modeling studies support that anesthetic potency is predicted by the modeled disruption or failure to disrupt high-frequency vibrational states of MT proteins.
“As we noted above, detailed quantum chemical modeling studies support that anesthetic potency is predicted by the modeled disruption or failure to disrupt high-frequency vibrational states of MT proteins (Craddock et al., 2015, 2017).”
Quote in the paperNot a substantial claim0 of 2 sources checkedProbably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationAnirban Bandyopadhyay and colleagues explored resonant responses of MTs at frequencies varying over many orders of magnitude in bare MTs and in cultured neurons.
“Anirban Bandyopadhyay and colleagues explored resonant responses of MTs at frequencies varying over many orders of magnitude in “bare” MTs and in cultured neurons (Saxena et al., 2020; Singh et al., 2021a,b).”
Quote in the paperNot a substantial claim0 of 3 sources checked- cites Saxena et al., 2020 source
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- cites Singh et al., 2021a
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- cites Singh et al., 2021b
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PremisecitationFor a quantum MT-based model of consciousness to be viable, the putative conscious MT physical state must be able to interact with the membrane potential of neurons, and the quantum interaction must be able to span multiple neurons to solve the perceptual binding problem.
“In order for a quantum MT-based model of consciousness to be viable, (1) the putative conscious MT physical state must be able to interact with the membrane potential of neurons, where we know perceptual information is encoded and through which our actions (i.e., muscle activations) must be implemented, and (2) the quantum interaction must be able to span multiple neurons if it is to solve the Per”
Quote in the paperNot a substantial claim- Rests on an assumption: Perceptual information is encoded in the membrane potential of neurons, and actions are implemented through it.
Probably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationThose authors cited theoretical work in support of the possibility that the physiological arrangement of MTs in axons could magnify the collective interaction to an extremely long range.
“Those authors cited theoretical work (Solano et al., 2017) in support of the “tantalizing possibility” that the physiological arrangement of MTs in axons could magnify the collective interaction “to an extremely long range.””
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Solano et al., 2017 source
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PremisecitationHagan et al. (2002) corrected Tegmark and calculated 10−5-10−4 s MT coherence time, potentially sufficient for Orch OR to influence neural processing.
“Hagan et al. (2002) corrected Tegmark and calculated 10−5–10−4 s MT coherence time, potentially sufficient for Orch OR to influence neural processing.”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Hagan et al., 2002
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InterpretationreasoningThat would represent additional support for the alternative hypothesis that binding to MTs interferes with the physical substrate of consciousness directly rather than by (or in addition to) indirect effects on neural membrane voltage and spiking activity.
“That would represent additional support for the alternative hypothesis about how binding to MTs contributes to isoflurane-induced unconsciousness—that is, the hypothesis that binding to MTs interferes with the physical substrate of consciousness directly rather than by (or in addition to) indirect effects on neural membrane voltage and spiking activity.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.
PremisecitationIn humans, the surgically required concentration of inhalable anesthetics increases with body mass index, but the increase is small.
“In humans, the surgically required concentration of inhalable anesthetics increases with body mass index, but the increase is small (Lemmens et al., 2008).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Lemmens et al., 2008
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PremisecitationThese quantum models predict that volatile anesthetics interfere directly with the vibrational state of MTs, which are understood as the immediate substrate of consciousness.
“That is, these models predict that volatile anesthetics interfere directly with the vibrational state of MTs which are understood as the immediate substrate of consciousness.”
Quote in the paperSubstantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationTegmark's paper supported widespread skepticism that macroscopic or mesoscopic quantum effects could persist long enough at biological temperatures to be functionally relevant.
“Nevertheless, Tegmark's paper supported widespread skepticism that macroscopic or mesoscopic quantum effects could persist long enough at biological temperatures to be functionally relevant.”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Tegmark, 2000
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PremisecitationIn the Chemali et al. study, younger rats were 6-8 months old and older rats were 24-26 months old.
“The younger rats in that study were 6–8 months old, and the older group was 24–26 months old.”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Chemali et al., 2015
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PremisereasoningClassical theories of consciousness do not at present predict specific molecular targets of anesthetics.
“These theories do not at present predict specific molecular targets of anesthetics.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationA recent report describes theoretical predictions and experimental confirmation of superradiance from MTs at room temperature that was enhanced as they were joined into larger structures.
“A recent report describes theoretical predictions and experimental confirmation of superradiance—a fundamentally quantum effect (Dicke, 1954)—from MTs at room temperature that was enhanced as they were joined into larger structures (Babcock et al., 2024).”
Quote in the paperNot a substantial claim0 of 2 sources checked- cites Babcock et al., 2024 source
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- cites Dicke, 1954
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PremisecitationHagan et al. (2002) noted other inappropriate assumptions in Tegmark's analysis.
“That paper also noted other inappropriate assumptions in Tegmark's analysis.”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Hagan et al., 2002
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PremisecitationThey reported that electromagnetic waves transmitted to the MTs at MT resonant frequencies resulted in systematic modulation of the electric potential difference between two neighboring neurons.
“They reported that electromagnetic waves transmitted to the MTs (acting like antennas) at MT resonant frequencies resulted in systematic modulation of the electric potential difference between two neighboring neurons.”
Quote in the paperNot a substantial claim0 of 3 sources checked- cites Saxena et al., 2020 source
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- cites Singh et al., 2021a
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- cites Singh et al., 2021b
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InterpretationcitationRecent MRI studies appear to offer support for the general hypothesis that the physical substrate of consciousness in the brain must be a nontrivial macroscopic quantum state.
“Recent MRI (i.e., nuclear magnetic resonance imaging) studies appear to offer support for the general hypothesis that the physical substrate of consciousness in the brain must be a nontrivial macroscopic quantum state (C. M. Kerskens and Pérez, 2022; Pérez et al., 2023).”
Quote in the paperNot a substantial claim0 of 2 sources checkedProbably not a substantial claim: may not pass S2 (checkable), S3 (load-bearing). May combine two claims.
PremisecitationTheir response reaffirms their entanglement claim and provides further clarification of their argument.
“Their response reaffirms their entanglement claim and provides further clarification of their argument (C. Kerskens and Pérez, 2023).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites C. Kerskens and Pérez, 2023
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PremisecitationTheir work is not the first experimental indication of functionally relevant coupling between nuclear spins and consciousness-related brain processes.
“However, their work is not the first experimental indication of functionally relevant coupling between nuclear spins and consciousness-related brain processes.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing), S4 (based).
PremisereasoningUnder the quantum MT picture, nuclear spin can affect anesthetic potency because anesthetics couple to electron clouds by quantum dipoles.
“Under the quantum MT picture, nuclear spin can affect anesthetic potency because anesthetics couple to electron clouds by quantum dipoles.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationThey have also developed a noninvasive extension of EEG, called DDG, for measuring very high-frequency electromagnetic signals emitted from the scalps of awake humans.
“They have also developed a noninvasive extension of EEG, called DDG (“dodecanogram”), for measuring very high-frequency electromagnetic signals—some putatively originating from MT resonances internal to neurons—emitted from the scalps of awake humans (Singh et al., 2023, 2024).”
Quote in the paperNot a substantial claim0 of 2 sources checked- cites Singh et al., 2023 source
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- cites Singh et al., 2024
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PremisecitationAnesthesia experiments in mice demonstrated that isotopes of xenon with nuclear spin were less effective than isotopes without nuclear spin and that this difference could not be accounted for by other physical properties such as polarizability.
“Anesthesia experiments in mice demonstrated that isotopes of xenon with nuclear spin were less effective than isotopes without nuclear spin and that this difference could not be accounted for by other physical properties of the isotopes such as polarizability (Li et al., 2018).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Li et al., 2018
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- Rests on an assumption: Nuclear spin in normal circumstances would not directly influence the chemical properties of the molecule or atom.
Probably not a substantial claim: may not pass S2 (checkable), S3 (load-bearing), S4 (based).
InterpretationreasoningThese experimental results may corroborate the MRI study above claiming the conscious brain process can interact with entangled nuclear spins.
“These experimental results may corroborate the MRI study above claiming the conscious brain process can interact with entangled nuclear spins.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S2 (checkable), S3 (load-bearing).
InterpretationreasoningThe unknown brain process that mediates entanglement is itself an entangled quantum state.
“This implies the unknown brain process that mediates the entanglement is itself an entangled quantum state.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.
PremisecitationAnesthetic experiments in fruit flies show that anesthetics perturb electronic spin states and that these spin responses are altered in anesthetic-resistant mutants.
“Similarly, anesthetic experiments in fruit flies show that anesthetics perturb electronic spin states and that these spin responses are altered in anesthetic-resistant mutants (Turin et al., 2014), again supporting that a consciousness-related brain process can couple to spin degrees of freedom.”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Turin et al., 2014
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PremisecitationNuclear spin could actually promote electron entanglement by bosonic pair interactions.
“Nuclear spin could actually promote electron entanglement by bosonic pair interactions (S. R. Hameroff, 2018).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites S. R. Hameroff, 2018 source
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PremisecitationThe interpretation in terms of entanglement has been challenged, but the challenger did not propose an alternative classical account of the signal.
“The interpretation in terms of entanglement has been challenged (Warren, 2023); however, that author did not propose an alternative classical account of the signal reported by Kerskens and Perez.”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Warren, 2023 source
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InterpretationreasoningOverall the Orch OR theory, in which MTs mediate anesthetic action, has more explanatory power, biological connection, and experimental validation than the classical theories.
“Overall the Orch OR theory, in which MTs mediate anesthetic action, has more explanatory power, biological connection, and experimental validation than the classical theories.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationThe Bandyopadhyay group has adapted methods from solid-state physics and quantum optics to noninvasively target known resonances of the MTs in living networks of neurons.
“Along these lines, the Bandyopadhyay group has adapted methods from solid-state physics and quantum optics to noninvasively target known resonances of the MTs in living networks of neurons (Singh et al., 2021a,b; Ghosh et al., 2022).”
Quote in the paperNot a substantial claim0 of 3 sources checked- cites Singh et al., 2021a
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- cites Singh et al., 2021b
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- cites Ghosh et al., 2022 source
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PremisecitationKalra et al. (2023) showed that tryptophan fluorescence lifetimes propagated and persisted due to quantum exciton mechanisms, and these were dampened by isoflurane and etomidate.
“Kalra et al. (2023) showed that tryptophan fluorescence lifetimes propagated and persisted due to quantum exciton mechanisms, and these were dampened by two types of anesthetic, isoflurane and etomidate.”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Kalra et al., 2023 source
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The paper relies on this without support.
EpoB's effect on LORR latency under isoflurane is mediated by its microtubule-stabilizing action, not by other pharmacological effects.
“In order to quantitatively assess the functional relevance of MTs as one of the anesthetic targets contributing to loss of consciousness, we administered the MT-stabilizing drug epothilone B (epoB) to a group of rats and compared their times to fall unconscious under isoflurane anesthesia before and after epoB treatment.”
“Note that known side effects of epoB include tiredness/weakness and fatigue (Sessa et al., 2007), but not hyperarousal, so epoB would not be expected to cause resistance to anesthesia through an off-target effect on arousal.”
The paper relies on this without support.
The brain concentrations of epoB achieved in this study are sufficient to affect the microtubules relevant to isoflurane-induced unconsciousness.
“Those authors also measured brain concentrations of epoB over time and found sustained levels of epoB in the brain through the 16 d period of their measurements.”
“Following previous work (Ruschel et al., 2015; Griffin et al., 2023), we prepared injections containing 0.75 mg/kg epoB or vehicle only.”
The paper relies on this without support.
The vehicle (50/50% DMSO/saline) has no effect on LORR latency.
“The vehicle was a 50/50% mixture of DMSO and saline.”
“Injections during all other anesthesia sessions were vehicle only (50% saline/DMSO).”
The paper relies on this without support.
Nuclear spin in normal circumstances would not directly influence the chemical properties of the molecule or atom.
“Nuclear spin is a physical property that in normal circumstances would not directly influence the chemical properties of the molecule or atom.”
The paper relies on this without support.
Classical models of consciousness are agnostic about MTs as a functional anesthetic target.
“while the classical models are agnostic about MTs as a functional anesthetic target”
The paper relies on this without support.
Perceptual information is encoded in the membrane potential of neurons, and actions are implemented through it.
“where we know perceptual information is encoded and through which our actions (i.e., muscle activations) must be implemented”
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Isoflurane causes unconsciousness at least in part by binding to MTs.
“suggesting that isoflurane causes unconsciousness at least in part by binding to MTs.”
From A quantum microtubule substrate of consciousness is experimentally supported and solves the binding and epiphenomenalism problems (2025) · cites this paper as Khan et al. 2024
The Discussion says the rat results strongly suggest that binding to microtubules is one mechanism by which isoflurane causes unconsciousness. The citing sentence omits the restriction to rats, so the source does not establish the claim across species. (LLM, conf=0.85)
Experimental — accuracy not yet measuredThe effect size for the rat MT-binding drug experiment was large, with Cohen's d = 1.9.
“The effect size was “large” as assessed by a Cohen’s d value of 1.9.”
From A quantum microtubule substrate of consciousness is experimentally supported and solves the binding and epiphenomenalism problems (2025) · cites this paper as Khan et al. 2024
Rats administered with a brain-penetrant MT-binding drug took significantly longer to fall unconscious under isoflurane.
“Most recently, my lab reported that rats administered with a brain-penetrant MT-binding drug took significantly longer to fall unconscious under the volatile anesthetic isoflurane (Khan et al. 2024), suggesting that isoflurane causes unconsciousness at least in part by binding to MTs.”
From A quantum microtubule substrate of consciousness is experimentally supported and solves the binding and epiphenomenalism problems (2025) · cites this paper as Khan et al. 2024
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
Each contradiction between two passages listed here was confirmed by an independent check.
Two average intervals are given for the same control-period sessions
MinorThe discussion gives a 3.3 d average interval for the main experimental group's control sessions, whereas the results and Table 3 give 3.1 d for those sessions.
“These sessions were repeated with an average interval of 3.3 d between sessions.”
“Main pre-epoB | −1.3 | (−3.43, 0.90) | 8 | 36 | 3.1 | 1.8”
The citation lists haven’t been fetched yet
References 71 · Cited by 30
- Authors
- Khan, S., Huang, Y., Timuçin, D., Bailey, S., Lee, S., Lopes, J., Gaunce, E., Mosberger, J., Zhan, M., Abdelrahman, B., Zeng, X., & Wiest, M. C.
- Affiliations
- Wellesley College (US)
- Corresponding author
- Wiest, Michael C.
- Venue
- eneuro
- Publisher
- Society for Neuroscience
- Published
- 2024-08
- Volume
- 11
- Issue
- 8
- Pages
- ENEURO.0291-24.2024
- ISSN
- 2373-2822 (ISSN-L)
- PMC
- PMC11363512
- OpenAlex
- W4401607711
- Semantic Scholar
- 307fd92f0b48b32b7eb8d72ca44c6fb89d853569
- Cited by
- 30
- References
- 71
- Citations by year
- 2026: 19 · 2025: 10 · 2024: 1
- FWCI
- 16.63
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Locations
- eNeuro (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Funders
- Wellesley College Neuroscience Department
- Nancy and Gary Hough Memorial Endowed Fund for Neuroscience
- Helen Wallace '33 Summer Research Health Professions Fund
- Department of Neuroscience Klein Fund
- Topics
- Health Sciences › Medicine › Anesthesiology and Pain Medicine › Anesthesia and Sedative Agents
- Life Sciences › Neuroscience › Developmental Neuroscience › Anesthesia and Neurotoxicity Research
- Health Sciences › Medicine › Surgery › Biomedical and Chemical Research
- Keywords
- epothilone B, isoflurane, volatile anesthetics, loss of consciousness, microtubules, microtubule stabilization, loss of righting reflex, anesthetic targets, consciousness, quantum consciousness, taxanes
- MeSH terms
- Animals, Isoflurane, Male, Microtubules, Unconsciousness, Rats, Sprague-Dawley, Anesthetics, Inhalation, Epothilones, Tubulin Modulators, Rats, Reflex, Righting
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