Cited by 80Neural dynamics and brain functionSleep and Wakefulness ResearchAnesthesia and Sedative Agents

Level of Consciousness Is Dissociable from Electroencephalographic Measures of Cortical Connectivity, Slow Oscillations, and Complexity

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Pal, Dinesh, Li, Duan, Dean, Jon G., Brito, Michael A., Liu, Tiecheng, Fryzel, Anna M., Hudetz, Anthony G., Mashour, George A.·2020·The Journal of Neuroscience

Abstract

Leading neuroscientific theories posit a central role for the functional integration of cortical areas in conscious states. Considerable evidence supporting this hypothesis is based on network changes during anesthesia, but it is unclear whether these changes represent state-related (conscious vs unconscious) or drug-related (anesthetic vs no anesthetic) effects. We recently demonstrated that carbachol delivery to prefrontal cortex (PFC) restored wakefulness despite continuous administration of the general anesthetic sevoflurane. By contrast, carbachol delivery to parietal cortex, or noradrenaline delivery to either prefrontal or parietal cortices, failed to restore wakefulness. Thus, carbachol-induced reversal of sevoflurane anesthesia represents a unique state that combines wakefulness with clinically relevant anesthetic concentrations in the brain. To differentiate the state-related and drug-related associations of cortical connectivity and dynamics, we analyzed the electroencephalographic data gathered from adult male Sprague Dawley rats during the aforementioned experiments for changes in functional cortical gamma connectivity (25–155 Hz), slow oscillations (0.5–1 Hz), and complexity (<175 Hz). We show that higher gamma (85–155 Hz) connectivity is decreased ( p ≤ 0.02) during sevoflurane anesthesia, an expected finding, but was not restored during wakefulness induced by carbachol delivery to PFC. Conversely, for rats in which wakefulness was not restored, the functional gamma connectivity remained reduced, but there was a significant decrease ( p < 0.001) in the power of slow oscillations and increase ( p < 0.001) in cortical complexity, which was similar to that observed during wakefulness induced after carbachol delivery to PFC. We conclude that the level of consciousness can be dissociated from cortical connectivity, oscillations, and dynamics. SIGNIFICANCE STATEMENT Numerous theories of consciousness suggest that functional connectivity across the cortex is characteristic of the conscious state and is reduced during anesthesia. However, it is unknown whether the observed changes are state-related (conscious vs unconscious) or drug-related (drug vs no drug). We used a novel rat model in which cholinergic stimulation of PFC produced wakefulness despite continuous exposure to a general anesthetic. We demonstrate that, as expected, general anesthesia reduces connectivity. Surprisingly, the connectivity remains suppressed despite pharmacologically induced wakefulness in the presence of anesthetic, with restoration occurring only after the anesthetic is discontinued. Thus, whether an animal exhibits wakefulness or not can be dissociated from cortical connectivity, prompting a reevaluation of the role of connectivity in level of consciousness.

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  • Reversal of anesthesia by pharmacological cortical stimulation does not restore electroencephalographic measures of functional connectivity.

    “Of note, reversal of anesthesia by pharmacological stimulation of the cortex does not restore electroencephalographic measures of functional connectivity (Pal et al., 2019), which may relate to site of stimulation or technique of neural recording.”

    From Conscious Processing and the Global Neuronal Workspace Hypothesis (2020) · cites this paper as Pal et al., 2019

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Cited by

Sorted by citations

Authors
Pal, D., Li, D., Dean, J. G., Brito, M. A., Liu, T., Fryzel, A. M., Hudetz, A. G., & Mashour, G. A.
Affiliations
University of Michigan (US)
Corresponding author
Pal, Dinesh
Venue
The Journal of Neuroscience
Published
2019-11-27
Volume
40
Issue
3
Pages
605-618
ISSN
  • 0270-6474 (ISSN-L)
  • 1529-2401
OpenAlex
W2991217205
Cited by
80
References
12
Citations by year
2026: 3 · 2025: 4 · 2024: 7 · 2023: 13 · 2022: 15 · 2021: 27 · 2020: 11
FWCI
7.70
Type
journal article
Language
en
Open access
Locations
  • Journal of Neuroscience (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
Funders
  • National Institutes of Health (GM111293)
  • National Institute of General Medical Sciences (R01GM111293)
Topics
  • Life Sciences › Neuroscience › Cognitive Neuroscience › Neural dynamics and brain function
  • Life Sciences › Neuroscience › Cognitive Neuroscience › Sleep and Wakefulness Research
  • Health Sciences › Medicine › Anesthesiology and Pain Medicine › Anesthesia and Sedative Agents
Keywords
level of consciousness, general anesthesia, sevoflurane, carbachol, prefrontal cortex, slow oscillations, cortical complexity, functional connectivity, wakefulness, cholinergic stimulation, norepinephrine, theory of consciousness, EEG, cortical oscillations, parietal cortex
MeSH terms
Sevoflurane, Anesthesia, Animals, Carbachol, Cerebral Cortex, Consciousness Disorders, Electroencephalography, Male, Norepinephrine, Parietal Lobe, Wakefulness, Rats, Sprague-Dawley, Prefrontal Cortex, Anesthetics, Inhalation, Muscarinic Agonists, Rats, Gamma Rhythm

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