Propofol sedation-induced alterations in brain connectivity reflect parvalbumin interneurone distribution in human cerebral cortex

Copyright © 2020 The Authors. Published by Elsevier Ltd.. All rights reserved..

BACKGROUND: Propofol, a commonly used intravenous anaesthetic, binds to type A gamma aminobutyric acid (GABA) receptors in mammalian brain. Previous work on its anaesthetic action has characterised either the biochemistry underlying propofol binding or the associated changes in brain network dynamics during sedation. Despite these advances, no study has focused on understanding how propofol action at the cellular level results in changes in brain network connectivity.

METHODS: We used human whole-brain microarray data to generate distribution maps for genes that mark the primary GABAergic cortical interneurone subtypes (somatostatin, parvalbumin [PV], and 5-hydroxytryptamine 3A. Next, 25 healthy participants underwent propofol-induced sedation during resting state functional MRI scanning. We used partial least squares analysis to identify the brain regions in which connectivity patterns were most impacted by propofol sedation. We then correlated these multimodal cortical patterns to determine if a specific interneurone subtype was disproportionately expressed in brain regions in which connectivity patterns were altered during sedation.

RESULTS: Brain networks that were significantly altered by propofol sedation had a high density of PV-expressing GABAergic interneurones. Brain networks that anticorrelated during normal wakefulness, namely the default mode network and attentional and frontoparietal control networks, increased in correlation during sedation.

CONCLUSIONS: PV-expressing interneurones are highly expressed in brain regions with altered connectivity profiles during propofol-induced sedation. This study also demonstrates the utility of leveraging multiple datasets to address multiscale neurobiological problems.

Medienart:

E-Artikel

Erscheinungsjahr:

2021

Erschienen:

2021

Enthalten in:

Zur Gesamtaufnahme - volume:126

Enthalten in:

British journal of anaesthesia - 126(2021), 4 vom: 29. Apr., Seite 835-844

Sprache:

Englisch

Beteiligte Personen:

Craig, Michael M [VerfasserIn]
Misic, Bratislav [VerfasserIn]
Pappas, Ioannis [VerfasserIn]
Adapa, Ram M [VerfasserIn]
Menon, David K [VerfasserIn]
Stamatakis, Emmanuel A [VerfasserIn]

Links:

Volltext

Themen:

Default mode network
Frontoparietal control network
Functional connectivity
GABAergic interneurone
Gene expression
Hypnotics and Sedatives
Journal Article
PVALB protein, human
Parvalbumin
Parvalbumins
Propofol
Research Support, Non-U.S. Gov't
YI7VU623SF

Anmerkungen:

Date Completed 31.03.2021

Date Revised 31.03.2021

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1016/j.bja.2020.11.035

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM319501574