Department of Anesthesiology

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Activating an anterior nucleus gigantocellularis subpopulation triggers emergence from pharmacologically-induced coma in rodents.

TitleActivating an anterior nucleus gigantocellularis subpopulation triggers emergence from pharmacologically-induced coma in rodents.
Publication TypeJournal Article
Year of Publication2019
AuthorsGao S, Proekt A, Renier N, Calderon DP, Pfaff DW
JournalNat Commun
Volume10
Issue1
Pagination2897
Date Published2019 Jul 01
ISSN2041-1723
Abstract

Multiple areas within the reticular activating system (RAS) can hasten awakening from sleep or light planes of anesthesia. However, stimulation in individual sites has shown limited recovery from deep global suppression of brain activity, such as coma. Here we identify a subset of RAS neurons within the anterior portion of nucleus gigantocellularis (aNGC) capable of producing a high degree of awakening represented by a broad high frequency cortical reactivation associated with organized movements and behavioral reactivity to the environment from two different models of deep pharmacologically-induced coma (PIC): isoflurane (1.25%-1.5%) and induced hypoglycemic coma. Activating aNGC neurons triggered awakening by recruiting cholinergic, noradrenergic, and glutamatergic arousal pathways. In summary, we identify an evolutionarily conserved population of RAS neurons, which broadly restore cerebral cortical activation and motor behavior in rodents through the coordinated activation of multiple arousal-promoting circuits.

DOI10.1038/s41467-019-10797-7
Alternate JournalNat Commun
PubMed ID31263107
PubMed Central IDPMC6603023
Grant ListR01 NS094655 / NS / NINDS NIH HHS / United States
NS094655 / / U.S. Department of Health & Human Services | NIH | National Institute of Neurological Disorders and Stroke (NINDS) /