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Disrupted neural variability during propofol-induced sedation and unconsciousness.

Zirui Huang, Jun Zhang, Jinsong Wu, Xiaoge Liu, Jianghui Xu, Jianfeng Zhang, Pengmin Qin, Rui Dai, Zhong Yang, Ying Mao, Anthony G. Hudetz, Georg Northoff

Human Brain Mapping November 2018 DOI: 10.1002/hbm.24304 (opens in new tab)

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AI-extracted from the abstract
Characteristics Observational within-subject fMRI study comparing wakefulness, sedation, and deep anesthesia Peer reviewed
Intervention Propofol
Keywords Anesthesia Consciousness FMRI Neural variability Propofol Recurrent network Sedation Temporal variability Trial-to-trial variability
Key findings Stimulus-induced trial-to-trial variability reduction present during wakefulness was abolished during both propofol sedation and deep anesthesia, while average stimulus-induced activity declined gradually across the three conditions. Temporal variability increased in the task state versus rest during wakefulness and sedation but not anesthesia. The authors argue propofol disrupts recurrent network dynamics, preventing stabilization of cortical activity states.

Abstract

Variability quenching is a widespread neural phenomenon in which trial-to-trial variability (TTV) of neural activity is reduced by repeated presentations of a sensory stimulus. However, its neural mechanism and functional significance remain poorly understood. Recurrent network dynamics are suggested as a candidate mechanism of TTV, and they play a key role in consciousness. We thus asked whether the variability-quenching phenomenon is related to the level of consciousness. We hypothesized that TTV reduction would be compromised during reduced level of consciousness by propofol anesthetics. We recorded functional magnetic resonance imaging signals of resting-state and stimulus-induced activities in three conditions: wakefulness, sedation, and unconsciousness (i.e., deep anesthesia). We measured the average (trial-to-trial mean, TTM) and variability (TTV) of auditory stimulus-induced activity under the three conditions. We also examined another form of neural variability (temporal variability, TV), which quantifies the overall dynamic range of ongoing neural activity across time, during both the resting-state and the task. We found that (a) TTM deceased gradually from wakefulness through sedation to anesthesia, (b) stimulus-induced TTV reduction normally seen during wakefulness was abolished during both sedation and anesthesia, and (c) TV increased in the task state as compared to resting-state during both wakefulness and sedation, but not anesthesia. Together, our results reveal distinct effects of propofol on the two forms of neural variability (TTV and TV). They imply that the anesthetic disrupts recurrent network dynamics, thus prevents the stabilization of cortical activity states. These findings shed new light on the temporal dynamics of neuronal variability and its alteration during anesthetic-induced unconsciousness.

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