Microglia facilitate and stabilize the response to general anesthesia via modulating the neuronal network in a brain

Yang He1, Taohui Liu1, Quansheng He1

  • 1Department of Neurosurgery, Huashan Hospital, Institute for Translational Brain Research, State Key Laboratory of Medical Neurobiology, MOE Frontiers Center for Brain Science, MOE Innovative Center for New Drug Development of Immune Inflammatory Diseases, Fudan University, Shanghai, China.

Elife
|December 22, 2023
PubMed

Insights

Microglia, immune cells in the brain, are crucial for maintaining general anesthesia. Depleting microglia disrupts anesthesia by altering brain activity, highlighting their role in consciousness regulation.

Area of Science:

  • Neuroscience
  • Immunology
  • Anesthesiology

Background:

  • General anesthesia induces unconsciousness but its mechanisms are not fully understood.
  • The role of nonneuronal cells, such as microglia, in anesthesia is unknown.
  • Microglia are key immune cells in the central nervous system (CNS), vital for its function and dysfunction.

Purpose of the Study:

  • To investigate the role of microglia in the mechanisms of general anesthesia.
  • To determine how microglia influence neuronal activity during anesthesia and emergence.

Main Methods:

  • Microglia depletion in mice.
  • Assessment of anesthesia induction and emergence times.
  • Analysis of neuronal activity in anesthesia- and emergence-activated brain regions.
  • Investigation of microglial P2Y12 receptor activation and calcium signaling.

Main Results:

  • Microglia depletion led to delayed anesthesia induction and faster emergence.
  • Microglial depletion altered neuronal network activity in specific brain regions.
  • The effect was independent of dendritic spine plasticity.
  • Microglial P2Y12 activation and calcium influx were identified as key mediators.

Conclusions:

  • Microglia play a significant role in facilitating and stabilizing general anesthesia.
  • Microglia modulate neuronal activity to regulate the anesthesia state.
  • This study reveals a novel function of microglia in general anesthesia, mediated by P2Y12 signaling.