Locus Coeruleus to Medial Prefrontal Cortex Noradrenergic Neural Circuit Modulates States of Consciousness during Sevoflurane Anesthesia in Mice

How exactly does general anesthesia achieve its effects? It is so widely used in surgeries and medical treatments to enhance comfort for nearly one hundred years, yet its precise mechanisms underlying the loss and recovery of consciousness still remain unclear. Utilizing a variety of research methods-pharmacological, optogenetic, chemogenetic, fiber photometry, and gene knockdown approaches-our study has shed light on the significant modulatory function of locus coeruleus noradrenergic neurons during the transition from sevoflurane anesthesia to awakening. Furthermore, the activation of the LC-mPFC circuit has been found to have a substantial arousal effect, with α1-AR playing a crucial role in this process. Additionally, GABAA-R has been identified as the key binding site for sevoflurane within the locus coeruleus. These findings collectively offer novel insights into the neural network mechanisms underlying general anesthesia, advancing our understanding of this complex medical phenomenon.