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Sana Khan, Yixiang Huang, Derin Timuçin | eNeuro | (2024)
Key Takeaways
Sample Definition And Size
Male rats were studied. The number of rats is not specified in the provided abstract.
Study Type
Experimental in vivo study assessing the effect of a microtubule-stabilizing drug (epothilone B) on anesthetic-induced unconsciousness in rats.
Conflicts Of Interest
Not specified in the provided abstract.
Results Summary
Rats treated subcutaneously with 0.75 mg/kg epothilone B exhibited a latency to loss of righting reflex (LORR) that was on average 69 seconds longer under 4% isoflurane compared to vehicle-treated rats. This difference was statistically significant, with a standardized mean difference (Cohen’s d) of 1.9, indicating a large effect size.
Abstract
Volatile anesthetics are currently believed to cause unconsciousness by acting on one or more molecular targets including neural ion channels, receptors, mitochondria, synaptic proteins, and cytoskeletal proteins. Anesthetic gases including isoflurane bind to cytoskeletal microtubules (MTs) and dampen their quantum optical effects, potentially contributing to causing unconsciousness. This possibility is supported by the finding that taxane chemotherapy consisting of MT-stabilizing drugs reduces the effectiveness of anesthesia during surgery in human cancer patients. In order to experimentally assess the contribution of MTs as functionally relevant targets of volatile anesthetics, we measured latencies to loss of righting reflex (LORR) under 4% isoflurane in male rats injected subcutaneously with vehicle or 0.75 mg/kg of the brain-penetrant MT-stabilizing drug epothilone B (epoB). EpoB-treated rats took an average of 69 s longer to become unconscious as measured by latency to LORR. This was a statistically significant difference corresponding to a standardized mean difference (Cohen's <i>d</i>) of 1.9, indicating a "large" normalized effect size. The effect could not be accounted for by tolerance from repeated exposure to isoflurane. Our results suggest that binding of the anesthetic gas isoflurane to MTs causes unconsciousness and loss of purposeful behavior in rats (and presumably humans and other animals). This finding is predicted by models that posit consciousness as a property of a quantum physical state of neural MTs.