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<front>
<journal-meta>
<journal-id journal-id-type="publisher-id">Front. Pharmacol.</journal-id>
<journal-title>Frontiers in Pharmacology</journal-title>
<abbrev-journal-title abbrev-type="pubmed">Front. Pharmacol.</abbrev-journal-title>
<issn pub-type="epub">1663-9812</issn>
<publisher>
<publisher-name>Frontiers Media S.A.</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="publisher-id">887981</article-id>
<article-id pub-id-type="doi">10.3389/fphar.2022.887981</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Pharmacology</subject>
<subj-group>
<subject>Original Research</subject>
</subj-group>
</subj-group>
</article-categories>
<title-group>
<article-title>Signatures of Thalamocortical Alpha Oscillations and Synchronization With Increased Anesthetic Depths Under Isoflurane</article-title>
<alt-title alt-title-type="left-running-head">Jiang et al.</alt-title>
<alt-title alt-title-type="right-running-head">Signatures of Isoflurane-Induced Alpha Oscillation</alt-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname>Jiang</surname>
<given-names>Jingyao</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
<xref ref-type="fn" rid="fn1">
<sup>&#x2020;</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/1584017/overview"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Zhao</surname>
<given-names>Yi</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
<xref ref-type="fn" rid="fn1">
<sup>&#x2020;</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/1453902/overview"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Liu</surname>
<given-names>Jin</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/1130744/overview"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Yang</surname>
<given-names>Yaoxin</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/1288019/overview"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Liang</surname>
<given-names>Peng</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Huang</surname>
<given-names>Han</given-names>
</name>
<xref ref-type="aff" rid="aff3">
<sup>3</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/1604039/overview"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Wu</surname>
<given-names>Yongkang</given-names>
</name>
<xref ref-type="aff" rid="aff4">
<sup>4</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Kang</surname>
<given-names>Yi</given-names>
</name>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
</contrib>
<contrib contrib-type="author" corresp="yes">
<name>
<surname>Zhu</surname>
<given-names>Tao</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="corresp" rid="c001">&#x2a;</xref>
</contrib>
<contrib contrib-type="author" corresp="yes">
<name>
<surname>Zhou</surname>
<given-names>Cheng</given-names>
</name>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
<xref ref-type="corresp" rid="c001">&#x2a;</xref>
<uri xlink:href="https://loop.frontiersin.org/people/914737/overview"/>
</contrib>
</contrib-group>
<aff id="aff1">
<sup>1</sup>
<institution>Department of Anesthesiology</institution>, <institution>West China Hospital of Sichuan University</institution>, <addr-line>Chengdu</addr-line>, <country>China</country>
</aff>
<aff id="aff2">
<sup>2</sup>
<institution>Laboratory of Anesthesia and Critical Care Medicine</institution>, <institution>National-Local Joint Engineering Research Centre of Translational Medicine of Anesthesiology</institution>, <institution>West China Hospital of Sichuan University</institution>, <addr-line>Chengdu</addr-line>, <country>China</country>
</aff>
<aff id="aff3">
<sup>3</sup>
<institution>Department of Anesthesiology</institution>, <institution>West China Second Hospital of Sichuan University</institution>, <addr-line>Chengdu</addr-line>, <country>China</country>
</aff>
<aff id="aff4">
<sup>4</sup>
<institution>Intelligent Manufacturing Institute</institution>, <institution>Chengdu Jincheng College</institution>, <addr-line>Chengdu</addr-line>, <country>China</country>
</aff>
<author-notes>
<fn fn-type="edited-by">
<p>
<bold>Edited by:</bold> <ext-link ext-link-type="uri" xlink:href="https://loop.frontiersin.org/people/61458/overview">Fereshteh S. Nugent</ext-link>, Uniformed Services University, United States</p>
</fn>
<fn fn-type="edited-by">
<p>
<bold>Reviewed by:</bold> <ext-link ext-link-type="uri" xlink:href="https://loop.frontiersin.org/people/5234/overview">Axel Hutt</ext-link>, Inria Nancy - Grand-Est Research Centre, France</p>
<p>
<ext-link ext-link-type="uri" xlink:href="https://loop.frontiersin.org/people/65542/overview">Dinesh Pal</ext-link>, University of Michigan, United States</p>
</fn>
<corresp id="c001">&#x2a;Correspondence: Tao Zhu, <email>739501155@foxmail.com</email>; Cheng Zhou, <email>zhouc@163.com</email>
</corresp>
<fn fn-type="equal" id="fn1">
<label>
<sup>&#x2020;</sup>
</label>
<p>These authors have contributed equally to this work</p>
</fn>
<fn fn-type="other">
<p>This article was submitted to Neuropharmacology, a section of the journal Frontiers in Pharmacology.</p>
</fn>
</author-notes>
<pub-date pub-type="epub">
<day>03</day>
<month>06</month>
<year>2022</year>
</pub-date>
<pub-date pub-type="collection">
<year>2022</year>
</pub-date>
<volume>13</volume>
<elocation-id>887981</elocation-id>
<history>
<date date-type="received">
<day>02</day>
<month>03</month>
<year>2022</year>
</date>
<date date-type="accepted">
<day>19</day>
<month>04</month>
<year>2022</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright &#xa9; 2022 Jiang, Zhao, Liu, Yang, Liang, Huang, Wu, Kang, Zhu and Zhou.</copyright-statement>
<copyright-year>2022</copyright-year>
<copyright-holder>Jiang, Zhao, Liu, Yang, Liang, Huang, Wu, Kang, Zhu and Zhou</copyright-holder>
<license xlink:href="http://creativecommons.org/licenses/by/4.0/">
<p>This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.</p>
</license>
</permissions>
<abstract>
<p>
<bold>Background:</bold> Electroencephalography (EEG) recordings under propofol exhibit an increase in slow and alpha oscillation power and dose-dependent phase&#x2013;amplitude coupling (PAC), which underlie GABA<sub>A</sub> potentiation and the central role of thalamocortical entrainment. However, the exact EEG signatures elicited by volatile anesthetics and the possible neurophysiological mechanisms remain unclear.</p>
<p>
<bold>Methods:</bold> Cortical EEG signals and thalamic local field potential (LFP) were recorded in a mouse model to detect EEG signatures induced by 0.9%, 1.5%, and 2.0% isoflurane. Then, the power of the EEG spectrum, thalamocortical coherence, and slow&#x2013;alpha phase&#x2013;amplitude coupling were analyzed. A computational model based on the thalamic network was used to determine the primary neurophysiological mechanisms of alpha spiking of thalamocortical neurons under isoflurane anesthesia.</p>
<p>
<bold>Results:</bold> Isoflurane at 0.9% (light anesthesia) increased the power of slow and delta oscillations both in cortical EEG and in thalamic LFP. Isoflurane at 1.5% (surgery anesthesia) increased the power of alpha oscillations both in cortical EEG and in thalamic LFP. Isoflurane at 2% (deep anesthesia) further increased the power of cortical alpha oscillations, while thalamic alpha oscillations were unchanged. Thalamocortical coherence of alpha oscillation only exhibited a significant increase under 1.5% isoflurane. Isoflurane-induced PAC modulation remained unchanged throughout under various concentrations of isoflurane. By adjusting the parameters in the computational model, isoflurane-induced alpha spiking in thalamocortical neurons was simulated, which revealed the potential molecular targets and the thalamic network involved in isoflurane-induced alpha spiking in thalamocortical neurons.</p>
<p>
<bold>Conclusion:</bold> The EEG changes in the cortical alpha oscillation, thalamocortical coherence, and slow&#x2013;alpha PAC may provide neurophysiological signatures for monitoring isoflurane anesthesia at various depths.</p>
</abstract>
<kwd-group>
<kwd>computational model</kwd>
<kwd>electroencephalogram</kwd>
<kwd>phase&#x2013;amplitude coupling</kwd>
<kwd>isoflurane</kwd>
<kwd>thalamocortical networks</kwd>
<kwd>alpha oscillations</kwd>
</kwd-group>
<contract-num rid="cn001">81974164 81771486</contract-num>
<contract-sponsor id="cn001">National Natural Science Foundation of China<named-content content-type="fundref-id">10.13039/501100001809</named-content>
</contract-sponsor>
</article-meta>
</front>
<body>
<sec id="s1">
<title>Introduction</title>
<p>The state of general anesthesia is a pharmacologically induced, reversible state mainly characterized by unconsciousness, amnesia, and immobility (<xref ref-type="bibr" rid="B7">Brown et al., 2010</xref>). An appreciation of the systemic effects of general anesthetics is necessary to understand how these agents elicit different states of arousal and unconsciousness (<xref ref-type="bibr" rid="B15">Franks, 2008</xref>; <xref ref-type="bibr" rid="B7">Brown et al., 2010</xref>; <xref ref-type="bibr" rid="B8">Brown et al., 2011</xref>).</p>
<p>The understanding of how general anesthetics modulate the central nervous system can provide new insights into monitoring the depth of general anesthesia, which may avoid the side effects of clinical anesthesia, mainly including intraoperative awareness, delayed emergence, postoperative delirium, and cognitive dysfunction (<xref ref-type="bibr" rid="B9">Cascella, 2016</xref>; <xref ref-type="bibr" rid="B36">Lobo et al., 2021</xref>). The characteristics of electroencephalogram (EEG) are obviously significant for monitoring brain function under general anesthesia. The prominent EEG features in the propofol-induced unconsciousness exhibit an increased power of slow oscillations (<xref ref-type="bibr" rid="B2">Alkire et al., 2008</xref>; <xref ref-type="bibr" rid="B52">Purdon et al., 2015</xref>), alpha oscillations (<xref ref-type="bibr" rid="B51">Purdon et al., 2013</xref>; <xref ref-type="bibr" rid="B1">Akeju et al., 2014</xref>), and concentration-dependent PAC (phase&#x2013;amplitude coupling) between slow and alpha oscillations (<xref ref-type="bibr" rid="B42">Mukamel et al., 2011</xref>; <xref ref-type="bibr" rid="B51">Purdon et al., 2013</xref>; <xref ref-type="bibr" rid="B43">Mukamel et al., 2014</xref>). Many studies have identified the underlying mechanisms of general anesthetic-induced alpha oscillations. For example, studies on neural circuits demonstrate that a decreased neural fluctuation intensity in the ascending arousal system (<xref ref-type="bibr" rid="B26">Hutt et al., 2018</xref>), a prolongation of the transmission delay of corticothalamic circuit (<xref ref-type="bibr" rid="B22">Hashemi et al., 2017</xref>), and differential neural structures in the corticothalamic circuit (<xref ref-type="bibr" rid="B31">Kratzer et al., 2017</xref>) are involved in alpha oscillations under general anesthesia. At the molecular level, previous works suggest the primary importance of &#x3b3;-aminobutyric acid (GABA) augmentation in propofol-induced alpha oscillations (<xref ref-type="bibr" rid="B2">Alkire et al., 2008</xref>; <xref ref-type="bibr" rid="B15">Franks, 2008</xref>; <xref ref-type="bibr" rid="B14">Flores et al., 2017</xref>). Some mathematical models have simulated the generation of propofol-induced alpha oscillations and generation of PAC between alpha and slow oscillations as a result of potentiation of GABA<sub>A</sub> synaptic transmission (<xref ref-type="bibr" rid="B11">Ching et al., 2010</xref>; <xref ref-type="bibr" rid="B56">Soplata et al., 2017</xref>).</p>
<p>However, compared with intravenous general anesthetic propofol, there is a relative paucity of systematic studies on volatile anesthetics. Understanding the EEG signatures at various anesthetic depths under volatile anesthetics is also important for monitoring brain functions under volatile anesthesia (<xref ref-type="bibr" rid="B9">Cascella, 2016</xref>; <xref ref-type="bibr" rid="B36">Lobo et al., 2021</xref>). Unlike propofol, which has a primary selective action on the &#x3b3;-aminobutyric acid (GABA<sub>A</sub>) receptor (<xref ref-type="bibr" rid="B24">Hemmings et al., 2005</xref>; <xref ref-type="bibr" rid="B15">Franks, 2008</xref>; <xref ref-type="bibr" rid="B25">Hemmings et al., 2019</xref>), volatile anesthetics act on a diverse set of molecular targets, mainly including the GABA<sub>A</sub> receptor (<xref ref-type="bibr" rid="B47">Olsen and Li, 2011</xref>; <xref ref-type="bibr" rid="B30">Kotani and Akaike, 2013</xref>), the N-methyl-D-aspartate (NMDA) receptor (<xref ref-type="bibr" rid="B40">Ming et al., 2001</xref>), background potassium channels (K<sub>Leak</sub>) (<xref ref-type="bibr" rid="B35">Li et al., 2018</xref>), and the &#x3b1;-amino-3-hydroxy-5-methyl-4-isoxazole-propionic acid (AMPA) receptor (<xref ref-type="bibr" rid="B29">Joo et al., 2001</xref>). Thus, an enhanced GABAergic inhibition is likely to be an important but not the only mechanism for volatile anesthetic-induced general anesthesia and EEG changes. Therefore, the changes in EEG under volatile anesthetics may also exhibit differential signatures from those induced by propofol.</p>
<p>In this study, cortical EEG and thalamic LFP were recorded in a mouse model to evaluate the EEG signatures under the classical volatile anesthetic isoflurane. We hypothesized that the EEG changes in the cortical alpha oscillation, thalamocortical coherence, and slow&#x2013;alpha PAC may provide neurophysiological signatures for monitoring isoflurane anesthesia at various depths.</p>
</sec>
<sec sec-type="methods" id="s2">
<title>Methods</title>
<sec id="s2-1">
<title>Animals</title>
<p>All the experimental protocols were approved by the Institutional Animal Experimental Ethics Committee of West China Hospital of Sichuan University (Chengdu, China). Animal Research Reporting <italic>In Vivo</italic> Experiments (ARRIVE) guidelines were applied during the study. Adult C57 BL/6J mice (8 weeks old) were housed in humidity- and temperature-controlled cages, underwent a 12-h light&#x2013;dark cycle (light on from 7&#xa0;a.m. to 7&#xa0;p.m.), and had ad libitum access to chow and water. Animals were euthanized using CO<sub>2</sub> and isoflurane after experiments.</p>
</sec>
<sec id="s2-2">
<title>Determination of Minimum Alveolar Concentrations</title>
<p>Minimum alveolar concentrations (MACs) of isoflurane that induced loss of righting reflex (LORR) and loss of movements to tail-clamping stimulus (LOM) were measured, respectively, as MAC<sub>LORR</sub> and MAC<sub>LOM</sub> (<xref ref-type="bibr" rid="B16">Fukagawa et al., 2014</xref>; <xref ref-type="bibr" rid="B59">Zhou et al., 2015</xref>). Isoflurane was delivered in an open-circuit rodent anesthetic system. Carrier gas flow was 2&#xa0;L/min (100% O<sub>2</sub>). For the measurement of LORR, each mouse was placed in a cylindrical anesthetic chamber (15&#xa0;cm in length and 5&#xa0;cm in diameter). Isoflurane concentrations were increased starting from 0.6% in a step interval of 0.05%. As the plastic chambers were rotated slowly, LORR was defined as the mouse loss ability to turn itself prone onto all four limbs in 60&#xa0;s. For the measurement of LOM, mice were placed in a cuboid container (25&#xa0;cm in length, 15&#xa0;cm in width, and 12&#xa0;cm in height) and left the tail outside. Isoflurane concentrations were increased from 0.9% in a step interval of 0.05%. LOM was defined as no purposeful movements to tail-clamping stimulation in 30&#xa0;s.</p>
</sec>
<sec id="s2-3">
<title>Implantation of Electroencephalogram Electrodes and Intracranial Electrodes</title>
<p>Four hand-made EEG electrodes were implanted in each animal, including two recording electrodes, a common electrode, and a grounding electrode. The cortical EEG electrode, common electrode, and grounding electrode were anchor screws (0.6&#xa0;mm in diameter and 1.5&#xa0;mm in length), which were fixed on the skull and inserted into the cortex. The thalamic electrode was made by insulating silver wire (0.2&#xa0;mm in diameter) and connected with an anchor screw. The thalamic electrode was made by insulating silver wire (0.2&#xa0;mm in diameter). The insulation was removed from one end of the wire, and the other end was cut with a conductive tip for intracranial insertion (<xref ref-type="bibr" rid="B20">Guidera et al., 2017</xref>). When implanting EEG screws and thalamic electrodes, mice were anesthetized with 2% isoflurane and placed in a stereotactic apparatus (RWD, Shenzhen, China). A heating pad (RWD, Shenzhen, China) was used to maintain the body temperature of mice. A longitudinal incision was made to expose the bregma and lambda of the skull. The cortical EEG electrode was implanted to primary motor cortex (M1) [anteroposterior (AP): &#x2b;1.0&#xa0;mm; mediolateral (ML): &#x2b;1.5&#xa0;mm; and dorsoventral (DV): &#x2013;1.5&#xa0;mm] to record the frontal cortex EEG. The thalamic electrode was inserted into ventroposterolateral and/or ventroposteromedial thalamic nuclei (VPL/VPM) [AP: &#x2013;1.5&#xa0;mm; ML: &#x2b;1.5&#xa0;mm; and DV: &#x2013;3.5&#xa0;mm], which was close to relay cells to record thalamic LFPs (<xref ref-type="bibr" rid="B32">Landisman and Connors, 2007</xref>; <xref ref-type="bibr" rid="B21">Haidarliu et al., 2008</xref>) (<xref ref-type="sec" rid="s11">Supplementary Figure S1</xref>). The common electrode was implanted in the left frontal cortex [AP: &#x2b;1.0&#xa0;mm; ML: &#x2013;1.5&#xa0;mm; and DV: &#x2013;1.5&#xa0;mm]. The grounding electrode was planted in the parietooccipital cortex [AP: &#x2013;3.5&#xa0;mm; ML: &#x2013;1.5&#xa0;mm; and DV: &#x2013;1.5&#xa0;mm] to eliminate the disturbance of the surrounding environment. Four electrodes were connected to a miniature plug with silver wires. Then, the electrodes and the plug were secured to the skull with dental acrylic. After the surgery, animals were allowed to recover for 1&#xa0;week before recordings.</p>
</sec>
<sec id="s2-4">
<title>Recordings of Frontal Cortex EEG and Thalamic LFPs</title>
<p>Electrophysiological signals (frontal cortical EEG and/or thalamic LFPs) were recorded by a Pinnacle EEG recording system (Part &#x23;8200-SL; Pinnacle Technology, United States) (<xref ref-type="bibr" rid="B18">Gelegen et al., 2021</xref>). A preamplifier unit was rigidly attached to the miniature plug, providing the first stage of amplification (&#xd7;100) and initial high-pass filtering (first-order 0.5&#xa0;Hz for EEG). The recording sampling frequency of signals was 500&#xa0;Hz. Raw signals were preamplified, digitized, and recorded using a Sirenia Acquisition system (Part &#x23;8206-SL; Pinnacle Technology, United States) and analyzed using MATLAB (version 2006a; MathWorks, United States). The accuracy of the electrode placement was confirmed by visual examination of brain tissue in postmortem.</p>
<p>For the recordings under isoflurane, each mouse was placed in a transparent gastight plastic chamber (20&#xa0;cm in length, 15&#xa0;cm in width, and 10&#xa0;cm in height). A heating pad (RWD, Shenzhen, China) was used to maintain the body temperature of mice. The chamber was ventilated with 2&#xa0;L/min 100% O<sub>2</sub>, and the EEG and LFPs were recorded for 5&#xa0;min as baseline. Then, the concentrations of isoflurane were continuously increased from 0.9% to 1.5% and then to 2.0% and decreased to 1.5, 0.9, and 0.5%. The concentrations of isoflurane were continuously monitored by an infrared gas monitor (Datex-Ohmeda, WI, United States). Each concentration of isoflurane was maintained for at least 20&#xa0;min. Frontal cortical EEG and thalamic LFPs were recorded continuously. For the recordings under propofol, propofol (AstraZeneca SpA, London, United Kingdom) (<xref ref-type="bibr" rid="B48">Ou et al., 2017</xref>) was intravenously injected into the caudal vein of mice at a dose of 14&#xa0;mg/kg. After injection, the duration of LORR was recorded. The definition of LORR was the same as described in isoflurane anesthesia. Cortical EEG and thalamic LFPs were continuously monitored throughout.</p>
</sec>
<sec id="s2-5">
<title>Spectral and Coherence Analysis of Cortical EEG and Thalamic Local Field Potentials</title>
<p>Power spectra were estimated using multitaper spectral methods implemented in the Chronux toolbox with the &#x201c;mtspectrumc&#x201d; or &#x201c;spectrograms&#x201d; function in MATLAB (version 2006a; MathWorks, United States) (<xref ref-type="bibr" rid="B4">Bokil et al., 2007</xref>). Spectrograms were computed using the continuously recorded EEG signals from 0.5 to 25&#xa0;Hz. The spectral difference at differential isoflurane concentrations was calculated for particular EEG epochs. Typical frontal cortical EEG and thalamic LFPs were analyzed at differential isoflurane concentrations for the duration of 2&#xa0;min. For baseline EEG and/or LFPs, stable signals without artifacts were chosen. For each concentration of isoflurane, the signals were chosen at 10&#xa0;min after stabilization of isoflurane at this concentration. For propofol, 30-s duration signals were chosen after LORR had occurred. The time course of the relative power of slow (0.5&#x2013;1&#xa0;Hz), delta (1&#x2013;5&#xa0;Hz), and alpha (9&#x2013;14&#xa0;Hz) frequency bands was extracted. The absolute EEG power of each 3-s bin was normalized to the sum of the power over the entire analysis range (0.5&#x2013;25&#xa0;Hz) as previously described (<xref ref-type="bibr" rid="B19">Gui et al., 2021</xref>).</p>
<p>The coherence represents the correlation between two signals at a unique frequency (<xref ref-type="bibr" rid="B4">Bokil et al., 2007</xref>; <xref ref-type="bibr" rid="B1">Akeju et al., 2014</xref>). Coherograms between thalamic LFPs and cortical EEG were computed using the multitaper method (<xref ref-type="bibr" rid="B4">Bokil et al., 2007</xref>) based on the continuously recorded electrophysiological signals. Coherence values were calculated for particular epochs (the same as above described for spectral analysis), and the values were averaged for all animals. Jackknife techniques were used to determine 95% confidence interval (CI) of coherence values (<xref ref-type="bibr" rid="B4">Bokil et al., 2007</xref>). The parameters for coherence analysis were set as follows: window length, T &#x3d; 4&#xa0;s with 0-s overlap; time&#x2013;oscillation width product, TW &#x3d; 3; number of tapers, K &#x3d; 5; and a spectral resolution of 2&#xa0;W of 1.5&#xa0;Hz.</p>
</sec>
<sec id="s2-6">
<title>Phase&#x2013;Amplitude Coupling Analysis</title>
<p>To characterize the coupling between the phase of slow oscillation (0.5&#x2013;1&#xa0;Hz) and the amplitude of alpha oscillation (9&#x2013;14&#xa0;Hz), we constructed a time-varying phase&#x2013;amplitude modulogram, which indicated the relative alpha amplitude of a particular phase at each slow oscillation cycle (<xref ref-type="bibr" rid="B42">Mukamel et al., 2011</xref>; <xref ref-type="bibr" rid="B51">Purdon et al., 2013</xref>). A wavelet packet transform was applied to construct slow and alpha signal narrow oscillations. Then, the Hilbert transform was applied to the signals and low-frequency phase and alpha oscillation amplitudes were computed. Modulogram was computed using the continuously recorded signals. The modulation index (MI) was calculated to quantify the strength of modulation (<xref ref-type="bibr" rid="B42">Mukamel et al., 2011</xref>). Signals with the duration of 600 s were selected at 10&#xa0;min after stabilization of each isoflurane concentration to calculate the total proportions of statistically significant epochs of MI.</p>
</sec>
<sec id="s2-7">
<title>Simulation of Thalamic Networks</title>
<p>A computational model based on the DynaSim MATLAB toolbox (<xref ref-type="bibr" rid="B54">Sherfey et al., 2018</xref>) was used to simulate the isoflurane-induced alpha spiking in thalamocortical neurons. The model was based on a thalamic, Hodgkin&#x2013;Huxley network, which simulates firing frequency of 50 thalamocortical cells (TCs) and 50 reticular single-compartment cells (RE) coupled to each other (the code is available on GitHub, <ext-link ext-link-type="uri" xlink:href="https://github.com/asoplata/propofol-coupling-2017-full">https://github.com/asoplata/propofol-coupling-2017-full</ext-link>) (<xref ref-type="bibr" rid="B56">Soplata et al., 2017</xref>). Three paraments were adjusted in this model according to the effects of isoflurane on a single TC neuron: I<sub>GABA-A</sub> (current of GABA), I<sub>AMPA</sub> (current of AMPA), and gK<sub>Leak</sub> (conductance of background potassium channels). The changes in I<sub>GABA-A</sub> and I<sub>AMPA</sub> induced by isoflurane (<xref ref-type="sec" rid="s11">Supplementary Table S1</xref>) were demonstrated in previous studies (<xref ref-type="bibr" rid="B27">Jenkins et al., 1999</xref>; <xref ref-type="bibr" rid="B13">de Sousa et al., 2000</xref>; <xref ref-type="bibr" rid="B53">Sebel et al., 2006</xref>). The effect of isoflurane on gK<sub>Leak</sub> was based on our results of the whole-cell patch-clamping recordings in acute brain slices (<xref ref-type="sec" rid="s11">Supplementary Figure S1</xref>; <xref ref-type="sec" rid="s11">Supplementary Table S1</xref>).</p>
</sec>
<sec id="s2-8">
<title>Statistical Analysis</title>
<p>Processed EEG and LFP data were exported from MATLAB (version 2006a; MathWorks, United States) and analyzed by the GraphPad Prism 8.0 software (GraphPad, United States). Data were presented as means with 95% CI intervals. The sample size of animals was calculated by the test for paired means with the PASS 15 software (NCSS, LLC, Kaysville, UT, United States). By the preliminary test (<italic>n</italic> &#x3d; 4) on EEG changes of alpha oscillations between baseline and 1.0 MAC<sub>LOM</sub> isoflurane, it was observed that the isoflurane enhanced relative alpha power from 12.94% [7.95%, 17.92%] to 25.47% [13.17%, 37.77%]. Therefore, the calculated minimal sample size was 8.0 (&#x3b1; &#x3d; 0.05; power &#x3d; 0.90), and a sample size of 10 was chosen. Spectral and coherence differences were evaluated by the one-way repeated-measures analysis of variance (ANOVA) with a Greenhouse&#x2013;Geisser correction. Followed by the repeated-measures ANOVA, Tukey&#x2019;s post hoc test was used to determine the difference between baseline and anesthetic states, or between various anesthetic depths. For PAC analysis, a permutation test was conducted (<xref ref-type="bibr" rid="B42">Mukamel et al., 2011</xref>). Electrophysiologic data were analyzed using the software packages pClamp 10.2 (Molecular Devices, United States), GraphPad Prism 8.0 (GraphPad, United States), and SPSS 22.0 (IBM, United States). The exact statistical methods employed are indicated in the figure legends, and a statistical significance was deemed to be a <italic>p</italic>-value <italic>&#x3c;</italic> 0.05.</p>
</sec>
</sec>
<sec sec-type="results" id="s3">
<title>Results</title>
<sec id="s3-1">
<title>Isoflurane-Induced Dynamics of Cortical EEG</title>
<p>Concentration&#x2013;response curves of isoflurane (<italic>n</italic> &#x3d; 20; <xref ref-type="fig" rid="F1">Figure 1A</xref>) indicated that MAC<sub>LORR</sub> was 0.84% [0.83%, 0.85%] and MAC<sub>LOM</sub> was 1.09% [1.06%, 1.13%]. Thus, we defined 0.9% isoflurane as light anesthesia (&#x223c;1.0 MAC<sub>LORR</sub>), 1.5% as surgery anesthesia (&#x223c;1.3 MAC<sub>LOM</sub>), and 2.0% as deep anesthesia (&#x223c;2.0 MAC<sub>LOM</sub>). By the repeated-measures ANOVA, it was found that there were significant differences in the relative power of slow oscillations (<sub>rANOVA</sub> F <sub>2.035,18.32</sub> &#x3d; 3.848, <italic>p</italic> &#x3d; 0.039; <xref ref-type="fig" rid="F1">Figure 1F</xref>), delta oscillations (<sub>rANOVA</sub> F <sub>2.09,18.78</sub> &#x3d; 11.48, <italic>p</italic> &#x3d; 0.0005; <xref ref-type="fig" rid="F1">Figure 1F</xref>), and alpha oscillations (<sub>rANOVA</sub> F <sub>3.15, 28.37</sub> &#x3d; 12.16, <italic>p</italic> &#x3c; 0.0001; <xref ref-type="fig" rid="F1">Figure 1F</xref>) between baseline and anesthetic states. Isoflurane at 0.9% significantly increased the relative power of slow oscillation (<italic>p</italic> &#x3d; 0.037 by Tukey&#x2019;s <italic>post hoc</italic> analysis; isoflurane vs. baseline, 15.77% [10.40%, 21.15%] vs. 7.46% [5.92%, 9.01%], <italic>n</italic> &#x3d; 10; <xref ref-type="fig" rid="F1">Figure 1E</xref> left, <xref ref-type="fig" rid="F1">Figure 1F</xref> and <xref ref-type="table" rid="T1">Table 1</xref>) and delta oscillation (<italic>p</italic> &#x3d; 0.0027 by Tukey&#x2019;s <italic>post hoc</italic> analysis; 0.9% isoflurane <italic>vs.</italic> baseline, 56.43% [50.84%, 62.03%] <italic>vs.</italic> 44.58% [39.96%, 49.20%], <italic>n</italic> &#x3d; 10; <xref ref-type="fig" rid="F1">Figure 1E</xref> left, <xref ref-type="fig" rid="F1">Figure 1F</xref> and <xref ref-type="table" rid="T1">Table 1</xref>). 1.5% and 2.0% isoflurane significantly enhanced the relative power of alpha oscillations (<italic>p</italic> &#x3d; 0.032 by Tukey&#x2019;s <italic>post hoc</italic> analysis; 1.5% isoflurane <italic>vs.</italic> baseline, 20.02% [14.15%, 25.88%] vs. 9.64% [6.86%, 12.43%], <italic>n</italic> &#x3d; 10; <xref ref-type="fig" rid="F1">Figure 1E</xref> middle, <xref ref-type="fig" rid="F1">Figure 1F</xref> and <xref ref-type="table" rid="T1">Table 1</xref>: <italic>p</italic> &#x3d; 0.029 by Tukey&#x2019;s <italic>post hoc</italic> analysis; 2.0% isoflurane vs. baseline, 20.92% [15.87%, 25.97%] vs. 9.64% [6.86%, 12.43%], <italic>n</italic> &#x3d; 10; <xref ref-type="fig" rid="F1">Figure 1E</xref> right, <xref ref-type="fig" rid="F1">Figure 1F</xref> and <xref ref-type="table" rid="T1">Table 1</xref>). In conclusion, the relative power of cortical slow and delta oscillations increased at 0.9% isoflurane, and the relative power of cortical alpha oscillation was increased at 1.5% and 2.0% isoflurane. As a positive control, when compared to baseline, the cortical alpha power increased during propofol-induced LORR (<italic>p</italic> &#x3d; 0.007 by a two-tailed paired t-test; propofol vs. baseline, 459.65 [133.71, 785.62] &#x3bc;V<sup>2</sup>/Hz vs. 1548.24 [562.83, 2534.54] &#x3bc;V<sup>2</sup>/Hz, <italic>n</italic> &#x3d; 10; <xref ref-type="fig" rid="F4">Figures 4B,C</xref>).</p>
<fig id="F1" position="float">
<label>FIGURE 1</label>
<caption>
<p>EEG dynamics of the prefrontal cortex under isoflurane anesthesia. <bold>(A)</bold> Concentration&#x2013;response curves of isoflurane-induced MAC<sub>LORR</sub> and MAC<sub>LOM</sub> (<italic>n</italic> &#x3d; 20/group), MAC<sub>LORR</sub> &#x3d; 0.84% [0.83%, 0.85%] and MAC<sub>LOM</sub> &#x3d; 1.09% [1.06%, 1.13%]. <bold>(B)</bold> Schematic of recording sites. Red dots represent locations where electrodes implanted. <bold>(C)</bold> Representative raw traces of cortical EEG in slow, delta, and alpha oscillations within the same period. <bold>(D)</bold> A representative spectrogram of cortical EEG. <bold>(E)</bold> A relative power density of 0.9%, 1.5%, and 2.0% isoflurane compared with baseline. Shading indicates 95% CI. <bold>(F)</bold> Total relative power density of cortical EEG in slow, delta, and alpha oscillations. Comparisons are based on the repeated-measures ANOVA for all experiments followed by Tukey&#x2019;s post hoc test: &#x2a;<italic>p</italic> &#x3c; 0.05 and &#x2a;&#x2a; <italic>p</italic> &#x3c; 0.01 vs. baseline; <sup>&#x23;</sup>
<italic>p</italic> &#x3c; 0.05 and <sup>&#x23;&#x23;</sup>
<italic>p</italic> &#x3c; 0.01 vs. 0.9%. Frequency oscillations: slow (0.5&#x2013;1&#xa0;Hz), delta (1&#x2013;5&#xa0;Hz), and alpha (9&#x2013;14&#xa0;Hz). Values are mean [95% CI]. MAC, minimum alveolar concentration; CI, confidence interval; and ISO, isoflurane.</p>
</caption>
<graphic xlink:href="fphar-13-887981-g001.tif"/>
</fig>
<table-wrap id="T1" position="float">
<label>TABLE 1</label>
<caption>
<p>Results of cortical EEG and thalamic LFP analysis.</p>
</caption>
<table>
<thead valign="top">
<tr>
<th align="left">Concentrations of isoflurane</th>
<th align="left"/>
<th align="center">Baseline</th>
<th align="center">0.90%</th>
<th align="center">1.50%</th>
<th align="center">2.00%</th>
</tr>
</thead>
<tbody valign="top">
<tr>
<td rowspan="3" align="left">Cortical EEG normalized power density (%)</td>
<td align="left">Slow</td>
<td align="center">7.46 [5.92, 9.01]&#x2a;</td>
<td align="center">15.77 [10.40, 21.15]</td>
<td align="center">10.58 [5.63, 15.53]</td>
<td align="center">11.23 [5.60, 16.86]</td>
</tr>
<tr>
<td align="left">Delta</td>
<td align="center">44.58 [39.96, 49.20]&#x2a;&#x2a;</td>
<td align="center">56.43 [50.84, 62.03]</td>
<td align="center">36.85 [25.00, 48.69]</td>
<td align="center">30.21 [20.91, 39.52]</td>
</tr>
<tr>
<td align="left">Alpha</td>
<td align="center">9.64 [6.86, 5.75]</td>
<td align="center">8,86 [5.75, 11.98]&#x2a;</td>
<td align="center">20.02 [14.15, 25.88]&#x2a;</td>
<td align="center">20.92 [15.87, 25.97]</td>
</tr>
<tr>
<td rowspan="3" align="left">Thalamic LFP normalized power density (%)</td>
<td align="left">Slow</td>
<td align="center">10.76 [4.44, 17.08]</td>
<td align="center">13.15 [10.13, 16.16]</td>
<td align="center">9.12 [6.19, 12.04]</td>
<td align="center">7.93 [5.41, 10.45]</td>
</tr>
<tr>
<td align="left">Delta</td>
<td align="center">37.39 [32.73, 42.05]</td>
<td align="center">49.18 [42.04, 56.32]&#x2a;</td>
<td align="center">39.03 [32.85, 45.21]</td>
<td align="center">36.52 [30.13,42.91]</td>
</tr>
<tr>
<td align="left">Alpha</td>
<td align="center">9.20 [7.40, 11.00]</td>
<td align="center">9.71 [6.73, 12.70]</td>
<td align="center">16.38 [12.83, 19.91]&#x2a;&#x2a;</td>
<td align="center">21.32 [17.26, 25.39]&#x2a;&#x2a;</td>
</tr>
<tr>
<td rowspan="3" align="left">Cortical EEG&#x2013;thalamic LFP coherence index</td>
<td align="left">Slow</td>
<td align="center">0.70 [0.62, 0.77]</td>
<td align="center">0.80 [0.70, 0.89]</td>
<td align="center">0.72 [0.62, 0.83]</td>
<td align="center">0.68 [0.61, 0.74]</td>
</tr>
<tr>
<td align="left">Delta</td>
<td align="center">0.71 [0.63, 0.78]</td>
<td align="center">0.70 [0.62, 0.78]</td>
<td align="center">0.68 [0.58, 0.78]</td>
<td align="center">0.69 [0.62, 0.76]</td>
</tr>
<tr>
<td align="left">Alpha</td>
<td align="center">0.63 [0.58, 0.68]</td>
<td align="center">0.64 [0.56, 0.72]</td>
<td align="center">0.70 [0.63, 0.77]&#x2a;</td>
<td align="center">0.68 [0.59, 0.77]</td>
</tr>
<tr>
<td rowspan="2" align="left">Percentage of significant modulation of PAC (%)</td>
<td align="left">Cortex&#x2013;cortex</td>
<td align="center">11</td>
<td align="center">55</td>
<td align="center">65</td>
<td align="center">35</td>
</tr>
<tr>
<td align="left">Cortex&#x2013;thalamus</td>
<td align="center">4</td>
<td align="center">50</td>
<td align="center">52</td>
<td align="center">22</td>
</tr>
</tbody>
</table>
<table-wrap-foot>
<fn>
<p>&#x2a;<italic>p</italic> &#x3c; 0.05: difference compared with baseline; &#x2a;&#x2a; <italic>p</italic> &#x3c; 0.01: difference compared with baseline; data are given as means [95% CI].</p>
</fn>
</table-wrap-foot>
</table-wrap>
</sec>
<sec id="s3-2">
<title>Isoflurane-Induced Dynamics of Thalamic Local Field Potentials</title>
<p>By the repeated-measures ANOVA, it was found that there were no significant differences in the relative power of slow oscillations (<sub>rANOVA</sub> F <sub>1.64,16.44</sub> &#x3d; 3.17, <italic>p</italic> &#x3d; 0.076; <xref ref-type="fig" rid="F2">Figure 2D</xref>), but there were significant differences in delta (<sub>rANOVA</sub> F <sub>3.33,33.28</sub> &#x3d; 9.10, <italic>p</italic> &#x3c; 0.0001; <xref ref-type="fig" rid="F2">Figure 2D</xref>) and alpha (<sub>rANOVA</sub> F <sub>2.65, 26.54</sub> &#x3d; 18.17, <italic>p</italic> &#x3c; 0.0001; <xref ref-type="fig" rid="F2">Figure 2D</xref>) oscillations between baseline and anesthetic states. Isoflurane at 0.9% significantly increased the relative power of delta oscillations (<italic>p</italic> &#x3d; 0.049 by Tukey&#x2019;s <italic>post hoc</italic> analysis; 0.9% isoflurane vs. baseline, 49.18% [42.04%, 56.32%] vs. 37.39% [32.73%, 42.05%], <italic>n</italic> &#x3d; 10; <xref ref-type="fig" rid="F2">Figure 2C</xref> left, <xref ref-type="fig" rid="F2">Figure 2D</xref> and <xref ref-type="table" rid="T1">Table 1</xref>). Isoflurane at 1.5% and/or 2.0% significantly enhanced the relative power of alpha oscillations (<italic>p</italic> &#x3d; 0.004 by Tukey&#x2019;s <italic>post hoc</italic> analysis; 1.5% isoflurane vs. baseline, 16.38% [12.83%, 19.91%] vs. 9.20% [7.40%, 11.00%], <italic>n</italic> &#x3d; 10; <xref ref-type="fig" rid="F2">Figure 2C</xref> middle, <xref ref-type="fig" rid="F2">Figure 2D</xref> and <xref ref-type="table" rid="T1">Table 1</xref>; <italic>p</italic> &#x3d; 0.0007 by Tukey&#x2019;s <italic>post hoc</italic> analysis; 2.0% isoflurane vs. baseline, 21.32% [17.26%, 25.39%] vs. 9.20% [7.40%, 11.00%], <italic>n</italic> &#x3d; 10; <xref ref-type="fig" rid="F2">Figure 2C</xref> right, <xref ref-type="fig" rid="F2">Figure 2D</xref> and <xref ref-type="table" rid="T1">Table 1</xref>). The relative power density of slow, delta, and alpha oscillations over all experimental conditions is shown in <xref ref-type="fig" rid="F2">Figure 2D</xref>. In conclusion, 0.9% isoflurane increased the relative power of thalamic delta oscillation, and 1.5% and 2.0% isoflurane increased the relative power of thalamic alpha oscillation. The dynamics of thalamic LFPs were highly similar to EEG of the prefrontal cortex. As a positive control, the propofol-induced LORR increased the relative thalamic alpha power when compared to baseline (<italic>p</italic> &#x3d; 0.02 by a two-tailed paired t-test; propofol vs. baseline; 3985.04 [1143.32, 6826.34] &#x3bc;V<sup>2</sup>/Hz vs. 2054.02 [&#x2212;78.20, 4285.22] &#x3bc;V<sup>2</sup>/Hz, <italic>n</italic> &#x3d; 10; <xref ref-type="fig" rid="F4">Figures 4E,F</xref>).</p>
<fig id="F2" position="float">
<label>FIGURE 2</label>
<caption>
<p>Dynamics of thalamic LFPs under isoflurane anesthesia. <bold>(A)</bold> Representative raw traces of thalamic LFPs in slow, delta, and alpha oscillations within the same period. <bold>(B)</bold> A representative spectrogram of thalamic LFPs. <bold>(C)</bold> A relative power density of 0.9%, 1.5%, and 2.0% isoflurane compared with baseline. Shading indicates 95% CI. <bold>(D)</bold> Total relative power density of thalamic LFPs in slow, delta, and alpha oscillations. Comparisons are based on the repeated-measures ANOVA for all experiments followed by Tukey&#x2019;s post hoc test: &#x2a; <italic>p</italic> &#x3c; 0.05, &#x2a;&#x2a; <italic>p</italic> &#x3c; 0.001, and &#x2a;&#x2a;&#x2a; <italic>p</italic> &#x3c; 0.0001 vs. baseline; <sup>&#x23;</sup>
<italic>p</italic> &#x3c; 0.05, <sup>&#x23;&#x23;</sup>
<italic>p</italic> &#x3c; 0.010, and <sup>&#x23;&#x23;&#x23;</sup>
<italic>p</italic> &#x3c; 0.001 vs. 0.9%. Frequency oscillations: slow (0.5&#x2013;1&#xa0;Hz), delta (1&#x2013;5&#xa0;Hz), and alpha (9&#x2013;14&#xa0;Hz). LFPs, local field potentials; CI, confidence interval; and ISO, isoflurane.</p>
</caption>
<graphic xlink:href="fphar-13-887981-g002.tif"/>
</fig>
</sec>
<sec id="s3-3">
<title>Thalamocortical Synchronization Maintained With Increased Depth of Isoflurane Anesthesia</title>
<p>By the repeated-measures ANOVA, it was found that there was no statistical difference in coherence between cortical EEG and thalamic LFPs in slow band (<sub>rANOVA</sub> F <sub>3.34,33.38</sub> &#x3d; 1.83, <italic>p</italic> &#x3d; 0.16; <xref ref-type="fig" rid="F3">Figures 3C,D</xref>) or delta band (<sub>rANOVA</sub> F <sub>3.45,34.53</sub> &#x3d; 0.38, <italic>p</italic> &#x3d; 0.80; <xref ref-type="fig" rid="F3">Figures 3C,D</xref>), but there was a significant difference in alpha band (<sub>rANOVA</sub> F <sub>2.70, 26.95</sub> &#x3d; 4.15, <italic>p</italic> &#x3d; 0.018; <xref ref-type="fig" rid="F3">Figures 3C,D</xref>). Isoflurane at 1.5% enhanced the coherence of alpha oscillations between cortical EEG and thalamic LFPs (<italic>p</italic> &#x3d; 0.028 by Tukey&#x2019;s <italic>post hoc</italic> analysis; 1.5% isoflurane vs. baseline, 0.70 [0.63, 0.77] vs. 0.63 [0.58, 0.68], <italic>n</italic> &#x3d; 10; <xref ref-type="fig" rid="F3">Figure 3C</xref> middle, <xref ref-type="fig" rid="F3">Figure 3D</xref> and <xref ref-type="table" rid="T1">Table 1</xref>). As a positive control, the propofol-induced LORR increased the coherence of alpha oscillation between cortical EEG and thalamic LFPs (<italic>p</italic> &#x3d; 0.02 by a two-tailed paired t-test; propofol vs. baseline, 0.58 [0.47, 0.69] vs. 0.48 [0.33, 0.62], <italic>n</italic> &#x3d; 10; <xref ref-type="fig" rid="F4">Figure 4H,I</xref>).</p>
<fig id="F3" position="float">
<label>FIGURE 3</label>
<caption>
<p>Thalamocortical synchronization under isoflurane anesthesia. <bold>(A)</bold> Representative raw traces of cortical EEG (upper) and thalamic LFPs (lower) within the same period. <bold>(B)</bold> Representative coherogram between cortical EEG and thalamic LFPs. <bold>(C)</bold> Coherence between cortical EEG and thalamic LFPs. Shading indicates 95% CI. <bold>(D)</bold> Coherence between thalamic LFPs and cortex EEG. Comparisons are based on the repeated-measures ANOVA for all experiments followed by Tukey&#x2019;s post hoc test: &#x2a; <italic>p</italic> &#x3c; 0.05 vs. baseline. Frequency oscillations: slow (0.5&#x2013;1&#xa0;Hz), delta (1&#x2013;5&#xa0;Hz), and alpha (9&#x2013;14&#xa0;Hz). LFPs, local field potentials; CI, confidence interval; and ISO, isoflurane.</p>
</caption>
<graphic xlink:href="fphar-13-887981-g003.tif"/>
</fig>
<fig id="F4" position="float">
<label>FIGURE 4</label>
<caption>
<p>Dynamics of cortical EEG and thalamic local field potentials (LFPs) under propofol anesthesia. <bold>(A)</bold> Representative spectrograms of cortical EEG and <bold>(D)</bold> thalamic LFPs. Propofol dosing starts at <italic>t</italic> &#x3d; 0, and the vertical orange lines mark behavioral events (LORR). <bold>(B)</bold> Relative power density of cortical EEG and <bold>(E)</bold> thalamic LFPs. <bold>(C)</bold> Shading indicates 95% CI. The power density of cortical EEG and <bold>(F)</bold> thalamic LFPs in alpha oscillations. <bold>(G)</bold> Spectrogram of coherence between thalamic LFPs and cortical EEG. <bold>(H)</bold> Coherence between thalamic LFPs and cortical EEG. Shading indicates 95% CI. <bold>(I)</bold> Coherence of alpha oscillations between thalamic LFPs and cortical EEG. Comparisons are based on a two-tailed paired t-test: &#x2a;<italic>p</italic> &#x3c; 0.05 and &#x2a;&#x2a;<italic>p</italic> &#x3c; 0.01. Frequency oscillations: slow (0.5&#x2013;1&#xa0;Hz), delta (1&#x2013;5&#xa0;Hz), and alpha (9&#x2013;14&#xa0;Hz). LFPs, local field potentials; and CI, confidence interval.</p>
</caption>
<graphic xlink:href="fphar-13-887981-g004.tif"/>
</fig>
</sec>
<sec id="s3-4">
<title>The Slow&#x2013;Alpha PAC Is Significantly Correlated Under 1.5% Isoflurane but Disrupted Under 2.0% Isoflurane</title>
<p>The phase and amplitude of slow and alpha oscillations filtered from cortical EEG (<xref ref-type="fig" rid="F5">Figure 5A</xref>) were extracted by the Hilbert transform (<xref ref-type="fig" rid="F5">Figure 5B</xref>) and were calculated by the time-dependent modulogram (<xref ref-type="fig" rid="F5">Figure 5C</xref>). A significant slow&#x2013;alpha PAC within the cortex was observed under 1.5% isoflurane (<italic>p &#x3c;</italic> 0.05 in 65.5 percent of total duration of 220&#xa0;min by a permutation test; <xref ref-type="fig" rid="F5">Figures 5D&#x2013;H</xref> and <xref ref-type="table" rid="T1">Table 1</xref>), while 2.0% isoflurane disrupted the PAC (<italic>p</italic> &#x3c; 0.05 in 34.5 percent of total duration of 220&#xa0;min by a permutation test; <xref ref-type="fig" rid="F5">Figures 5D&#x2013;H</xref> and <xref ref-type="table" rid="T1">Table 1</xref>). The cortical alpha amplitude and thalamic slow phase (<xref ref-type="fig" rid="F5">Figure 5F</xref>) were also calculated using the time-dependent modulogram. A significant slow&#x2013;alpha phase&#x2013;amplitude modulation between the cortex and the thalamus was observed under 1.5% isoflurane (<italic>p</italic> &#x3c; 0.05 in 58.0 percent of total duration of 220&#xa0;min by a permutation test; <xref ref-type="fig" rid="F5">Figures 5G,H</xref>), while 2.0% isoflurane disrupted the PAC (<italic>p</italic> &#x3c; 0.05 in 22.1 percent of total duration of 220&#xa0;min by a permutation test; <xref ref-type="fig" rid="F5">Figures 5G,H</xref>).</p>
<fig id="F5" position="float">
<label>FIGURE 5</label>
<caption>
<p>PAC in cortex and thalamocortical networks. <bold>(A)</bold> Schematic cortex slow (blue line) and cortex alpha (red line) oscillations. <bold>(B)</bold> A sample of PAC analysis process. <bold>(C)</bold> The phase&#x2013;amplitude histogram showing the relationship between the cortical slow phase (y-axis) and cortical alpha amplitude (color map). <bold>(D)</bold> <italic>p</italic>-Value of the modulation index (MI), determined by a shuffle control procedure; gray shading indicates statistically significant (<italic>p</italic> &#x3c; 0.05) epochs. <bold>(E)</bold> Schematic of PAC between cortex slow (blue line) and thalamic alpha (red line). <bold>(F)</bold> The phase&#x2013;amplitude histogram showing the relationship between the cortical slow phase (y-axis) and thalamic alpha amplitude (color map). <bold>(G)</bold> <italic>p</italic>-Value of the modulation index, determined by a shuffle control procedure; gray shading indicates statistically significant (<italic>p</italic> &#x3c; 0.05) epochs. <bold>(H)</bold>The total proportions of gray shadings <bold>(D,G)</bold> of all subjects. The dotted line shows the proportions at 60%. PAC, phase&#x2013;amplitude coupling; and ISO, isoflurane.</p>
</caption>
<graphic xlink:href="fphar-13-887981-g005.tif"/>
</fig>
</sec>
<sec id="s3-5">
<title>Effects of Isoflurane on Potassium Leak Conductance in Thalamic TC Neurons</title>
<p>The effects of isoflurane on K<sub>Leak</sub> current were measured by the whole-cell patch-clamping recordings in TC (<xref ref-type="sec" rid="s11">Supplementary Figure S2A</xref>). TC neurons displayed a weakly rectifying current&#x2013;voltage profile, and reversal potential was near E<sub>K</sub> (approximately &#x2013;90&#xa0;mV), as expected for a K<sub>Leak</sub> current (<xref ref-type="sec" rid="s11">Supplementary Figure S2B</xref>) (<xref ref-type="bibr" rid="B33">Lazarenko et al., 2010</xref>). An isoflurane-enhanced K<sub>Leak</sub> current (<xref ref-type="sec" rid="s11">Supplementary Figure S2C</xref>, top) was associated with a net increase in conductance (<xref ref-type="sec" rid="s11">Supplementary Figure S2C</xref>, bottom). 0.26&#x2013;0.30&#xa0;mM isoflurane solution (&#x223c;1.0 MAC<sub>LOM</sub>) increased K<sub>Leak</sub> conductance (gK<sub>Leak</sub>) (<sub>rANOVA</sub> F<sub>1.5, 7.7</sub> &#x3d; 8.4, <italic>p</italic> &#x3d; 0.01; <italic>p</italic> &#x3d; 0.009 by Tukey&#x2019;s <italic>post hoc</italic> analysis; control <italic>vs.</italic> 1.0 MAC<sub>LOM</sub> isoflurane, 30.40&#xa0;nS [4.48&#xa0;nS, 56.32&#xa0;nS] vs. 39.04&#xa0;nS [4.52&#xa0;nS, 73.56&#xa0;nS], <italic>n</italic> &#x3d; 7; <xref ref-type="sec" rid="s11">Supplementary Figure S2D</xref>). 0.42&#x2013;0.50&#xa0;mM isoflurane solution (&#x223c;1.5 MAC<sub>LOM</sub>) increased K<sub>Leak</sub> conductance (<sub>rANOVA</sub> F<sub>1.2, 8.7</sub> &#x3d; 8.4, <italic>p</italic> &#x3d; 0.002; <italic>p</italic> &#x3d; 0.008 by Tukey&#x2019;s <italic>post hoc</italic> analysis; control vs. 1.5 MAC<sub>LOM</sub> isoflurane, 27.03&#xa0;nS [14.10&#xa0;nS, 39.94&#xa0;nS] vs. 39.29&#xa0;nS [26.54&#xa0;nS, 52.04&#xa0;nS], <italic>n</italic> &#x3d; 7; <xref ref-type="sec" rid="s11">Supplementary Figure S2E</xref>). Therefore, 0.26&#x2013;0.30&#xa0;mM (&#x223c;1.0 MAC<sub>LOM</sub>) and 0.42&#x2013;0.50&#xa0;mM (&#x223c;1.5 MAC<sub>LOM</sub>) isoflurane solution enhanced gK<sub>Leak</sub> by 25.86% [10.91%, 40.81%] and 47.10% [27.98%, 66.22%], respectively (<xref ref-type="sec" rid="s11">Supplementary Figure S2F</xref>).</p>
</sec>
<sec id="s3-6">
<title>Effects of Isoflurane on Multiple Molecular Targets in the Thalamic Network Contribute to Isoflurane-Induced Alpha Spiking in TC Neurons in a Computational Model</title>
<p>To investigate the preliminary mechanism of how isoflurane induced alpha spiking in the thalamic network, a <italic>in silico</italic> thalamic model was used to simulate the effects of isoflurane on thalamic rhythms (<xref ref-type="bibr" rid="B56">Soplata et al., 2017</xref>). Briefly, AMPA, GABA<sub>A</sub>, and K<sub>Leak</sub> were the main molecular targets in this model. Therefore, the effects of isoflurane on AMPA, GABA<sub>A</sub>, and K<sub>Leak</sub> were applied in simulation. The effects of isoflurane on AMPA (<xref ref-type="bibr" rid="B13">de Sousa et al., 2000</xref>) and GABA<sub>A</sub> (<xref ref-type="bibr" rid="B53">Sebel et al., 2006</xref>) were demonstrated in previous studies. The effect of isoflurane on gK<sub>Leak</sub> was based on our results of the whole-cell patch-clamping recordings on acute brain slices (<xref ref-type="sec" rid="s11">Supplementary Figure S2</xref>). When the potentiation of GABA<sub>A</sub> was up to &#x223c;twofold more than the baseline level, the frequency of the TC spikes increased to alpha oscillations (<xref ref-type="fig" rid="F6">Figure 6A</xref>). If the contribution of GABA<sub>A</sub> was ignored, the TC spikes decreased along with the potentiation of gK<sub>Leak</sub>, while the inhibition of I<sub>AMPA</sub> slightly modulated the network frequency (<xref ref-type="fig" rid="F6">Figure 6B</xref>). When the potentiation of I<sub>GABA-A</sub> was adjusted to the levels of 1.3% isoflurane (&#x223c;1.7-fold potentiation) (<xref ref-type="fig" rid="F6">Figure 6C</xref>) and 2.0% isoflurane (&#x223c;twofold potentiation) (<xref ref-type="fig" rid="F6">Figure 6D</xref>), respectively, the TC spikes decreased with the potentiation of gK<sub>Leak</sub> (<xref ref-type="fig" rid="F6">Figure 6B</xref>) and were nearly stable with the inhibition of I<sub>AMPA</sub>.</p>
<fig id="F6" position="float">
<label>FIGURE 6</label>
<caption>
<p>Computational simulation of thalamic networks indicates that the overall effects of isoflurane on AMPA, GABA<sub>A</sub>, and K<sub>Leak</sub> may lead to thalamic alpha oscillations. <bold>(A)</bold> Frequency of the TC spike increases to alpha oscillations (gray shadow) along with the potentiation of GABA<sub>A</sub>. The maximal AMPA current decreases (red dotted trace) and gK<sub>Leak</sub> increases (blue dotted trace): <bold>(B)</bold> no GABA<sub>A</sub> current potentiation; <bold>(C)</bold> GABA<sub>A</sub> current potentiation of &#x223c;1.3% isoflurane; <bold>(D)</bold> GABA<sub>A</sub> current potentiation of &#x223c;2.0% isoflurane; <bold>(E)</bold> under baseline (no isoflurane potentiation of any molecular targets) conditions; <bold>(F)</bold> &#x223c;1.3% isoflurane potentiation of GABA<sub>A</sub> current, AMPA current, and gK<sub>Leak</sub>; and <bold>(G)</bold> &#x223c;2.0% isoflurane potentiation of those; representative voltage traces and spike rastergrams of TC and RE neurons; <bold>(H)</bold> representative TC cell voltage trace during silent, hyperpolarized stimulation, transients, spindling oscillation simulation, subalpha oscillation simulation, and silent, depolarized simulation. Behavioral regimes of thalamic simulations across different GABA<sub>A</sub> potentiation levels of the gK<sub>Leak</sub>&#x2014;AMPA current plane: <bold>(I)</bold> baseline; <bold>(J)</bold> 1.3% isoflurane; and <bold>(K)</bold> 2.0% isoflurane. Each simulation is represented by a pixel and colored according to its manually classified behavioral regime. Arrows indicate the alpha oscillations corresponding to the parameters in <xref ref-type="sec" rid="s11">Supplementary Table S1</xref>. ISO, isoflurane.</p>
</caption>
<graphic xlink:href="fphar-13-887981-g006.tif"/>
</fig>
<p>On the cellular level, thalamic TC neurons did not display any intrinsic oscillatory activity at the baseline level (<xref ref-type="fig" rid="F6">Figure 6E</xref>). If the overall modulations of isoflurane on GABA<sub>A</sub>, gK<sub>Leak</sub>, and AMPA were applied simultaneously, isoflurane at both &#x223c;1.3% (<xref ref-type="fig" rid="F6">Figure 6F</xref>) and &#x223c;2.0% (<xref ref-type="fig" rid="F6">Figure 6G</xref>) induced persistent alpha firing of TC neurons. On the network level, no alpha oscillations were induced in a thalamic rhythm at the baseline condition (<xref ref-type="fig" rid="F6">Figure 6I</xref>). With the potentiation of GABA<sub>A</sub> effect under &#x223c;1.3% (<xref ref-type="fig" rid="F6">Figure 6J</xref>) and &#x223c;2.0% isoflurane (<xref ref-type="fig" rid="F6">Figure 6K</xref>), respectively, alpha oscillations were induced along with the modulation of gK<sub>Leak</sub> and I<sub>AMPA</sub>. Isoflurane at both &#x223c;1.3% (<xref ref-type="fig" rid="F6">Figure 6J</xref>) and &#x223c;2.0% (<xref ref-type="fig" rid="F6">Figure 6K</xref>) induced persistent alpha oscillations in thalamic rhythm. In summary, the overall modulation of isoflurane on I<sub>AMPA</sub>, I<sub>GABA-A</sub> current, and gK<sub>Leak</sub> may contribute to alpha spiking of TC neurons under surgery and/or deep anesthesia under isoflurane, which may involve in a thalamic alpha rhythm.</p>
</sec>
</sec>
<sec sec-type="discussion" id="s4">
<title>Discussion</title>
<p>In the present study, we observed cortical EEG and thalamic LFPs under isoflurane in mice, which shows differential patterns of slow, delta, and alpha oscillations when compared with propofol. By combining the electrophysiological results and a computational model (<xref ref-type="bibr" rid="B56">Soplata et al., 2017</xref>), we simulated isoflurane-induced alpha spiking in TC neurons, which reveals the molecular targets and thalamic network mechanisms of isoflurane-induced alpha spiking in the thalamic network. Considering there are still no such standards for tracking brain states under volatile anesthesia (<xref ref-type="bibr" rid="B51">Purdon et al., 2013</xref>; <xref ref-type="bibr" rid="B37">Malekmohammadi et al., 2019</xref>), our results may provide neurophysiological signatures for monitoring isoflurane anesthesia at various depths.</p>
<p>There have still been some debates on the association between consciousness and EEG signatures. Some studies demonstrated that the level of consciousness may be dissociated from cortical connectivity, oscillations, and dynamics. These previous studies analyzed the changes in functional cortical gamma connectivity (25&#x2013;155&#xa0;Hz), slow oscillations (0.5&#x2013;1&#xa0;Hz), and complexity (<xref ref-type="bibr" rid="B49">Pal et al., 2018</xref>; <xref ref-type="bibr" rid="B50">Pal et al., 2020</xref>), while the association between consciousness and coherence or connectivity of other frequency bands (such as alpha) has been proved by numerous previous studies (<xref ref-type="bibr" rid="B12">Cimenser et al., 2011</xref>; <xref ref-type="bibr" rid="B52">Purdon et al., 2015</xref>; <xref ref-type="bibr" rid="B14">Flores et al., 2017</xref>; <xref ref-type="bibr" rid="B20">Guidera et al., 2017</xref>). Such debates may be also raised from the differential definitions of consciousness levels with different experimental designs. Although the debate exists, the analysis of the EEG characteristics has been established as a basic method for monitoring anesthetic depth currently used in the clinic, such as Bispectral Index (<xref ref-type="bibr" rid="B5">Bonhomme et al., 2000</xref>; <xref ref-type="bibr" rid="B39">Meuret et al., 2000</xref>) and Patient State Index (<xref ref-type="bibr" rid="B28">Jones et al., 2021</xref>; <xref ref-type="bibr" rid="B45">Obara et al., 2021</xref>). Instead of revealing the EEG changes with different consciousness states, our present study was designed to explore the electrophysiological changes with increased concentration of isoflurane.</p>
<p>Isoflurane induces slow, delta, and alpha oscillations with different patterns, when compared to propofol. Based on the previous study (<xref ref-type="bibr" rid="B14">Flores et al., 2017</xref>) and our results, propofol-induced cortical and thalamic alpha oscillations start to increase before LORR, and cortical alpha oscillations further increase at LOM. In slow and delta oscillations, both cortical EEG and thalamic LFPs induced by propofol show a significant enhancement when LOM had occurred (<xref ref-type="bibr" rid="B7">Brown et al., 2010</xref>). However, in the present study, under 0.9% isoflurane (&#x223c;MAC<sub>LORR</sub>), both cortical EEG and thalamic LFPs showed an enhancement in slow and delta bands but no change in the alpha band. As isoflurane concentration elevated to 1.5% (&#x223c;MAC<sub>LOM</sub>) or even higher (2.0%), both cortical and thalamic alpha oscillations exhibited a significant increase which paired with decreased slow&#x2013;delta oscillation. These results are similar to those of some previous studies, in which sevoflurane was administered and which reported no change in the alpha band when LORR (in rodents) or LOC (loss of consciousness, in humans) had occurred (<xref ref-type="bibr" rid="B38">McCallum et al., 2013</xref>; <xref ref-type="bibr" rid="B1">Akeju et al., 2014</xref>; <xref ref-type="bibr" rid="B52">Purdon et al., 2015</xref>; <xref ref-type="bibr" rid="B20">Guidera et al., 2017</xref>).</p>
<p>Here, the thalamocortical coherence of alpha oscillation only exhibits a significant increase under 1.5% isoflurane (surgical anesthesia, &#x223c;MAC<sub>LOM</sub>), while the coherence of slow and delta oscillations is maintained at a baseline level. The coherence of alpha oscillation induced by propofol increases significantly when LORR had occurred. The hypothesis that increasing order in neural networks may contribute to unconsciousness (<xref ref-type="bibr" rid="B57">Tononi, 2008</xref>; <xref ref-type="bibr" rid="B10">Chauvette et al., 2011</xref>; <xref ref-type="bibr" rid="B3">Alonso et al., 2014</xref>) is partly supported by our findings. However, of note, the coherence observed in distant brain regions (separated by millimeters) varied in different studies. For example, at the doses of sevoflurane sufficient to maintain LORR, slow&#x2013;delta oscillations in distant brain regions are highly coherent (<xref ref-type="bibr" rid="B20">Guidera et al., 2017</xref>). Also, asynchronous slow oscillations have been observed in distant regions of the temporal cortex in propofol-anesthetized humans (<xref ref-type="bibr" rid="B55">Silva et al., 2010</xref>; <xref ref-type="bibr" rid="B34">Lewis et al., 2012</xref>). We believe that both synchronous and asynchronous oscillations may play functional roles in anesthetic-induced unconsciousness, but within different brain regions and networks, respectively.</p>
<p>Anesthesia-induced PAC has been explored previously (<xref ref-type="bibr" rid="B41">Molaee-Ardekani et al., 2007</xref>; <xref ref-type="bibr" rid="B23">He and Raichle, 2009</xref>; <xref ref-type="bibr" rid="B6">Breshears et al., 2010</xref>; <xref ref-type="bibr" rid="B44">Murphy et al., 2011</xref>). Propofol-induced PAC (cortical slow phase and thalamic alpha amplitude) in humans shows the existence of two distinct patterns: the trough-max pattern and the peak-max pattern (<xref ref-type="bibr" rid="B51">Purdon et al., 2013</xref>). The trough-max pattern offers a predictor of recovery of consciousness (ROC), whereas the peak-max pattern provides a signature of profound unconsciousness (<xref ref-type="bibr" rid="B51">Purdon et al., 2013</xref>). Since peak-max PAC disables responsiveness even under noxious stimuli (<xref ref-type="bibr" rid="B17">Gaskell et al., 2017</xref>), it is believed that the phase&#x2013;amplitude modulation can be used to improve anesthesia depth monitoring (<xref ref-type="bibr" rid="B11">Ching et al., 2010</xref>; <xref ref-type="bibr" rid="B56">Soplata et al., 2017</xref>). However, the isoflurane-induced PAC modulation only reveals a unique pattern, which maintains to be unchanged throughout different concentrations. According to a computational model, two PAC modulation patterns induced by propofol are induced by GABA<sub>A</sub> potentiation (<xref ref-type="bibr" rid="B56">Soplata et al., 2017</xref>). Although volatile anesthetics also induce actions on GABA<sub>A</sub> receptor, the isoflurane-induced PAC modulation is not related to various behavioral endpoints (LOC, ROC, or LOM). Therefore, for volatile anesthetics, the value of PAC modulations in monitoring anesthetic depth still needs further studies.</p>
<p>These different EEG patterns induced by isoflurane may be underlined by different molecular mechanisms. Compared with propofol, a relatively pure GABA<sub>A</sub> receptor modulator, an enhanced GABAergic inhibition is likely a primary but not the only mechanism of inhalation anesthetics. Isoflurane has multiple targets including GABA<sub>A</sub>, AMPA, and K<sub>Leak</sub> primarily in the thalamus (<xref ref-type="bibr" rid="B24">Hemmings et al., 2005</xref>; <xref ref-type="bibr" rid="B15">Franks, 2008</xref>). Electrophysiology study also indicated that the isoflurane enhanced the inhibition of thalamic neurons through GABA<sub>A</sub>-dependent and GABA<sub>A</sub>-independent mechanisms (<xref ref-type="bibr" rid="B58">Ying et al., 2009</xref>). To investigate whether the isoflurane-induced alpha oscillation shares the same thalamocortical networks, we take the advantage of a computational model (<xref ref-type="bibr" rid="B56">Soplata et al., 2017</xref>). The whole-cell patch-clamping results provide us to what extent did isoflurane change I<sub>GABA-A</sub>, I<sub>AMPA</sub>, and gK<sub>Leak</sub>. In this study, the effect of isoflurane on K<sub>Leak</sub> was investigated on acute brain slices under the conditions such as blocked voltage-gated sodium channels (Na<sub>v</sub>), and fast excitatory (glutamate) and inhibitory transmitters (GABA, glycine) by adding 1&#xa0;&#x3bc;M tetrodotoxin, 10&#xa0;&#x3bc;M CNQX, 10&#xa0;&#x3bc;M bicuculline, and 30&#xa0;&#x3bc;M strychnine in a perfusion solution (as described in the <xref ref-type="sec" rid="s11">Supplementary Methods</xref>). This is important because this model stimulated the interaction between multiple molecular targets (AMPA, GABA<sub>A</sub>, and K<sub>Leak</sub>); therefore, the effect of isoflurane on individual targets that are used for the model is only valid when the modulatory effects are fully independent. Otherwise, the effects of isoflurane on individual target will be repetitively calculated. By changing paraments in the model based on these whole-cell patch-clamping results, we successfully simulated alpha oscillation of TC cells induced by isoflurane, which consisted of thalamic LFPs. This finding supported our hypothesis that both propofol and inhalation anesthetics could induce an alpha oscillation within the same circuits linking the thalamus and the frontal cortex.</p>
<p>Based on the experimental design of <italic>in vivo</italic> recordings here, it is a bipolar montage system that records the voltage difference between the recording and common electrodes. The distance between the cortical EEG electrode and the common electrode is very far (&#x223c;3&#xa0;mm) within the frontal cortex, and thalamic electrode and common electrode are not in the same brain region. Therefore, the recorded signals in the present study does not display the absolute activity within the small site at the electrode location. For this reason, literatures from previous human and nonhuman studies, which used a single-site recording (<xref ref-type="bibr" rid="B14">Flores et al., 2017</xref>; <xref ref-type="bibr" rid="B20">Guidera et al., 2017</xref>; <xref ref-type="bibr" rid="B37">Malekmohammadi et al., 2019</xref>), may be not directly comparable to the findings from this study. Some signatures reported here should be careful when compared to other studies. Of note, the primary purpose of the present study, that is, to investigate the synchronization between the cortex and the thalamus with various depths of isoflurane, is still significant because the same common electrode was used for both cortical EEG electrode and thalamic electrode. Therefore, the relationship between the cortex and the thalamus (coherence and PAC) can be primarily analyzed by subtracting the same reference signal.</p>
<p>There were still some minor limitations in this study. First, we performed this study with a two-channel EEG recording system. We could only record one cortical and one thalamic area at the same time. Future studies can record from multiple cortical and thalamic areas to characterize whether they participate in these dynamics. Second, because of the different anatomical structure, there were still many apparent dissimilarities in EEG dynamics in rodents and humans under general anesthesia; therefore, the EEG signatures under isoflurane may not be directly applied in humans. Third, the model used here contains 50 TC and 50 RE Hodgkin&#x2013;Huxley single-compartment cells connected all to all, which is too small to fully simulate thalamic LFPs. However, this model is used to stimulate the firing frequency of thalamic TC cells with or without general anesthetics, which can primarily investigate the molecular targets of volatile anesthetics in the thalamic network. In addition, 50 thalamic cells may be enough to connect to roughly 8000 cortical cells (<xref ref-type="bibr" rid="B46">O&#x27;Kusky and Colonnier, 1982</xref>); therefore, alpha frequency firing of thalamic TC cells under volatile anesthetics may at least partly contribute to thalamic alpha LFPs (sum of extracellular spiking) and ascending projection of the corticothalamic network.</p>
<p>In summary, our present study demonstrates that isoflurane can induce slow, delta, and alpha oscillations with differential patterns compared with propofol. These specific signatures under isoflurane-induced anesthesia can help to build standards for tracking brain states under general anesthesia, which can prevent intraoperative awareness, postoperative delirium, or postoperative cognitive dysfunction. By combining electrophysiological experiments and modeling paradigms, the results may provide a new approach in relating drug-specific EEG signatures to molecular mechanisms. The increased understanding of anesthetic neurophysiology will provide new insights into brain function and altered states of consciousness or arousal under general anesthesia.</p>
</sec>
</body>
<back>
<sec id="s5">
<title>Data Availability Statement</title>
<p>The original contributions presented in the study are included in the article/<xref ref-type="sec" rid="s11">Supplementary Material</xref>, further inquiries can be directed to the corresponding authors.</p>
</sec>
<sec id="s6">
<title>Ethics Statement</title>
<p>The animal study was reviewed and approved by the Institutional Animal Experimental Ethics Committee of West China Hospital of Sichuan University (Chengdu, China). Animal Research Reporting <italic>In Vivo</italic> Experiments (ARRIVE) guidelines were applied during the study.</p>
</sec>
<sec id="s7">
<title>Author Contributions</title>
<p>JJ, YZ, and CZ designed the study and wrote the manuscript. JJ and YZ performed experiments. JJ, YZ, and YK analyzed the data. JL, PL, HH, YW, and YK supervised the overall project.</p>
</sec>
<sec id="s8">
<title>Funding</title>
<p>This study was supported by grant nos. 81974164 and 81771486 (to Dr. Zhou) from the National Natural Science Foundation of China (Beijing, China).</p>
</sec>
<sec sec-type="COI-statement" id="s9">
<title>Conflict of Interest</title>
<p>The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.</p>
</sec>
<sec sec-type="disclaimer" id="s10">
<title>Publisher&#x2019;s Note</title>
<p>All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article, or claim that may be made by its manufacturer, is not guaranteed or endorsed by the publisher.</p>
</sec>
<ack>
<p>The authors thank Austin E. Soplata, from Graduate Program for Neuroscience, Boston University, Boston, Massachusetts (United States), for his help in the modulation of the computational model.</p>
</ack>
<sec id="s11">
<title>Supplementary Material</title>
<p>The Supplementary Material for this article can be found online at: <ext-link ext-link-type="uri" xlink:href="https://www.frontiersin.org/articles/10.3389/fphar.2022.887981/full#supplementary-material">https://www.frontiersin.org/articles/10.3389/fphar.2022.887981/full&#x23;supplementary-material</ext-link>
</p>
<supplementary-material xlink:href="DataSheet1.docx" id="SM1" mimetype="application/docx" xmlns:xlink="http://www.w3.org/1999/xlink"/>
</sec>
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