Evidence map›Paper›PMID 31263107›Full record

ArticleNature communications2019

Activating an anterior nucleus gigantocellularis subpopulation triggers emergence from pharmacologically-induced coma in rodents.

S Gao, A Proekt, N Renier, D P Calderon, D W Pfaff

Open access · goldAbstract read
In one paragraph

Article in Nature communications, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 2 pooled it
3.0field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

27 citing papers in PubMed, 2 syntheses or guidelines pooled it, 54 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
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  8. Cortical signatures linked to behavior quantitatively track arousal levels.Proceedings of the National Academy of Sciences of the United States of America · 2025
    Article
  9. Article
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  13. The Journal of neuroscience : the official journal of the Society for Neuroscience · 2023
    Article
  14. Weakly Correlated Local Cortical State Switches under Anesthesia Lead to Strongly Correlated Global States.The Journal of neuroscience : the official journal of the Society for Neuroscience · 2022
    Article
  15. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 3 institutions in 2 countries.

S GaoDepartment of Anesthesiology, Weill Cornell Medical College, New York, NY, 10065, USA.ORCID http://orcid.org/0000-0001-9291-6320
A ProektDepartment of Anesthesiology, Weill Cornell Medical College, New York, NY, 10065, USA.ORCID http://orcid.org/0000-0002-9272-5337
N RenierICM, Brain and Spine Institute, Hopital de la Pitie-Salpetriere, Sorbonne Universite, Inserm, CNRS, Paris, 75013, France.ORCID http://orcid.org/0000-0003-2642-4402
D P CalderonDepartment of Anesthesiology, Weill Cornell Medical College, New York, NY, 10065, USA. dpc2003@med.cornell.edu.ORCID http://orcid.org/0000-0001-9900-7146
D W PfaffLaboratory of Neurobiology and Behavior, the Rockefeller University, New York, NY, 10065, USA.
Cornell University · USCentre National de la Recherche Scientifique · FRRockefeller University · US

Funding

Contribution of Gigantocellular neurons of the medullar reticular formation to awakening from a low brain activity stateR01NS094655 · NINDS · WEILL MEDICAL COLL OF CORNELL UNIV · PI CALDERON, DIANY PAOLA · 2016 to 2020
$1.8M
Neurophysiological Mechanisms of Recovery of ConsciousnessR01GM124023 · NIGMS · UNIVERSITY OF PENNSYLVANIA · PI PROEKT, ALEXANDER · 2018 to 2022
$1.8M
NIGMS NIH HHS R01 GM124023NINDS NIH HHS R01 NS094655U.S. Department of Health & Human Services | NIH | National Institute of Neurological Disorders and Stroke (NINDS) NS094655
6 · The paper itself

Abstract

Multiple areas within the reticular activating system (RAS) can hasten awakening from sleep or light planes of anesthesia. However, stimulation in individual sites has shown limited recovery from deep global suppression of brain activity, such as coma. Here we identify a subset of RAS neurons within the anterior portion of nucleus gigantocellularis (aNGC) capable of producing a high degree of awakening represented by a broad high frequency cortical reactivation associated with organized movements and behavioral reactivity to the environment from two different models of deep pharmacologically-induced coma (PIC): isoflurane (1.25%-1.5%) and induced hypoglycemic coma. Activating aNGC neurons triggered awakening by recruiting cholinergic, noradrenergic, and glutamatergic arousal pathways. In summary, we identify an evolutionarily conserved population of RAS neurons, which broadly restore cerebral cortical activation and motor behavior in rodents through the coordinated activation of multiple arousal-promoting circuits.

Indexed as

Anesthetics, InhalationAnimalsBrain StemComaElectroencephalographyFemaleHumansIsofluraneMaleMedulla OblongataMiceNeuronsRatsRats, Sprague-DawleyWakefulnessAnesthetics, InhalationIsoflurane

Identifiers

PMID31263107
PMCPMC6603023
OpenAlexW2953998451

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.