Evidence map›Paper›PMID 33619298›Full record

ArticleScientific reports2021

The effects of the general anesthetic sevoflurane on neurotransmission: an experimental and computational study.

Jonathan Mapelli, Daniela Gandolfi, Enrico Giuliani, Stefano Casali, Luigi Congi, Alberto Barbieri, Egidio D'Angelo, Albertino Bigiani

Open access · goldAbstract read
In one paragraph

Article in Scientific reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
2.8field-weighted citation impact, top 10% 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

20 citing papers in PubMed, 42 citations in OpenAlex.

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  14. Sevoflurane-induced high-frequency oscillations, effective connectivity and intraoperative classification of epileptic brain areas.Clinical neurophysiology : official journal of the International Federation of Clinical Neurophysiology · 2023
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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

8 authors at 2 institutions in 1 country.

Jonathan Mapelli *Department of Biomedical, Metabolic and Neural Sciences, University of Modena and Reggio Emilia, Sezione di Fisiologia e Neuroscienze, via G. Campi 287, 41125, Modena, Italy. jonathan.mapelli@unimore.it.
Daniela Gandolfi *Department of Biomedical, Metabolic and Neural Sciences, University of Modena and Reggio Emilia, Sezione di Fisiologia e Neuroscienze, via G. Campi 287, 41125, Modena, Italy.
Enrico Giuliani *Department of Medical and Surgical Sciences for Children and Adults, University of Modena and Reggio Emilia, 41125, Modena, Italy.
Stefano CasaliDepartment of Brain and Behavioral Sciences, University of Pavia, 27100, Pavia, Italy.
Luigi CongiDepartment of Biomedical, Metabolic and Neural Sciences, University of Modena and Reggio Emilia, Sezione di Fisiologia e Neuroscienze, via G. Campi 287, 41125, Modena, Italy.
Alberto BarbieriDepartment of Medical and Surgical Sciences for Children and Adults, University of Modena and Reggio Emilia, 41125, Modena, Italy.
Egidio D'AngeloDepartment of Brain and Behavioral Sciences, University of Pavia, 27100, Pavia, Italy.
Albertino BigianiDepartment of Biomedical, Metabolic and Neural Sciences, University of Modena and Reggio Emilia, Sezione di Fisiologia e Neuroscienze, via G. Campi 287, 41125, Modena, Italy.
University of Modena and Reggio Emilia · ITUniversity of Pavia · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The brain functions can be reversibly modulated by the action of general anesthetics. Despite a wide number of pharmacological studies, an extensive analysis of the cellular determinants of anesthesia at the microcircuits level is still missing. Here, by combining patch-clamp recordings and mathematical modeling, we examined the impact of sevoflurane, a general anesthetic widely employed in the clinical practice, on neuronal communication. The cerebellar microcircuit was used as a benchmark to analyze the action mechanisms of sevoflurane while a biologically realistic mathematical model was employed to explore at fine grain the molecular targets of anesthetic analyzing its impact on neuronal activity. The sevoflurane altered neurotransmission by strongly increasing GABAergic inhibition while decreasing glutamatergic NMDA activity. These changes caused a notable reduction of spike discharge in cerebellar granule cells (GrCs) following repetitive activation by excitatory mossy fibers (mfs). Unexpectedly, sevoflurane altered GrCs intrinsic excitability promoting action potential generation. Computational modelling revealed that this effect was triggered by an acceleration of persistent sodium current kinetics and by an increase in voltage dependent potassium current conductance. The overall effect was a reduced variability of GrCs responses elicited by mfs supporting the idea that sevoflurane shapes neuronal communication without silencing neural circuits.

Indexed as

Anesthetics, InhalationAnimalsBiomarkersCerebellar Cortexgamma-Aminobutyric AcidModels, BiologicalNeuronsNeurotransmitter AgentsPatch-Clamp TechniquesRatsSevofluraneSynaptic PotentialsSynaptic TransmissionAnesthetics, InhalationBiomarkersgamma-Aminobutyric AcidNeurotransmitter AgentsSevoflurane

Identifiers

PMID33619298
PMCPMC7900247
OpenAlexW3130584179

What OpenQuestion holds

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LicenceCC BY
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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.