Evidence map›Paper›PMID 40990322›Full record

ArticleSleep2026

Non-rapid eye movement sleep and isoflurane-induced anesthesia show divergent subcortical connectivity patterns during transition phases in mice.

Leesa Joyce, Rachel Nuttall, Matthias Kreuzer, Gerhard Rammes, Gerhard Schneider, Thomas Fenzl

Abstract read
In one paragraph

Article in Sleep, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
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

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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

3 citing papers in PubMed.

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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

6 authors.

Leesa JoyceDepartment of Anesthesiology & Intensive Care, School of Medicine and Health, Technical University of Munich, Munich, Germany.
Rachel NuttallDepartment of Anesthesiology & Intensive Care, School of Medicine and Health, Technical University of Munich, Munich, Germany.
Matthias KreuzerDepartment of Anesthesiology & Intensive Care, School of Medicine and Health, Technical University of Munich, Munich, Germany.
Gerhard RammesDepartment of Anesthesiology & Intensive Care, School of Medicine and Health, Technical University of Munich, Munich, Germany.
Gerhard SchneiderDepartment of Anesthesiology & Intensive Care, School of Medicine and Health, Technical University of Munich, Munich, Germany.
Thomas FenzlDepartment of Anesthesiology & Intensive Care, School of Medicine and Health, Technical University of Munich, Munich, Germany.ORCID 0000-0002-0132-9591

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

STUDY

objectivesNeural dynamics underlying anesthesia-induced unconsciousness are not fully understood. Given the parallels between natural sleep and anesthesia-induced unconsciousness, it becomes imperative to understand the neuronal mechanisms behind these two distinct yet seemingly interconnected states. This study investigated the interplay between sleep/wake-promoting nuclei during WAKE/non-rapid eye movement sleep (NREMS) transitions and the reversible loss and recovery of responsiveness (LOR/ROR) induced by isoflurane.

methodsLocal field potentials (LFPs) were recorded from the ventrolateral preoptic area (VLPO) and locus coeruleus (LC) in mice alongside chronic electroencephalogram-recordings. After baseline recordings, a slow induction regime of isoflurane anesthesia followed. Functional connectivity between VLPO and LC during NREMS, WAKE, LOR, and ROR was studied using coherence, inter-site phase clustering, and Granger causality analyses.

resultsLFP data revealed an increase in coherence between VLPO and LC during NREMS and a decrease during WAKE. Coherence decreased after LOR. During ROR, coherence did not change. Phase clustering between VLPO and LC increased during NREMS and decreased during WAKE, while across LOR/ROR transitions did not vary. Granger between VLPO and LC during WAKE/NREM transitions demonstrated bidirectional influences of the two nuclei. VLPO Granger caused LC during NREMS. In the slow-wave frequency, the Granger index from LC to VLPO decreased during NREMS, while after ROR, the Granger index from VLPO to LC increased.

conclusionsThe present study revealed functional connectivity patterns between VLPO and LC during sleep and isoflurane anesthesia, suggesting that these processes partly do not share similar functional connectivity patterns for the two nuclei.

Indexed as

Anesthetics, InhalationIsofluraneLocus CoeruleusPreoptic AreaSleep StagesAnimalsElectroencephalographyMaleMiceMice, Inbred C57BLWakefulnessAnesthetics, InhalationIsofluranecoherenceEEGfunctional connectivitygeneral anesthesiaGranger causalityinter site phase clusteringLCLFPsleep/wake promoting pathwayVLPO

Identifiers

PMID40990322
PMCPMC13089457

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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.