Hypothalamic thermoregulatory neurons divergently modulate isoflurane anesthesia via temperature dependent and independent mechanisms.
Overview
- Department of Anesthesiology, Shanghai Children’s Medical Centre, Shanghai Jiao Tong University, Shanghai 200127, China
- Key Laboratory of Brain Science, Key Laboratory of Anesthesia and Organ Protection of Ministry of Education (In Cultivation), Zunyi Medical University, Zunyi, Guizhou 563006, China
- Department of Anesthesiology, Affiliated Hospital of Zunyi Medical University, Zunyi, Guizhou 563000, China
- School of Life Science and Technology, ShanghaiTech University, Shanghai 201210, China
- Zunyi Medical University, Zunyi, Guizhou 563006, China
- Department of Anesthesiology, Nanfang Hospital, Southern Medical University, Guangzhou, Guangdong 510515, China
Abstract
Perioperative hypothermia is common clinically. The neural mechanisms underlying general anesthesia and the hypothermia it induces remain elusive. We found that lower core temperature (Tcore) deepened anesthesia and delayed emergence, which showed a logarithmic relationship below 31.9°C. Chemogenetic activation of brain-derived neurotrophic factor in the lateral preoptic area (LPOBDNF) neurons before isoflurane administration lowered Tcore and increased isoflurane induced burst-suppression ratio (BSR), δ power, and recovery time, while its optogenetic activation during isoflurane did not change Tcore and anesthesia depth. Conversely, chemogenetic activation of dorsomedial hypothalamus glutamatergic (DMHVglut2) neurons increased Tcore, attenuated anesthesia depth and promoted recovery. Stage-specific optogenetic activation of DMHVglut2 neurons and its downstream raphe pallidus (RPa) projection during isoflurane exposure induced cortical activation without Tcore alteration. Our study indicates that LPOBDNF neurons modulate isoflurane anesthesia primarily through temperature-dependent mechanism, while DMHVglut2 neurons and the DMHVglut2 to RPa pathway have a temperature-independent function in modulating isoflurane anesthesia.
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Version 1, 30 September 2026: the first record
Recorded: type, language, journal, volume, issue, pages, dates, 12 authors, 3 keywords, 3 funders, 52 references, 3 RRIDs.
Cite
This paper
Cai, S., Yang, W. Z., Xu, M., Chen, H., Zhou, L., Luo, T., Yu, S., Zhang, K., Wang, H., Yu, T., Zheng, J., & Shen, W. L. (2026). Hypothalamic thermoregulatory neurons divergently modulate isoflurane anesthesia via temperature dependent and independent mechanisms. iScience, 29(5), 115542. https://
BibTeX
@article{cai2026hypothal
author = {Cai, Shuang and Yang, Wen Z. and Xu, Mao and Chen, Huimin and Zhou, Liang and Luo, Tianyuan and Yu, Shouyang and Zhang, Kan and Wang, Haiying and Yu, Tian and Zheng, Jijian and Shen, Wei L.},
title = {{Hypothalamic thermoregulatory neurons divergently modulate isoflurane anesthesia via temperature dependent and independent mechanisms}},
journal = {iScience},
year = {2026},
month = mar,
volume = {29},
number = {5},
pages = {115542},
publisher = {Elsevier},
issn = {2589-0042},
doi = {10.1016/
url = {https://
pmid = {42004037},
pmcid = {PMC13091562}
}
RIS
TY - JOUR
AU - Cai, Shuang
AU - Yang, Wen Z.
AU - Xu, Mao
AU - Chen, Huimin
AU - Zhou, Liang
AU - Luo, Tianyuan
AU - Yu, Shouyang
AU - Zhang, Kan
AU - Wang, Haiying
AU - Yu, Tian
AU - Zheng, Jijian
AU - Shen, Wei L.
TI - Hypothalamic thermoregulatory neurons divergently modulate isoflurane anesthesia via temperature dependent and independent mechanisms
T2 - iScience
J2 - iScience
PY - 2026
DA - 2026/
VL - 29
IS - 5
SP - 115542
SN - 2589-0042
PB - Elsevier
DO - 10.1016/
UR - https://
LA - en
ER -
CSL-JSON
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