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      Paradoxical pharmacological dissociations result from drugs that enhance delta oscillations but preserve consciousness

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          Abstract

          Low-frequency (<4 Hz) neural activity, particularly in the delta band, is generally indicative of loss of consciousness and cortical down states, particularly when it is diffuse and high amplitude. Remarkably, however, drug challenge studies of several diverse classes of pharmacological agents—including drugs which treat epilepsy, activate GABA B receptors, block acetylcholine receptors, or produce psychedelic effects—demonstrate neural activity resembling cortical down states even as the participants remain conscious. Of those substances that are safe to use in healthy volunteers, some may be highly valuable research tools for investigating which neural activity patterns are sufficient for consciousness or its absence.

          Abstract

          A mini-review reflects on the use of pharmacological drug challenges to explore EEG delta oscillations which persist despite the preservation of human consciousness.

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          On the Complexity of Finite Sequences

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            General anesthesia, sleep, and coma.

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              General anaesthesia: from molecular targets to neuronal pathways of sleep and arousal.

              The mechanisms through which general anaesthetics, an extremely diverse group of drugs, cause reversible loss of consciousness have been a long-standing mystery. Gradually, a relatively small number of important molecular targets have emerged, and how these drugs act at the molecular level is becoming clearer. Finding the link between these molecular studies and anaesthetic-induced loss of consciousness presents an enormous challenge, but comparisons with the features of natural sleep are helping us to understand how these drugs work and the neuronal pathways that they affect. Recent work suggests that the thalamus and the neuronal networks that regulate its activity are the key to understanding how anaesthetics cause loss of consciousness.
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                Author and article information

                Contributors
                jfneuro@pm.me
                Journal
                Commun Biol
                Commun Biol
                Communications Biology
                Nature Publishing Group UK (London )
                2399-3642
                20 June 2023
                20 June 2023
                2023
                : 6
                : 654
                Affiliations
                [1 ]GRID grid.10392.39, ISNI 0000 0001 2190 1447, Institute for Neuromodulation and Neurotechnology, , University Hospital and University of Tuebingen, ; Tuebingen, Germany
                [2 ]GRID grid.7445.2, ISNI 0000 0001 2113 8111, Department of Computing, , Imperial College London, ; London, UK
                [3 ]GRID grid.5335.0, ISNI 0000000121885934, Department of Psychology, , University of Cambridge, ; Cambridge, UK
                [4 ]GRID grid.7400.3, ISNI 0000 0004 1937 0650, Experimental and Clinical Pharmacopsychology, Department of Psychiatry, Psychotherapy, and Psychosomatics, , Psychiatric University Hospital Zurich, University of Zurich, ; Zurich, Switzerland
                Author information
                http://orcid.org/0000-0001-8382-4344
                Article
                4988
                10.1038/s42003-023-04988-8
                10282051
                37340024
                46e55203-e423-425f-b3b1-3cbf99934f69
                © The Author(s) 2023

                Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons license, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons license and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/.

                History
                : 2 February 2023
                : 26 May 2023
                Funding
                Funded by: University of Tuebingen Open Access Publishing Fund (No grant number)
                Categories
                Mini Review
                Custom metadata
                © Springer Nature Limited 2023

                neuroscience,neurology
                neuroscience, neurology

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