# Brain Wide Anesthetic-Active Neuronal Network

> **NIH NIH R01** · UNIVERSITY OF PENNSYLVANIA · 2024 · $537,226

## Abstract

Abstract
Anesthetics are low affinity drugs that interact with hundreds of molecular targets present throughout the
nervous system at clinically significant concentrations. Despite this molecular-level promiscuity, the hypnotic
effects of anesthetics depend critically on specific neural circuits. This assertion is supported by numerous
results showing that direct modulation of specific sites distributed broadly throughout the brain can potentiate
or, conversely, antagonize the anesthetic state. However, because previous experimental work focused upon
one brain site at a time, the identification of the long-hypothesized brain-wide canonical anesthesia circuit has
so far remained elusive. To fill this critical gap in knowledge, we reasoned that ultimately, the state of
anesthesia must be imposed onto the brain by neurons that remain active under anesthesia, while most other
neurons are suppressed. To identify anesthetic active neurons throughout the brain, we used tissue clearing
and 3D c-Fos immunohistochemistry. We validated that putative anesthesia-active neurons are indeed
physiologically active in vivo using two photon microscopy and fiber photometry. Having identified anesthesia-
active neurons, we further reasoned that brain regions which project broadly are more likely to play a pivotal
role in modulating the level of consciousness. Thus, we combined our brain activity map with whole brain
connectivity analyses. The potent combination of these experimental and bioinformatics approaches allowed
us to identify regions that contain a high density of anesthetic-active neurons and project broadly throughout
the brain. Our unbiased approach culminated in the definition of a putative canonical anesthesia network
comprised of nuclei in the ventral hypothalamus, thalamus, and the prefrontal cortex. In Aim 1, we will discover
the specific cell types within prefrontal cortex, ventral hypothalamus and thalamus that remain active under
anesthesia. This is of critical importance as all brain regions contain many cell subtypes with distinct
neurophysiological properties, connectivity patterns, and ultimately, behavioral effects. In Aim 2, we will
discover the brain-wide projections made by anesthetic-active neurons by combining anterograde and
retrograde viral tracing in transgenic mice that specifically label distinct neuronal subtypes with 3D
immunohistochemistry. In Aim 3, we will establish the functional roles of the canonical anesthesia network as a
whole and each of its elements individually by combining chemo- and optogenetics with behavioral and
neurophysiologic assessments of arousal. The ultimate result of the proposed research will be the identification
of a canonical network of neurons sufficient to elicit hypnosis. This has fundamental implications for how the
state of arousal is controlled in health and dysregulated in disease. Identification of this circuit may also
suggest druggable targets for the development of more specific anesthetic a...

## Key facts

- **NIH application ID:** 10907843
- **Project number:** 5R01GM151556-02
- **Recipient organization:** UNIVERSITY OF PENNSYLVANIA
- **Principal Investigator:** Max Kelz
- **Activity code:** R01 (R01, R21, SBIR, etc.)
- **Funding institute:** NIH
- **Fiscal year:** 2024
- **Award amount:** $537,226
- **Award type:** 5
- **Project period:** 2023-09-01 → 2027-05-31

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/10907843

## Citation

> US National Institutes of Health, RePORTER application 10907843, Brain Wide Anesthetic-Active Neuronal Network (5R01GM151556-02). Retrieved via AI Analytics 2026-05-24 from https://api.ai-analytics.org/grant/nih/10907843. Licensed CC0.

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