Consciousness is the capacity to experience one's environment and internal states. The minimal mechanisms sufficient to produce this experience, the neural correlates of consciousness (NCC), are thought to involve thalamocortical and intracortical interactions, but the key operations and circuit paths are unclear. We simultaneously recorded neural activity in central thalamus and across layers of frontoparietal cortex in awake, sleeping and anesthetized macaques. Spiking activity was selectively reduced in deep cortical layers and thalamus during unconsciousness, as were intracolumnar and interareal interactions at alpha and gamma frequencies. Gammafrequency stimulation, when focused on the central lateral thalamus of anesthetized macaques, counteracted these neural changes and restored consciousness. These findings suggest that the NCC involve both corticocortical feedforward and feedback pathways coordinated with intracolumnar and thalamocortical loops.Summary: Stimulation of central lateral thalamus counters anesthesia to restore wake cortical dynamics and consciousness.
Main Text:Information processing during wakefulness involves feedforward pathways carrying sensory information from superficial layers to superficial/middle layers of higherorder cortical areas, and feedback pathways carrying priorities and predictions from deep layers to superficial or deep layers of lower-order cortical areas (1, 2). Information processing is altered during sleep, anesthesia and disorders of consciousness, though metrics (supplementary materials), and performed statistical analyses using general linear models (Table S1-10).Across 261 stimulation blocks, thalamic stimulation significantly increased arousal relative to pre-(F = 119.28, N = 261, p < 1.0x10 -10 ) and post-conditions (F= 124.64, N = 261, p = 1.0x10 -10 ) even accounting for differences in dose and anesthetic (Fig. 1, A and B; Fig. S1, A-C). Behavioral changes (Fig. 1A) were time-locked to stimulation: monkeys opened eyes with wake-like occasional blinks, performed full reaches/withdrawals with forelimbs (ipsi-or contralateral), made facial/body movements, showed increased reactivity (palpebral reflex, toe-pinch withdrawal) and altered vital signs (respiration rate, heartrate). Reconstruction of electrode tracks placed effective stimulations (arousal score Âł 3) near CL center (Fig. 1, C-F). Euclidian proximity of the stimulation array to CL significantly predicted changes in arousal (Fig. S1, G-I; T = -3.39, N = 225, p = 0.00082); when systematically varying array depth, proximity to CL center showed a significant quadratic relationship with arousal (T = -2.92, N = 225, p = 0.00393; Fig. 1F; Fig. S1, D-F). Effective stimulation sites remained so on separate recording days and with different anesthetics (Fig. 1G). Importantly, stimulation effectiveness depended on frequency (Fig. 1, G and H). At effective sites, only 50 Hz stimulations reliably increased arousal (T = 3.91, N = 44, p = 0.00035). These results show that CL stimulation can rouse animals from stabl...