# Modulatory mechanism of the paraventricular thalamus (PVT) under general anesthesia

**Authors:** Jia Li, Yiyong Wei, Donghang Zhang

PMC · DOI: 10.3389/fphar.2026.1732125 · Frontiers in Pharmacology · 2026-01-14

## TL;DR

This paper reviews how the paraventricular thalamus (PVT) influences the effects of general anesthesia, linking it to sleep-wakefulness mechanisms.

## Contribution

The paper provides a comprehensive summary of PVT's role in general anesthesia, highlighting its modulatory mechanism.

## Key findings

- The PVT is linked to the actions of both volatile and intravenous anesthetics.
- There is divergence in PVT's neuronal types and circuits during different anesthesia periods.
- Understanding PVT's role improves insight into general anesthesia mechanisms.

## Abstract

The paraventricular thalamus (PVT) is a critical brain region involved in controlling sleep-wakefulness. Many neural nuclei and circuits regulate consciousness under both sleep-wakefulness and general anesthesia, suggesting that a common neural mechanism contributes to these two conditions. Recently, accumulating evidence has revealed that the activities of the PVT are associated with the actions of both volatile and intravenous general anesthetics. However, there is divergence regarding neuronal types, circuits, or different anesthesia periods. Herein, we reviewed the current literature and summarized the role of PVT in general anesthesia, which provides a better understanding of the modulatory mechanism of PVT on the actions of general anesthetics.

## Full-text entities

- **Genes:** Chat (choline O-acetyltransferase) [NCBI Gene 12647] {aka B230380D24Rik, CHOACTase}, Hcrt (hypocretin) [NCBI Gene 15171] {aka PPOX}, Calb2 (calbindin 2) [NCBI Gene 12308] {aka CR}, Fos (Fos proto-oncogene, AP-1 transcription factor subunit) [NCBI Gene 314322] {aka c-fos}, Th (tyrosine hydroxylase) [NCBI Gene 21823], KCNJ10 (potassium inwardly rectifying channel subfamily J member 10) [NCBI Gene 3766] {aka BIRK-10, KCNJ13-PEN, KIR1.2, KIR4.1, SESAME}, ESR1 (estrogen receptor 1) [NCBI Gene 2099] {aka ER, ESR, ESRA, ESTRR, Era, NR3A1}, Fos (Fos proto-oncogene, AP-1 transcription factor subunit) [NCBI Gene 14281] {aka D12Rfj1, c-fos, cFos}, Nalcn (sodium leak channel, non-selective) [NCBI Gene 338370] {aka A530023G15Rik, Vgcnl1}
- **Diseases:** coma (MESH:D003128), PVT (OMIM:614924), Parkinson's disease (MESH:D010300), hypothermia (MESH:D007035)
- **Chemicals:** etomidate (MESH:D005045), PVT (-), Sevoflurane (MESH:D000077149), Isoflurane (MESH:D007530), Desflurane (MESH:D000077335), dexmedetomidine (MESH:D020927), Propofol (MESH:D015742), sodium (MESH:D012964), Esketamine (MESH:C000629870)
- **Species:** Mus musculus (house mouse, species) [taxon 10090], Homo sapiens (human, species) [taxon 9606], Rattus norvegicus (brown rat, species) [taxon 10116]

## Full text

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## Figures

1 figure with captions in the complete paper: https://tomesphere.com/paper/PMC12847313/full.md

## References

54 references — full list in the complete paper: https://tomesphere.com/paper/PMC12847313/full.md

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Source: https://tomesphere.com/paper/PMC12847313