The PHP <-> Rust bindings are provided by https://github.com/Nicelocal/ext-php-rs/ (our fork of https://github.com/davidcole1340/ext-php-rs with a bunch of UX improvements :).

php-tokio's integrates the https://revolt.run event loop with the https://tokio.rs event loop; async functionality is provided by the two event loops, in combination with PHP fibers through revolt's suspension API (I could've directly used the PHP Fiber API to provide coroutine suspension, but it was a tad easier with revolt's suspension API (https://revolt.run/fibers), since it also handles the base case of suspension in the main fiber).