Distinct rhythm generators for inspiration and expiration in the juvenile rat
1 Department of Neurobiology, David Geffen School of Medicine at University of California, Los Angeles, Box 951763, Los Angeles, CA 90095-1763, USA
Abstract
Inspiration and active expiration are commonly viewed as antagonistic phases of a unitary oscillator that generates respiratory rhythm. This view conflicts with observations we report here in juvenile rats, where by administration of fentanyl, a selective μ-opiate agonist, and induction of lung reflexes, we separately manipulated the frequency of inspirations and expirations. Moreover, completely transecting the brainstem at the caudal end of the facial nucleus abolished active expirations, while rhythmic inspirations continued. We hypothesize that inspiration and expiration are generated by coupled, anatomically separate rhythm generators, one generating active expiration located close to the facial nucleus in the region of the retrotrapezoid nucleus/parafacial respiratory group, the other generating inspiration located more caudally in the preBtzinger Complex.
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Introduction
Rhythmic movements in mammals are cyclical sequences of precise patterns of muscle contraction and relaxation typically divided in phases – locomotion: swing/stance; mastication: open/close; and breathing: inspiration/expiration. There are two distinct views as to the general underlying neuronal organization. In one view, a single-rhythm generator paces the whole cycle, with interneuronal circuits dividing the cycle into appropriately timed bursts in specific muscles. This is the longstanding view of how respiratory rhythm is generated: a single rhythm generator produces two (inspiration, expiration) or three (inspiration, postinspiration, expiration) phases with distinct muscle activation patterns in each phase. In single-rhythm generator models for respiratory rhythm, both the ‘two-phase’ (Feldman & Cowan, 1975) and ‘three-phase’ (Richter, 1982; Richter et al. 1992; Rybak et al. 1997) variants require reciprocal synaptic inhibition between groups of sequentially active interneurones to produce phasing.
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An alternative view of rhythmic movement is that independent coupled rhythm generators spawn distinct phases. For example, in one model for the generation of locomotion, mechanically distinct portions of the cycle have their own rhythm generators, which then coordinate amongst themselves (Kudo & Yamada, 1987; Grillner, 1991; Grillner & Wallen, 2002).
We recently proposed that respiratory rhythm is generated by two coupled anatomically distinct rhythm generators (Feldman et al. 2003; Mellen et al. 2003), one in the preBtzinger Complex (preBtC; Smith et al. 1991), and the other in the retrotrapezoid nucleus/parafacial respiratory group (RTN/pFRG; Feldman et al. 2003; Onimaru & Homma, 2003). This hypothesis emerged from analysis of cellular mechanisms leading to a quantal pattern of breathing induced by administration of opioids (Feldman et al. 2003; Mellen et al. 2003). In brief, preinspiratory (pre-I) neurones in the RTN/pFRG are unaffected by opioids, continuing to generate rhythmic activity without any change in burst frequency (Takeda et al. 2001). In contrast, many preBtC neurones are inhibited by opioids; in en bloc preparations in vitro they burst rhythmically and concurrently with inspiratory nerve motor output, but show only subthreshold activity during cycles of pre-I activity where there is no inspiratory motor output (Mellen et al. 2003). On the basis of this cellular data, we proposed a two-rhythm generator hypothesis for the generation of respiratory rhythm (Feldman et al. 2003; Mellen et al. 2003). The functional role of these rhythm generators in terms of ventilation and muscle activity remains to be determined. Here, we refine this hypothesis to propose that one rhythm generator produces inspirations, and the other produces active expirations.
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To test the two-rhythm generator hypothesis for breathing, we aimed to uncouple inspiratory from expiratory motor activity to an extent that would be improbable if a unitary multiphase rhythm generator drove the breathing cycle. We used two experimental perturbations that differentially affect inspiratory and expiratory activity: (i) opioid administration, which depresses inspiratory (Gray et al. 1999; Takeda et al. 2001; Mellen et al. 2003) more than expiratory (Howard & Sears, 1991; Janczewski et al. 2002; Drummond, 2003) activity; (ii) positive or negative airway pressure to manipulate lung volume in order to elicit pulmonary afferent, commonly referred to as the Breuer-Hering reflexes: the Breuer-Hering deflation reflex facilitates inspiratory activity and depresses expiratory activity, while the Breuer-Hering inflation reflex has the opposite effect (Feldman, 1986).
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Preliminary results were presented in an abstract form (Janczewski & Feldman, 2002, 2003).
Methods
Animals and procedures
Experiments were performed on Sprague-Dawley juvenile rats (postnatal day 7–13) of both sexes, and weight in the range 16–32 g. At this stage, their central nervous system development corresponds to a period from birth to 3 months of age in human (Ballanyi, 2004). The UCLA Animal Research Committee approved all experimental protocols.
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Rats (n= 29) were anaesthetized with ketamine (50 mg kg–1, Ketaject; Phoenix Pharmaceutical, Inc., St Joseph, MO, USA) and, except for rats studied for baseline data (n= 6), supplemented with fentanyl citrate (20 μg kg–1; Abbott Laboratories, North Chicago, IL, USA) administered subcutaneously (S.C.; Katz et al. 1993; Wixson & Smiler, 1997; Sakamoto et al. 2001). In order to eliminate spontaneous non-respiratory motor activity and respiratory drives from the forebrain (Ballanyi, 2004), the occipital bone was partly removed and the midbrain was transected in all rats. The level of anaesthesia was assessed by suppression of the withdrawal reflex, and by the absence of changes in heart rate and breathing rate in response to noxious stimuli. A polyethylene cannula (1.2 mm o.d.; A-M Systems, Sequim, WA, USA) was inserted via the mouth into the trachea, and rats were mechanically ventilated (Model 683, Harvard Apparatus, Holliston, MA, USA). EMG wire electrodes (Cooner Wire Co., Chatsworth, CA, USA) were implanted into the abdominal oblique and genioglossus muscles.
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Experimental protocol
Each preparation was ventilated and allowed to stabilize for 40–60 min after midbrain, and any subsequent additional, transection. Then, the tracheal cannula was connected to a device to measure airflow (MLT1L; ADInstruments, Colorado Springs, CO, USA). Except where noted, rats breathed a hyperoxic mixture (1:3, air:O2) throughout the experiment. After control recordings, fentanyl (10 μg kg–1S.C.) was injected once or several times until the onset of quantal breathing (Fig. 1). A sufficient total dose was 40 μg kg–1 in every rat. We refer to cycles with abdominal muscle electromyographic (EMGABD) bursts but no inspiratory motor activity as ‘E-only cycles’. We refer to cycles that maintained the normal sequence of expiratory and inspiratory motor activity as ‘I-E cycles’. In order to determine the mean period of the E-only cycles and the mean period of the I-E cycles for each rat, we analysed a continuous record containing 100 E-only cycles and >100 I-E cycles (see Fig. 2A). Over time, after injection of fentanyl (20–40 min), the rate of occurrence of E-only cycles decreased. In order to increase the number of E-only cycles, we injected one or more additional doses of fentanyl (10 μg kg–1S.C.).
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A, intervals between successive EMGABD bursts (circles) and inspirations (squares) for 220 consecutive respiratory cycles: 120 I-E cycles (mean duration of I-E cycles ) and 100 E-only cycles (mean duration of E-only cycles ). B, recording of epoch shown in A ((150 s, 190 s); green squares represent normal, i.e. I-E cycles (1, 3, 6, 8, 9), and red circles represent E-only cycles (2, 4, 5, 7). Traces from top to bottom: cycle number, EMGGG, EMGABD, their integrals (EMGGG and EMGABD), VT and respiratory flow. Vertical dotted lines mark the onset of each EMGABD burst. E-only cycles differed from I-E cycles; see C, D and text. C, EMGGG and EMGABD on an expanded time scale to show pattern of bursting in an I-E cycle (cycle 1); note that EMGGG has two distinct components (I-EMGGG and E-EMGGG) and can have no delay between them or be separate, e.g. Fig. 3, paired vertical lines. EMGABD activity has a two-burst structure. D, comparison of an I-E cycle (cycle 1) and an E-only cycle (cycle 2, red).
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To manipulate lung volume, we changed pulmonary pressure by connecting the tracheal cannula to a pressure source gated by an electronic valve. We applied continuous positive airway pressure (CPAP; 3–5 cmH2O or 9 cmH2O) or negative pressure (–1 to –4 cmH2O) during a period of several cycles or positive pressure pulses <1 s in duration (brief inflations).
Five rats with intact vagi received naloxone (0.03 mg kg–1S.C.). This dose was 20 times lower than that necessary to reverse fentanyl-induced respiratory depression (unpublished observations).
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Transection experiments
Transections were performed with a knife made of a 1.5 mm wide piece of razor blade fixed in a micromanipulator (Janczewski & Karczewski, 1984, 1990). As mentioned above, at the beginning of an experiment the midbrain was transected at the midcollicular level. In 15 rats from this group (seven with vagi intact, eight with vagotomy) that did not receive naloxone, additional transections at various levels of the brainstem were performed. Ten minutes before each transection, rats were ventilated with 1–2 vol% isoflurane in O2 (IsoFlo; Abbott Laboratories, North Chicago, IL, USA). Isoflurane was terminated 2 min after each transection. (Isoflurane was used to induce controlled hypotension (Madsen et al. 1987; Ringaert & Mutch, 1988) and for its neuroprotective properties (Homi et al. 2003)). The initial brainstem transection was placed at the rostral end of the facial nucleus. This transection eliminated the descending influence of the pons (and all suprapontine structures) on breathing. Additional transections (0.2 mm apart) were made in five rats at progressively more caudal levels to ultimately eliminate the influence of RTN/pFRG (Feldman et al. 2003; Onimaru & Homma, 2003) on breathing. Following some transections, there was a transient loss of respiratory activity, lasting up to 10 min, at which point both inspiratory and expiratory motor, i.e. EMGABD bursts, activity returned. Finally, a transection at the level ‘caudal-t’ in Fig. 7C eliminated EMGABD, but not inspiratory activity. At this point the preparation was allowed to stabilize for 1 h before recordings commenced (n= 5). Recordings were taken for 30 min. At the end of this period we occluded the tracheal tube for 1 min to test whether anoxia could restore EMGABD bursts. We assumed that EMGABD bursts were effectively eliminated when they were absent for 1.5 h and did not reappear in response to anoxia. During transections and during recovery, rats were mechanically ventilated with 100% O2 to maintain haemoglobin saturation (SaO2; >90%, as measured with a pulse oximeter, Model 8600 V, Nonin Medical, Inc., Plymouth, MN, USA).
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A, breathing after transection at the level just rostral to the VII nucleus (dotted line, ‘rostral-t’ in C) in rats that spontaneously recovered from quantal pattern of breathing. B, breathing after transection marked as ‘caudal-t’ in C. Only this most caudal transection completely eliminated EMGABD bursts. Tonic EMGABD activity, inhibited during inspirations, could still be observed. A–1 and B–2, expanded time-scale of flow and VT during the first cycles of traces in A and B. C, sagittal representation of medulla and pons showing the levels of the most rostral (‘rostral-t’) and caudal (‘caudal-t’) transections. Intermediate transections were also made (see text). C-1 and C-2, medullary sections (40 μm thick) of remaining medulla cut at the same angle as ‘caudal-t’ transection. The first section (C-1), showing the caudal end of the VII nucleus, was modestly damaged, but the next section (C-2), showing rostral end of BtC, was intact in every rat (n= 5). V, motor trigeminal nucleus; VII, facial nucleus; LRN, lateral reticular nucleus; preBtC, preBtzinger Complex; BtC, Btzinger Complex; pFRG, parafacial respiratory group; RTN, retrotrapezoid nucleus; SO, superior olivary complex; Ac, ambiguus nucleus compact.
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Rats were killed with an overdose of pentobarbitone (100 mg kg–1I.P.) and the brainstems removed. To determine the transection plane, brainstems were kept for 3 days in 4% paraformaldehyde, overnight in a 30% sucrose solution, sectioned (40 μm) with a cryostat, stained with neutral red, and examined with a research microscope.
Data analysis
To calibrate the flow and/or volume, 0.1, 0.2 and 0.3 ml of air was delivered from a syringe connected to the flow head before taking measurements, and the ratio between the integral of the flow and delivered volume was determined. EMGABD and genioglossus muscle electromyographic (EMGGG) signals were amplified (Grass Model P511K; Grass Instrument Co., West Warwick, RI, USA). The absolute values of the EMGABD and EMGGG signals were digitally integrated with a time constant () of 0.1 s. The amplitude of the integrated signal was used as a measure of EMG activity (see Fig. 2B). The flow signal was high-pass filtered to eliminate DC shifts and slow drifts, with the cut-off frequency set for each recording at the lowest effective frequency (range 0–0.4 Hz). After filtering, the flow signal was digitally integrated to obtain VT. Intratracheal pressure was continuously measured with a pressure transducer.
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Signals were sampled at 1 kHz (Powerlab 16SP; ADInstruments) and analysed using Chart 5 (ADInstruments) and Igor Pro (WaveMetrics, Lake Oswego, OR, USA) software. Custom Igor Pro algorithms recognized and distinguished between E-only and I-E cycles. Cycle periods were calculated from the beginning of each EMGABD bursts to the next one. Reported group mean values are group means for all rats. Mean values for every rat were calculated from 100 consecutive respiratory cycles. Recordings presented in figures are representative for all rats.
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Expiratory frequency (fE) was the number of EMGABD bursts per minute. Inspiratory frequency was the number of inspirations per minute, as determined from the flow signal (fI). Statistical analysis was performed by Student's t test and paired t test. A P value of 0.05 or less was considered significant. All results are expressed as means ± standard deviation.
Results
Breathing pattern in anaesthetized midbrain-decerebrate juvenile rats
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Studies were performed in midbrain-transected (to eliminate spontaneous nonrespiratory motor activity and respiratory drives from the forebrain) juvenile rats anaesthetized with ketamine, with intact or cut vagi. Prior to administration of fentanyl, rats with intact vagi breathed with the normal repeating sequence of inspiration and expiration (I-E cycles; n= 6). Inspiration was defined by inspiratory flow and the absence of EMGABD bursts; expiration was defined by EMGABD (present in all rats), which was tonic (n= 3) or decrementing (n= 3) in the period between inspirations. The group mean respiratory period was 0.6 ± 0.1 s and the (group mean) frequency was 106.7 ± 20.9 breaths min–1 (range 87–145). Vagotomy prolonged the respiratory period (, 2.7 ± 0.4 s; frequency, 22.9 ± 3.0 breaths min–1; P < 0.01, n= 6), with expiration having two components (Fig. 1A). The first part of expiration was characterized by decrementing or tonic EMGABD; the second part, i.e. active expiration, was defined by a phasic burst of EMGABD (Bianchi et al. 1995). Peak EMGABD amplitude increased to 262.2 ± 44.3% of the peak in vagus-intact rats (P < 0.01).
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Characteristics of quantal breathing in vagotomized rats given fentanyl
Fentanyl (10–20 μg kg–1S.C.), a synthetic, selective μ-opiate agonist, caused quantal breathing (Mellen et al. 2003), i.e. the occasional absence of inspiration manifested as a sequence of two or more consecutive expirations (Figs 1B, and 2A and B). At a higher dose of fentanyl (20–40 μg kg–1S.C.), inspiration, when it occurred, was coincident with a pause during the EMGABD burst (n= 7 of 9; Figs 1C and 2B: cycles 1, 3, 6, 8 and 9, Fig. 2C), and there was an increase in the number of cycles with EMGABD bursts that were not paired with an inspiration (E-only cycles), e.g. Figs 1C and 2B: cycles 2, 4, 5 and 7. EMGGG had two components, a burst during inspiration (I-EMGGG) in all rats (n= 8), and a burst during active expiration (E-EMGGG; Figs 1A and 2C) in some rats (n= 5 out of 8). During E-only cycles, E-EMGGG, but not I-EMGGG, was present (Fig. 2B and D).
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Differences between I-E and E-only cycles were the same in every rat: (i) I-E cycles were longer than E-only cycles (, 4.4 ± 1.3 s; , 3.7 ± 1.0 s; P < 0.01, n= 8); (ii) the duration of EMGGG activity during I-E cycles was longer than during E-only cycles (by 32.4 ± 22.7%; P < 0.05, n= 6; Fig. 2D, top); (iii) during I-E cycles, the EMGABD burst was split in two, with a total duration that was longer than that during E-only cycles (by 42.9 ± 26.2%; P < 0.01, n= 8; Fig. 2D, bottom).
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During E-only cycles, expiratory flow produced by each EMGABD burst reduced lung volume below resting levels, e.g. Figure 2B; also Figs 1, 3, 5 and 6. Consequently, the lung and rib cage passively expanded, resulting in inspiratory airflow back to resting lung volume. This pattern of breathing, with passive inspiration following active expiration, is common in reptiles (Brainerd, 1999).
A, intervals between successive EMGABD bursts (black circles), and between inspirations preceded (blue squares) or not preceded (red squares) by an EMGABD burst. A small dose of naloxone (0.03 mg kg–1S.C.) was injected (arrow) and antagonized fentanyl-induced changes in breathing apparent after 300 s (double arrow). Note that naloxone had little effect on fE, but increased fI to the point where some inspirations (red squares) occurred in between E-bursts. B, quantal breathing after fentanyl but before naloxone. C, 300 s after injection of naloxone, ectopic inspiratory bursts were induced.
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Transections of the pons between the V and VII nuclei increased fE
As opiates can affect the pons to modulate breathing pattern in vitro (Tanabe et al. 2005), we tested whether it was essential for quantal breathing in vivo by removing its influence on breathing with a complete transection placed rostral to the VII nucleus and caudal to the V nucleus (‘rostral-t’ in Fig. 7C; n= 15: seven with vagi intact, eight with vagotomy). This transection increased fE, but the quantal breathing pattern remained, in both vagus intact (Figs 3 and 5) and vagotomized rats given fentanyl. In all rats, respiratory period was considerably shorter following this pontine transection. In vagotomized rats, dropped from 4.4 ± 1.3 s in midbrain-transected rats to 2.9 ± 0.5 s in pontine-transected rats (P < 0.05, n= 8) and dropped from 3.7 ± 1.0 to 2.5 ± 0.5 s (P < 0.05, n= 8); fE was in the range of 18–32 bursts min–1. In vagus intact rats, dropped from 3.6 ± 0.7 s in midbrain-transected rats to 1.7 ± 0.6 s in pontine-transected rats (P < 0.01, n= 7) and dropped from 3.6 ± 0.6 to 1.7 ± 0.6 s (P < 0.01, n= 7); fE was in the range of 21–61 bursts min–1. Regardless of whether the pons was detached (Fig. 3) or intact, split EMGABD bursts were rare in vagus-intact rats. This single EMGABD burst pattern was in marked contrast to a two-burst EMGABD pattern of vagotomized rats given fentanyl.
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Traces, tracheal pressure (TP), respiratory flow, EMGABD, EMGGG. Bottom, timing bars (see Fig. 1). Arrows mark onset of EMGABD bursts. Negative pressure of –1.5 cmH2O did not change fE but did increase fI, increasing fI/fE from 0.7 to 1.0. Negative pressure of –3 cmH2O recruited additional inspirations (triangles/dotted lines). fI increased leading to fI/fE= 2.5. The frequency of I activity locked to EMGABD bursts was similar to that of preceding I-E cycles, and was clearly different from the rhythm of inspirations ‘in between’ EMGABD bursts (triangles). Note that during lung deflation, EMGABD bursts became shorter.
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Effects of lung volume manipulations on fI and fE in vagus-intact rats
In rats with intact vagi we used the Breuer-Hering reflexes to separately control fI and fE, because these vagal reflexes differentially affect inspiration and expiration (Feldman, 1986). Increased lung volume can prematurely terminate inspiratory and facilitate expiratory activity, acting to prevent lung overinflation (Breuer-Hering inflation reflex), whereas reduced lung volume facilitates inspiratory and inhibits expiratory activity, acting to restore normal lung volume (Breuer-Hering deflation reflex) (Porter, 1970; Feldman, 1986).
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Lung inflation. Sustained increases in lung volume were produced by CPAP. CPAP of 3–5 cm H2O eliminated all inspirations (fI= 0), but rhythmic expirations continued in every rat; there were increases in both EMGABD burst amplitude (by 29.0%± 14.5, P < 0.01) and duration (by 26.6%± 11.3, P < 0.01, n= 6; Fig. 3). At higher CPAP (9 cmH2O), EMGABD activity became tonic in all rats (Supplemental Fig. 1A and Video 1).
An alternative method to elicit the inflation reflex is to apply one or a series of brief lung inflations; this resulted in inhibition of inspiratory activity and excitation of expiratory activity (Fig. 4A). In control, i.e. without fentanyl, juvenile rats, EMGABD activity ceased for 40–140 ms at the beginning of each inflation (Fig. 4A), indicating transient inhibition or resetting of expiratory activity. After administration of fentanyl, brief rhythmic lung inflations initiated during an EMGABD burst decreased its duration, and when triggered at the onset of successive bursts they increased fE (Fig. 4C). The maximal values of fE were obtained when EMGABD bursts were terminated shortly (0.1–0.3 s) after burst onset, in which case fE increased from 17.9 ± 3.4 cycles min–1 to 29.3 ± 5.0 cycles min–1 (P < 0.05, n= 6). Brief inflations between EMGABD bursts either prolonged or did not change the interburst interval. Brief deflations during the EMGABD bursts triggered inspiration and terminated EMGABD bursts (Fig. 4D and D-1).
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Traces, EMGABD, EMGGG and tracheal pressure (TP). A and B, Breuer-Hering inflation/deflation reflexes before administration of fentanyl. A, inflation reflex triggered by brief lung inflations (upward deflections of TP trace) leads to apnoea and briefly inhibits EMGABD activity. B, brief lung deflation triggers an extra inspiration, and sustained lung deflation increases fI from 92 to 208 min–1. C and D, after administration of fentanyl in a dose that eliminated inspiratory activity, i.e, all cycles were E-only. C, brief lung inflations applied shortly after the beginning of each EMGABD burst increased fE from 11 to 29 bursts min–1 and shortened EMGABD bursts from 2.2 to 0.4 s. D, brief lung deflations triggered inspirations (indicated by further downward deflections of TP trace) and terminated ongoing EMGABD bursts, e.g. D-1. Note that fE remained fairly constant despite shortening of EMGABD bursts. D-1, the first deflation in D on an expanded time scale. Note that EMGABD burst was not terminated until the onset of inspiration.
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Lung deflation. Sustained reduction of lung volume by lung deflation increased fI but had no effect or decreased fI (n= 6); consequently, the fI/fE ratio increased. In Fig. 5 at atmospheric pressure (applied tracheal pressure, 0 cmH2O), fI/fE= 0.7 (36/60 cycles min–1). Lung deflation (–1.5 cmH2O) recruited additional inspirations so that fI/fE= 1, the value for this ratio in control conditions. Increased negative pressure (–3 cmH2O) recruited even more inspirations, so that fI/fE was 2.5. Ectopic inspirations recruited by lung deflation (marked by triangles in Fig. 5) could be differentiated from those that were part of an I-E cycle (marked by arrows in Fig. 5): (i) they were not preceded by a sustained EMGABD burst; and (ii) they were smaller than inspirations preceded by a sustained EMGABD burst. Thus, with pressure of –3 cmH2O, two distinct rhythms of inspiratory activity were seen. One was locked to the rhythm of EMGABD bursts, and the other had higher frequency and smaller amplitude (Fig. 5). (Supplemental Fig. 1B and Video 2 show the response to lung deflation).
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Effects of naloxone on fI and fE in vagus-intact rats
A selective increase in fI leading to fI/fE > 1, similar to that induced by lung deflation, could also be induced by administration of a low dose of the μ-opiate-antagonist naloxone (0.03 mg kg–1S.C.) in rats given fentanyl regardless whether the vagi were cut (n= 4) or intact (n= 5, Fig. 6). Inspirations preceded by EMGABD bursts were larger (by 26.4%± 9.8; P < 0.01, n= 5) than ectopic inspirations (Fig. 6). Rats that received naloxone were not used for any further protocol.
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EMGABD bursts were eliminated by a specific brainstem transection in vagotomized rats
Five rats with the pontine transections described above spontaneously recovered from the fentanyl-induced quantal pattern of breathing, and were used to investigate whether neural structures required to generate inspiration are separate from those required to generate active expiration. Rats were vagotomized and mechanically ventilated with a hyperoxic gas mixture (100% O2) to assure stable blood gas levels and avoid hypoxia. The first transection in this series in each rat was made just rostral to the VII nucleus (Fig. 7C, marked as ‘rostral-t’). Additional transections were made at progressively more caudal levels of the VII nucleus until rhythmic EMGABD bursts were eliminated. After the final transection (Fig. 7C, marked as ‘caudal-t’), inspirations and low-amplitude tonic EMGABD activity (inhibited during inspiration) were observed (Fig. 7B). fI was 21.1 ± 2.7 cycles min–1 after the transection marked ‘rostral-t’ and increased to 25.4 ± 2.0 cycles min–1 (P < 0.05) after the last transection marked ‘caudal-t’. EMGABD was monitored for 1.5 h after the last transection; burst activity did not return in any rat. Occluding the airways for 1 min to induce anoxia failed to restore EMGABD bursting.
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Transections were complete as determined by examination in situ and in the subsequent histological examination. In situ examination revealed that the medulla caudal to the ‘caudal-t’ transection was completely detached from the more rostral medulla. For histology, the tissue was cut parallel to the plane of the ‘caudal-t’ transection. Histological examination revealed: (i) that the most caudal transections, which irreversibly eliminated EMGABD bursts, were placed at the caudal end of the facial nucleus (marked ‘caudal-t’ in Fig. 7; n= 5); and (ii) no apparent damage to the medulla just caudal to the last transection, especially in the region containing the BtC.
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Discussion
By administering a selective μ-opiate agonist, eliciting pulmonary reflexes, and transecting the brainstem, we manipulated the respiratory pattern in juvenile rodents in a way that suggests that anatomically separate, functionally distinct rhythm generators are coupled to spawn inspiration and active expiration in juvenile rats. Normally, bursts of inspiratory and expiratory motor activity alternate, with fI/fE= 1. Opiates can produce a quantal pattern of breathing that significantly reduces this ratio in neonatal (Janczewski et al. 2002), juvenile (Mellen et al. 2003) and adult (Vasilakos et al. 2005) rats. Lung inflation further reduced this ratio, whereas lung deflation or a low dose of naloxone increased it. Brainstem transections rostral to the VII nucleus did not affect quantal breathing, whereas transections at the caudal end of the VII nucleus eliminated active expirations.
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Modified two-rhythm generator hypothesis. In our modified two-rhythm generator hypothesis, an expiratory rhythm generator (E-rhythm generator) drives expiratory motor bursts and can remain operational when the inspiratory rhythm generator (I-rhythm generator) is depressed (fI < fE), even inactivated (fI= 0). The two-rhythm generator hypothesis contrasts with the longstanding single-rhythm generator hypotheses that stipulate that synaptic inhibition from inspiratory (and postinspiratory) neurones underlies the rhythm of expiratory neurones; these hypotheses require that every expiratory burst be preceded by an inspiration (and postinspiration) (Richter, 1982; Sears et al. 1982; Bianchi et al. 1995); consequently these hypotheses cannot explain expiratory bursts that are not preceded by an inspiration (and post-inspiration). Consistent with the single-rhythm generator hypotheses, quantal breathing can occur if rhythmogenic inspiratory activity continues to be generated but fails to activate inspiratory motoneurones, i.e. the central inspiratory rhythm persists but fails to produce inspiratory motor output. However, our data show otherwise. (i) The loss of inspiratory motor activity is widespread and synchronous, as the inspiratory activity of both pumping muscles, i.e. those generating inspiratory flow, and of upper airway muscles, i.e. those modulating upper airway resistance, as reflected in I-EMGGG, ceased simultaneously. The failure of a focal and radiating source of inspiratory rhythm generation (presumably the preBtC; Feldman et al. 2003) is a more parsimonious explanation for this observation than transmission failure that would require an anatomically widespread inhibition of inspiratory pre- and/or motoneurones. (ii) E-only cycles were shorter, with briefer EMGABD bursts, than I-E cycles (Fig. 2). Transmission failure due to blockade of inspiratory pre- or motoneurones should not affect cycle or burst duration, at least in vagotomized rats. (iii) During I-E cycles (in vagotomized rats), EMGABD activity was inhibited during inspiration, splitting the EMGABD burst into two components; during E-only cycles, EMGABD bursts were not split (Fig. 2D). (iv) In the presence of fentanyl, there could be a significant phase lag between the termination of an E-EMGGG burst and the onset of an I-EMGGG burst (Fig. 3). These effects could not be due to fentanyl-induced inhibition of inspiratory pre- or motoneurones per se.
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We conclude that fentanyl-induced quantal breathing is due to the selective depression of the I-rhythm generator that results in the loss of activity in inspiratory premotor (Feldman, 1986; Howard & Sears, 1991; Takeda et al. 2001; Haji et al. 2003) and motor neurones. If the I-rhythm generator fails during quantal breathing, then the continuing expiratory rhythm, seen here as EMGABD bursts and active expiratory airflow, must originate from a different rhythm generator.
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Location of the I- and E-rhythm generators
We attempted to localize the E-rhythm generator by brainstem transections. In midbrain-transected juvenile rats, subsequent complete transection at the level of the rostral end of the VII nucleus increased fE but did not affect the overall pattern of breathing. Thus, following these midbrain and midpontine transections: (i) an alternating pattern of inspiratory and expiratory activity remained; (ii) fentanyl could still induce quantal breathing; and (iii) the Breuer-Hering reflexes remained robust. These results indicates that expiratory rhythm is suppressed by pontine structures rostral to the VII nucleus (with the noradrenergic A5 group a likely source of inhibition; Errchidi et al. 1991; Viemari et al. 2004) and that the respiratory rhythm generator(s) lie more caudal. Subsequent transection through the caudal end of the VII nucleus eliminated EMGABD bursts, but rhythmic inspirations continued. These transections would have cut the ventral respiratory column (Alheid et al. 2002) at the level of the RTN/pFRG (Feldman et al. 2003; Onimaru & Homma, 2003).
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We consider unlikely the possibility that damage to structures just caudal to the cut that eliminated expiratory activity (Fig. 7C), in particular to the BtC, could explain our results. (i) We did not observe any pathology in the BtC during histological examination (Fig. 7C, inset), although we cannot rule out subtle damage. (ii) BtC neurones are (predominately) glycinergic interneurones (Schreihofer et al. 1999; Ezure et al. 2003) and exert widespread (often monosynaptic) inhibition on respiratory pre- and motoneurone (Bianchi et al. 1995). We are unaware of any data that show that these neurones provide excitatory inputs to expiratory motoneurones or are rhythmogenic.
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We conclude that vital components of the E-rhythm generator are within or rostral to RTN/pFRG and that the I-rhythm generator is located more caudally, presumably in the preBtC (Smith et al. 1991; Feldman et al. 2003). That there may be two rhythm generators is consistent with comparative data suggesting an emergence of a second rhythm generator with a major evolutionary transition in breathing, either from water to air breathing in vertebrate (Mellen et al. 2003; Vasilakos et al. 2005) or with the origin of the diaphragm in mammals (Feldman et al. 2003; Mellen et al. 2003; Vasilakos et al. 2005).
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Mice with neuroanatomical defects affecting RTN/pFRG exhibit breathing problems. Neuroanatomical defects in mice resulting from the Hoxa1–/– or Krox-20–/– mutations result in deletion or pathology of the region containing RTN/pFRG (Jacquin et al. 1996; del Toro et al. 2001; Borday et al. 2004). These mutant mice die within 24 h after birth due to prolonged apnoeas. Naloxone administered during the first 48 h after birth eliminates these apnoeas, ensuring long-term survival of Krox-20–/– mutants and some Hoxa1–/– mutants (Jacquin et al. 1996; del Toro et al. 2001). The respiratory disturbances in Krox-20–/– mice were proposed to be due to a pathology or deletion of an ‘anti-apnoea’ (Jacquin et al. 1996) centre, most likely the RTN/pFRG (Borday et al. 2004), which promotes breathing immediately after birth. We suggest that in these Hoxa1–/– and Krox-20–/– mice, endogenous opiates released at birth (Grunstein et al. 1981; Hazinski et al. 1981; Chernick & Craig, 1982; Jansen & Chernick, 1983) depress the opiate-sensitive preBtC (Gray et al. 1999) leading to death by asphyxia in the absence of an alternative source of respiratory rhythm or the relief of this antagonism by naloxone. Thus, in normal mice, an opiate-insensitive rhythm generator in RTN/pFRG could play a critical role in assuring an adequate breathing pattern immediately after birth when there is a surge of endogenous opiates (Grunstein et al. 1981; Hazinski et al. 1981; Chernick & Craig, 1982; Jansen & Chernick, 1983) that wanes shortly thereafter (Hazinski et al. 1981).
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Alternatively or in addition, the depressed breathing in these newborn mutant mice could be due to the loss of a critical tonic drive. In the RTN, there are chemosensitive, glutamatergic neurones (Mulkey et al. 2004) that would respond to an apnoea-induced increase in PCO2 (Guyenet et al. 2005). In normal mice, their activation would increase tonic respiratory drive to preBtC neurones, acting to prevent apnoea. Absence or significant reduction of this CO2-dependent drive in Krox-20–/– and Hoxa1–/– mice as a result of their RTN dysfunction could significantly contribute to their breathing problems at birth that would be relieved by the disinhibitory effects of naloxone on opiate-depressed preBtC neurones.
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Depression of preBtC function can also be induced by targeted deletion of preBtC neurokinin 1 receptor expressing neurones (Gray et al. 2001). In adult rats, partial ablation of preBtC neurones induces central apnoeas during sleep (McKay et al. 2005) that are common in humans, especially in the elderly. The possibility that the RTN/pFRG acts to prevent/reduce these central apnoeas during sleep in adults, especially when preBtC function is partially compromised, follows from its proposed role in early postnatal life as a critical source of respiratory drive.
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Neurones driving the E-rhythm generator
On the basis of the location, firing pattern, and resistance to opioids of pre-I neurones (Onimaru et al. 1988, 1997; Ballanyi et al. 1999; Takeda et al. 2001; Mellen et al. 2003), we propose that these neurones are the E-rhythm generator kernel. Pre-I (as well as inspiratory and expiratory) neurones are routinely recorded in the RTN/pFRG in vitro in 0–4 days old rodents (Onimaru & Homma, 2003). Recordings of pre-I neurones in adult mammals have been problematical (Connelly et al. 1990; Schwarzacher et al. 1995; Guyenet et al. 2005). The majority of them are located within 150 μm of the ventral medullary surface of the medulla in neonatal (Onimaru & Homma, 2003) and adult (Ellenberger & Feldman, 1990) rat; therefore, it may be easier to find them when approaching from the ventral surface of the medulla (Connelly et al. 1990; Onimaru & Homma, 2003) than when using a dorsal approach (Guyenet et al. 2005). In adult chloraloze–urethane anaesthetized cats with robust expiratory activity, inspiratory, expiratory and respiratory-modulated double bursting neurones are found in the RTN (Connelly et al. 1990). The later neurones have one burst spanning the end of inspiration through the beginning of postinspiration and a second burst during active expiration (Connelly et al. 1990); see also (Schwarzacher et al. 1995). The firing pattern of these neurones is similar but not identical to that of pre-I neurones in neonates in vitro; thus it is not certain whether they are the same neurones at a different stage of development (Ballanyi et al. 1999). In contrast, pre-I, inspiratory and expiratory neurones are not found in the RTN of halothane-anaesthetized adult rats breathing a hyperoxic gas mixture (Guyenet et al. 2005); however, we have not observed active expirations in rats under such experimental conditions (unpublished observation). We suggest that this observation is not simply a correlation and that rhythmicity in the RTN/pFRG is causal to the robustness of the expiratory motor activity. We postulate that bursts of expiratory motor activity originate from rhythmically active neurones in the RTN/pFRG, whereas when expiratory motor activity is weak or tonic, it is because these neurones are no longer rhythmic, and, in this case, the predominately inspiratory rhythm is driven by the preBtC.
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Opioid-resistant pre-I neurones project to opioid-resistant bulbospinal premotoneurones in the caudal ventral respiratory column that drive abdominal muscle motoneurone (Janczewski et al. 2002). This pathway can account for the opioid-resistant bursts of EMGABD activity we observed. Moreover, in response to opioids, inspiratory motor output is eliminated after preBtC inspiratory neurones are depressed below their firing threshold; yet, these neurones still receive subthreshold excitatory/inhibitory synaptic drives, presumably from pre-I neurones (Mellen et al. 2003). These data support the hypothesis that fentanyl-induced quantal breathing is due to depression of the I-rhythm generator in the preBtC, which continues to receive excitatory and inhibitory inputs from the E-rhythm generator that can still trigger inspiratory bursts of activity. In en bloc preparations, rhythmic bursting of pre-I neurones appears to be initiated in the RTN/pFRG (Onimaru & Homma, 2003). This location and their hypothesized role in generating expiratory rhythm are in accord with our finding that transection through the VII nucleus eliminated expiratory activity.
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Our hypothesis that pre-I neurones are the key constituents of the E-rhythm generator differs from the originally proposed role of these neurones as necessary and sufficient for the generation of the respiratory rhythm (Onimaru et al. 1988; Onimaru & Homma, 2003).
During quantal slowing of breathing in the juvenile rats, every inspiration is preceded by an EMGABD burst, but some EMGABD bursts are not followed by inspiratory activity (Figs 1–6). We suggest that the E-rhythm generator paces the respiratory network when the excitability of the I-rhythm generator is low and that of the E-rhythm generator is high, such as in in vitro en bloc preparations or in intact rodents exposed to opiates. Other conditions that suppress the I- but not the E-rhythm generator should result in fI < fE. Indeed, partial ablation of preBtC neurones in awake adult goats can result in inspiratory apnoea with rhythmic abdominal activity (Wenninger et al. 2004). Moreover, in awake infants and young children, sudden noxious stimuli can cause inspiratory apnoea with persistence of rhythm in abdominal muscles (Southall et al. 1985).
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However, we suggest that the E-rhythm generator does not pace respiratory rhythm when the excitability of the I-rhythm generator is normal or elevated, or the E-rhythm generator is depressed, as might be the case in anaesthetized mammals at CO2 levels just above threshold to produce inspiratory activity (Guyenet et al. 2005) but not active expiration. Values of fI/fE > 1 in response to extra excitation of inspiratory activity, elicited by lung deflation or a low dose of naloxone, indicate that the I-rhythm generator is capable of generating faster rhythms than the E-rhythm generator. This effect of naloxone is likely to be mediated by preBtC neurones that express μ-opiate receptors (Gray et al. 1999; Manzke et al. 2003).
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When several inspirations followed an EMGABD burst, the one immediately succeeding the burst had a larger amplitude (Fig. 5), which is consistent with an excitatory role of pre-I neurones on one subpopulation of inspiratory neurones (Onimaru et al. 1997) and also with the hypothesis that they are not essential to drive inspiratory activity.
Coordination of two-rhythm generators
The coordination of respiratory pattern will rely on, in addition to whatever direct interactions there are between the two hypothesized rhythm generators, shared inputs, such as from peripheral afferents, neuromodulatory systems, e.g. substance P, serotonin and norepinephrine, and common descending inputs related to emotion, volition, etc. An example in this study of a key peripheral afferent coordinating the respiratory pattern is vagal afferents underlying the Breuer-Hering reflexes.
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In summary, we hypothesize that the respiratory network is composed of two separate rhythm generators, with one or the other capable of dominating the behaviour by generating a faster rhythm depending on their relative levels of excitability, which may vary with state, chemoreceptor drive, afferent input, and development in intact mammals, and with details of experimental preparation in laboratory studies.
Supplemental material
, http://www.100md.com The online version of this paper can be accessed at: DOI: 10.1113/jphysiol.2005.098848
http://jp.physoc.org/cgi/content/full/jphysiol.2005.098848/DC1
and contains the following supplemental material:
Supplemental Fig. 1. Quantal pattern of breathing and reflex responses to positive (CPAP) and negative airway pressure in juvenile rat with intact vagi and given fentanyl
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Supplemental Video 1. Response to Breuer-Hering inflation reflex (CPAP, +4 and +9 cmH2O) during quantal pattern of breathing in an 8-day-old rat with intact vagi and given fentanyl
Supplemental Video 2. Response to Breuer-Hering deflation reflex (pressures, –1 and –4 cmH2O) during quantal pattern of breathing in an 8-day-old rat with intact vagi and given fentanyl
This material can also be found as part of the full-text HTML version available from http://www.blackwell-synergy.com
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Abstract
Inspiration and active expiration are commonly viewed as antagonistic phases of a unitary oscillator that generates respiratory rhythm. This view conflicts with observations we report here in juvenile rats, where by administration of fentanyl, a selective μ-opiate agonist, and induction of lung reflexes, we separately manipulated the frequency of inspirations and expirations. Moreover, completely transecting the brainstem at the caudal end of the facial nucleus abolished active expirations, while rhythmic inspirations continued. We hypothesize that inspiration and expiration are generated by coupled, anatomically separate rhythm generators, one generating active expiration located close to the facial nucleus in the region of the retrotrapezoid nucleus/parafacial respiratory group, the other generating inspiration located more caudally in the preBtzinger Complex.
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Introduction
Rhythmic movements in mammals are cyclical sequences of precise patterns of muscle contraction and relaxation typically divided in phases – locomotion: swing/stance; mastication: open/close; and breathing: inspiration/expiration. There are two distinct views as to the general underlying neuronal organization. In one view, a single-rhythm generator paces the whole cycle, with interneuronal circuits dividing the cycle into appropriately timed bursts in specific muscles. This is the longstanding view of how respiratory rhythm is generated: a single rhythm generator produces two (inspiration, expiration) or three (inspiration, postinspiration, expiration) phases with distinct muscle activation patterns in each phase. In single-rhythm generator models for respiratory rhythm, both the ‘two-phase’ (Feldman & Cowan, 1975) and ‘three-phase’ (Richter, 1982; Richter et al. 1992; Rybak et al. 1997) variants require reciprocal synaptic inhibition between groups of sequentially active interneurones to produce phasing.
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An alternative view of rhythmic movement is that independent coupled rhythm generators spawn distinct phases. For example, in one model for the generation of locomotion, mechanically distinct portions of the cycle have their own rhythm generators, which then coordinate amongst themselves (Kudo & Yamada, 1987; Grillner, 1991; Grillner & Wallen, 2002).
We recently proposed that respiratory rhythm is generated by two coupled anatomically distinct rhythm generators (Feldman et al. 2003; Mellen et al. 2003), one in the preBtzinger Complex (preBtC; Smith et al. 1991), and the other in the retrotrapezoid nucleus/parafacial respiratory group (RTN/pFRG; Feldman et al. 2003; Onimaru & Homma, 2003). This hypothesis emerged from analysis of cellular mechanisms leading to a quantal pattern of breathing induced by administration of opioids (Feldman et al. 2003; Mellen et al. 2003). In brief, preinspiratory (pre-I) neurones in the RTN/pFRG are unaffected by opioids, continuing to generate rhythmic activity without any change in burst frequency (Takeda et al. 2001). In contrast, many preBtC neurones are inhibited by opioids; in en bloc preparations in vitro they burst rhythmically and concurrently with inspiratory nerve motor output, but show only subthreshold activity during cycles of pre-I activity where there is no inspiratory motor output (Mellen et al. 2003). On the basis of this cellular data, we proposed a two-rhythm generator hypothesis for the generation of respiratory rhythm (Feldman et al. 2003; Mellen et al. 2003). The functional role of these rhythm generators in terms of ventilation and muscle activity remains to be determined. Here, we refine this hypothesis to propose that one rhythm generator produces inspirations, and the other produces active expirations.
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To test the two-rhythm generator hypothesis for breathing, we aimed to uncouple inspiratory from expiratory motor activity to an extent that would be improbable if a unitary multiphase rhythm generator drove the breathing cycle. We used two experimental perturbations that differentially affect inspiratory and expiratory activity: (i) opioid administration, which depresses inspiratory (Gray et al. 1999; Takeda et al. 2001; Mellen et al. 2003) more than expiratory (Howard & Sears, 1991; Janczewski et al. 2002; Drummond, 2003) activity; (ii) positive or negative airway pressure to manipulate lung volume in order to elicit pulmonary afferent, commonly referred to as the Breuer-Hering reflexes: the Breuer-Hering deflation reflex facilitates inspiratory activity and depresses expiratory activity, while the Breuer-Hering inflation reflex has the opposite effect (Feldman, 1986).
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Preliminary results were presented in an abstract form (Janczewski & Feldman, 2002, 2003).
Methods
Animals and procedures
Experiments were performed on Sprague-Dawley juvenile rats (postnatal day 7–13) of both sexes, and weight in the range 16–32 g. At this stage, their central nervous system development corresponds to a period from birth to 3 months of age in human (Ballanyi, 2004). The UCLA Animal Research Committee approved all experimental protocols.
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Rats (n= 29) were anaesthetized with ketamine (50 mg kg–1, Ketaject; Phoenix Pharmaceutical, Inc., St Joseph, MO, USA) and, except for rats studied for baseline data (n= 6), supplemented with fentanyl citrate (20 μg kg–1; Abbott Laboratories, North Chicago, IL, USA) administered subcutaneously (S.C.; Katz et al. 1993; Wixson & Smiler, 1997; Sakamoto et al. 2001). In order to eliminate spontaneous non-respiratory motor activity and respiratory drives from the forebrain (Ballanyi, 2004), the occipital bone was partly removed and the midbrain was transected in all rats. The level of anaesthesia was assessed by suppression of the withdrawal reflex, and by the absence of changes in heart rate and breathing rate in response to noxious stimuli. A polyethylene cannula (1.2 mm o.d.; A-M Systems, Sequim, WA, USA) was inserted via the mouth into the trachea, and rats were mechanically ventilated (Model 683, Harvard Apparatus, Holliston, MA, USA). EMG wire electrodes (Cooner Wire Co., Chatsworth, CA, USA) were implanted into the abdominal oblique and genioglossus muscles.
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Experimental protocol
Each preparation was ventilated and allowed to stabilize for 40–60 min after midbrain, and any subsequent additional, transection. Then, the tracheal cannula was connected to a device to measure airflow (MLT1L; ADInstruments, Colorado Springs, CO, USA). Except where noted, rats breathed a hyperoxic mixture (1:3, air:O2) throughout the experiment. After control recordings, fentanyl (10 μg kg–1S.C.) was injected once or several times until the onset of quantal breathing (Fig. 1). A sufficient total dose was 40 μg kg–1 in every rat. We refer to cycles with abdominal muscle electromyographic (EMGABD) bursts but no inspiratory motor activity as ‘E-only cycles’. We refer to cycles that maintained the normal sequence of expiratory and inspiratory motor activity as ‘I-E cycles’. In order to determine the mean period of the E-only cycles and the mean period of the I-E cycles for each rat, we analysed a continuous record containing 100 E-only cycles and >100 I-E cycles (see Fig. 2A). Over time, after injection of fentanyl (20–40 min), the rate of occurrence of E-only cycles decreased. In order to increase the number of E-only cycles, we injected one or more additional doses of fentanyl (10 μg kg–1S.C.).
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A, intervals between successive EMGABD bursts (circles) and inspirations (squares) for 220 consecutive respiratory cycles: 120 I-E cycles (mean duration of I-E cycles ) and 100 E-only cycles (mean duration of E-only cycles ). B, recording of epoch shown in A ((150 s, 190 s); green squares represent normal, i.e. I-E cycles (1, 3, 6, 8, 9), and red circles represent E-only cycles (2, 4, 5, 7). Traces from top to bottom: cycle number, EMGGG, EMGABD, their integrals (EMGGG and EMGABD), VT and respiratory flow. Vertical dotted lines mark the onset of each EMGABD burst. E-only cycles differed from I-E cycles; see C, D and text. C, EMGGG and EMGABD on an expanded time scale to show pattern of bursting in an I-E cycle (cycle 1); note that EMGGG has two distinct components (I-EMGGG and E-EMGGG) and can have no delay between them or be separate, e.g. Fig. 3, paired vertical lines. EMGABD activity has a two-burst structure. D, comparison of an I-E cycle (cycle 1) and an E-only cycle (cycle 2, red).
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To manipulate lung volume, we changed pulmonary pressure by connecting the tracheal cannula to a pressure source gated by an electronic valve. We applied continuous positive airway pressure (CPAP; 3–5 cmH2O or 9 cmH2O) or negative pressure (–1 to –4 cmH2O) during a period of several cycles or positive pressure pulses <1 s in duration (brief inflations).
Five rats with intact vagi received naloxone (0.03 mg kg–1S.C.). This dose was 20 times lower than that necessary to reverse fentanyl-induced respiratory depression (unpublished observations).
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Transection experiments
Transections were performed with a knife made of a 1.5 mm wide piece of razor blade fixed in a micromanipulator (Janczewski & Karczewski, 1984, 1990). As mentioned above, at the beginning of an experiment the midbrain was transected at the midcollicular level. In 15 rats from this group (seven with vagi intact, eight with vagotomy) that did not receive naloxone, additional transections at various levels of the brainstem were performed. Ten minutes before each transection, rats were ventilated with 1–2 vol% isoflurane in O2 (IsoFlo; Abbott Laboratories, North Chicago, IL, USA). Isoflurane was terminated 2 min after each transection. (Isoflurane was used to induce controlled hypotension (Madsen et al. 1987; Ringaert & Mutch, 1988) and for its neuroprotective properties (Homi et al. 2003)). The initial brainstem transection was placed at the rostral end of the facial nucleus. This transection eliminated the descending influence of the pons (and all suprapontine structures) on breathing. Additional transections (0.2 mm apart) were made in five rats at progressively more caudal levels to ultimately eliminate the influence of RTN/pFRG (Feldman et al. 2003; Onimaru & Homma, 2003) on breathing. Following some transections, there was a transient loss of respiratory activity, lasting up to 10 min, at which point both inspiratory and expiratory motor, i.e. EMGABD bursts, activity returned. Finally, a transection at the level ‘caudal-t’ in Fig. 7C eliminated EMGABD, but not inspiratory activity. At this point the preparation was allowed to stabilize for 1 h before recordings commenced (n= 5). Recordings were taken for 30 min. At the end of this period we occluded the tracheal tube for 1 min to test whether anoxia could restore EMGABD bursts. We assumed that EMGABD bursts were effectively eliminated when they were absent for 1.5 h and did not reappear in response to anoxia. During transections and during recovery, rats were mechanically ventilated with 100% O2 to maintain haemoglobin saturation (SaO2; >90%, as measured with a pulse oximeter, Model 8600 V, Nonin Medical, Inc., Plymouth, MN, USA).
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A, breathing after transection at the level just rostral to the VII nucleus (dotted line, ‘rostral-t’ in C) in rats that spontaneously recovered from quantal pattern of breathing. B, breathing after transection marked as ‘caudal-t’ in C. Only this most caudal transection completely eliminated EMGABD bursts. Tonic EMGABD activity, inhibited during inspirations, could still be observed. A–1 and B–2, expanded time-scale of flow and VT during the first cycles of traces in A and B. C, sagittal representation of medulla and pons showing the levels of the most rostral (‘rostral-t’) and caudal (‘caudal-t’) transections. Intermediate transections were also made (see text). C-1 and C-2, medullary sections (40 μm thick) of remaining medulla cut at the same angle as ‘caudal-t’ transection. The first section (C-1), showing the caudal end of the VII nucleus, was modestly damaged, but the next section (C-2), showing rostral end of BtC, was intact in every rat (n= 5). V, motor trigeminal nucleus; VII, facial nucleus; LRN, lateral reticular nucleus; preBtC, preBtzinger Complex; BtC, Btzinger Complex; pFRG, parafacial respiratory group; RTN, retrotrapezoid nucleus; SO, superior olivary complex; Ac, ambiguus nucleus compact.
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Rats were killed with an overdose of pentobarbitone (100 mg kg–1I.P.) and the brainstems removed. To determine the transection plane, brainstems were kept for 3 days in 4% paraformaldehyde, overnight in a 30% sucrose solution, sectioned (40 μm) with a cryostat, stained with neutral red, and examined with a research microscope.
Data analysis
To calibrate the flow and/or volume, 0.1, 0.2 and 0.3 ml of air was delivered from a syringe connected to the flow head before taking measurements, and the ratio between the integral of the flow and delivered volume was determined. EMGABD and genioglossus muscle electromyographic (EMGGG) signals were amplified (Grass Model P511K; Grass Instrument Co., West Warwick, RI, USA). The absolute values of the EMGABD and EMGGG signals were digitally integrated with a time constant () of 0.1 s. The amplitude of the integrated signal was used as a measure of EMG activity (see Fig. 2B). The flow signal was high-pass filtered to eliminate DC shifts and slow drifts, with the cut-off frequency set for each recording at the lowest effective frequency (range 0–0.4 Hz). After filtering, the flow signal was digitally integrated to obtain VT. Intratracheal pressure was continuously measured with a pressure transducer.
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Signals were sampled at 1 kHz (Powerlab 16SP; ADInstruments) and analysed using Chart 5 (ADInstruments) and Igor Pro (WaveMetrics, Lake Oswego, OR, USA) software. Custom Igor Pro algorithms recognized and distinguished between E-only and I-E cycles. Cycle periods were calculated from the beginning of each EMGABD bursts to the next one. Reported group mean values are group means for all rats. Mean values for every rat were calculated from 100 consecutive respiratory cycles. Recordings presented in figures are representative for all rats.
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Expiratory frequency (fE) was the number of EMGABD bursts per minute. Inspiratory frequency was the number of inspirations per minute, as determined from the flow signal (fI). Statistical analysis was performed by Student's t test and paired t test. A P value of 0.05 or less was considered significant. All results are expressed as means ± standard deviation.
Results
Breathing pattern in anaesthetized midbrain-decerebrate juvenile rats
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Studies were performed in midbrain-transected (to eliminate spontaneous nonrespiratory motor activity and respiratory drives from the forebrain) juvenile rats anaesthetized with ketamine, with intact or cut vagi. Prior to administration of fentanyl, rats with intact vagi breathed with the normal repeating sequence of inspiration and expiration (I-E cycles; n= 6). Inspiration was defined by inspiratory flow and the absence of EMGABD bursts; expiration was defined by EMGABD (present in all rats), which was tonic (n= 3) or decrementing (n= 3) in the period between inspirations. The group mean respiratory period was 0.6 ± 0.1 s and the (group mean) frequency was 106.7 ± 20.9 breaths min–1 (range 87–145). Vagotomy prolonged the respiratory period (, 2.7 ± 0.4 s; frequency, 22.9 ± 3.0 breaths min–1; P < 0.01, n= 6), with expiration having two components (Fig. 1A). The first part of expiration was characterized by decrementing or tonic EMGABD; the second part, i.e. active expiration, was defined by a phasic burst of EMGABD (Bianchi et al. 1995). Peak EMGABD amplitude increased to 262.2 ± 44.3% of the peak in vagus-intact rats (P < 0.01).
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Characteristics of quantal breathing in vagotomized rats given fentanyl
Fentanyl (10–20 μg kg–1S.C.), a synthetic, selective μ-opiate agonist, caused quantal breathing (Mellen et al. 2003), i.e. the occasional absence of inspiration manifested as a sequence of two or more consecutive expirations (Figs 1B, and 2A and B). At a higher dose of fentanyl (20–40 μg kg–1S.C.), inspiration, when it occurred, was coincident with a pause during the EMGABD burst (n= 7 of 9; Figs 1C and 2B: cycles 1, 3, 6, 8 and 9, Fig. 2C), and there was an increase in the number of cycles with EMGABD bursts that were not paired with an inspiration (E-only cycles), e.g. Figs 1C and 2B: cycles 2, 4, 5 and 7. EMGGG had two components, a burst during inspiration (I-EMGGG) in all rats (n= 8), and a burst during active expiration (E-EMGGG; Figs 1A and 2C) in some rats (n= 5 out of 8). During E-only cycles, E-EMGGG, but not I-EMGGG, was present (Fig. 2B and D).
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Differences between I-E and E-only cycles were the same in every rat: (i) I-E cycles were longer than E-only cycles (, 4.4 ± 1.3 s; , 3.7 ± 1.0 s; P < 0.01, n= 8); (ii) the duration of EMGGG activity during I-E cycles was longer than during E-only cycles (by 32.4 ± 22.7%; P < 0.05, n= 6; Fig. 2D, top); (iii) during I-E cycles, the EMGABD burst was split in two, with a total duration that was longer than that during E-only cycles (by 42.9 ± 26.2%; P < 0.01, n= 8; Fig. 2D, bottom).
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During E-only cycles, expiratory flow produced by each EMGABD burst reduced lung volume below resting levels, e.g. Figure 2B; also Figs 1, 3, 5 and 6. Consequently, the lung and rib cage passively expanded, resulting in inspiratory airflow back to resting lung volume. This pattern of breathing, with passive inspiration following active expiration, is common in reptiles (Brainerd, 1999).
A, intervals between successive EMGABD bursts (black circles), and between inspirations preceded (blue squares) or not preceded (red squares) by an EMGABD burst. A small dose of naloxone (0.03 mg kg–1S.C.) was injected (arrow) and antagonized fentanyl-induced changes in breathing apparent after 300 s (double arrow). Note that naloxone had little effect on fE, but increased fI to the point where some inspirations (red squares) occurred in between E-bursts. B, quantal breathing after fentanyl but before naloxone. C, 300 s after injection of naloxone, ectopic inspiratory bursts were induced.
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Transections of the pons between the V and VII nuclei increased fE
As opiates can affect the pons to modulate breathing pattern in vitro (Tanabe et al. 2005), we tested whether it was essential for quantal breathing in vivo by removing its influence on breathing with a complete transection placed rostral to the VII nucleus and caudal to the V nucleus (‘rostral-t’ in Fig. 7C; n= 15: seven with vagi intact, eight with vagotomy). This transection increased fE, but the quantal breathing pattern remained, in both vagus intact (Figs 3 and 5) and vagotomized rats given fentanyl. In all rats, respiratory period was considerably shorter following this pontine transection. In vagotomized rats, dropped from 4.4 ± 1.3 s in midbrain-transected rats to 2.9 ± 0.5 s in pontine-transected rats (P < 0.05, n= 8) and dropped from 3.7 ± 1.0 to 2.5 ± 0.5 s (P < 0.05, n= 8); fE was in the range of 18–32 bursts min–1. In vagus intact rats, dropped from 3.6 ± 0.7 s in midbrain-transected rats to 1.7 ± 0.6 s in pontine-transected rats (P < 0.01, n= 7) and dropped from 3.6 ± 0.6 to 1.7 ± 0.6 s (P < 0.01, n= 7); fE was in the range of 21–61 bursts min–1. Regardless of whether the pons was detached (Fig. 3) or intact, split EMGABD bursts were rare in vagus-intact rats. This single EMGABD burst pattern was in marked contrast to a two-burst EMGABD pattern of vagotomized rats given fentanyl.
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Traces, tracheal pressure (TP), respiratory flow, EMGABD, EMGGG. Bottom, timing bars (see Fig. 1). Arrows mark onset of EMGABD bursts. Negative pressure of –1.5 cmH2O did not change fE but did increase fI, increasing fI/fE from 0.7 to 1.0. Negative pressure of –3 cmH2O recruited additional inspirations (triangles/dotted lines). fI increased leading to fI/fE= 2.5. The frequency of I activity locked to EMGABD bursts was similar to that of preceding I-E cycles, and was clearly different from the rhythm of inspirations ‘in between’ EMGABD bursts (triangles). Note that during lung deflation, EMGABD bursts became shorter.
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Effects of lung volume manipulations on fI and fE in vagus-intact rats
In rats with intact vagi we used the Breuer-Hering reflexes to separately control fI and fE, because these vagal reflexes differentially affect inspiration and expiration (Feldman, 1986). Increased lung volume can prematurely terminate inspiratory and facilitate expiratory activity, acting to prevent lung overinflation (Breuer-Hering inflation reflex), whereas reduced lung volume facilitates inspiratory and inhibits expiratory activity, acting to restore normal lung volume (Breuer-Hering deflation reflex) (Porter, 1970; Feldman, 1986).
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Lung inflation. Sustained increases in lung volume were produced by CPAP. CPAP of 3–5 cm H2O eliminated all inspirations (fI= 0), but rhythmic expirations continued in every rat; there were increases in both EMGABD burst amplitude (by 29.0%± 14.5, P < 0.01) and duration (by 26.6%± 11.3, P < 0.01, n= 6; Fig. 3). At higher CPAP (9 cmH2O), EMGABD activity became tonic in all rats (Supplemental Fig. 1A and Video 1).
An alternative method to elicit the inflation reflex is to apply one or a series of brief lung inflations; this resulted in inhibition of inspiratory activity and excitation of expiratory activity (Fig. 4A). In control, i.e. without fentanyl, juvenile rats, EMGABD activity ceased for 40–140 ms at the beginning of each inflation (Fig. 4A), indicating transient inhibition or resetting of expiratory activity. After administration of fentanyl, brief rhythmic lung inflations initiated during an EMGABD burst decreased its duration, and when triggered at the onset of successive bursts they increased fE (Fig. 4C). The maximal values of fE were obtained when EMGABD bursts were terminated shortly (0.1–0.3 s) after burst onset, in which case fE increased from 17.9 ± 3.4 cycles min–1 to 29.3 ± 5.0 cycles min–1 (P < 0.05, n= 6). Brief inflations between EMGABD bursts either prolonged or did not change the interburst interval. Brief deflations during the EMGABD bursts triggered inspiration and terminated EMGABD bursts (Fig. 4D and D-1).
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Traces, EMGABD, EMGGG and tracheal pressure (TP). A and B, Breuer-Hering inflation/deflation reflexes before administration of fentanyl. A, inflation reflex triggered by brief lung inflations (upward deflections of TP trace) leads to apnoea and briefly inhibits EMGABD activity. B, brief lung deflation triggers an extra inspiration, and sustained lung deflation increases fI from 92 to 208 min–1. C and D, after administration of fentanyl in a dose that eliminated inspiratory activity, i.e, all cycles were E-only. C, brief lung inflations applied shortly after the beginning of each EMGABD burst increased fE from 11 to 29 bursts min–1 and shortened EMGABD bursts from 2.2 to 0.4 s. D, brief lung deflations triggered inspirations (indicated by further downward deflections of TP trace) and terminated ongoing EMGABD bursts, e.g. D-1. Note that fE remained fairly constant despite shortening of EMGABD bursts. D-1, the first deflation in D on an expanded time scale. Note that EMGABD burst was not terminated until the onset of inspiration.
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Lung deflation. Sustained reduction of lung volume by lung deflation increased fI but had no effect or decreased fI (n= 6); consequently, the fI/fE ratio increased. In Fig. 5 at atmospheric pressure (applied tracheal pressure, 0 cmH2O), fI/fE= 0.7 (36/60 cycles min–1). Lung deflation (–1.5 cmH2O) recruited additional inspirations so that fI/fE= 1, the value for this ratio in control conditions. Increased negative pressure (–3 cmH2O) recruited even more inspirations, so that fI/fE was 2.5. Ectopic inspirations recruited by lung deflation (marked by triangles in Fig. 5) could be differentiated from those that were part of an I-E cycle (marked by arrows in Fig. 5): (i) they were not preceded by a sustained EMGABD burst; and (ii) they were smaller than inspirations preceded by a sustained EMGABD burst. Thus, with pressure of –3 cmH2O, two distinct rhythms of inspiratory activity were seen. One was locked to the rhythm of EMGABD bursts, and the other had higher frequency and smaller amplitude (Fig. 5). (Supplemental Fig. 1B and Video 2 show the response to lung deflation).
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Effects of naloxone on fI and fE in vagus-intact rats
A selective increase in fI leading to fI/fE > 1, similar to that induced by lung deflation, could also be induced by administration of a low dose of the μ-opiate-antagonist naloxone (0.03 mg kg–1S.C.) in rats given fentanyl regardless whether the vagi were cut (n= 4) or intact (n= 5, Fig. 6). Inspirations preceded by EMGABD bursts were larger (by 26.4%± 9.8; P < 0.01, n= 5) than ectopic inspirations (Fig. 6). Rats that received naloxone were not used for any further protocol.
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EMGABD bursts were eliminated by a specific brainstem transection in vagotomized rats
Five rats with the pontine transections described above spontaneously recovered from the fentanyl-induced quantal pattern of breathing, and were used to investigate whether neural structures required to generate inspiration are separate from those required to generate active expiration. Rats were vagotomized and mechanically ventilated with a hyperoxic gas mixture (100% O2) to assure stable blood gas levels and avoid hypoxia. The first transection in this series in each rat was made just rostral to the VII nucleus (Fig. 7C, marked as ‘rostral-t’). Additional transections were made at progressively more caudal levels of the VII nucleus until rhythmic EMGABD bursts were eliminated. After the final transection (Fig. 7C, marked as ‘caudal-t’), inspirations and low-amplitude tonic EMGABD activity (inhibited during inspiration) were observed (Fig. 7B). fI was 21.1 ± 2.7 cycles min–1 after the transection marked ‘rostral-t’ and increased to 25.4 ± 2.0 cycles min–1 (P < 0.05) after the last transection marked ‘caudal-t’. EMGABD was monitored for 1.5 h after the last transection; burst activity did not return in any rat. Occluding the airways for 1 min to induce anoxia failed to restore EMGABD bursting.
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Transections were complete as determined by examination in situ and in the subsequent histological examination. In situ examination revealed that the medulla caudal to the ‘caudal-t’ transection was completely detached from the more rostral medulla. For histology, the tissue was cut parallel to the plane of the ‘caudal-t’ transection. Histological examination revealed: (i) that the most caudal transections, which irreversibly eliminated EMGABD bursts, were placed at the caudal end of the facial nucleus (marked ‘caudal-t’ in Fig. 7; n= 5); and (ii) no apparent damage to the medulla just caudal to the last transection, especially in the region containing the BtC.
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Discussion
By administering a selective μ-opiate agonist, eliciting pulmonary reflexes, and transecting the brainstem, we manipulated the respiratory pattern in juvenile rodents in a way that suggests that anatomically separate, functionally distinct rhythm generators are coupled to spawn inspiration and active expiration in juvenile rats. Normally, bursts of inspiratory and expiratory motor activity alternate, with fI/fE= 1. Opiates can produce a quantal pattern of breathing that significantly reduces this ratio in neonatal (Janczewski et al. 2002), juvenile (Mellen et al. 2003) and adult (Vasilakos et al. 2005) rats. Lung inflation further reduced this ratio, whereas lung deflation or a low dose of naloxone increased it. Brainstem transections rostral to the VII nucleus did not affect quantal breathing, whereas transections at the caudal end of the VII nucleus eliminated active expirations.
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Modified two-rhythm generator hypothesis. In our modified two-rhythm generator hypothesis, an expiratory rhythm generator (E-rhythm generator) drives expiratory motor bursts and can remain operational when the inspiratory rhythm generator (I-rhythm generator) is depressed (fI < fE), even inactivated (fI= 0). The two-rhythm generator hypothesis contrasts with the longstanding single-rhythm generator hypotheses that stipulate that synaptic inhibition from inspiratory (and postinspiratory) neurones underlies the rhythm of expiratory neurones; these hypotheses require that every expiratory burst be preceded by an inspiration (and postinspiration) (Richter, 1982; Sears et al. 1982; Bianchi et al. 1995); consequently these hypotheses cannot explain expiratory bursts that are not preceded by an inspiration (and post-inspiration). Consistent with the single-rhythm generator hypotheses, quantal breathing can occur if rhythmogenic inspiratory activity continues to be generated but fails to activate inspiratory motoneurones, i.e. the central inspiratory rhythm persists but fails to produce inspiratory motor output. However, our data show otherwise. (i) The loss of inspiratory motor activity is widespread and synchronous, as the inspiratory activity of both pumping muscles, i.e. those generating inspiratory flow, and of upper airway muscles, i.e. those modulating upper airway resistance, as reflected in I-EMGGG, ceased simultaneously. The failure of a focal and radiating source of inspiratory rhythm generation (presumably the preBtC; Feldman et al. 2003) is a more parsimonious explanation for this observation than transmission failure that would require an anatomically widespread inhibition of inspiratory pre- and/or motoneurones. (ii) E-only cycles were shorter, with briefer EMGABD bursts, than I-E cycles (Fig. 2). Transmission failure due to blockade of inspiratory pre- or motoneurones should not affect cycle or burst duration, at least in vagotomized rats. (iii) During I-E cycles (in vagotomized rats), EMGABD activity was inhibited during inspiration, splitting the EMGABD burst into two components; during E-only cycles, EMGABD bursts were not split (Fig. 2D). (iv) In the presence of fentanyl, there could be a significant phase lag between the termination of an E-EMGGG burst and the onset of an I-EMGGG burst (Fig. 3). These effects could not be due to fentanyl-induced inhibition of inspiratory pre- or motoneurones per se.
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We conclude that fentanyl-induced quantal breathing is due to the selective depression of the I-rhythm generator that results in the loss of activity in inspiratory premotor (Feldman, 1986; Howard & Sears, 1991; Takeda et al. 2001; Haji et al. 2003) and motor neurones. If the I-rhythm generator fails during quantal breathing, then the continuing expiratory rhythm, seen here as EMGABD bursts and active expiratory airflow, must originate from a different rhythm generator.
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Location of the I- and E-rhythm generators
We attempted to localize the E-rhythm generator by brainstem transections. In midbrain-transected juvenile rats, subsequent complete transection at the level of the rostral end of the VII nucleus increased fE but did not affect the overall pattern of breathing. Thus, following these midbrain and midpontine transections: (i) an alternating pattern of inspiratory and expiratory activity remained; (ii) fentanyl could still induce quantal breathing; and (iii) the Breuer-Hering reflexes remained robust. These results indicates that expiratory rhythm is suppressed by pontine structures rostral to the VII nucleus (with the noradrenergic A5 group a likely source of inhibition; Errchidi et al. 1991; Viemari et al. 2004) and that the respiratory rhythm generator(s) lie more caudal. Subsequent transection through the caudal end of the VII nucleus eliminated EMGABD bursts, but rhythmic inspirations continued. These transections would have cut the ventral respiratory column (Alheid et al. 2002) at the level of the RTN/pFRG (Feldman et al. 2003; Onimaru & Homma, 2003).
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We consider unlikely the possibility that damage to structures just caudal to the cut that eliminated expiratory activity (Fig. 7C), in particular to the BtC, could explain our results. (i) We did not observe any pathology in the BtC during histological examination (Fig. 7C, inset), although we cannot rule out subtle damage. (ii) BtC neurones are (predominately) glycinergic interneurones (Schreihofer et al. 1999; Ezure et al. 2003) and exert widespread (often monosynaptic) inhibition on respiratory pre- and motoneurone (Bianchi et al. 1995). We are unaware of any data that show that these neurones provide excitatory inputs to expiratory motoneurones or are rhythmogenic.
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We conclude that vital components of the E-rhythm generator are within or rostral to RTN/pFRG and that the I-rhythm generator is located more caudally, presumably in the preBtC (Smith et al. 1991; Feldman et al. 2003). That there may be two rhythm generators is consistent with comparative data suggesting an emergence of a second rhythm generator with a major evolutionary transition in breathing, either from water to air breathing in vertebrate (Mellen et al. 2003; Vasilakos et al. 2005) or with the origin of the diaphragm in mammals (Feldman et al. 2003; Mellen et al. 2003; Vasilakos et al. 2005).
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Mice with neuroanatomical defects affecting RTN/pFRG exhibit breathing problems. Neuroanatomical defects in mice resulting from the Hoxa1–/– or Krox-20–/– mutations result in deletion or pathology of the region containing RTN/pFRG (Jacquin et al. 1996; del Toro et al. 2001; Borday et al. 2004). These mutant mice die within 24 h after birth due to prolonged apnoeas. Naloxone administered during the first 48 h after birth eliminates these apnoeas, ensuring long-term survival of Krox-20–/– mutants and some Hoxa1–/– mutants (Jacquin et al. 1996; del Toro et al. 2001). The respiratory disturbances in Krox-20–/– mice were proposed to be due to a pathology or deletion of an ‘anti-apnoea’ (Jacquin et al. 1996) centre, most likely the RTN/pFRG (Borday et al. 2004), which promotes breathing immediately after birth. We suggest that in these Hoxa1–/– and Krox-20–/– mice, endogenous opiates released at birth (Grunstein et al. 1981; Hazinski et al. 1981; Chernick & Craig, 1982; Jansen & Chernick, 1983) depress the opiate-sensitive preBtC (Gray et al. 1999) leading to death by asphyxia in the absence of an alternative source of respiratory rhythm or the relief of this antagonism by naloxone. Thus, in normal mice, an opiate-insensitive rhythm generator in RTN/pFRG could play a critical role in assuring an adequate breathing pattern immediately after birth when there is a surge of endogenous opiates (Grunstein et al. 1981; Hazinski et al. 1981; Chernick & Craig, 1982; Jansen & Chernick, 1983) that wanes shortly thereafter (Hazinski et al. 1981).
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Alternatively or in addition, the depressed breathing in these newborn mutant mice could be due to the loss of a critical tonic drive. In the RTN, there are chemosensitive, glutamatergic neurones (Mulkey et al. 2004) that would respond to an apnoea-induced increase in PCO2 (Guyenet et al. 2005). In normal mice, their activation would increase tonic respiratory drive to preBtC neurones, acting to prevent apnoea. Absence or significant reduction of this CO2-dependent drive in Krox-20–/– and Hoxa1–/– mice as a result of their RTN dysfunction could significantly contribute to their breathing problems at birth that would be relieved by the disinhibitory effects of naloxone on opiate-depressed preBtC neurones.
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Depression of preBtC function can also be induced by targeted deletion of preBtC neurokinin 1 receptor expressing neurones (Gray et al. 2001). In adult rats, partial ablation of preBtC neurones induces central apnoeas during sleep (McKay et al. 2005) that are common in humans, especially in the elderly. The possibility that the RTN/pFRG acts to prevent/reduce these central apnoeas during sleep in adults, especially when preBtC function is partially compromised, follows from its proposed role in early postnatal life as a critical source of respiratory drive.
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Neurones driving the E-rhythm generator
On the basis of the location, firing pattern, and resistance to opioids of pre-I neurones (Onimaru et al. 1988, 1997; Ballanyi et al. 1999; Takeda et al. 2001; Mellen et al. 2003), we propose that these neurones are the E-rhythm generator kernel. Pre-I (as well as inspiratory and expiratory) neurones are routinely recorded in the RTN/pFRG in vitro in 0–4 days old rodents (Onimaru & Homma, 2003). Recordings of pre-I neurones in adult mammals have been problematical (Connelly et al. 1990; Schwarzacher et al. 1995; Guyenet et al. 2005). The majority of them are located within 150 μm of the ventral medullary surface of the medulla in neonatal (Onimaru & Homma, 2003) and adult (Ellenberger & Feldman, 1990) rat; therefore, it may be easier to find them when approaching from the ventral surface of the medulla (Connelly et al. 1990; Onimaru & Homma, 2003) than when using a dorsal approach (Guyenet et al. 2005). In adult chloraloze–urethane anaesthetized cats with robust expiratory activity, inspiratory, expiratory and respiratory-modulated double bursting neurones are found in the RTN (Connelly et al. 1990). The later neurones have one burst spanning the end of inspiration through the beginning of postinspiration and a second burst during active expiration (Connelly et al. 1990); see also (Schwarzacher et al. 1995). The firing pattern of these neurones is similar but not identical to that of pre-I neurones in neonates in vitro; thus it is not certain whether they are the same neurones at a different stage of development (Ballanyi et al. 1999). In contrast, pre-I, inspiratory and expiratory neurones are not found in the RTN of halothane-anaesthetized adult rats breathing a hyperoxic gas mixture (Guyenet et al. 2005); however, we have not observed active expirations in rats under such experimental conditions (unpublished observation). We suggest that this observation is not simply a correlation and that rhythmicity in the RTN/pFRG is causal to the robustness of the expiratory motor activity. We postulate that bursts of expiratory motor activity originate from rhythmically active neurones in the RTN/pFRG, whereas when expiratory motor activity is weak or tonic, it is because these neurones are no longer rhythmic, and, in this case, the predominately inspiratory rhythm is driven by the preBtC.
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Opioid-resistant pre-I neurones project to opioid-resistant bulbospinal premotoneurones in the caudal ventral respiratory column that drive abdominal muscle motoneurone (Janczewski et al. 2002). This pathway can account for the opioid-resistant bursts of EMGABD activity we observed. Moreover, in response to opioids, inspiratory motor output is eliminated after preBtC inspiratory neurones are depressed below their firing threshold; yet, these neurones still receive subthreshold excitatory/inhibitory synaptic drives, presumably from pre-I neurones (Mellen et al. 2003). These data support the hypothesis that fentanyl-induced quantal breathing is due to depression of the I-rhythm generator in the preBtC, which continues to receive excitatory and inhibitory inputs from the E-rhythm generator that can still trigger inspiratory bursts of activity. In en bloc preparations, rhythmic bursting of pre-I neurones appears to be initiated in the RTN/pFRG (Onimaru & Homma, 2003). This location and their hypothesized role in generating expiratory rhythm are in accord with our finding that transection through the VII nucleus eliminated expiratory activity.
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Our hypothesis that pre-I neurones are the key constituents of the E-rhythm generator differs from the originally proposed role of these neurones as necessary and sufficient for the generation of the respiratory rhythm (Onimaru et al. 1988; Onimaru & Homma, 2003).
During quantal slowing of breathing in the juvenile rats, every inspiration is preceded by an EMGABD burst, but some EMGABD bursts are not followed by inspiratory activity (Figs 1–6). We suggest that the E-rhythm generator paces the respiratory network when the excitability of the I-rhythm generator is low and that of the E-rhythm generator is high, such as in in vitro en bloc preparations or in intact rodents exposed to opiates. Other conditions that suppress the I- but not the E-rhythm generator should result in fI < fE. Indeed, partial ablation of preBtC neurones in awake adult goats can result in inspiratory apnoea with rhythmic abdominal activity (Wenninger et al. 2004). Moreover, in awake infants and young children, sudden noxious stimuli can cause inspiratory apnoea with persistence of rhythm in abdominal muscles (Southall et al. 1985).
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However, we suggest that the E-rhythm generator does not pace respiratory rhythm when the excitability of the I-rhythm generator is normal or elevated, or the E-rhythm generator is depressed, as might be the case in anaesthetized mammals at CO2 levels just above threshold to produce inspiratory activity (Guyenet et al. 2005) but not active expiration. Values of fI/fE > 1 in response to extra excitation of inspiratory activity, elicited by lung deflation or a low dose of naloxone, indicate that the I-rhythm generator is capable of generating faster rhythms than the E-rhythm generator. This effect of naloxone is likely to be mediated by preBtC neurones that express μ-opiate receptors (Gray et al. 1999; Manzke et al. 2003).
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When several inspirations followed an EMGABD burst, the one immediately succeeding the burst had a larger amplitude (Fig. 5), which is consistent with an excitatory role of pre-I neurones on one subpopulation of inspiratory neurones (Onimaru et al. 1997) and also with the hypothesis that they are not essential to drive inspiratory activity.
Coordination of two-rhythm generators
The coordination of respiratory pattern will rely on, in addition to whatever direct interactions there are between the two hypothesized rhythm generators, shared inputs, such as from peripheral afferents, neuromodulatory systems, e.g. substance P, serotonin and norepinephrine, and common descending inputs related to emotion, volition, etc. An example in this study of a key peripheral afferent coordinating the respiratory pattern is vagal afferents underlying the Breuer-Hering reflexes.
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In summary, we hypothesize that the respiratory network is composed of two separate rhythm generators, with one or the other capable of dominating the behaviour by generating a faster rhythm depending on their relative levels of excitability, which may vary with state, chemoreceptor drive, afferent input, and development in intact mammals, and with details of experimental preparation in laboratory studies.
Supplemental material
, http://www.100md.com The online version of this paper can be accessed at: DOI: 10.1113/jphysiol.2005.098848
http://jp.physoc.org/cgi/content/full/jphysiol.2005.098848/DC1
and contains the following supplemental material:
Supplemental Fig. 1. Quantal pattern of breathing and reflex responses to positive (CPAP) and negative airway pressure in juvenile rat with intact vagi and given fentanyl
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Supplemental Video 1. Response to Breuer-Hering inflation reflex (CPAP, +4 and +9 cmH2O) during quantal pattern of breathing in an 8-day-old rat with intact vagi and given fentanyl
Supplemental Video 2. Response to Breuer-Hering deflation reflex (pressures, –1 and –4 cmH2O) during quantal pattern of breathing in an 8-day-old rat with intact vagi and given fentanyl
This material can also be found as part of the full-text HTML version available from http://www.blackwell-synergy.com
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