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      Perturbations of Respiratory Rhythm and Pattern by Disrupting Synaptic Inhibition within Pre-Bötzinger and Bötzinger Complexes123

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          The pre-Bötzinger (pre-BötC) and Bötzinger (BötC) complexes are the brainstem compartments containing interneurons considered to be critically involved in generating respiratory rhythm and motor pattern in mammals.

          Abstract

          The pre-Bötzinger (pre-BötC) and Bötzinger (BötC) complexes are the brainstem compartments containing interneurons considered to be critically involved in generating respiratory rhythm and motor pattern in mammals. Current models postulate that both generation of the rhythm and coordination of the inspiratory-expiratory pattern involve inhibitory synaptic interactions within and between these regions. Both regions contain glycinergic and GABAergic neurons, and rhythmically active neurons in these regions receive appropriately coordinated phasic inhibition necessary for generation of the normal three-phase respiratory pattern. However, recent experiments attempting to disrupt glycinergic and GABAergic postsynaptic inhibition in the pre-BötC and BötC in adult rats in vivo have questioned the critical role of synaptic inhibition in these regions, as well as the importance of the BötC, which contradicts previous physiological and pharmacological studies. To further evaluate the roles of synaptic inhibition and the BötC, we bilaterally microinjected the GABA A receptor antagonist gabazine and glycinergic receptor antagonist strychnine into the pre-BötC or BötC in anesthetized adult rats in vivo and in perfused in situ brainstem–spinal cord preparations from juvenile rats. Muscimol was microinjected to suppress neuronal activity in the pre-BötC or BötC. In both preparations, disrupting inhibition within pre-BötC or BötC caused major site-specific perturbations of the rhythm and disrupted the three-phase motor pattern, in some experiments terminating rhythmic motor output. Suppressing BötC activity also potently disturbed the rhythm and motor pattern. We conclude that inhibitory circuit interactions within and between the pre-BötC and BötC critically regulate rhythmogenesis and are required for normal respiratory motor pattern generation.

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          Most cited references43

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          Understanding the rhythm of breathing: so near, yet so far.

          Breathing is an essential behavior that presents a unique opportunity to understand how the nervous system functions normally, how it balances inherent robustness with a highly regulated lability, how it adapts to both rapidly and slowly changing conditions, and how particular dysfunctions result in disease. We focus on recent advancements related to two essential sites for respiratory rhythmogenesis: (a) the preBötzinger Complex (preBötC) as the site for the generation of inspiratory rhythm and (b) the retrotrapezoid nucleus/parafacial respiratory group (RTN/pFRG) as the site for the generation of active expiration.
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            Pre-Bötzinger complex: a brainstem region that may generate respiratory rhythm in mammals.

            The location of neurons generating the rhythm of breathing in mammals is unknown. By microsection of the neonatal rat brainstem in vitro, a limited region of the ventral medulla (the pre-Bötzinger Complex) that contains neurons essential for rhythmogenesis was identified. Rhythm generation was eliminated by removal of only this region. Medullary slices containing the pre-Bötzinger Complex generated respiratory-related oscillations similar to those generated by the whole brainstem in vitro, and neurons with voltage-dependent pacemaker-like properties were identified in this region. Thus, the respiratory rhythm in the mammalian neonatal nervous system may result from a population of conditional bursting pacemaker neurons in the pre-Bötzinger Complex.
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              Spatial and functional architecture of the mammalian brain stem respiratory network: a hierarchy of three oscillatory mechanisms.

              Mammalian central pattern generators (CPGs) producing rhythmic movements exhibit extremely robust and flexible behavior. Network architectures that enable these features are not well understood. Here we studied organization of the brain stem respiratory CPG. By sequential rostral to caudal transections through the pontine-medullary respiratory network within an in situ perfused rat brain stem-spinal cord preparation, we showed that network dynamics reorganized and new rhythmogenic mechanisms emerged. The normal three-phase respiratory rhythm transformed to a two-phase and then to a one-phase rhythm as the network was reduced. Expression of the three-phase rhythm required the presence of the pons, generation of the two-phase rhythm depended on the integrity of Bötzinger and pre-Bötzinger complexes and interactions between them, and the one-phase rhythm was generated within the pre-Bötzinger complex. Transformation from the three-phase to a two-phase pattern also occurred in intact preparations when chloride-mediated synaptic inhibition was reduced. In contrast to the three-phase and two-phase rhythms, the one-phase rhythm was abolished by blockade of persistent sodium current (I(NaP)). A model of the respiratory network was developed to reproduce and explain these observations. The model incorporated interacting populations of respiratory neurons within spatially organized brain stem compartments. Our simulations reproduced the respiratory patterns recorded from intact and sequentially reduced preparations. Our results suggest that the three-phase and two-phase rhythms involve inhibitory network interactions, whereas the one-phase rhythm depends on I(NaP). We conclude that the respiratory network has rhythmogenic capabilities at multiple levels of network organization, allowing expression of motor patterns specific for various physiological and pathophysiological respiratory behaviors.
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                Author and article information

                Journal
                eNeuro
                eNeuro
                eneuro
                eneuro
                eNeuro
                eNeuro
                Society for Neuroscience
                2373-2822
                02 May 2016
                13 May 2016
                Mar-Apr 2016
                : 3
                : 2
                : ENEURO.0011-16.2016
                Affiliations
                [1 ]Department of Neurobiology and Anatomy, Drexel University College of Medicine , Philadelphia, Pennsylvania 19129
                [2 ]Cellular and Systems Neurobiology Section, National Institute of Neurological Disorders and Stroke, National Institutes of Health , Bethesda, Maryland 20892
                [3 ]Department of Mathematics and Statistics, Georgia State University , Atlanta, Georgia 30302
                Author notes
                [1]

                The authors report no conflict of interest.

                [2]

                Author contributions: V.M., H.K., I.A.R., and J.C.S. designed research; V.M., H.K., B.M., T.G.B., and R.Z. performed research; H.K., N.K., M.F.T., R.Z., and Y.I.M. analyzed data; I.A.R. and J.C.S. wrote the paper.

                [3]

                This work was supported in part by the Intramural Research Program of the National Institutes of Health (NIH), National Institute of Neurological Disorders and Stroke, and NIH Grants R01 NS069220 and R01 AT008632

                [*]

                V.M. and H.K. contributed equally to this work.

                Correspondence should be addressed to Dr. Jeffrey C. Smith, 49 Convent Drive, Room 2A10, NINDS, NIH, Bethesda, MD 20892. E-mail: smithj2@ 123456helix.nih.gov .
                Author information
                http://orcid.org/0000-0001-8737-2541
                http://orcid.org/0000-0002-2952-8779
                http://orcid.org/0000-0001-6086-3332
                http://orcid.org/0000-0003-3461-349X
                Article
                eN-NWR-0011-16
                10.1523/ENEURO.0011-16.2016
                4867025
                27200412
                33db9aae-ad6c-4cfb-af8e-de591629135e
                Copyright © 2016 Marchenko et al.

                This is an open-access article distributed under the terms of the Creative Commons Attribution 4.0 International, which permits unrestricted use, distribution and reproduction in any medium provided that the original work is properly attributed.

                History
                : 16 January 2016
                : 15 April 2016
                : 18 April 2016
                Page count
                Figures: 15, Tables: 0, Equations: 0, References: 51, Pages: 23, Words: 12892
                Funding
                Funded by: NIH
                Award ID: R01 NS069220
                Funded by: NIH
                Award ID: R01 AT008632
                Funded by: NIH/NINDS
                Categories
                8
                New Research
                Sensory and Motor Systems
                Custom metadata
                March/April 2016

                bötzinger complex,brainstem,central pattern generation,pre-bötzinger complex,respiration,synaptic inhibition

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