The lateral respiratory neurones of the medulla: their associations with nucleus ambiguus, nucleus retroambigualis, the spinal accessory nucleus and the spinal cord

Cross-correlation of ventrolateral inspiratory neurons in the cat

The ventrolateral region in the medulla of cats was explored with pairs of microelectrodes with tip separations from 100 to 300 micron such that extracellular potentials of pairs of near-neighboring neurons were recorded simultaneously. At least one neuron of each pair was antidromically activated from the spinal cord. Cross-correlation histograms were computed and showed the existence of short-term synchronization of firing for 8 of 20 neuron pairs (40%). The primary feature of the cross-correlation histograms was, typically, asymmetrical peaks on each side of time zero. The peaks were dissimilar, one low and broad, the other high and narrow, and occurred within a millisecond of time zero. Poststimulus histograms computed for one of the pair, during antidromic activation of the other, indicated a possible interaction between the neurons in one case but not in another. The results are suggestive of neuronal interactions among the late-firing inspiratory neurons of the nucleus retroambigualis but are not conclusive.

Two descending medullary inspiratory pathways to phrenic motoneurones

Synaptic connections of the medullary inspiratory neurones of the nucleus tractus solitarius (NTS) and nucleus retroambigualis (NRA) with phrenic motoneurones were studied using spike triggered averaging of the synaptic noise of phrenic motoneurones. More than 60% of NTS inspiratory neurones made monosynaptic connections with phrenic motoneurones, while similar connections between NRA and phrenic motoneurones could be shown in less than 7% of studied neuronal pairs. Relations between cross-correlations and observed synaptic connectivity of the phrenic motoneurones are also discussed.

Electrophysiological and functional identification of different neuronal types within the nucleus ambiguus in the cat

Extracellular single neuron recording in nucleus ambiguus demonstrates the existence of different neuronal classes within its electrophysiological limits. Laryngeal motoneurons were identified by their antidromic activation from the recurrent laryngeal and vagus nerves. Interneurons were identified by their antidromic activation from the contralateral cervical spinal cord. Stimulation of the ipsilateral superior laryngeal nerve activated synaptically all laryngeal motoneurons recorded but not interneurons. Most motoneurons and all interneurons showed spontaneous discharges during the inspiratory phase of the respiratory cycle. A few expiratory motoneurons were also recorded. In addition to laryngeal motoneurons and interneurons vagal stimulation also activated a population of efferent neurons located in the nucleus ambiguus with firing patterns not related to respiration. Functional implications of described findings are discussed.

Nucleus tractus solitarii respiratory neurons in the chemoreceptor pathway activated by almitrine

In anaesthetized, paralysed and artificially ventilated dogs, activities were recorded from the phrenic nerve and from respiratory units within the nucleus tractus solitarii (NTS). The inspiratory neurons were classified according to their discharge pattern and their response to lung inflation. Two categories of cells with an augmenting discharge pattern were detected: the R alpha inspiratory neurons (18 units) inhibited by lung inflation and the R beta cells (10 units) activated by inflation. Prolonged stimulation of peripheral chemoreceptors by almitrine (50 micrograms/kg i.v.) induced an increase in the firing rate of R alpha and R beta inspiratory neurons. In addition almitrine stimulated R beta cells classified as expiratory-inspiratory units. Two expiratory neurons were found in the NTS and the firing rate of these cells was enhanced by almitrine. It is concluded that the NTS respiratory neurons are strongly involved in the chemoreceptor pathway activated by almitrine.

Central and proprioceptive influences on the activity of levator costae motoneurones in the cat

The role of central respiratory drive, muscle spindles and tendon organs in producing respiratory movements has been studied in the cat by recording from motoneurones supplying a set of small axial muscles inserted between each rib and the vertebra immediately rostral, the levatores costae. The levator costae muscles are active during normal inspiration but activity is progressively stronger in the muscles located in more caudal thoracic segments. Intracellular recordings from levator costae motoneurons show a characteristic central respiratory drive potential (c.r.d.p.), comprising phases of depolarization during inspiration alternating with expiratory phased hyperpolarization due to post-synaptic inhibition. Loading or unloading the levator costae muscles increases and decreases, respectively, their normal inspiratory activity. Electrophysiological and histological analysis of levator costae afferents reveals that each muscle contains three to five spindles and two to three tendon organs. By dissecting the levator costae nerve, afferent discharges from muscle spindle primary and secondary endings and those from tendon organs were recorded 'in continuity' and used to trigger an averager for analysing the synaptic potentials they evoke in levator costae motoneurones. Monosynaptic excitation and oligosynaptic inhibition originate from spindle (primary and secondary endings) and from tendon organ afferents respectively. Peculiarly a monosynaptic excitation has been evoked from a tendon organ. The action of the levator costae muscle on the respiratory movements of the ribs in the different thoracic spaces was analysed in relation to their anatomical properties and to the activity of the other respiratory muscles. The levator costae muscles, because of their relatively small size and well-defined population of proprioceptors, appear to provide a favourable preparation for studying the integrative action of the motoneurone.

Cholinoceptive properties of respiratory neurones in the rat medulla

The effects of iontophoretically applied acetylcholine, the acetylcholine agonists nicotine and muscarine, and the antagonists atropine, dihydro-beta-erythroidine (DH beta E) and mecamylamine, together with the excitatory amino acids, glutamate and D,L-homocysteic acid (DLH) were examined on the activity of respiratory-related neurones in the rat medulla and were compared with effects on non-respiratory brain stem neurones. Most neurones were excited by acetylcholine and no inhibitory responses were seen. Glutamate and DLH also excited but there was a trend for the phasic activity of respiratory neurones to be converted to a tonic discharge. Nicotine also excited most neurones to which it was applied and these responses were blocked by DH beta E but not by atropine. Muscarine also caused excitation and these responses were blocked by atropine but not by DH beta E. Both antagonists blocked acetylcholine-induced excitation but had no effect on responses to glutamate or DLH. Mecamylamine was without effect. It is concluded that the proportion of cholinoceptive respiratory neurones in the rat brain stem is similar to that for non-respiratory neurones. It seems likely that both nicotinic and muscarinic receptors are present on the majority of respiratory neurones and that both contribute to the response produced by iontophoretically-applied acetylcholine.

The source of the respiratory drive to nasolabialis motoneurones in the rabbit; a HRP study

Lower brainstem projections to the motoneurones of the nasolabialis muscles, which show rhythmic respiratory-phased activity were studied in the rabbit using the horseradish peroxidase (HRP) technique. The nasolabial motoneurone pool was first identified by the retrograde transport of HRP injected intramuscularly, and by antidromic stimulation and microelectrode recording techniques. The results from subsequent iontophoretic injection of HRP into the lateral division of the facial nucleus (the nasolabial pool) produced significant ipsilateral labelling in the nucleus ambiguus-retroambigualis (NA-NRA) complex. Labelled cells, predominantly ipsilateral, were also consistently observed in the parvocellular reticular nucleus. Smaller numbers of labelled cells were identified in the ventral, dorsal and gigantocellular nuclei of the reticular formation on both sides of the medulla. A large proportion of HRP-labelled cells of the NRA was located in the caudal medulla where the presence of propriobulbar and bulbospinal respiratory neurones has been well documented. These results suggest that some neurones of the NA-NRA complex may serve as upper respiratory motoneurones to the nasolabial musculature.

Central respiratory drive and recruitment order of phrenic and inspiratory laryngeal motoneurones

Central respiratory drive and recruitment order of phrenic motoneurones and inspiratory laryngeal motoneurones were studied in anaesthetized, paralyzed and artificially ventilated cats. Unitary activities of pairs of motoneurones originating from the same population were recorded on thin filaments. Differences of recruitment during inspiration enabled distinction to be made between early (E) and late (L) recruited motoneurones. 'On-line' cross-correlation analyses were performed on either homogeneous pairs (2E or 2L) or heterogeneous pairs (1E and 1L). In 14/30 pairs of phrenic motoneurones and 26/32 pairs of inspiratory laryngeal motoneurones cross-correlation analysis revealed a bell-shaped increase of probability of firing whose characteristics indicate synchronization by central shared excitatory inputs originating from central respiratory drive. For phrenic motoneurones synchronization appeared mainly in homogeneous pairs (2E:7/11; 2L:5/9) whereas motoneurones of heterogeneous pairs rarely shared the same central respiratory drive (2/10). For inspiratory laryngeal motoneurones, cases of synchronization were equally obtained in homogeneous (2E:8/10; 2L:14/16) and heterogeneous (4/6) pairs. These results suggest that differences of recruitment order during inspiration are related: (i) for phrenic motoneurones, partly to differences of excitability but mainly to a dual central respiratory drive which is assumed to divide the population into two components; (ii) for inspiratory laryngeal motoneurones to differences of excitability since all the motoneurones share the same drive.

Bulbo-spinal respiratory effects originating from the splanchnic afferents

Phrenic nerve responses to non-hypertensive stimulation of the visceral afferents originating from the pancreatico-duodenal area and running along the greater splanchnic nerve were studied on cats anaesthetized with sodium thiopentone, paralysed with gallamine and vagotomized. In these intact animals, a biphasic response, short activation followed by a long inhibition, was recorded in the phrenic nerve. In animals then spinalized between C1 and C2 this splanchnico-phrenic reflex persisted. The latency of the first phase was unchanged, but its amplitude increased. In intact animals, the unitary activity of 16 inspiratory neurons and 10 expiratory neurons was recorded in the part of the medulla oblongata corresponding to the ventral respiratory group. Simultaneously the overall activity of the contralateral phrenic nerve was recorded. The stimulation of splanchnic afferents caused a long inhibition of the bulbar inspiratory neurons and an activation of the expiratory neurons. The latency of the bulbar inhibition was consistently less than the latency of the phrenic inhibition. The fact that this reflex effect persisted in spinal animals with an activation phase of the same latency proves that the bulbar centres and the phrenic motoneurons are independently connected to the splanchnic afferents. The possible functional significance of the reflex is discussed.

Response of medullary respiratory neurons to rostral pontine stimulation

Respiratory neuron activity was recorded with microelectrodes in the vicinity of the nucleus tractus solitarius (NTS) and the rostral portion of nucleus retroambigualis (rNRA) in pentobarbital anesthetized cats with bilateral pneumothorax. Inspiratory NTS neurons receiving facilitatory volume inputs (inspiratory beta neurons) had short latency responses to threshold electrical stimulation in the ipsilateral vagus, but rarely to stimulation of the inspiratory inhibitory region of the rostral pons (pneumotaxic areas), suggesting that beta neurons do not appear to be the site of convergence of inspiratory inhibitory inputs. Inspiratory neurons in the rNRA did not have short latency facilitatory responses to vagal stimulation, but 15% responded to pneumotaxic area stimulation. One-third of the rNRA inspiratory neurons appeared to have spinal axons. None of those with spinal axons responded to pneumotaxic stimulation. Pneumotaxic area stimulation did consistently cause short latency evoked potentials in the rNRA. It is concluded that some rNRA-area propriobulbar inspiratory neurons may play a role in inspiratory inhibition by pneumotaxic mechanisms.

Efferent projections of the A1 catecholamine cell group in the rat: an autoradiographic study

Efferent connections of the region of the A1 catecholamine cell group were investigated by the anterograde autoradiographic method in rats, some of which had been pretreated with intraventricular injections of 6-hydroxydopamine (6-OHDA). Spinal projections were further studied by combining histofluorescence and horseradish peroxidase staining in the same sections. Projections from the A1 region ascend through the lateral hypothalamus to the bed nucleus of the stria terminalis, the medial preoptic area, and several hypothalamic nuclei: the dorsomedial nucleus, the dorsal hypothalamic area, the paraventricular and supraoptic nuclei, and the median eminence. These projections are predominantly ipsilateral. Since they are sensitive to 6-OHDA, they presumably arise from catecholamine cells of the A1 group. Other pathways are not noticeably affected by 6-OHDA. These include projections through the reticular formation to the contralateral nucleus ambiguus, the ipsilateral facial nucleus, and the Kölliker-Fuse nuclei, the parabrachial nuclei and the periaqueductal gray on both sides, as well as the intralaminar nuclei of the thalamus. These pathways probably do not arise from the A1 group, although a minor noradrenergic component cannot be ruled out. Spinal projections extend to the intermediolateral cell column and the ventral horn, and especially to the phrenic motor nucleus. However, these projections arise almost exclusively from non-catecholamine cells. Only a small minority of the fluorescent A1 cells are retrogradely labeled after injections of HRP into the upper thoracic spinal cord. They lie at the level of the pyramidal decussation. Likewise only a few fluorescent cells of the A2 group are labeled. Although the A1 and A2 groups were long thought to be principal sources of spinal norepinephrine, a review of the literature shows that this belief was based on equivocal evidence.

Ambiguus motoneurons discharging closely associated with ultrasonic vocalization in rats

Unitary discharges closely associated with ultrasound were recorded from the nucleus ambiguus (NA) and adjacent medullary regions in rats. Two main types of units were distinguished: one firing in tonic bursts against little or no background activity prior to ultrasound emission, and the other remaining silent during ultrasound. Tonic burst units in NA are considered as motoneurons which are essential for ultrasound vocalization since lesions including NA completely abolished its production.

Power spectral analysis of inspiratory nerve activity in the decerebrate cat

To investigate the high frequency oscillations observed in the inspiratory activity of respiratory motor nerves of decerebrate cats, we applied a signal processing technique, power spectral analysis, to the electrical activity of the phrenic and recurrent laryngeal nerves. We found two peaks in the phrenic nerve power spectral densities, one at 88.1 +/- 6.4 Hz (mean +/- S.D.) and the other at 37.1 +/- 9.7 Hz, and two peaks for the recurrent laryngeal nerve, at 87.4 +/- 10.1 Hz and at 55.4 +/- 5.1 Hz. We identified 3 factors affecting the peaks. Anesthetics reduced or eliminated the 88 Hz peak and produced new low frequency peaks in the phrenic and recurrent laryngeal nerves. Increasing end-tidal CO2 decreased the bandwidth of the 88 Hz peak and increased its amplitude relative to that of the low frequency peak. Decreasing body temperature from 38 to 30 degrees C reduced the frequency of the 88 Hz peak by 5.0 Hz/degrees C. The power spectral density of the phrenic nerve activity differed from that of the recurrent laryngeal nerve activity because the single fibers in each nerve had different power spectral densities. About 70% of the fibers recorded in a nerve had power spectral densities similar to that of the whole nerve. A minority of the phrenic nerve fibers had the same low spectral peak as the recurrent laryngeal nerve, and conversely, a minority of the recurrent laryngeal fibers had the same low spectral peak as the phrenic nerve. Bilateral removal of the dorsal respiratory group eliminated the high frequency peak in the power spectral density of the phrenic nerve and the peripheral reflexes, but rhythmic bursts of inspiratory activity remained. From these findings we hypothesized that there are two central respiratory pattern generators in the brain stem with parallel pathways to the respiratory motoneurons.

Time course effects of soman on acetylcholine and choline levels in six discrete areas of the rat brain

The time course of changes in rat brain levels of acetylcholine (ACh) and choline (Ch) was investigated following a single SC injection of soman (0.9 LD50, 120 micrograms/kg) to understand the relationship between central neurotransmitter alteration and soman toxicity. Of the animals exposed to the dose of soman, 46% died within 24 h, with maximum mortality occurring during the first 40 min following soman administration. In a second group, surviving rats were killed at various times after treatment by a beam of focused microwave radiation to the head, and ACh and Ch levels were determined by gas chromatography-mass spectrometry. Soman produced a maximal ACh elevation in the brain stem at 20 min (34.4%), in cerebellum at 40 min (51.9%), in cortex and striatum at 2 h (320.3% and 35.2%, respectively), and in hippocampus and midbrain at 3 h (94.5% and 56.8%, respectively). ACh levels remained above normal approximately 30 min in the brain stem; 2 h in the midbrain, cerebellum, and striatum; 8 h in the cortex; and 16 h in the hippocampus. Ch levels were elevated in all areas except the striatum. Ch maxima occurred at 10-40 min and returned to control levels approximately 3 h after injection. Results suggest that perturbation of ACh levels due to soman was not uniform throughout the brain and that soman toxicity may reflect ACh changes in multiple areas, rather than changes in any given area. These data further suggest a possible relationship between elevated Ch levels and soman toxicity.

Nucleus retroambigualis respiratory neurons: responses to intercostal and abdominal muscle afferents

Studies were performed on anesthetized (Dial), paralyzed, vagotomized, artificially ventilated cats. Phrenic efferent activity, ventral respiratory group neuron activity in the region of the nucleus retroambigualis and, in some instances, thoracic dorsal root compound action potentials were recorded during electrical stimulation of intercostal nerve afferents (INS). Phrenic activity and inspiratory (I) neurons were inhibited by stimulating external, internal and lateral intercostal nerve afferents. Some expiratory (E)-neurons were also inhibited by these afferents. No I or E-neurons were facilitated with INS. Changes in I and E activity were correlated with muscle proprioceptor and cutaneous receptor afferent fibers. It is concluded that the dominant effect of intercostal and abdominal muscle proprioceptive afferent information on medullary respiratory activity in inhibition of inspiratory activity.

Sleep apnea and hypoventilation syndrome associated with acquired nonprogressive dysautonomia: clinical and pathological studies in a child

A 6-year-old girl had subacute onset of hypoventilation and apnea during sleep. Diffuse dysautonomic changes were identified, including dilated, nonreactive pupils, decreased tearing and sweating, and abnormal temperature and cardiovascular control. All-night polysomnographic studies revealed frequent obstructive and central sleep apnea episodes. Her serum contained cytotoxic antineuroblastoma immunoglobulins. She died two years later during sleep. The general pathological examination revealed a ganglioneuroma originating in the sympathetic ganglia. Abnormalities in the brain were confined to the brainstem and consisted of complete loss of neurons with severe fibrillary gliosis in the region of the Edinger-Westphal nuclei as well as loss of neurons with gliosis in the locus ceruleus and in the reticular formation bilaterally.

Brain stem projections of sensory and motor components of the vagus complex in the cat: I. The cervical vagus and nodose ganglion

The motor and sensory connections of the cervical vagus nerve and of its inferior ganglion (nodose ganglion) have been traced in the medulla oblongata of 32 adult cats with the neuroanatomical methods of horseradish peroxidase (HRP) histochemistry and amino acid autoradiography (ARG). In 14 of these subjects, an aqueous solution of HRP was applied unilaterally to the central end of the severed cervical vagus nerve. In 13 other cases, HRP was injected directly into the nodose ganglion. Three of these 13 subjects had undergone infranodose vagotomy 6 weeks prior to the HRP injection. A mixture of tritiated amino acid was injected into the nodose ganglion in five additional cats. The retrograde transport of HRP yielded reaction product in nerve fibers and perikarya of parasympathetic and somatic motoneurons in the medulla oblongata. Furthermore, a tetramethyl benzidine (TMB) method for visualizing HRP enabled the demonstration of anterograde and transganglionic transport, so that central sensory connections of the nodose ganglion and of the vagus nerve could also be traced. The central distribution of silver grain following injections of tritiated amino acids in the nodose ganglion corresponded closely with the distribution of sensory projections demonstrated with HRP, thus confirming the validity of HRP histochemistry as a method for tracing these projections. The histochemical and autoradiographic experiments showed that the vagus nerve enters the medulla from its lateral aspect in multiple fascicles and that it contains three major components--axons of preganglionic parasympathetic neurones, axons of skeletal motoneurons, and central processes of the sensory neurons in the nodose ganglion. Retrogradely labeled neurons were seen in the dorsal motor nucleus of X(dmnX), the nucleus ambiguus (nA), the nucleus retroambigualis (nRA), the nucleus dorsomedialis (ndm) and the spinal nucleus of the accessory nerve (nspA). The axons arising from motoneurons in the nA did not traverse the medulla directly laterally; rather, all of these axons were initially directed dorsomedially toward the dmnX, where they formed a hairpin loop and then accompanied the axons of dmnX neurons to their points of exit. Afferent fibers in the vagus nerve reached most of the subnuclei of the nTS bilaterally, with the more intense labeling being found on the ipsilateral side. Labeling of sensory vagal projections was also found in the area postrema of both sides and around neurons of the dmnX. These direct sensory projections terminating within the dmnX may provide an anatomical substrate for vagally mediated monosynpatic reflexes. Following deefferentiation by infranodose vagotomy 6 weeks prior to HRP injections into the nodose ganglion, a number of neurons in the dmnX were still intensely labeled with the HRP reaction product. The axons of these HRP-labeled perikarya may constitute the bulbar component of the accessory nerve.

Familial fatal Parkinsonism with alveolar hypoventilation and mental depression

The clinical, pathological, and neurochemical characteristics of a newly recognized inherited neurological disorder are reported. Lethargy and mental depression are early symptoms, followed by mild parkinsonism and progressive weight loss. Failure of automatic respiratory control develops and may result in sudden death. Advanced degeneration of the substantia nigra, cell loss and gliosis of the basal ganglia, and focal gliosis in the medulla are seen on pathological study. Degeneration of the nigrostriatal dopaminergic system is evidenced by low levels of tyrosine hydroxylase, dopamine, homovanillic acid, and L-dopa decarboxylase in postmortem brain samples. Taurine concentrations in fasting plasma and CSF are somewhat depressed; brain contents of taurine are within normal limits.

Separate medullary pathways mediatiating reflex vagal bradycardia to stimulation of buffer nerves in the cat

In this investigation of medullary pathways mediating reflex vagal bradycardia to stimulation of buffer nerves, four series of experiments were done in 37 cats anesthetized with chloralose, paralyzed and artificially ventilated. In the first series using animals in which the contralateral vagus was sectioned and the spinal cord was transected at C2, simultaneous stimulation of the aortic depressor (ADN) and carotid sinus (CSN) nerves elicited a bradycardia of magnitude not significantly different from the algebraic sum of the responses elicited by stimulation of the two buffer nerves separately, suggesting the existence of two separate central pathways mediating vagal bradycardia. In the second series, in spinal unilaterally vagotomized animals, lesions of the nucleus ambiguus (AMB) selectively attenuated the ADN reflex vagal bradycardia but not the CSN response; on the other hand, lesions of the external cuneate nucleus (ECN) attenuated the reflex vagal bradycardia elicited by stimulation of the CSN, but did not alter the ADN response. In the third series of experiments, 153 spontaneously firing single units in the region of the AMB and 98 in the region of the ECN were tested for responses to ADN and CSN stimulation. In the AMB 42% of the responsive units were excited only by stimulation of the ADN, 25% were activated only by stimulation of the CSN and 33% were activated by stimulation of both buffer nerves. Of the single units in the ECN region 85% were excited only by stimulation of the CSN, 15% during stimulation of both the CSN and ADN and none responded to stimulation of only the ADN. In the final series, electrical stimulation of the ECN evoked antidromic compound action potentials in the CSN but not in the ADN. Electrical stimulation of the AMB did not evoke antidromic activity in either the CSN or ADN. These studies provide evidence for the existence of two separate medullary pathways mediating the vagal reflex bradycardia to stimulation of the ADN and CSN.

Behavior of expiratory neurons in response to mechanical and chemical loading

The response of medullary expiratory neurons to added mechanical and chemical loads was studied in anesthetized cats. Alterations in burst characteristics and central timing were compared in the intact and bilaterally vagotomized cat. The following results were obtained: (1) Graded expiratory airflow resistances caused progressive increases in burst duration, spikes per burst and firing rate; similar effects were noted for end-inspiratory tracheal occlusions and continuous positive breathing; all facilitation was eliminated by vagotomy. (2) Graded inspiratory airflow resistances delayed the onset of an expiratory burst but did not change the overall burst characteristics. (3) Acute hypercapnia increased ventilation without noticeable changes in expiratory burst characteristics; acute hypoxia produced a reduction in burst duration concomitant with changes in ventilation. It is concluded that (1) expiratory neurons are responsive to vagally mediated volume information and (2) transient hypoxia and hypercapnia sufficient to increase ventilation does not increase the firing rate of expiratory neurons but exerts differential effects with respect to timing. It is suggested that expiratory duration is related to the time integral of expired volume and that the increase in FRC imposed by expiratory loads does not alter the central timing of the next inspiration.

Pentobarbitone effects on respiration related units; selective depression of bulbopontine reticular neurones

Respiration related units (RRUs) were recorded in cats, locally anesthetized, vagotomized and immobilized, under two different experimental conditions: (1) receiving pentobarbitone intravenously at a dose inducing slight but highly significant changes in phrenic discharge; (2) unanesthetized, with a spinal section at C6. RRU characteristics were analysed in unitary volumes constituted by cubes of a matrix including the brain stem. Four parameters of RRU discharges were compared in cubes = RRU density (RRUD), RRU proportion and two indices of respiratory modulation. Cubes were sampled in: (1) dorsal and ventral bulbar respiratory nuclei, (2) pneumotaxic centre (PC), and (3) seven fields of the bulbopontine and mesencephalic reticular formation. Using the paired sample method for comparing data cube by cube in the two conditions it was shown that under pentobarbitone, RRU activity was profoundly depressed in the reticular formation surrounding dorsal and ventral bulbar respiratory nuclei, in the region bridging the gap between these and the pneumotaxic centre and extending from the pneumotaxic level to the decussation of the brachium conjunctivum. In contrast RRU activity was unchanged at the level of dorsal and ventral bulbar respiratory nuclei and in the nucleus parabrachiallis medialis (NPBM) and was increased in the Kölliker-Fuse nucleus (KF). In the mesencephalic reticular formation, increased activity was observed for non-modulated units and to a larger extent for units driven by the bulbopontine respiratory system.

Catecholaminergic depressant effects on bulbar respiratory mechanisms

On the basis of histochemical and pharmacological studies, catecholamines have been implicated in central mechanisms controlling respiration. This hypothesis was tested in iontophoretic studies on neurones located in bulbar respiratory centres. Adrenaline and noradrenaline had a predominantly depressant effect on respiratory as well as on closely situated non-respiratory units. These depressions were mimicked by the application of isoproterenol and clonidine; acetylcholine and serotonin had inconsistent effects on these neurones. In control experiments, microinjections, using a Hamilton syringe, were made in the area of bulbar respiratory centres: noradrenaline, but not serotonin, depressed the central respiratory activity reflected in the phrenic nerve discharge. These results suggest that specific adrenergic and noradrenergic depressant mechanisms could affect both respiratory and other physiological centres at the bulbar level.

Effects of opiates and methionine-enkephalin on pontine and bulbar respiratory neurones of the cat

The effects of microelectrophoretically applied opiate agonists and the antagonist naloxone have been investigated on extracellularly recorded neurones in pontine and bulbar respiratory centers of the cat. Morphine, levorphanol and methionine-enkephalin depressed the spontaneous discharge of respiration related units and the firing induced in these cells by phoretically applied L-glutamate. The rhythmic pattern of these neurones was modified, in such a way that basal activity was hardly affected while peak frequency was markedly reduced. These effects are mediated via stereospecific opiate receptors, since they were antagonized by naloxone and not mimicked by the D+ enantiomer of levorphanol, dextrophan. The few excitations observed following opiate agonist application were not antagonizable by naloxone. These data may provide a basis for the explanation of the depressant effect on central respiratory rhythm of systemically injected opiates which have been obtained in control experiments. The results are interpreted in terms of opiates lowering excitatory synaptic efficacy.

Changes in extracellular potassium during the spontaneous activity of medullary respiratory neurones

In 34 cats, the changes in extracellular potassium ion activity (aK) and extracellular spike activity within the pool of respiratory neurones in the dorsormedial and ventrolateral medulla were recorded using microelectrodes filled with a liquid potassium ion exchange resin. Cyclic changes in aK which parallel central respiratory activity were restricted to those regions where respiratory neurones are known to be localized. The largest changes in aK (0.1--0.3 mmol . 1(-1)) were found within the ventral pool of inspiratory neurones. The aK increased during inspiration in parallel with the pattern of phrenic nerve activity. The smallest changes in aK (0.02--0.06 mmol . 1(-1)) were observed within the ventral pool of expiratory neurones. Here, aK showed a transient increase during both inspiration and expiration. Within the dorsal pool of inspiratory neurones, small fluctuations of aK were observed paralleling phrenic nerve activity and the afferent discharge of the intact vagal nerves. After the vagal nerves were cut, the changes in aK then paralleled phrenic nerve activity. The variations in aK within the ventral pool of respiratory neurones did not change after bilateral section of vagal nerves. Repetitive stimulation of the vagal nerves (0.1--0.5 V, 0.05 ms) produced an increase in aK only within the dorsal pool of inspiratory neurones, whereas repetitive spinal cord stimulation (5--10 V, 0.05 ms) resulted in an increase of aK within the ventral pool of respiratory neurones. The amplitude of the cyclic changes in aK increased significantly whenever the electrode approached individual respiratory neurones as verified by the amplitude and shape of the spikes recorded by the reference barrel. The maximal changes in aK then reached a peak amplitude of 1.3--1.5 mmol . 1(-1), the pattern of aK changes resembling that measured within the pools of neurones. The aK started to rise prior to the discharge of action potentials, indicating that the efflux of K + -ions was produced as a consequence of synaptic transmission. The functional importance of these changes in extracellular potassium is discussed.

The recruitment times and firing patterns of the medullary respiratory neurones of the cat

The brainstem of anaesthetized cats was explored for respiratory neurones with microelectrodes in the regions of the nucleus retroambigualis (ventrolateral region) and the nucleus tractus solitarius (dorsomedial region). These neurones were analysed with respect to their firing patterns and recruitment times, as referenced to the respiratory cycle. All of the respiratory neurones showed a stable and ordered pattern of firing. Four groups of neurones with similar characteristics within each group, but differing from each other, were statistically examined; the inspiratory neurones of the dorsomedial region, the 'late' inspiratory neurones of the ventrolateral region, the 'early' inspiratory neurones of the ventrolateral region and the expiratory neurones of the ventrolateral region.

On the transmission of the stimulating effects of carbon dioxide to the muscles of respiration

1. Electromyography was used to measure the response of the diaphragm and intercostal muscles to CO2 in artificially ventilated decerebrate cats. 2. Hypocapnia produced tonic activity in either inspiratory or expiratory muscles or both, according to the preparation. 3. A graded effect of CO2 on both rhythmic and tonic activity was observed and for the latter this could be seen at as low as 10 torr PA,CO2. 4. In one human subject tonic firing of expiratory motoneurones was also induced by hypocapnia and this activity showed a graded increase with increasing (CO2. 5. A saggital incision of the medulla aimed at interrupting inspiratory bulbospinal axons abolished activity in inspiratory muscles and at eupnoeic levels of CO2 converted the activity of expiratory muscles from a periodic to a topic firing pattern. 6. Following such lesions the threshold for rhythmic excitation of expiratory muscles was elevated and this revealed that the graded effect of CO2 on tonic expiratory activity extends to as high as 60 torr. 7. The tonic activation of respiratory muscles in response to CO2 ceased after cervical cord transection or when the saggital incision in the medulla was extended caudally to the first cervical segment. 8. It is concluded that the CO2 dependent activation of spinal respiratory motoneurones is conveyed by bulbospinal axons which decussate in the vicinity of the obex and that this activation can be rhythmic or tonic. 9. It is suggested that the rhythmic excitation of expiratory muscles derives from a periodic inhibition of expiratory bulbospinal neurones which are subjected to a tonic CO2 dependent excitation which is continuously variable over the physiological range.

Properties of apneusis produced by reversible cold block of the rostral pons

Reversible cold block of the rostral pons was used to compare properties of normal and apneustic respiration in anesthetized, vagotomized, artificially ventilated cats. During apneusis we observed high frequency oscillations (HFO) in phrenic nerve activity which were reduced in frequency compared with those during a normal inspiration. Apneusis produced by mid-pontine transection or punctate pneumotaxic center (PC) lesion produced similar HFO changes. The minimal intensity of superior laryngeal nerve electrical stimulation needed to terminate a breath was higher early in an apneusis than at the same time during a normal breath. Later in apneusis the intensity required became constant and was approximately the same as that needed to end a normal inspiration at its natural termination. With intact vagi lung inflation produced a greater prolongation of expiration during apneustic respiration than during normal respiration. Apneustic type activity was observed in both phrenic and vagal inspiratory motoneurons. We suggest that: (1) HFO are generated without the PC, but the PC elevates the oscillation frequency; and (2) apneusis may result in part from a delayed activation of the normal inspiratory off-switch mechanism.

Discharge patterns of bulbo-pontine respiratory unit populations in cat

Respiration related units (RRU) were recorded during a stratigraphic exploration of medulla and pons from the cervical junction to the caudal part of the pneumotaxic system in the semi-chronic locally anesthetized 'isolated respiratory centre' of the cat. Metal 'low impedance, capacitance compensated' microelectrodes recorded multi-unit signals from which unitary discharges were discriminated and processed by computer; it is suggested that using these techniques, the sample was a good representation of the total unit population. The phase relation to phrenic discharge was determined on cycle triggered time histograms. Of 23,000 units, 28% had a definite respiratory modulation. Examined individually, each RRU showed a stable discharge pattern corresponding to one of various respiratory types, the majority of which have been described previously. Both temporal and spatial distributions of RRU discharges were analyzed. Temporal distribution of peak firing frequencies (PFF) of 5,000 RRU sampled anatomically at random showed two main populations whose modes were observed during inspiration (I) or expiration (E). Troughs were observed in the histogram at the transition from I to E and E to I, thus indicating low probability for finding phase spanning RRU in the medulla and pons up to the pneumotaxic level. These statistical results turned out to be identical to those obtained with an a priori classification method comparable to that used in most of the previous works. In addition, the PFF distribution suggested that the E population could be further divided into 3 sub-populations whose modes fall in early, mid, and late expiration respectively. Comparison of RRU temporal distribution in two regions, one rostral, another caudal to a frontal Horsley-Clarke plane situated 3 mm in front of the obex, showed that, in the caudal region, 70% of the RRU were I units, while, in the rostral medulla and pons, equal proportions of I and E neurons were found. Temporal distribution of RRU peak frequencies was studied separately in anatomical structures where the probability of finding RRU was high. No clear correspondence between RRU types and anatomy could be found, but marked differences between structures were observed, thus suggesting nevertheless a different spatial distribution for I and E populations.

Three dimensional representation of bulbo-pontine respiratory networks architecture from unit density maps

Results of the preceding paper32 suggest that bulbo-pontine respiration related units (RRU) could be classed into 4 populations according to the relation of their peak firing frequency to the respiratory cycle: one inspiratory (I) and 3 expiratory (E) (early, mid and late). A further study of their spatial distribution is reported. Recorded units totalling 26,520 were distributed through a matrix of unitary cubes of which about 2,000 were found within the limits of the medulla and pons. Both percentage and density of respiratory and non-respiratory units were estimated in each cube. Statistical analysis of unit distribution showed a high probability of finding RRU in certain regions. The probability of finding I and E units in separate cubes was high, whereas there was no probability better than chance for recording one of the 3 E types separately from the 2 others. Therefore, only two populations, I and E, could be considered for spatial analysis. A thresholding technique applied to I and E unit density figures in unitary cubes demonstrated a definite limit for I and E populations. A computerized, three-dimensional (3-D) reconstruction of the outer surfaces of the I and E networks showed that half a medullary system consisted of 2 contiguous and uninterrupted columns extending from the cervical junction up to the pneumotaxic system. The main body of the I population was found in the caudal third and dorsolateral part of the bulbopontine region, while the main body of the E population was in the middle third in a ventromedial position. Both have caudal and rostral extensions that run parallel to the main axis of the brainstem and give rise to several lateral branches; these lie in close contact and interdigitate extensively, especially in the rostral third of the bulbopontine region. From the outer limits of I and E networks, a progressive increase of unit density levels was observed towards the core; it showed that inside both I and E populations, RRU aggregate into high density foci (HDF). Large HDF were found in the main body of each population. Smaller HDF were observed scattered throughout the medulla; I, and to a lesser extent E, HDF invade and surround sensory and motor nuclei and roots of the branchial nerves.

Pathophysiologic studies in human rabies

Six patients with proved rabies were studied with a combination of clinical, physiologic and pathologic technics. Three were given a type of intensive care but died with evidence of respiratory failure. Although circulatory failure did not develop in any of the six patients, three had supraventricular arrhythmias: interstitial myocarditis was found in one of these and rabies virus was isolated from the myocardium of another. Inspiratory muscle spasm was the dominant clinical feature in all cases. This occurred as part of the hydrophobic response and followed stimulation of the upper respiratory tract and skin. Hydrophobia may represent an exaggerated respiratory tract irritant reflex with associated arousal. Later in the course of the disease, various patterns of periodic and ataxic breathing were observed. Widespread brain stem encephalitis was discovered at autopsy, with particular involvement of the neighborhood of the nucleus ambiguous in two of three patients examined. In one patient cerebral metabolism was grossly abnormal, with greatly reduced cerebral oxygen consumption suggesting irreversible brain damage. Respiratory and circulatory disturbances may well be immediate causes of death in patients with rabies, but the present studies reemphasize the severity of the encephalitis which remains the ultimate barrier to survival. In the developing countries in which rabies is still a major problem and in which the cost precludes intensive care, the clinical management of rabies can aim only to reduce suffering by heavy sedation.