Responses of recurrent laryngeal motoneurons to changes of pulmonary afferent inputs

Bidirectional plasticity of pontine pneumotaxic postinspiratory drive: implication for a pontomedullary respiratory central pattern generator

The "pneumotaxic center" in the rostral dorsolateral pons as delineated by Lumsden nine decades ago is known to play an important role in promoting the inspiratory off-switch (IOS) for inspiratory-expiratory phase transition as a fail-safe mechanism for preventing apneusis in the absence of vagal input. Traditionally, the pontine pneumotaxic mechanism has been thought to contribute a tonic descending input that lowers the IOS threshold in medullary respiratory central pattern generator (rCPG) circuits, but otherwise does not constitute part of the rCPG. Recent evidence indicates that descending input from the Kölliker-Fuse nucleus (KFN) within the pneumotaxic center is essential for gating the postinspiratory phase of the three-phase respiratory rhythm to control the IOS in vagotomized animals. A critical question arising is whether such a descending pneumotaxic input from KFN that drives postinspiratory activity is tonic (null hypothesis) or rhythmic with postinspiratory phase modulation (alternative hypothesis). Here, we show that multifarious evidence reported in the literature collectively indicates that the descending pneumotaxic input may exhibit NMDA receptor-dependent short-term plasticity in the form of a biphasic neural differentiator that bidirectionally and phase-selectively modulates postinspiratory phase duration in response to vagal and peripheral chemoreceptor inputs independent of the responses in inspiratory and late-expiratory activities. The phase-selectivity property of the descending pneumotaxic input implicates a population of pontine early-expiratory (postinspiratory/expiratory-decrementing) neurons as the most likely neural correlate of the pneumotaxic mechanism that drives post-I activity, suggesting that the pontine pneumotaxic mechanism may be an integral part of a pontomedullary rCPG that underlies the three-phase respiratory rhythm.

Neural control of the upper airway: integrative physiological mechanisms and relevance for sleep disordered breathing

The various neural mechanisms affecting the control of the upper airway muscles are discussed in this review, with particular emphasis on structure-function relationships and integrative physiological motor-control processes. Particular foci of attention include the respiratory function of the upper airway muscles, and the various reflex mechanisms underlying their control, specifically the reflex responses to changes in airway pressure, reflexes from pulmonary receptors, chemoreceptor and baroreceptor reflexes, and postural effects on upper airway motor control. This article also addresses the determinants of upper airway collapsibility and the influence of neural drive to the upper airway muscles, and the influence of common drugs such as ethanol, sedative hypnotics, and opioids on upper airway motor control. In addition to an examination of these basic physiological mechanisms, consideration is given throughout this review as to how these mechanisms relate to integrative function in the intact normal upper airway in wakefulness and sleep, and how they may be involved in the pathogenesis of clinical problems such obstructive sleep apnea hypopnea.

Modulation of upper airway muscle activities by bronchopulmonary afferents

Here we review the influence of bronchopulmonary receptors (slowly and rapidly adapting pulmonary stretch receptors, and pulmonary/bronchial C-fiber receptors) on respiratory-related motor output to upper airway muscles acting on the larynx, tongue, and hyoid arch. Review of the literature shows that all muscles in all three regions are profoundly inhibited by lung inflation, which excites slowly adapting pulmonary stretch receptors. This widespread coactivation includes the recruitment of muscles that have opposing mechanical actions, suggesting that the stiffness of upper airway muscles is highly regulated. A profound lack of information on the modulation of upper airway muscles by rapidly adapting receptors and bronchopulmonary C-fiber receptors prohibits formulation of a conclusive opinion as to their actions and underscores an urgent need for new studies in this area. The preponderance of the data support the view that discharge arising in slowly adapting pulmonary stretch receptors plays an important role in the initiation of the widespread and highly coordinated recruitment of laryngeal, tongue, and hyoid muscles during airway obstruction.

Intralaryngeal neuroanatomy of the recurrent laryngeal nerve of the rabbit

We undertook this study to determine the detailed neuroanatomy of the terminal branches of the recurrent laryngeal nerve (RLN) in the rabbit to facilitate future neurophysiological recordings from identified branches of this nerve. The whole larynx was isolated post mortem in 17 adult New Zealand White rabbits and prepared using a modified Sihler's technique, which stains axons and renders other tissues transparent so that nerve branches can be seen in whole mount preparations. Of the 34 hemi-laryngeal preparations processed, 28 stained well and these were dissected and used to characterize the neuroanatomy of the RLN. In most cases (23/28) the posterior cricoarytenoid muscle (PCA) was supplied by a single branch arising from the RLN, though in five PCA specimens there were two or three separate branches to the PCA. The interarytenoid muscle (IA) was supplied by two parallel filaments arising from the main trunk of the RLN rostral to the branch(es) to the PCA. The lateral cricoarytenoid muscle (LCA) commonly received innervation from two fine twigs branching from the RLN main trunk and travelling laterally towards the LCA. The remaining fibres of the RLN innervated the thyroarytenoid muscle (TA) and comprised two distinct branches, one supplying the pars vocalis and the other branching extensively to supply the remainder of the TA. No communicating anastomosis between the RLN and superior laryngeal nerve within the larynx was found. Our results suggest it is feasible to make electrophysiological recordings from identified terminal branches of the RLN supplying laryngeal adductor muscles separate from the branch or branches to the PCA. However, the very small size of the motor nerves to the IA and LCA suggests that it would be very difficult to record selectively from the nerve supply to individual laryngeal adductor muscles.

High frequency oscillations in respiratory networks: functionally significant or phenomenological?

Inspiratory activities, whether recorded from medullary neurons, motoneurons or motor nerves, feature prominent oscillations in high (50-120 Hz) and medium (15-50 Hz) frequency ranges. These oscillations have been extensively characterized and are considered signatures of respiratory network activity. Their functional significance, however, if any, remains unknown. Here we review the literature describing the nature and origin of these oscillations as well as their modulation during development and by mechanoreceptive and chemoreceptive feedback, respiratory- and non-respiratory-related behaviors, temperature and anesthesia. We then consider the potential significance of these oscillations for respiratory network function by drawing on analyses of distributed motor and sensory networks of the cortex where current interest in oscillatory activity, and the synchronization of neural discharge that can result, is based on the increased efficacy with which synchronous inputs influence neuronal output, and the role that synchronous activity may play in information coding. We speculate that synchronized oscillations at the network level help coordinate activity in distributed rhythm and pattern generating systems and at the muscle level enhance force development. Data most strongly support that oscillatory synaptic inputs play an important role in controlling timing and pattern of action potential output.

Effect of upper airway negative pressure and lung inflation on laryngeal motor unit activity in rabbit

Distortion of the upper airway by negative transmural pressure (UANP) causes reflex vagal bradycardia. This requires activation of cardiac vagal preganglionic neurons, which exhibit postinspiratory (PI) discharge. We hypothesized that UANP would also stimulate cranial respiratory motoneurons with PI activity. We recorded 32 respiratory modulated motor units from the recurrent laryngeal nerve of seven decerebrate paralyzed rabbits and recorded their responses to UANP and to withholding lung inflation using a phrenic-triggered ventilator. The phasic inspiratory (n = 17) and PI (n = 5) neurons detected were stimulated by -10 cmH(2)O UANP and by withdrawal of lung inflation (P < 0.05, Friedman's ANOVA). Expiratory-inspiratory units (n = 10) were tonically active but transiently inhibited in postinspiration; this inhibition was more pronounced and prolonged during UANP stimuli and during no-inflation tests (P < 0.05). We conclude that, in addition to increasing inspiratory activity in the recurrent laryngeal nerve, UANP also stimulates units with PI activity.

Population and unit synchrony of fast rhythms in expiratory recurrent laryngeal discharges

In a decerebrate, vagotomized, gallamine-paralyzed cat that had a prominent bilaterally coherent fast rhythm (50 Hz) in expiratory (E) recurrent laryngeal (RL) nerve discharges, recordings were taken of the firing of nine RL E fibers. This rhythm (called E high-frequency oscillation or EHFO) was seen as a sharp peak in all unit autospectra, all unit-nerve coherence spectra (value range 0.39-0. 91), and all unit-unit coherence spectra (value range 0.27-0.85). In addition, 8/9 units had a sharp autospectral peak in a lower frequency range (19-35 Hz) called E medium-frequency oscillation (EMFO), but there was no coherence at this frequency between signal pairs (unit-unit, unit-nerve, nerve-nerve). The MFOs are specific for each unit and are considered to arise from asynchronous inputs and membrane properties. The HFOs are considered to arise from widespread network interactions that produce a common (correlated) rhythm in virtually all neurons of the RL E network. These phenomena suggest the use of the RL E network as a model system for analyzing rhythmic neural interactions.

Synchronized fast rhythms in inspiratory and expiratory nerve discharges during fictive vocalization

In precollicular decerebrate and paralyzed cats, respiratory nerve activities were recorded during fictive vocalization (FV), which consisted of a distinctive pattern of 1) decreased inspiratory (I) and expiratory (E) phase durations, 2) marked increase of phrenic activity and moderate changes of recurrent laryngeal (RL) and superior laryngeal (SL) I activities, and 3) massive recruitment of laryngeal and abdominal (ABD; lumbar) E activities. FV was produced by electrical stimulation (100 Hz) in the midbrain periaqueductal gray (PAG) or its putative descending pathways in the ventrolateral pons (VLP). Spectral and correlation analyses revealed three types of effect on fast rhythms during FV. 1) I activities: the coherent high-frequency oscillations in I (I-HFO, 60-90 Hz) present in phrenic and RL discharges during the control state did not change qualitatively, but there was an increase of power and a moderate increase (4-10 Hz) of frequency. Sometimes a distinct relatively weak stimulus-locked rhythm appeared. 2) RL and SL activities during E: in recruited discharges, a prominent intrinsic rhythm (coherent E-HFOs at 50-70 Hz) appeared; sometimes a distinct relatively strong stimulus-locked rhythm appeared. 3) ABD activities during E: this recruited activity had no intrinsic rhythm but had an evoked oscillation locked to the stimulus frequency. Thus FV is characterized by 1) appearance of prominent coherent intrinsic rhythms in RL and SL E discharges, which presumably arise as a result of excitation and increased interactions in laryngeal networks; 2) modification of intrinsic rhythmic interactions in inspiratory networks; and 3) evoked rhythms in augmenting-E neuron networks without occurrence of intrinsic rhythms.

Respiratory-related activity of the pharyngeal nerves in the rat

In anesthetized (n = 26) or decerebrate (n = 15) rats, vagotomized, paralyzed and artificially ventilated, we recorded efferent respiratory-related discharges of nerves supplying the pharyngeal muscles, i.e. the glossopharyngeal nerve (IX; n = 30) and the pharyngeal ramus of the vagus nerve (PH.X; n = 33). In both types of preparation, all IX nerves fired during inspiration (I); most PH.X fired either during I (n = 11), expiration (E, n = 12), or both phases (n = 4); some of them were continuously active, without any respiratory modulation (n = 6). We also examined the timing of inspiratory pharyngeal bursts in relation to the phrenic (inspiratory) bursts. We found that the burst onset occurred significantly earlier in pharyngeal nerves than in phrenic ones (pharyngeal-to-phrenic delay). In anesthetized animals, this pharyngeal-to-phrenic delay was long enough to reveal that inspiratory activity appeared first on IX, then on PH.X, and then on phrenic nerves. Since hypoxia did not significantly alter the pharyngeal-to-phrenic delay, we conclude that a reliable organization of the inspiratory drive on pharyngeal and diaphragmatic muscles should exist, in the rat.

Motor unit regulation of mammalian pharyngeal dilator muscle activity

The present study examined the cellular regulation of one of the pharyngeal dilator muscles, the geniohyoid, by assessing its motor unit (MU) behavior in anesthetized cats. During spontaneous breathing, MU that (a) were active during inspiration only (I-MU) and (b) were active during both inspiration and expiration (I/E-MU) were identified. I-MU had a later inspiratory onset time and a shorter duration of inspiratory firing than did I/E-MU (P less than 0.002 and P less than 0.0001, respectively). I-MU were usually quiescent whereas I/E-MU were usually active during the last 20% of inspiration. I/E-MU fired more rapidly (P less than 0.00001) and for relatively longer periods of time (P less than 0.00001) during inspiration than during expiration. End-expiratory airway occlusion (preventing lung expansion during inspiration) augmented the inspiratory activity of both I-MU and I/E-MU. Conversely, end-expiratory airway occlusion reduced the absolute and relative firing durations (P less than 0.002 and P less than 0.00002, respectively) and the firing frequency (P less than 0.001) of I/E-MU activity during expiration. These results indicate that (a) the complex pattern of pharyngeal dilator muscle activity is due to the integrated activity of a heterogeneous group of MU, (b) changes in the degree to which pharyngeal dilator muscles are active result from combinations of MU recruitment/decruitment and modulations of the frequency and duration of MU firing, and (c) gating of lung-volume afferent information occurs during the respiratory cycle.

Inspiratory-modulated neurons of the rostrolateral pons: effects of pulmonary afferent input

In decerebrate, paralyzed cats ventilated with a cycle-triggered pump, firing of inspiratory (I) and I-modulated neurons in the pontine respiratory group was markedly increased by withholding lung inflation, indicating strong inhibition by lung afferents. Spectral analysis showed that only a small minority of I-modulated neurons had high-frequency oscillations (HFO), in contrast to medullary I neurons, indicating that the pontine neurons are not closely linked to medullary I networks.

Decrementing expiratory neurons of the Bötzinger complex. II. Direct inhibitory synaptic linkage with ventral respiratory group neurons

In Nembutal-anesthetized, immobilized and artificially ventilated cats, decrementing expiratory (E-DEC) neurons which were excited by lung inflation were isolated in the vicinity of the Bötzinger complex. Then intracellular recordings were made from the respiratory neurons in the contralateral ventral respiratory group (VRG). The intracellular membrane potentials were averaged using extracellular spikes of the E-DEC neurons as triggers (spike-triggered averaging method). Hyperpolarizing potentials locked to the triggering spikes were obtained and they were shown to be unitary IPSPs since their polarity was reversed when averaged during passage of hyperpolarizing current. The latencies of antidromic activation of the E-DEC neurons from the area of intracellular recordings were shorter by about 0.2 ms than those of unitary IPSPs. This showed that the connections were monosynaptic. A total of 47 pairs were analyzed and unitary IPSPs were found in 12 pairs. The E-DEC neurons inhibited both inspiratory and expiratory neurons, including bulbospinal inspiratory neurons, propriobulbar inspiratory neurons, and vagal motoneurons with expiratory activity. These inhibitory E-DEC neurons, receiving excitatory inputs from the stretch receptors of the lungs, presumably intervene in reflex loops such as the Hering-Breuer reflex and may make some contribution to normal breathing.

Activity of medullary respiratory neurons regenerating axons into peripheral nerve grafts in the adult rat

Autologous segments of peroneal nerve were implanted into the medulla oblongata of young adult rats. To investigate activity of medullary respiratory neurons regenerating axons into these grafts, unitary recording from single fibers was performed on small strands teased from the grafts. Spontaneous activity was observed in teased fibers in 7 of 9 grafts recorded 2-5 months after graft implantation. Respiratory-related activity was found in 5 of these grafts and could in most cases be characterized as emanating from medullary respiratory neurons other than cranial motoneurons. The integrity of the input connections to the neurons that had regenerated axons was manifested by normal patterns of unitary respiratory-related activity and by the responsiveness of firing patterns of these neurons to lung hyperinflation and to the inspiratory off-switch effect induced by vagal stimulation. No spontaneous respiratory activity was found in fibers teased from any of the 10 grafts studied 9-11 months after implantation. Five of these grafts were blind-ended as were the 2-5-month grafts; the other 5 grafts formed bridges between the medulla and C4 ventral horn. No physiologic evidence of functional connections with phrenic motoneurons was found in these bridge grafts. These experiments indicate that physiologic function is maintained or regained in some respiratory neurons regenerating axons into peripheral nerve grafts but that this function is not indefinitely preserved in the absence of functional reconnection with an appropriate target.

Intracellular potentials and discharge patterns of expiratory neurons in the caudal ventral respiratory group: influence of phasic pulmonary afferent input

In decerebrate paralyzed cats, the membrane potential (MP) patterns of 12 augmenting expiratory (E) neurons in the caudal ventral respiratory group, and phrenic and recurrent laryngeal activities, were compared for inspiratory (I) phases with and without lung inflation. No-inflation produced, in the MPs of E neurons, larger hyperpolarization during I and during early E (associated with increased early-E laryngeal activity), suggesting an increase of inhibitory inputs from I neurons and early-E neurons, respectively.

Alterations of hypoglossal motoneuronal activities during pulmonary inflations

Preventing pulmonary inflation during inspiration results in greater augmentations in activity of the hypoglossal nerve than in the phrenic nerve. Our purpose was to characterize the hypoglossal motoneuronal activities which underlie these augmentations. Activities of the phrenic and hypoglossal nerves and single hypoglossal fibers were recorded in decerebrate and paralyzed cats. Ventilation was by a servo-respirator which produced changes in lung volume in parallel with phrenic activity. The number of motoneurons that discharged during cycles in which the lungs were inflated increased with elevations of end-tidal fractional concentrations of CO2 (FETCO2) from 0.05 to 0.06 and 0.09. At each FETCO2, the discharge frequency increased when pulmonary inflation was withheld. In addition, withholding inflation resulted in the recruitment of other motoneuronal activities. Most motoneurons discharged during the period of the phrenic burst (inspiratory neurons). Lesser numbers of inspiratory-expiratory, expiratory-inspiratory, and tonic motoneuronal activities were also recorded. Results are considered in the context of the inhibition of respiratory motoneuronal activity by vagal pulmonary afferent fibers. The possible role of such inhibition, and release from this inhibition, in maintenance of patency of the upper airways is discussed.

High-frequency and medium-frequency components of different inspiratory nerve discharges and their modification by various inputs

In decerebrate paralyzed cats, spectral analysis was performed on simultaneous recordings of efferent inspiratory nerves (phrenic, recurrent laryngeal, hypoglossal). Spectral peaks were present both in the high-frequency (HFO) range (50-100 Hz) and the medium-frequency (MFO) range (20-50 Hz). Different activities were coherent only in the HFO range, indicating that the HFOs arise in a common inspiratory pattern generator that drives the different motoneuron populations, whereas the MFOs are specific to different systems.