St John Walter M, Leiter J C
Department of Physiology, Dartmouth Medical School, Dartmouth-Hitchcock Medical Center, Lebanon, New Hampshire 03756, USA.
J Appl Physiol (1985). 2009 Sep;107(3):686-95. doi: 10.1152/japplphysiol.00023.2009. Epub 2009 May 28.
If normal, eupneic breathing fails, gasping is recruited. Serotonin was proposed as essential for gasping, based on findings using an in vitro mouse preparation. This preparation generates rhythmic activities of the hypoglossal nerve that are considered to be akin to both eupnea and gasping. In previous studies, gasping of in situ rat and mouse preparations continued unabated following blockers of receptors for serotonin. However, hypoglossal activity was not recorded in the mouse, and we hypothesized that its discharge during gasping might be dependent on serotonin. In the in situ mouse preparation, hypoglossal discharge had varying and inconsistent patterns during eupnea, discharging concomitant with the phrenic burst, at varying intervals between phrenic bursts, or was silent in some respiratory cycles. In eupnea, phrenic discharge was incrementing, whereas hypoglossal discharge was decrementing in 15 of 20 preparations. During ischemia-induced gasping, peak phrenic height was reached at 205 +/- 17 ms, compared with 282 +/- 27.9 ms after the start of the eupneic burst (P < 0.002). In contrast, rates of rise of hypoglossal discharge in gasping (peak at 233 +/- 25 ms) and eupnea (peak at 199 +/- 19.2 ms) were the same. The uncoupling of hypoglossal from phrenic discharge in eupnea was exacerbated by methysergide, an antagonist of serotonin receptors. These findings demonstrate that hypoglossal discharge alone cannot distinguish eupnea from gasping nor, in eupnea, can hypoglossal activity be used to differentiate neural inspiration from expiration. These findings have significant negative implications for conclusions drawn from the in vitro medullary slice of mouse.
如果正常的平静呼吸失败,就会引发喘息。基于体外小鼠实验的结果,血清素被认为是喘息所必需的。这种实验准备能产生舌下神经的节律性活动,被认为类似于平静呼吸和喘息。在先前的研究中,血清素受体阻滞剂作用后,原位大鼠和小鼠实验准备中的喘息仍未减弱。然而,小鼠实验中未记录舌下神经活动,我们推测其在喘息时的放电可能依赖于血清素。在原位小鼠实验准备中,舌下神经放电在平静呼吸时模式多样且不一致,与膈神经爆发同步放电、在膈神经爆发之间的不同间隔放电,或者在某些呼吸周期中保持沉默。在平静呼吸时,膈神经放电呈递增趋势,而在20个实验准备中有15个,舌下神经放电呈递减趋势。在缺血诱导的喘息过程中,膈神经峰值高度出现在205±17毫秒,而在平静呼吸爆发开始后为282±27.9毫秒(P<0.002)。相比之下,喘息时(峰值在233±25毫秒)和平静呼吸时(峰值在199±19.2毫秒)舌下神经放电的上升速率相同。血清素受体拮抗剂美西麦角加剧了平静呼吸时舌下神经与膈神经放电的解耦。这些发现表明,仅舌下神经放电无法区分平静呼吸和喘息,在平静呼吸时,舌下神经活动也不能用于区分神经吸气和呼气。这些发现对从小鼠体外延髓切片得出的结论具有重大的负面影响。