Yokoba Masanori, Hawes Harvey G, Kieser Teresa M, Katagiri Masato, Easton Paul A
Department of Medical Laboratory Sciences, Kitasato University School of Allied Health Sciences, Kanagawa, Japan.
Department of Critical Care Medicine, University of Calgary, Calgary, Alberta, Canada; and.
J Appl Physiol (1985). 2016 Jul 1;121(1):59-65. doi: 10.1152/japplphysiol.00508.2015. Epub 2016 Apr 28.
Action of the uppermost medial internal intercostal muscles-the parasternals-during rapid eye movement (REM) is uncertain; no direct recordings exist of shortening of these muscles during sleep. Historically, motor inhibition of skeletal muscles during REM sleep is thought to cause global loss of chest wall muscle function, REM "atonia," with preservation of only diaphragm function. However, recent evidence during wakefulness shows parasternals as distinctive obligatory inspiratory muscles. Therefore we hypothesized that attenuation of chest wall function during sleep may spare the parasternals along with the diaphragm, as essential muscles of inspiration during REM. We studied seven canines, comparing costal and crural diaphragm and parasternal intercostal muscle function during wakefulness and non-REM (NREM) and REM sleep, during normal spontaneous sleep, continuously recording ventilation and simultaneous muscle electromyogram (EMG) and length from sonomicrometry microtransducers. Ventilation during sleep declined significantly from wakefulness. From wakefulness to NREM and REM, costal and crural tidal EMG increased, while parasternal tidal EMG was preserved unchanged. Costal and crural shortening per breath during NREM and REM did not change significantly from wakefulness. Concurrently, parasternal shortening decreased equally in both NREM and REM despite preservation of the parasternal EMG. We conclude that diaphragm and parasternals are not inhibited, and both remain active together as essential inspiratory muscles, during REM sleep. The lesser contraction of parasternal intercostals compared with diaphragm may be attributed to net changes in mechanics affecting the chest wall during sleep.
最上方的内侧肋间内肌(胸骨旁肌)在快速眼动(REM)睡眠期间的作用尚不确定;目前尚无关于这些肌肉在睡眠期间缩短的直接记录。从历史上看,REM睡眠期间骨骼肌的运动抑制被认为会导致胸壁肌肉功能全面丧失,即REM“肌张力缺失”,仅保留膈肌功能。然而,最近清醒状态下的证据表明胸骨旁肌是独特的强制性吸气肌。因此,我们推测睡眠期间胸壁功能的减弱可能会使胸骨旁肌与膈肌一样得以保留,成为REM睡眠期间的重要吸气肌。我们研究了7只犬,比较了清醒、非快速眼动(NREM)和REM睡眠期间肋膈和膈脚以及胸骨旁肋间肌的功能,在正常自发睡眠期间,持续记录通气情况,并同步记录肌肉肌电图(EMG)以及来自超声微传感器的肌肉长度。睡眠期间的通气量较清醒时显著下降。从清醒到NREM和REM睡眠阶段,肋间和膈脚的潮气量EMG增加,而胸骨旁的潮气量EMG保持不变。NREM和REM睡眠期间每次呼吸时肋间和膈脚的缩短与清醒时相比无显著变化。同时,尽管胸骨旁EMG保持不变,但胸骨旁肌在NREM和REM睡眠期间的缩短程度均同等下降。我们得出结论,在REM睡眠期间,膈肌和胸骨旁肌并未受到抑制,二者作为重要的吸气肌共同保持活跃。与膈肌相比,胸骨旁肋间肌收缩较弱可能归因于睡眠期间影响胸壁的力学净变化。