Department of Physiology, Wauwatosa, Wisconsin, USA.
Neuroscience Research Center Medical College of Wisconsin, Wauwatosa, Wisconsin, USA.
FASEB J. 2019 Dec;33(12):14491-14505. doi: 10.1096/fj.201901288RR. Epub 2019 Oct 31.
Despite the prevalence of CO retention in human disease, little is known about the adaptive neurobiological effects of chronic hypercapnia. We have recently shown 30-d exposure to increased inspired CO (InCO) leads to a steady-state ventilation that exceeds the level predicted by the sustained acidosis and the acute CO/H chemoreflex, suggesting plasticity within respiratory control centers. Based on data showing brainstem changes in aminergic and inflammatory signaling during carotid body denervation-induced hypercapnia, we hypothesized chronic hypercapnia will lead to similar changes. We found that: ) increased InCO increased IL-1β in the medullary raphe (MR), ventral respiratory column, and cuneate nucleus after 24 h, but not after 30 d of hypercapnia; ) the number of serotonergic and total neurons were reduced within the MR and ventrolateral medulla following 30 d of increased InCO; ) markers of tryptophan metabolism were altered following 24 h, but not 30 d of InCO; and ) there were few changes in brainstem amine levels following 24 h or 30 d of increased InCO. We conclude that these changes may contribute to initiating or maintaining respiratory neuroplasticity during chronic hypercapnia but alone do not account for ventilatory acclimatization to chronic increased InCO.-Burgraff, N. J., Neumueller, S. E., Buchholz, K. J., LeClaire, J., Hodges, M. R., Pan, L., Forster, H. V. Brainstem serotonergic, catecholaminergic, and inflammatory adaptations during chronic hypercapnia in goats.
尽管在人类疾病中普遍存在 CO 潴留,但对慢性高碳酸血症的适应性神经生物学效应知之甚少。我们最近发现,30 天暴露于增加的吸入 CO(InCO)会导致稳定的通气,超过持续酸中毒和急性 CO/H 化学感受器反射预测的水平,这表明呼吸控制中心具有可塑性。基于显示在颈动脉体去神经诱导高碳酸血症期间脑干中胺能和炎症信号变化的数据,我们假设慢性高碳酸血症会导致类似的变化。我们发现:)增加 InCO 在延髓脑桥(MR)、腹侧呼吸柱和楔束核中增加了 IL-1β,而在高碳酸血症 30 天后则没有;)30 天增加 InCO 后,MR 和腹外侧髓质中的 5-羟色胺能和总神经元数量减少;)色氨酸代谢标志物在 24 小时后发生改变,但在 30 天 InCO 后则没有;)在 24 小时或 30 天增加 InCO 后,脑干胺水平变化很少。我们得出结论,这些变化可能有助于在慢性高碳酸血症期间引发或维持呼吸神经可塑性,但单独作用并不能解释对慢性增加 InCO 的通气适应。-Burgraff,NJ,Neumueller,SE,Buchholz,KJ,LeClaire,J,Hodges,MR,Pan,L,Forster,HV 在山羊慢性高碳酸血症期间脑干 5-羟色胺能、儿茶酚胺能和炎症适应性。