Brainstem Group, Institute for Cell Biology and Neurobiology, Charité Universitätsmedizin Berlin, Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Berlin, Germany.
Brainstem Group, Institute for Cell Biology and Neurobiology, Charité Universitätsmedizin Berlin, Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Berlin, Germany.
Handb Clin Neurol. 2022;188:125-149. doi: 10.1016/B978-0-323-91534-2.00002-3.
Breathing (or respiration) is a complex motor behavior that originates in the brainstem. In minimalistic terms, breathing can be divided into two phases: inspiration (uptake of oxygen, O) and expiration (release of carbon dioxide, CO). The neurons that discharge in synchrony with these phases are arranged in three major groups along the brainstem: (i) pontine, (ii) dorsal medullary, and (iii) ventral medullary. These groups are formed by diverse neuron types that coalesce into heterogeneous nuclei or complexes, among which the preBötzinger complex in the ventral medullary group contains cells that generate the respiratory rhythm (Chapter 1). The respiratory rhythm is not rigid, but instead highly adaptable to the physic demands of the organism. In order to generate the appropriate respiratory rhythm, the preBötzinger complex receives direct and indirect chemosensory information from other brainstem respiratory nuclei (Chapter 2) and peripheral organs (Chapter 3). Even though breathing is a hard-wired unconscious behavior, it can be temporarily altered at will by other higher-order brain structures (Chapter 6), and by emotional states (Chapter 7). In this chapter, we focus on the development of brainstem respiratory groups and highlight the cell lineages that contribute to central and peripheral chemoreflexes.
呼吸(或呼吸作用)是一种复杂的运动行为,起源于脑干。简单来说,呼吸可以分为两个阶段:吸气(吸入氧气,O)和呼气(释放二氧化碳,CO)。与这些阶段同步放电的神经元沿着脑干排列成三个主要群组:(i)脑桥,(ii)背侧髓质和(iii)腹侧髓质。这些群组由多种神经元类型组成,这些神经元汇聚成不同的核或复合物,其中腹侧髓质组中的 PreBötzinger 复合物包含产生呼吸节律的细胞(第 1 章)。呼吸节律不是僵化的,而是高度适应机体的物理需求。为了产生适当的呼吸节律,PreBötzinger 复合物从其他脑干呼吸核(第 2 章)和外周器官(第 3 章)接收直接和间接的化学感觉信息。尽管呼吸是一种硬连线的无意识行为,但它可以被其他高级脑结构(第 6 章)和情绪状态(第 7 章)暂时随意改变。在这一章中,我们重点介绍脑干呼吸群组的发育,并强调对中枢和外周化学反射有贡献的细胞谱系。