Gozal D, Torres J E
Department of Pediatrics, Tulane University School of Medicine, New Orleans, Louisiana 70112, USA.
Pediatr Res. 1997 Dec;42(6):872-7. doi: 10.1203/00006450-199712000-00025.
After anoxia-induced apnea, gasping remains the last operative mechanism for survival. In developing rats, the gasping response to anoxia exhibits triphasic characteristics. Because anoxia is associated with enhanced release of glutamate, we hypothesized that N-methyl-D-aspartate (NMDA) glutamate receptors may underlie components of the gasping response. Rat pups aged 2 d (n = 50), 5 d (n = 43), 10 d (n = 42), and 15 d (n = 45) underwent anoxic challenges with 100% N2 in a whole body plethysmograph, 30 min after intraperitoneal administration of MK801 [(+)-5-methyl-10,11-dihydro-5H-dibenzo[a,d]cyclohepten-5,10-imine hydrogen maleate; dizocilpine] (3 mg/kg), a noncompetitive NMDA glutamate receptor channel antagonist, or normal saline. In control pups, after primary apnea onset, a triphasic gasping pattern was apparent at all postnatal ages and included two distinct types of gasps (I and II). In 2- and 5-d MK801-treated animals, phase 1 and type I gasps were absent, leading to marked prolongations of the gasp latency and phase 2, the latter displaying type II gasps only. In addition, phase 3 duration was also prolonged with increased type II gasp frequencies. In contrast, in some 10-d-old (40%) and in all 15-d-old MK801-treated pups, although overall gasping duration was prolonged, the triphasic gasping pattern seen in matched controls was also present. We conclude that NMDA glutamate receptors mediate particular phasic components of the gasping response during early postnatal life but not at later stages of development. We speculate that developmental changes occur in both function and expression of NMDA and other neurotransmitters within brainstem regions underlying the neural substrate for gasp generation.
缺氧诱导的呼吸暂停后,喘息仍然是最后的生存运作机制。在发育中的大鼠中,对缺氧的喘息反应呈现出三相特征。由于缺氧与谷氨酸释放增加有关,我们推测N-甲基-D-天冬氨酸(NMDA)谷氨酸受体可能是喘息反应组成部分的基础。分别对2日龄(n = 50)、5日龄(n = 43)、10日龄(n = 42)和15日龄(n = 45)的幼鼠,在腹腔注射MK801 [(+)-5-甲基-10,11-二氢-5H-二苯并[a,d]环庚烯-5,10-亚胺马来酸氢盐;地卓西平](3 mg/kg),一种非竞争性NMDA谷氨酸受体通道拮抗剂,或生理盐水30分钟后,在全身体积描记器中用100% N₂进行缺氧挑战。在对照幼鼠中,原发性呼吸暂停开始后,在所有出生后年龄段都出现了三相喘息模式,包括两种不同类型的喘息(I型和II型)。在2日龄和5日龄接受MK801治疗的动物中,第1阶段和I型喘息缺失,导致喘息潜伏期和第2阶段明显延长,后者仅表现为II型喘息。此外,第3阶段持续时间也延长,II型喘息频率增加。相比之下,在一些10日龄(40%)和所有15日龄接受MK801治疗的幼鼠中,尽管总体喘息持续时间延长,但在匹配对照中看到的三相喘息模式也存在。我们得出结论,NMDA谷氨酸受体在出生后早期介导喘息反应的特定阶段组成部分,但在发育后期则不然。我们推测,在脑干区域中,作为喘息产生神经基础的NMDA和其他神经递质的功能和表达都会发生发育变化。