Hyperventilation
reliably
provokes
seizures
in
patients
diagnosed
with
absence
epilepsy.
Despite
this
predictable
patient
response,
the
mechanisms
that
enable
hyperventilation
to
powerfully
activate
seizure-generating
circuits
remain
entirely
unknown.
By
utilizing
gas
exchange
manipulations
and
optogenetics
WAG/Rij
rat,
an
established
rodent
model
of
epilepsy,
we
demonstrate
are
highly
sensitive
arterial
carbon
dioxide,
suggesting
pH.
Moreover,
consistently
activated
neurons
within
intralaminar
nuclei
thalamus,
a
structure
implicated
seizure
generation.
We
show
thalamus
also
contains
pH-sensitive
neurons.
Collectively,
these
observations
suggest
activates
provoke
seizures.
Glia,
Journal Year:
2017,
Volume and Issue:
66(6), P. 1185 - 1199
Published: Dec. 23, 2017
Abstract
Astrocytes
support
neuronal
function
by
providing
essential
structural
and
nutritional
support,
neurotransmitter
trafficking
recycling
may
also
contribute
to
brain
information
processing.
In
this
article
we
review
published
results
report
new
data
suggesting
that
astrocytes
as
versatile
metabolic
sensors
of
central
nervous
system
(CNS)
milieu
play
an
important
role
in
the
maintenance
homeostasis.
We
discuss
anatomical
functional
features
allow
them
detect
respond
changes
parenchymal
levels
substrates
(oxygen
glucose),
waste
products
(carbon
dioxide).
are
sensitive
circulating
endocrine
signals—hormones
like
ghrelin,
glucagon‐like
peptide‐1
leptin,
have
a
major
impact
on
CNS
mechanisms
controlling
food
intake
energy
balance.
signaling
mediate
communication
between
neurons
consider
how
these
recruited
activated
response
various
challenges.
experimental
modulate
activities
respiratory
autonomic
networks
ensure
adaptive
breathing
sympathetic
drive
order
physiological
behavioral
demands
organism
ever‐changing
environmental
conditions.
Finally,
evidence
altered
astroglial
pathogenesis
disparate
neurological,
cardiovascular
disorders
such
Rett
syndrome
systemic
arterial
hypertension.
Reviews in the Neurosciences,
Journal Year:
2018,
Volume and Issue:
30(2), P. 107 - 164
Published: Dec. 13, 2018
Central
pattern
generators
(CPGs)
are
generally
defined
as
networks
of
neurons
capable
enabling
the
production
central
commands,
specifically
controlling
stereotyped,
rhythmic
motor
behaviors.
Several
CPGs
localized
in
brainstem
and
spinal
cord
areas
have
been
shown
to
underlie
expression
complex
behaviors
such
deglutition,
mastication,
respiration,
defecation,
micturition,
ejaculation,
locomotion.
Their
pivotal
roles
clearly
demonstrated
although
their
organization
cellular
properties
remain
incompletely
characterized.
In
recent
years,
insightful
findings
about
made
mainly
because
(1)
several
complementary
animal
models
were
developed;
(2)
these
enabled
a
wide
variety
techniques
be
used
and,
hence,
plethora
characteristics
discovered;
(3)
organizations,
functions,
cell
across
all
species
studied
thus
far
found
well-preserved
phylogenetically.
This
article
aims
at
providing
an
overview
for
non-experts
most
important
on
vivo
models,
vitro
preparations
from
invertebrate
vertebrate
well
primates.
Data
CPG
adaptation,
organization,
will
summarized
with
special
attention
paid
network
locomotion
given
its
advanced
level
characterization
compared
some
other
CPGs.
Similarities
differences
between
also
highlighted.
International Journal of Molecular Sciences,
Journal Year:
2025,
Volume and Issue:
26(4), P. 1598 - 1598
Published: Feb. 13, 2025
Sudden
unexpected
death
in
epilepsy
(SUDEP)
is
a
critical
concern
for
individuals
suffering
from
epilepsy,
with
respiratory
dysfunction
playing
significant
role
its
pathology.
Fatal
seizures
are
often
characterized
by
central
apnea
and
hypercapnia
(elevated
CO2
levels),
indicating
failure
ventilatory
control.
Research
has
shown
that
both
human
patients
animal
models
exhibit
reduced
hypercapnic
response
the
interictal
(non-seizure)
period,
suggesting
an
impaired
ability
to
regulate
breathing
high
levels.
This
review
examines
of
chemoreceptors-specifically
retrotrapezoid
nucleus,
raphe
nuclei,
nucleus
tractus
solitarius,
locus
coeruleus,
hypothalamus
this
These
structures
sensing
maintaining
homeostasis.
Emerging
evidence
also
implicates
neuropeptidergic
pathways
within
these
chemoreceptive
regions
SUDEP.
Neuropeptides
like
galanin,
pituitary
adenylate
cyclase-activating
peptide
(PACAP),
orexin,
somatostatin,
bombesin-like
peptides
may
modulate
chemosensitivity
function,
potentially
exacerbating
during
seizures.
Understanding
mechanisms
linking
chemoreception,
control,
signaling
essential
developing
targeted
interventions
reduce
risk
SUDEP
patients.
Journal of Neuroscience,
Journal Year:
2017,
Volume and Issue:
37(48), P. 11744 - 11757
Published: Oct. 24, 2017
The
retrotrapezoid
nucleus
(RTN)
consists,
by
definition,
of
Phox2b-expressing,
glutamatergic,
non-catecholaminergic,
noncholinergic
neurons
located
in
the
parafacial
region
medulla
oblongata.
An
unknown
proportion
RTN
are
central
respiratory
chemoreceptors
and
there
is
mounting
evidence
for
biochemical
diversity
among
these
cells.
Here,
we
used
multiplexed
situ
hybridization
single-cell
RNA-Seq
male
female
mice
to
provide
a
more
comprehensive
view
phenotypic
neurons.
We
now
demonstrate
that
can
be
identified
with
single
specific
marker,
Neuromedin
B
mRNA
(
Nmb
).
Most
(∼75%)
express
low-to-moderate
levels
display
chemoreceptor
properties.
Namely
they
activated
hypercapnia,
but
not
hypoxia,
proton
sensors,
TASK-2
Gpr4.
These
-low
also
varying
transcripts
Gal
,
Penk
Adcyap1
receptors
substance
P,
orexin,
serotonin,
ATP.
A
subset
(∼20–25%),
typically
larger
than
average,
very
high
mRNA.
-high
do
Fos
after
hypercapnia
have
low-to-undetectable
Kcnk5
or
Gpr4
transcripts;
essentially
devoid
transcripts.
In
rats,
marker
but,
unlike
mice,
this
gene
expressed
other
types
nearby
within
ventromedial
medulla.
sum,
selective
rodents;
neurons,
vast
majority,
chemoreceptors,
whereas
likely
functions.
SIGNIFICANCE
STATEMENT
Central
regulate
arterial
PCO
2
adjusting
lung
ventilation.
Such
cells
recently
been
(RTN),
brainstem
defined
genetic
lineage
cumbersome
combination
markers.
Using
hybridization,
show
here
),
identifies
rodents.
suggest
>75%
because
strongly
sensors
low
Kcnk5/Gpr4/pre-pro-galanin/pre-pro-enkephalin
respond
hypercapnia.
Their
function
unknown.
The Journal of Physiology,
Journal Year:
2019,
Volume and Issue:
597(13), P. 3281 - 3296
Published: May 14, 2019
Central
chemoreceptor
stimulation,
by
hypercapnia
(acidosis),
and
peripheral,
hypoxia
plus
hypercapnia,
evoke
reflex
increases
in
ventilation
sympathetic
outflow.
The
assumption
that
central
or
peripheral
chemoreceptor-mediated
activation
elicited
when
PCO2
parallels
concurrent
ventilatory
responses
is
unproven.
Applying
a
modified
rebreathing
protocol
equilibrates
whilst
clamping
O2
tension
at
either
hypoxic
hyperoxic
concentrations,
the
independent
muscle
stimulus-response
properties
of
chemoreflexes
were
quantified
compared
young
men.
novel
findings
to
chemoreflex
stimulation
are
initiated
similar
recruitment
thresholds
but
individual
specific
responsiveness
cannot
be
predicted
from
sensitivities
reflex.
Such
men,
if
replicated
heart
failure
hypertension,
should
temper
present
enthusiasm
for
trials
targeting
based
solely
on
non-specific
stimulation.In
humans,
reflexes
assumed
equivalent
responses.
We
evaluated
whether
CO2
(
)
Twelve
healthy
men
performed
designed
equilibrate
tensions
with
end-tidal
PETCO2
two
isoxic
PO2
PETO2
such
can
segregated,
hyperoxia,
net
response
(hypoxia
minus
hyperoxia).
Ventilation
nerve
activity
(MSNA)
recorded
continuously
during
150
50
mmHg.
During
rebreathing,
values
which
(L
min-1
total
MSNA
(units)
began
rise
identified
thresholds)
their
slopes
above
threshold
determined
(sensitivity).
(46
±
3
mmHg)
(45
4
did
not
differ
(P
=
0.55)
2.3
0.9
L
mmHg-1
2.1
1.5
units
,
respectively.
thresholds,
41
mmHg
both
lower
<
0.05)
thresholds.
Peripheral
sensitivity
was
1.7
0.1
2.9
2.6
MSNA.
There
no
relationship
between
(r2
0.01,
P
0.76)
0.73)
chemoreflex.
In
does
predict
Neuroscience & Biobehavioral Reviews,
Journal Year:
2023,
Volume and Issue:
155, P. 105453 - 105453
Published: Nov. 2, 2023
High
Ventilation
Breathwork
(HVB)
refers
to
practices
employing
specific
volitional
manipulation
of
breathing,
with
a
long
history
use
relieve
various
forms
psychological
distress.
This
paper
seeks
offer
consolidative
insight
into
potential
clinical
application
HVB
as
treatment
psychiatric
disorders.
We
thus
review
the
characteristic
phenomenological
and
neurophysiological
effects
these
inform
their
mechanism
therapeutic
action,
safety
profiles
future
applications.
Clinical
observations
data
from
studies
indicate
that
is
associated
extraordinary
changes
in
subjective
experience,
well
profound
on
central
autonomic
nervous
systems
functions
through
modulation
neurometabolic
parameters
interoceptive
sensory
systems.
growing
evidence
base
may
guide
how
can
be
understood,
potentially
harnessed
context
such
perturbation
psychophysiological
state.
Reports
putative
beneficial
for
trauma-related,
affective,
somatic
disorders
invite
further
research
obtain
detailed
mechanistic
knowledge,
rigorous
testing
uses.