Nature Communications,
Год журнала:
2021,
Номер
12(1)
Опубликована: Окт. 13, 2021
Abstract
Pitt-Hopkins
syndrome
(PTHS)
is
a
rare
autism
spectrum-like
disorder
characterized
by
intellectual
disability,
developmental
delays,
and
breathing
problems
involving
episodes
of
hyperventilation
followed
apnea.
PTHS
caused
functional
haploinsufficiency
the
gene
encoding
transcription
factor
4
(
Tcf4
).
Despite
severity
this
disease,
mechanisms
contributing
to
behavioral
abnormalities
are
not
well
understood.
Here,
we
show
that
truncation
tr/+
)
mouse
model
exhibits
similar
patients.
This
deficit
associated
with
selective
loss
putative
expiratory
parafacial
neurons
compromised
function
in
retrotrapezoid
nucleus
regulate
response
tissue
CO
2
/H
+
.
We
also
central
Nav1.8
channels
can
be
targeted
pharmacologically
improve
respiratory
at
cellular
levels
mice,
thus
establishing
as
high
priority
target
therapeutic
potential
PTHS.
Annual Review of Neuroscience,
Год журнала:
2022,
Номер
45(1), С. 223 - 247
Опубликована: Март 9, 2022
Breathing
is
a
vital
rhythmic
motor
behavior
with
surprisingly
broad
influence
on
the
brain
and
body.
The
apparent
simplicity
of
breathing
belies
complex
neural
control
system,
central
pattern
generator
(bCPG),
that
exhibits
diverse
operational
modes
to
regulate
gas
exchange
coordinate
an
array
behaviors.
In
this
review,
we
focus
selected
advances
in
our
understanding
bCPG.
At
core
bCPG
preBötzinger
(preBötC),
which
drives
inspiratory
rhythm
via
unexpectedly
sophisticated
emergent
mechanism.
Synchronization
dynamics
underlying
preBötC
rhythmogenesis
imbue
system
robustness
lability.
These
are
modulated
by
inputs
from
throughout
generate
rhythmic,
patterned
activity
widely
distributed.
connectivity
emerging
literature
support
link
between
breathing,
emotion,
cognition
becoming
experimentally
tractable.
bring
great
potential
for
elucidating
function
dysfunction
other
mammalian
circuits.
Respiration
is
a
brain
function
on
which
our
lives
essentially
depend.
Control
of
respiration
ensures
that
the
frequency
and
depth
breathing
adapt
continuously
to
metabolic
needs.
In
addition,
respiratory
control
network
has
organize
muscular
synergies
integrate
ventilation
with
posture
body
movement.
Finally,
coupled
cardiovascular
emotion.
Here,
we
argue
can
handle
this
all
by
integrating
brainstem
central
pattern
generator
circuit
in
larger
also
comprises
cerebellum.
Although
currently
not
generally
recognized
as
center,
cerebellum
well
known
for
its
coordinating
modulating
role
motor
behavior,
autonomic
nervous
system.
review,
discuss
regions
involved
respiration,
their
anatomical
functional
interactions.
We
how
sensory
feedback
result
adaptation
these
mechanisms
be
compromised
various
neurological
psychological
disorders.
demonstrate
generators
are
part
integrated
regions.
Current Opinion in Neurobiology,
Год журнала:
2025,
Номер
90, С. 102974 - 102974
Опубликована: Янв. 28, 2025
Subconscious
breathing
is
generated
by
a
network
of
brainstem
nodes
with
varying
purposes,
like
pacing
or
patterning
certain
breath
phase.
Decades
anatomy,
pharmacology,
and
physiology
studies
have
identified
characterized
the
system's
fundamental
properties
that
produce
robust
breathing,
we
now
well-conceived
computational
models
are
based
on
detailed
descriptions
neuronal
connectivity,
biophysical
properties,
functions
in
breathing.
In
total,
considerable
understanding
control
circuit.
But,
last
five
years,
utilization
molecular
genetic
approaches
to
study
neural
subtypes
within
each
node
has
led
new
era
circuit
research
explains
how
integrated
more
complex
behaviors
speaking
running
connected
other
physiological
systems
our
state-of-mind.
This
review
will
describe
basic
role
key
components
then
highlight
transformative
discoveries
broaden
these
brain
areas.
These
serve
illustrate
creativity
exciting
future
research.
The
analgesic
utility
of
opioid-based
drugs
is
limited
by
the
life-threatening
risk
respiratory
depression.
Opioid-induced
depression
(OIRD),
mediated
μ-opioid
receptor
(MOR),
characterized
a
pronounced
decrease
in
frequency
and
regularity
inspiratory
rhythm,
which
originates
from
medullary
preBötzinger
Complex
(preBötC).
To
unravel
cellular-
network-level
consequences
MOR
activation
preBötC,
MOR-expressing
neurons
were
optogenetically
identified
manipulated
transgenic
mice
vitro
vivo.
Based
on
these
results,
model
OIRD
was
developed
silico.
We
conclude
that
hyperpolarization
-
expressing
preBötC
alone
does
not
phenocopy
OIRD.
Instead,
effects
are
twofold:
(1)
pre-inspiratory
spiking
reduced
(2)
excitatory
synaptic
transmission
suppressed,
thereby
disrupting
network-driven
rhythmogenesis.
These
dual
mechanisms
opioid
action
act
synergistically
to
make
normally
robust
rhythm-generating
network
particularly
prone
collapse
when
challenged
with
exogenous
opioids.
Proceedings of the National Academy of Sciences,
Год журнала:
2022,
Номер
119(29)
Опубликована: Июль 14, 2022
The
coordination
of
swallowing
with
breathing,
in
particular
inspiration,
is
essential
for
homeostasis
most
organisms.
While
much
has
been
learned
about
the
neuronal
network
critical
inspiration
mammals,
pre-Bötzinger
complex
(preBötC),
little
known
how
this
interacts
swallowing.
Here
we
activate
within
preBötC
excitatory
neurons
(defined
as
Opioids
depress
breathing
by
inhibition
of
interconnected
respiratory
nuclei
in
the
pons
and
medulla.
Mu
opioid
receptor
(MOR)
agonists
directly
hyperpolarize
a
population
neurons
dorsolateral
pons,
particularly
Kölliker-Fuse
(KF)
nucleus,
that
are
key
mediators
opioid-induced
depression.
However,
projection
target
synaptic
connections
MOR-expressing
KF
unknown.
Here,
we
used
retrograde
labeling
brain
slice
electrophysiology
to
determine
project
ventrolateral
medulla,
including
preBötzinger
complex
(preBötC)
rostral
ventral
group
(rVRG).
These
medullary-projecting,
pontine
express
FoxP2
distinct
from
calcitonin
gene-related
peptide-expressing
lateral
parabrachial
neurons.
Furthermore,
release
glutamate
onto
excitatory
preBötC
rVRG
via
monosynaptic
projections,
which
is
inhibited
presynaptic
receptors.
Surprisingly,
majority
receiving
MOR-sensitive
glutamatergic
input
themselves
hyperpolarized
opioids,
suggesting
selective
opioid-sensitive
circuit
inhibit
this
pontomedullary
three
mechanisms-somatodendritic
MORs
on
medullary
neuron
terminals
medulla-all
could
contribute
The Journal of Physiology,
Год журнала:
2024,
Номер
602(5), С. 809 - 834
Опубликована: Фев. 14, 2024
Abstract
Breathing
behaviour
involves
the
generation
of
normal
breaths
(eupnoea)
on
a
timescale
seconds
and
sigh
order
minutes.
Both
rhythms
emerge
in
tandem
from
single
brainstem
site,
but
whether
how
cell
population
can
generate
two
disparate
remains
unclear.
We
posit
that
recurrent
synaptic
excitation
concert
with
depression
cellular
refractoriness
gives
rise
to
eupnoea
rhythm,
whereas
an
intracellular
calcium
oscillation
is
slower
by
orders
magnitude
rhythm.
A
mathematical
model
capturing
these
dynamics
simultaneously
generates
frequencies,
which
be
separately
regulated
physiological
parameters.
experimentally
validated
key
predictions
regarding
signalling.
All
vertebrate
brains
feature
network
oscillator
drives
breathing
pump
for
regular
respiration.
However,
air‐breathing
mammals
compliant
lungs
susceptible
collapse,
rhythmogenic
may
have
refashioned
ubiquitous
signalling
systems
produce
second
rhythm
(for
sighs)
prevents
atelectasis
without
impeding
eupnoea.
image
Key
points
simplified
activity‐based
preBötC
inspiratory
neuron
population.
Inspiration
attributable
canonical
excitatory
mechanism.
Sigh
emerges
The
predicts
perturbations
uptake
release
across
endoplasmic
reticulum
counterintuitively
accelerate
decelerate
rhythmicity,
respectively,
was
validated.
Vertebrate
evolution
adapted
existing
mechanisms
slow
oscillations
needed
optimize
pulmonary
function
mammals.
How
mammalian
neural
circuits
generate
rhythmic
activity
in
motor
behaviors,
such
as
breathing,
walking,
and
chewing,
remains
elusive.
For
rhythm
generation
is
localized
to
a
brainstem
nucleus,
the
preBötzinger
Complex
(preBötC).
Rhythmic
preBötC
population
consists
of
strong
inspiratory
bursts,
which
drive
motoneuronal
activity,
weaker
burstlets,
we
hypothesize
reflect
an
emergent
rhythmogenic
process.
If
burstlets
underlie
rhythmogenesis,
respiratory
depressants,
opioids,
should
reduce
burstlet
frequency.
Indeed,
medullary
slices
from
neonatal
mice,
μ-opioid
receptor
(μOR)
agonist
DAMGO
slowed
generation.
Genetic
deletion
μORs
glutamatergic
subpopulation
abolished
opioid-mediated
depression,
neuropeptide
Substance
P,
but
not
blockade
inhibitory
synaptic
transmission,
reduced
opioidergic
effects.
We
conclude
that
rhythmogenesis
process,
modulated
by
does
rely
on
bursts
associated
with
output.
These
findings
also
point
strategies
for
ameliorating
opioid-induced
depression
breathing.