Parallel suppression of extensor muscle tone and respiration by stimulation of pontine dorsal tegmentum in decerebrate cat

Movement suppression during anesthesia: Neural projections from the mesopontine tegmentum to areas involved in motor control

Microinjection of pentobarbital and GABA(A)-receptor agonists into a brainstem region we have called the mesopontine tegmental anesthesia area (MPTA; Devor and Zalkind [2001] Pain 94:101-112) induces a general anesthesia-like state. As in systemic general anesthesia, rats show loss of the righting reflex, atonia, nonresponsiveness to noxious stimuli, and apparent loss of consciousness. GABA(A) agonist anesthetics acting on the MPTA might suppress movement by engaging endogenous motor regulatory systems previously identified in research on decerebrate rigidity and REM sleep atonia. Anterograde and retrograde tracing revealed that the MPTA has multiple descending projections to pontine and medullary areas known to be associated with motor control and atonia. Prominent among these are the dorsal pontine reticular formation and components of the rostral ventromedial medulla (RVM). The MPTA also has direct projections to the intermediate gray matter and ventral horn of the spinal cord via the lateral and anterior funiculi. These projections show a rostrocaudal topography: neurons in the rostral MPTA project to the RVM, but only minimally to the spinal cord, while those in the caudal MPTA project to both targets. Finally, the MPTA has ascending projections to motor control areas including the substantia nigra, subthalamic nucleus, and the caudate-putamen. Projections are bilateral with an ipsilateral predominance. We propose that GABA(A) agonist anesthetics induce immobility at least in part by acting on these endogenous motor control pathways via the MPTA. Analysis of MPTA connectivity has the potential for furthering our understanding of the neural circuitry responsible for the various functional components of general anesthesia.

The cytological implications of primary respiration

Observing the macroscopic complexities of evolved species, the exceptional continuity that occurs among different cells, tissues and organs to respond coherently to the proper set of stimuli as a function of self/species survival is appreciable. Accordingly, it alludes to a central rhythm that resonates throughout the cell; nominated here as primary respiration (PR), which is capable of binding and synchronizing a diversity of physiological processes into a functional biological unity. Phylogenetically, it was conserved as an indispensable element in the makeup of the subkingdom Metazoa, since these species require a high degree of coordination among the different cells that form their body. However, it does not preclude the possibility of a basal rhythm to orchestrate the intricacies of cellular dynamics of both prokaryotic and eukaryotic cells. In all probability, PR emerges within the crucial organelles, with special emphasis on the DNA (5), and propagated and transduced within the infrastructure of the cytoskeleton as wave harmonics (49). Collectively, this equivalent vibration for the subphylum Vertebrata emanates as craniosacral respiration (CSR), though its expression is more elaborate depending on the development of the CNS. Furthermore, the author suggests that the phenomenon of PR or CSR be intimately associated to the basic rest/activity cycle (BRAC), generated by concentrically localized neurons that possess auto-oscillatory properties and assembled into a vital network (39). Historically, during Protochordate-Vertebrate transition, this area circumscribes an archaic region of the brain in which many vital biological rhythms have their source, called hindbrain rhombomeres. Bass and Baker (2) propose that pattern-generating circuits of more recent innovations, such as vocal, electromotor, extensor muscle tonicity, locomotion and the extraocular system, have their origin from the same Hox gene-specified compartments of the embryonic hindbrain (rhombomeres 7 and 8) that produce rhythmically active cardiac and thoracic respiratory circuits. Here, it implies that PR could have been the first essential biological cadence that arose with the earliest form of life, and has undergone a phylogenetic ascent to produce an integrated multirhythmic organism of today. Finally, in its full manifestation, the breathing DNA (1) of the zygote could project itself throughout the cytoskeleton and modify the electromechanical properties of the plasma lamella (26), establishing the primordial axial-voltage gradients for the physiological control of development (53).

Pontine cholinergic respiratory depression in neonatal and young rats

We postulated that activation of pontine cholinergic mechanisms would cause respiratory depression in neonatal and young rats. Phrenic activity was recorded in decerebrate, paralyzed, ventilated and vagotomized rats of 4 to 22 days after birth. Small volumes (10-60 nl) of carbachol (44-88 mM) were injected into the medial portion of the rostral pons. The injection of carbachol, but not saline, decreased phrenic peak activity (83 +/- 6% of control) and respiratory frequency (64 +/- 9.5% of control) within 2 min following the injection in neonates and the depression lasted for less than 10 min. The site of injection in the pontine reticular formation was confirmed by histology. Results suggest that cholinergic mechanisms in the medial pons depress respiratory activity in the neonate.

Brainstem network controlling descending drive to phrenic motoneurons in rat

Contraction of the diaphragm is controlled by phrenic motoneurons that receive input from sources that are not fully established. Bulbospinal (second-order) neurons projecting to phrenic motoneurons and propriobulbar (third-order) neurons projecting to these bulbspinal neurons were investigated in rat by transsynaptic transport of the neuroinvasive pseudorabies virus. Bulbospinal neurons were located predominantly in the medullary lateral tegmental field in two functionally described regions, the ventral respiratory group and Bötzinger complex. An intervening region, the pre-Bötzinger complex, contained essentially no phrenic premotoneurons. Bulbospinal neurons were also located in ventral, interstitial, and ventrolateral subnuclei of the solitary tract, and gigantocellular, Kölliker-Fuse, parabrachial, and medullary raphe nuclei. A monosynaptic pathway to phrenic motoneurons from the nucleus of the solitary tract was confirmed; monosynaptic pathways from upper cervical spinal cord, spinal trigeminal nucleus, medical and lateral vestibular nuclei, and medial pontine tegmentum were not verified. Locations of third-order neurons were consistent with described projections to the ventral respiratory group, from contralateral ventral respiratory group, Bötzinger complex, A5 noradrenergic cell group, and the following nuclei; solitary, raphe, Kölliker-Fuse, parabrachial, retrotrapezoid, and paragigantocellular. Novel findings included a projection from locus coeruleus to respiratory premotoneurons and the lack of previously described pathways from area postrema and spinal trigeminal nucleus. These second- and third-order neurons from the output network for diphragm motor control which includes numerous behaviors (e.g., respiration, phonation, defecation). Of the premotoneurons, the rostral ventral respiratory group is the primary population controlling phrenic motoneurons.

REM sleep pathways and anticholinesterase intoxication: a mechanism for nerve agent-induced, central respiratory failure

The mechanism of death following exposure to anticholinesterases, such as the highly toxic nerve agents soman and VX, and other organophosphate anticholinesterases such as the insecticide parathion, remains unclear, although evidence from nerve agent research suggests that death occurs by an atropine blockable respiratory failure mediated through mechanisms involving the central nervous system. It is proposed that REM sleep pathways, which can be triggered by acetylcholine accumulation in the pontomedullar reticular field, mediate respiratory failure through the inhibition of respiratory muscles. Cholinergic activation of REM sleep activities may also account for other physiological and behavioural effects that follow exposure to nerve agents. These include forebrain activation, which is associated with EEG desynchronization and seizures, locomotor depression with concomitant loss of righting reflex, and limb jerks and extensions. Pharmacologic evidence for atropine and clonidine protection against soman intoxication effects is entirely consistent with a scenario of cholinergic receptor activation in the pontomedullar reticular field.

Heart beat fluctuation during fictive locomotion in decerebrate cats: locomotor-cardiac coupling of central origin

Fictive locomotion was evoked by stimulation of the mesencephalic locomotor region (MLR) in immobilized, vagotomized and decerebrate cats. The coherence between heart beat fluctuation and efferent discharges of the hindlimb nerve was used to evaluate the strength of the coupling between the cardiac and locomotor rhythms during MLR-elicited fictive locomotion. This study demonstrated that there was a locomotor-cardiac coupling of central origin.

Descending inhibitory pathway responsible for simultaneous suppression of postural tone and respiration in decerebrate cats

The present study was performed in order to elucidate whether the suppressive effects on postural tone and respiration evoked by stimulation of the dorsal tegmental field (DTF) of the pons are relayed through the neurons in the ponto-medullary reticular formation. First, the DTF was functionally identified, and then a microelectrode was inserted into the caudal pontine and medullary reticular formation to investigate the distribution of the neurons monosynaptically activated by stimulation of the DTF. The monosynaptically activated neurons were distributed within the nucleus reticularis gigantocellularis (NRGc) in the caudal pons and medulla. The spinal cord (L1) was stimulated to study whether such monosynaptically activated neurons project to the spinal cord. Almost all the neurons monosynaptically activated by DTF stimulation were antidromically activated by spinal stimulation. This result indicates that the neurons in the NRGc activated monosynaptically by DTF stimulation send axons to the spinal cord. Tonic micro-stimulation was then delivered to the site in the NRGc, from which the monosynaptically driven units were recorded by DTF stimulation. The stimulation resulted in the parallel suppression of postural tone and respiration, similar to the suppressive effects elicited by DTF stimulation. The present study suggests the possible existence of a descending inhibitory pathway through the reticulospinal neurons in the NRGc responsible for parallel suppression of postural tone and respiration.

Interactions between locomotor and respiratory activities during hindlimb stepping on a stationary surface in decerebrate cats

Hindlimb stepping on a stationary surface was evoked by tonic electrical stimulation of the dorso-lateral part of the mesencephalic locomotor region. Such a stepping movement (still-stepping) was characterized by alternating limb loading between the left and right hindlimbs, while the animal maintained a standing posture. Under such conditions, a slight increase in the stimulus intensity produced synchronized still-stepping between the hindlimbs. At that time, respiratory activity, evaluated by recording the diaphragmatic EMG, showed marked changes and was strongly correlated with the stepping frequency. Cross-correlograms between the diaphragmatic and gastrocnemius activities disclosed that locomotor-respiratory coupling increased in strength when the mode still-stepping changed from the alternating to the synchronized stepping between the hindlimbs.

Coupling between respiratory and locomotor rhythms during fictive locomotion in decerebrate cats

Fictive locomotion of the hindlimb was evoked by stimulation of the mesencephalic locomotor region (MLR) in immobilized, decerebrate cats. Fictive respiration can also be obtained in such a preparation after bilateral vagotomy. A cross-correlation technique was used to evaluate the strength of the coupling between the locomotor and respiratory rhythms. This study demonstrated that there was a locomotor-respiratory coupling of central origin and the strength of the coupling varied depending on the level of end-tidal pCO2, reflecting the arterial CO2 tension.

Depression of diaphragmatic and external intercostal muscle activities elicited by stimulation of midpontine dorsal tegmentum in decerebrate cats

This paper describes the inhibitory influences on external intercostal muscle activity and diaphragmatic activity, evoked by stimulation of the dorsal tegmental field (DTF) of the pons in decerebrate cats. Stimulation of the DTF along the midline decreased both the diaphragmatic and the external intercostal activities. However, the inhibitory influences on the above two kinds of respiratory muscle activities were different in nature. Diaphragmatic activity, once suppressed by stimulation, recovered in spite of the continuation of stimulation. In contrast, DTF stimulation depressed tonic discharges of external intercostal muscle, and the depressed or abolished tonic discharges did not resume even after termination of stimulation. Rhythmic external intercostal muscle activity, synchronized with diaphragmatic activity, was also suppressed by DTF stimulation and the suppressed rhythmic activity seemed difficult to recover during stimulation, compared with the recovery process of the diaphragmatic activity.

Inhibitory influences on hypoglossal neural activity by stimulation of midpontine dorsal tegmentum in decerebrate cat

In the spontaneously breathing decerebrate cat, the properties of the suppressive effects on hypoglossal nerve activity and on diaphragmatic activity elicited by stimulation of the midpontine dorsal tegmentum (DTF area) were analyzed. Stimulation simultaneously decreased the activities of the hypoglossal nerve as well as that of the diaphragm. However, the inhibitory influences on the above two kinds of activities were different in nature. Diaphragmatic activity, once suppressed by stimulation, recovered and gradually became greater in amplitude in spite of the continuation of stimulation. In contrast, DTF stimulation depressed tonic discharges of the hypoglossal nerve, and the decreased tonic nerve activity persisted after stimulation ended. Rhythmic hypoglossal activity, once suppressed by stimulation, reappeared during DTF stimulation. Such a rhythmic activity, however, vanished after the termination of stimulation, although the rhythmic diaphragmatic activity did not.

Neuronal origin of parallel suppression of postural tone and respiration elicited by stimulation of midpontine dorsal tegmentum in the decerebrate cat

This paper describes the possibility that rostal pontine neuronal structures cause the parallel suppression of postural tone and respiration evoked by stimulation of the dorsal tegmental field (DTF) of the pons in decerebrate cats. Stimulation of the DTF along the midline decreased both diaphragmatic activity and the bilateral tone of the hind-limb extensor muscles. Pontine neuronal structures located rostrally to the DTF, from which antidromically activated units could be recorded on stimulation of the DTF, were studied. Antidromic spikes were recorded in and near the nucleus reticularis pontis oralis. Tonic electrical stimulation of these sites caused parallel suppression of postural tone and respiration. These suppressive effects were almost similar to those elicited by the DTF stimulation.