Coordinated rhythmic bursting in respiratory and locomotor muscle nerves in the spinal rabbit

Cervical Epidural Electrical Stimulation Increases Respiratory Activity through Somatostatin-Expressing Neurons in the Dorsal Cervical Spinal Cord in Rats

We tested the hypothesis that dorsal cervical epidural electrical stimulation (CEES) increases respiratory activity in male and female anesthetized rats. Respiratory frequency and minute ventilation were significantly increased when CEES was applied dorsally to the C2-C6 region of the cervical spinal cord. By injecting pseudorabies virus into the diaphragm and using c-Fos activity to identify neurons activated during CEES, we found neurons in the dorsal horn of the cervical spinal cord in which c-Fos and pseudorabies were co-localized, and these neurons expressed somatostatin (SST). Using dual viral infection to express the inhibitory Designer Receptors Exclusively Activated by Designer Drugs (DREADD), hM4D(Gi), selectively in SST-positive cells, we inhibited SST-expressing neurons by administering Clozapine N-oxide (CNO). During CNO-mediated inhibition of SST-expressing cervical spinal neurons, the respiratory excitation elicited by CEES was diminished. Thus, dorsal cervical epidural stimulation activated SST-expressing neurons in the cervical spinal cord, likely interneurons, that communicated with the respiratory pattern generating network to effect changes in ventilation.SIGNIFICANCE STATEMENT A network of pontomedullary neurons within the brainstem generates respiratory behaviors that are susceptible to modulation by a variety of inputs; spinal sensory and motor circuits modulate and adapt this output to meet the demands placed on the respiratory system. We explored dorsal cervical epidural electrical stimulation (CEES) excitation of spinal circuits to increase ventilation in rats. We identified dorsal somatostatin (SST)-expressing neurons in the cervical spinal cord that were activated (c-Fos-positive) by CEES. CEES no longer stimulated ventilation during inhibition of SST-expressing spinal neuronal activity, thereby demonstrating that spinal SST neurons participate in the activation of respiratory circuits affected by CEES. This work establishes a mechanistic foundation to repurpose a clinically accessible neuromodulatory therapy to activate respiratory circuits and stimulate ventilation.

Targeted activation of spinal respiratory neural circuits

Spinal interneurons which discharge in phase with the respiratory cycle have been repeatedly described over the last 50 years. These spinal respiratory interneurons are part of a complex propriospinal network that is synaptically coupled with respiratory motoneurons. This article summarizes current knowledge regarding spinal respiratory interneurons and emphasizes chemical, electrical and physiological methods for activating spinal respiratory neural circuits. Collectively, the work reviewed here shows that activating spinal interneurons can have a powerful impact on spinal respiratory motor output, and can even drive rhythmic bursting in respiratory motoneuron pools under certain conditions. We propose that the primary functions of spinal respiratory neurons include 1) shaping the respiratory pattern into the final efferent motor output from the spinal respiratory nerves; 2) coordinating respiratory muscle activation across the spinal neuraxis; 3) coordinating postural, locomotor and respiratory movements, and 4) enabling plasticity of respiratory motor output in health and disease.

Spinal genesis of Mayer waves

Variability in cardiovascular spectra was first described by Stephan Hales in 1733. Traube and Hering initially noted respirophasic variation of the arterial pressure waveform in 1865 and Sigmund Mayer noted a lower frequency oscillation of the same in anesthetized rabbits in 1876. Very low frequency oscillations were noted by Barcroft and Nisimaru in 1932, likely representing vasogenic autorhythmicity. While the origins of Traube Hering and very low frequency oscillatory variability in cardiovascular spectra are well described, genesis mechanisms and functional significance of Mayer waves remain in controversy. Various theories have posited baroreflex and central supraspinal mechanisms for genesis of Mayer waves. Several studies have demonstrated the persistence of Mayer waves following high cervical transection, indicating a spinal capacity for genesis of these oscillations. We suggest a general tendency for central sympathetic neurons to oscillate at the Mayer wave frequency, the presence of multiple Mayer wave oscillators throughout the brainstem and spinal cord, and possible contemporaneous genesis by baroreflex and vasomotor mechanisms.

Modulation of Respiratory System by Limb Muscle Afferents in Intact and Injured Spinal Cord

Breathing constantly adapts to environmental, metabolic or behavioral changes by responding to different sensory information, including afferent feedback from muscles. Importantly, not just respiratory muscle feedback influences respiratory activity. Afferent sensory information from rhythmically moving limbs has also been shown to play an essential role in the breathing. The present review will discuss the neuronal mechanisms of respiratory modulation by activation of peripheral muscles that usually occurs during locomotion or exercise. An understanding of these mechanisms and finding the most effective approaches to regulate respiratory motor output by stimulation of limb muscles could be extremely beneficial for people with respiratory dysfunctions. Specific attention in the present review is given to the muscle stimulation to treat respiratory deficits following cervical spinal cord injury.

A Latent Propriospinal Network Can Restore Diaphragm Function after High Cervical Spinal Cord Injury

Spinal cord injury (SCI) above cervical level 4 disrupts descending axons from the medulla that innervate phrenic motor neurons, causing permanent paralysis of the diaphragm. Using an ex vivo preparation in neonatal mice, we have identified an excitatory spinal network that can direct phrenic motor bursting in the absence of medullary input. After complete cervical SCI, blockade of fast inhibitory synaptic transmission caused spontaneous, bilaterally coordinated phrenic bursting. Here, spinal cord glutamatergic neurons were both sufficient and necessary for the induction of phrenic bursts. Direct stimulation of phrenic motor neurons was insufficient to evoke burst activity. Transection and pharmacological manipulations showed that this spinal network acts independently of medullary circuits that normally generate inspiration, suggesting a distinct non-respiratory function. We further show that this "latent" network can be harnessed to restore diaphragm function after high cervical SCI in adult mice and rats.

Bimodal Respiratory-Locomotor Neurons in the Neonatal Rat Spinal Cord

Neural networks that can generate rhythmic motor output in the absence of sensory feedback, commonly called central pattern generators (CPGs), are involved in many vital functions such as locomotion or respiration. In certain circumstances, these neural networks must interact to produce coordinated motor behavior adapted to environmental constraints and to satisfy the basic needs of an organism. In this context, we recently reported the existence of an ascending excitatory influence from lumbar locomotor CPG circuitry to the medullary respiratory networks that is able to depolarize neurons of the parafacial respiratory group during fictive locomotion and to subsequently induce an increased respiratory rhythmicity (Le Gal et al., 2014b). Here, using an isolated in vitro brainstem-spinal cord preparation from neonatal rat in which the respiratory and the locomotor networks remain intact, we show that during fictive locomotion induced either pharmacologically or by sacrocaudal afferent stimulation, the activity of both thoracolumbar expiratory motoneurons and interneurons is rhythmically modulated with the locomotor activity. Completely absent in spinal inspiratory cells, this rhythmic pattern is highly correlated with the hindlimb ipsilateral flexor activities. Furthermore, silencing brainstem neural circuits by pharmacological manipulation revealed that this locomotor-related drive to expiratory motoneurons is solely dependent on propriospinal pathways. Together these data provide the first evidence in the newborn rat spinal cord for the existence of bimodal respiratory-locomotor motoneurons and interneurons onto which both central efferent expiratory and locomotor drives converge, presumably facilitating the coordination between the rhythmogenic networks responsible for two different motor functions. Significance statement: In freely moving animals, distant regions of the brain and spinal cord controlling distinct motor acts must interact to produce the best adapted behavioral response to environmental constraints. In this context, it is well established that locomotion and respiration must to be tightly coordinated to reduce muscular interferences and facilitate breathing rate acceleration during exercise. Here, using electrophysiological recordings in an isolated in vitro brainstem-spinal cord preparation from neonatal rat, we report that the locomotor-related signal produced by the lumbar central pattern generator for locomotion selectively modulates the intracellular activity of spinal respiratory neurons engaged in expiration. Our results thus contribute to our understanding of the cellular bases for coordinating the rhythmic neural circuitry responsible for different behaviors.

Facing the challenge of mammalian neural microcircuits: taking a few breaths may help

Breathing in mammals is a seemingly straightforward behaviour controlled by the brain. A brainstem nucleus called the preBötzinger Complex sits at the core of the neural circuit generating respiratory rhythm. Despite the discovery of this microcircuit almost 25 years ago, the mechanisms controlling breathing remain elusive. Given the apparent simplicity and well-defined nature of regulatory breathing behaviour, the identification of much of the circuitry, and the ability to study breathing in vitro as well as in vivo, many neuroscientists and physiologists are surprised that respiratory rhythm generation is still not well understood. Our view is that conventional rhythmogenic mechanisms involving pacemakers, inhibition or bursting are problematic and that simplifying assumptions commonly made for many vertebrate neural circuits ignore consequential detail. We propose that novel emergent mechanisms govern the generation of respiratory rhythm. That a mammalian function as basic as rhythm generation arises from complex and dynamic molecular, synaptic and neuronal interactions within a diverse neural microcircuit highlights the challenges in understanding neural control of mammalian behaviours, many (considerably) more elaborate than breathing. We suggest that the neural circuit controlling breathing is inimitably tractable and may inspire general strategies for elucidating other neural microcircuits.

Modulation of spontaneous locomotor and respiratory drives to hindlimb motoneurons temporally related to sympathetic drives as revealed by Mayer waves

In this study we investigated how the networks mediating respiratory and locomotor drives to lumbar motoneurons interact and how this interaction is modulated in relation to periodic variations in blood pressure (Mayer waves). Seven decerebrate cats, under neuromuscular blockade, were used to study central respiratory drive potentials (CRDPs, usually enhanced by added CO₂) and spontaneously occurring locomotor drive potentials (LDPs) in hindlimb motoneurons, together with hindlimb and phrenic nerve discharges. In four of the cats both drives and their voltage-dependent amplification were absent or modest, but in the other three, one or other of these drives was common and the voltage-dependent amplification was frequently strong. Moreover, in these three cats the blood pressure showed marked periodic variation (Mayer waves), with a slow rate (periods 9–104 s, mean 39 ± 17 SD). Profound modulation, synchronized with the Mayer waves was seen in the occurrence and/or in the amplification of the CRDPs or LDPs. In one animal, where CRDPs were present in most cells and the amplification was strong, the CRDP consistently triggered sustained plateaux at one phase of the Mayer wave cycle. In the other two animals, LDPs were common, and the occurrence of the locomotor drive was gated by the Mayer wave cycle, sometimes in alternation with the respiratory drive. Other interactions between the two drives involved respiration providing leading events, including co-activation of flexors and extensors during post-inspiration or a locomotor drive gated or sometimes entrained by respiration. We conclude that the respiratory drive in hindlimb motoneurons is transmitted via elements of the locomotor central pattern generator. The rapid modulation related to Mayer waves suggests the existence of a more direct and specific descending modulatory control than has previously been demonstrated.

The nucleus retroambiguus as possible site for inspiratory rhythm generation caudal to obex

We investigated whether spinalized animals can produce inspiratory rhythm. We recorded spinal inspiratory phrenic (PNA) and cranial inspiratory hypoglossal (HNA) nerve activity in the perfused brainstem preparation of rat. Complete transverse transections were performed at 1.5 (pyramidal decussation) or 2mm (first cervical spinal segment) caudal to obex. Excitatory drive was enhanced by either extracellular potassium, hypercapnia or by stimulating arterial chemoreceptors. Caudal transections immediately eliminated descending network drive for PNA, while the cranial inspiratory HNA remained unaffected. After transection, PNA bursting remained sporadic even during enhanced excitatory drive. This implies, cervical spinal circuits lack intrinsic rhythmogenic capacity. Rostral transections also abolished PNA immediately. However, HNA also progressively lost its amplitude and rhythm. Chemoreceptor activation only triggered tonic, non-rhythmic HNA. Thus the integrity of ponto-medullary circuitry was maintained. Our results suggest that an area overlapping the caudal nucleus retroambiguus provides critical ascending input to the ponto-medullary respiratory network for inspiratory rhythm generation.

Spinal circuitry and respiratory recovery following spinal cord injury

Numerous studies have demonstrated anatomical and functional neuroplasticity following spinal cord injury. One of the more notable examples is return of ipsilateral phrenic motoneuron and diaphragm activity which can be induced under terminal neurophysiological conditions after high cervical hemisection in the rat. More recently it has been shown that a protracted, spontaneous recovery also occurs in this model. While a candidate neural substrate has been identified for the former, the neuroanatomical basis underlying spontaneous recovery has not been explored. Demonstrations of spinal respiratory interneurons in other species suggest such cells may play a role; however, the presence of interneurons in the adult rat phrenic circuit - the primary animal model of respiratory plasticity - has not been extensively investigated. Emerging neuroanatomical and electrophysiological results raise the possibility of a more complex neural network underlying spontaneous recovery of phrenic function and compensatory respiratory neuroplasticity after C2 hemisection than has been previously considered.

Cervical prephrenic interneurons in the normal and lesioned spinal cord of the adult rat

Although monosynaptic bulbospinal projections to phrenic motoneurons have been extensively described, little is known about the organization of phrenic premotor neurons in the adult rat spinal cord. Because interneurons may play an important role in normal breathing and recovery following spinal cord injury, the present study has used anterograde and transneuronal retrograde tracing to study their distribution and synaptic relations. Exclusive unilateral, first-order labeling of the phrenic motoneuron pool with pseudorabies virus demonstrated a substantial number of second-order, bilaterally distributed cervical interneurons predominantly in the dorsal horn and around the central canal. Combined transneuronal and anterograde tracing revealed ventral respiratory column projections to prephrenic interneurons, suggesting that some propriospinal relays exist between medullary neurons and the phrenic nucleus. Dual-labeling studies with pseudorabies virus recombinants also showed prephrenic interneurons integrated with either contralateral phrenic or intercostal motoneuron pools. The stability of interneuronal pseudorabies virus labeling patterns following lateral cervical hemisection was then addressed. Except for fewer infected contralateral interneurons at the level of the central canal, the number and distribution of phrenic-associated interneurons was not significantly altered 2 weeks posthemisection (i.e., the point at which the earliest postinjury recovery of phrenic activity has been reported). These results demonstrate a heterogeneous population of phrenic-related interneurons. Their connectivity and relative stability after cervical hemisection raise speculation for potentially diverse roles in modulating phrenic function normally and postinjury.

Commentary on eupneic breathing patterns and gasping

The term "eupneic activity pattern" is a trivial phenotypical description of a particular activity pattern in respiratory nerves as recorded under in vivo like experimental conditions. This term is, however, inadequate, because Eupnea describes a behavioral breathing performance that is trouble-free occurring without conscious effort. Obviously, the term "eupneic activity pattern" is meant to describe a neural activity that is normal and comparable with quiet breathing conditions. The various in vivo, in situ and in vitro preparations all generate their specific "normal" activity patterns, when the conditions are undisturbed. The commentary describes some of the numerous reasons why such normal activity patterns must be different in the various preparations without indicating their pathological operation. The conclusion is that special considerations are necessary for any extension of the in vitro and in situ findings into in vivo situations, because the capacity of the respiratory network is greatly reduced and thus not comparable with conditions leading to "eupneic breathing" in the fully intact animal.

Rhythmic phrenic, intercostal and sympathetic activity in relation to limb and trunk motor activity in spinal cats

During L-DOPA-induced fictive spinal locomotion rhythmic activities in nerves to internal intercostal and external oblique abdominal muscles and in phrenic and sympathetic nerves were observed which were always coordinated with locomotor activity in forelimb and hindlimb muscle nerves. A periodicity with longer lasting tonic phases could be induced by cutaneous nerve stimulation or asphyxia. This activity was observed in limb motor nerves as well as in respiratory motor and sympathetic nerves. A slow independent activity of the phrenic and intercostal nerves or the sympathetic nerves, which could be related to a normal respiratory rhythm or independent sympathetic rhythms was not observed. The findings indicate that during fictive spinal locomotion the activity of spinal rhythm generators for locomotion also projects onto respiratory and sympathetic spinal neurones.

Coupling of breathing and movement during manual wheelchair propulsion

The hypothesis of this study was that stable coordination patterns may be found both within and between physiological subsystems. Many studies have been conducted on both monofrequency and multifrequency coordination, with a focus on both the frequency and phase relations among the limbs. In the present study, locomotor-respiratory coupling was observed in the maintenance of small-integer frequency ratios (2:1, 3:1, and 4:1) and in the consistent placement of the inspiratory phase just after the onset of the movement cycle during wheelchair propulsion. Level of experience and various motor and respiratory parameters were manipulated. Coupling was observed across levels of experience. Increases in movement frequency were accompanied by a shift to larger-integer ratios, suggesting that a single modeling strategy (e.g., the Farey tree; D. L. González & O. Piro, 1985) may be used for coordination both within the motor subsystem and between it and other physiological subsystems.

Interactions of breathing with the postural regulation of the fingers

OBJECTIVES

The present study was performed to detect the interactions between breathing and the postural motor control of the fingers. A previous study revealed a scattering in the intraindividual motor responses which resembled a grouping. It is hypothesized to result from the influence of breathing.

METHODS

Torque impulses and torque steps at two intensities were applied to 17 healthy volunteers, to the II-IV fingers of their right hand. The subjects had to compensate for these additional torque loads that were triggered by a breathing-related signal and elicited at 4 different moments within a breath.

RESULTS

We demonstrated mutual influences between breathing and the regulation of finger posture. The reaction to a torque load was faster at the beginning of inspiration but more precise when the torque load was applied in mid-expiration. The motor response to torque loads was accompanied by changes in the breathing time course, particularly when the torque load was elicited during inspiration. The effects were most pronounced when torque steps were applied. The intensity of torque loads had no significant influence. Additionally, we observed that the respiratory phase-transitions often coincided with the end of the applied torque steps.

CONCLUSIONS

The results correspond well with the interactions existing between breathing and single or rhythmical movements. Further investigations of motor functions should consider this interdependence with breathing.

Respiratory muscle coordination in acute spinal dogs

Our objectives were (1) to test whether respiratory muscles of spinal dogs can generate the alternating pattern of activation seen in intact animals and (2) to characterize the responsiveness of spinal rhythms to mechanical ventilation. We recorded the electromyographic activities of inspiratory muscles (diaphragm and parasternal intercostals) and expiratory muscles (triangularis sterni and transversus abdominis) in ten anesthetized dogs before and after transection of the cervical cord at levels C1-C2 (n = 2), C2-C3 (n = 6), and C8 (n = 2). In 9/10 dogs, we observed short lasting (3-4 min) rhythmic ventilatory muscle activity for up to 3 h after transection. Inspiratory and expiratory muscles contracted simultaneously, suggesting an absence of mechanism(s) responsible for reciprocal muscle activation on a spinal level. Five of ten dogs showed tonic rib cage activity during apnea that was phasically modulated during mechanical ventilation. From the absence of alternating inspiratory and expiratory muscle activity in acute spinalized dogs, we conclude that dogs do not have a spinal pattern generator for respiration.

Coordination Between Breathing and Finger Tracking in Man

Arm and leg movements are known to produce temporal pattern changes of breathing. This can be interpreted as coordination, as defined by von Holst (1939). The aim of the present study was to find whether breathing exerts an influence in a reverse direction on a nonrespiratory movement as well. A pursuit tracking test was used, and test individuals (N = 19) were instructed to track a visually presented step function by flexion or extension of their right index finger. Velocity and precision of the step responses proved to be dependent on their relation to the breathing time course; the differences between inspiratory and expiratory responses were smaller than those within each half-cycle. The movements were performed more rapidly and more precisely in about the middle of each half-cycle than immediately after the respiratory phase transition or during the second half of each inspiration or expiration. Discontinuous short-lasting motor actions exerted a coordinative influence on respiration comparablewith that of periodical events: Breaths coinciding with step responses were shortened, preferably when the preset step was given early in the inspiration. It was hypothesized that the reciprocal effect between both motor actions changes periodically. In the first part of each respiratory half-cycle, the respiratory rhythm exerts only a weak influence on additional movements, but it can be altered easily by simultaneous motor processes. Toward the respiratory phase-switching, the respiratory rhythm behaves more stably against coordinative influences and becomes capable of impairing an additional movement.

Characterization of hindlimb muscle afferents involved in ventilatory effects observed in decerebrate and spinal preparations

Neurogenic changes of phrenic activity have previously been observed during periodic passive motions of one hindlimb in decorticate, unanaesthetized and curarized rabbit preparations before and after high spinal transection (Palisses et al. 1988). In decerebrate and spinal preparations, we aimed to determine, through rhythmic electrical stimulation of hindlimb muscle nerves, which muscle afferents are involved in these effects. In decerebrate preparations, these electrical stimulations (trains of shocks at 80 Hz for 300 ms every second for 20 s) produced ventilatory effects when group I + II afferent fibres of either flexor or extensor nerves were stimulated together and more powerful changes as soon as group III fibres were recruited. Stimulation of group I fibres alone induced no such effects. When present, these changes in respiratory activity consisted of a maintained decrease of the respiratory period due to both inspiratory and expiratory time shortening; in addition, the amplitude of the phrenic bursts greatly increased at the onset of electrical stimulation. After spinal transection at C2 level and pharmacological activation by nialamide and DOPA, only short-lasting phrenic bursts developed spontaneously; the electrical stimulation of group II and mainly group III flexor afferent fibres induced large amplitude phrenic activity whereas the stimulation of the same extensor afferents was relatively ineffective. The activation of phrenic motoneurones during group III flexor afferent stimulation was closely linked to each 300 ms period of stimulation. While the phrenic effects obtained in the spinal preparations by natural and by electrical periodic stimulation are quite similar to each other, those produced in decerebrate preparations differ substantially.(ABSTRACT TRUNCATED AT 250 WORDS)

Preserved spinal dorsal horn potentials in a brain-dead patient with Lazarus' sign. Case report

The case of a brain-dead patient with complex movements of the extremities (Lazarus' sign) is reported. This is the first description in the literature of short-latency somatosensory evoked potentials (SSEP's) following median-nerve stimulation by a noncephalic reference method. The scalp P14 wave (a far-field positivity with a peak latency around 14 msec that originates from the cervicomedullary junction) disappeared, and the spinal N13 wave (a near-field negativity with a 13-msec peak recorded on the posterior neck and generated by the cervical dorsal horn) was preserved. Respiratory-like movement was also seen in this case. The SSEP. findings support the hypothesis that both Lazarus' sign and respiratory-like movement have a spinal origin.

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.

Desynchronized respiratory rhythms and their interactions in cats with split brain stems

1. The effects on activities and rhythms of the two opposing phrenic nerves (C5 roots) of mid-line sagittal splitting of the medulla were determined in anaesthetized or decorticate, vagotomized, paralysed and ventilated cats. 2. Splitting the medulla above the obex led to marked decreases of phrenic activity on both sides, but no desynchronization of the two phrenic rhythms occurred. Further splitting to more than 3 mm below the obex led to desynchronized phrenic rhythms in fourteen of the fifteen animals that survived the necessary surgery, although it was often necessary to increase respiratory drive by means of hypercapnia, stimulatory drugs or electrical stimulation of the mesencephalon to cause the rhythms to occur. 3. When only the brain stem had been split, the two desynchronized rhythms showed interactions that led to modulations of amplitude of phrenic bursts, both being larger when in phase than when out of phase. In addition each side modulated the rhythm of the opposite side, demonstrating a 'magnet' effect. 4. Both types of modulation were eliminated after additional splitting of the spinal cord at the level (C5-C6) of the phrenic motoneurone pools. 5. Potential explanations for the amplitude modulations include cross-over of activity from one phrenic motoneurone pool to the opposite side and cross-over from the medulla of one side to the opposite phrenic motoneurone pool at the phrenic level. 6. Since the rhythm generators were independent in our preparation and located in the split halves of the medulla and since peripheral sensory feed-back was not important in these paralysed animals, we propose that the phase modulations must be due to a corollary discharge, an afferent feed-back driven by phrenic motoneurone activity that crosses the mid-line at C5-C6, ascends to the brain and affects respiratory rhythm in the opposite medullary half.

Reflex modulation of phrenic activity through hindlimb passive motion in decorticate and spinal rabbit preparation

The neurogenic effect of passive hindlimb movement on phrenic nerve discharge was compared in decorticate unanaesthetized and curarized rabbit preparations prior to and after spinal transection. The question of how and where sensory information has access to the central respiratory network was addressed in each case. All passive motions, performed using a mechanical device, were of constant amplitude in a given preparation. The results clearly differed in decorticate and spinal preparations. In the decorticate vagotomized preparation, periodic passive motions led to an immediate shortening of the respiratory period which lasted throughout the periodic stimulation and stopped with its cessation; it did not depend on the frequency of the natural stimulation and was entirely due to a 20% shortening of the expiration time. Maintained full flexion or full extension both induced the same expiration time shortening, but limited to the first two to three respiratory cycles after onset and interruption of stimulation. After spinal transection at the C2 level, and moderate activation with DOPA, no phrenic activity developed in the absence of proprioceptive stimulation. Periodic hindlimb movements evoked simultaneous large bursts in both phrenic nerves during each extension; a 1:1 coordination of phrenic activity with the external imposed period (P) was observed for various P values. A strong phrenic activation could also be elicited through maintained full hindlimb extension but not through full flexion: this activation appeared as rhythmic discharge as long as extension was maintained. It is concluded that proprioceptive inputs act upon the medullary respiration generator and reset its own rhythm whereas, at the spinal level, they elicit an amplitude modulation at phrenic motoneuronal level without acting upon the rate of the spinal "respiration" generator itself; on the same phrenic motoneurons, a subthreshold central activation added to a subthreshold proprioceptive activation probably accounts for the phrenic bursting during maintained extension. Finally, the proprioceptive control from the hindlimb on phrenic activity is processed at different sites of the central respiratory network at medullary and at spinal level, and may depend on different input signals.

Different mechanisms involved in supraspinal and spinal reflex regulation of phrenic activity through chest movements

The coordination of breathing activity with chest movements was compared in the same decorticate rabbit preparations prior to and after a transection at the C2 spinal level. Pharmacological activation was induced with a combination of nialamide and DOPA in the latter situation. The preparation was curarized and chest inflations and deflations were induced by a respirator whose parameters could be modified. In decorticate preparations, phrenic activity was coordinated 1:1 with the respirator period over a large range of imposed periods. Beyond the extreme values a new coupling was achieved with a ratio of either 1:2 or 2:1. Throughout the range of 1:1 coordination, phrenic bursting always happened at a preferred time in the respirator period, although this time differed for the various imposed periods. This coordinated activity required vagal inputs. After spinal transection the phrenic nerves were totally silent; DOPA administration allowed rhythmic activity to develop. In some preparations, phrenic bursts were coordinated 1:1 with the respirator period and remained so for all the imposed periods: the phase of these phrenic discharges relative to the respirator cycle was kept unchanged for the different periods. In addition, there was a modulation of amplitude superimposed on this 1:1 coupling. These spinal phrenic bursts were generally suppressed when the respirator was turned off. From these results, the coordination of phrenic activity with the respirator rate appears to be produced by different mechanisms in the decorticate and in the spinal preparations. In the decorticate animal the periodic vagal inflow reset the activity of the medullary inspiratory generator and entrains it at its own rate. The coordination observed in the spinal preparation results from a periodic peripheral activation of premotoneuronal or motoneural phrenic elements during inflation. If the central bursts provided by the spinal "respiration" generator can fire phrenic motoneurons above threshold, their timing is not dependent on the peripheral inflow; when the motoneurons are fired below threshold by these central inputs, they are probably summing together the central and peripheral excitations, which could account for the amplitude modulation of the coordinated phrenic bursts of pure reflex origin. Possible afferent pathways are discussed.

Changeover from alternate to synchronous bilateral pattern of the phrenic bursts entrained by fictive locomotion in the spinal rabbit preparation

Phrenic bursting resulting from locomotor entrainment during fictive locomotion was shown previously in high spinal preparation after nialamide-DOPA administration. The temporal evolution of the bilateral pattern of phrenic vs locomotor activity is considered here. At variance with the bilateral locomotor pattern which is always alternate (fictive stepping), the pattern on both phrenic nerves changes with time after DOPA injection: first alternate, left and right phrenic bursts become synchronous. A study of ipsilateral phrenic-locomotor phase relationships allowed to disclose the way the transition from alternate to synchronous phrenic coupling was achieved: synchronism appeared as resulting from a strong facilitation on the overlapping parts of the bilaterally alternating phrenic bursts; this phase shifting, vs the ipsilateral locomotor pattern, accounts for the transfer of phrenic bilateral coupling.

Relationship between phrenic and hindlimb extensor activities during fictive locomotion

In decorticate and in spinal curarized rabbit preparations, respiratory and locomotor rhythms can be closely related (1:1 coupling between successive periods), demonstrating central relationships between the two types of pattern generators. In both preparation types, phrenic discharges are highly correlated to the extensor activities.

The entrainment of ventilation frequency to exercise rhythm

To investigate whether ventilation frequency could be entrained to a sub-harmonic of the exercise rhythm, 19 experimentally naive male volunteers were tested during steady state bicycle ergometry and arm cranking under conditions of constant applied workload. Each exercise was performed at two separate ventilatory loads, one within the linear range and the other in the curvilinear range of ventilatory response to exercise. A preferred exercise rhythm was initially adopted (4 min.) followed by forced incremented and decremented rhythm changes each lasting 3 min during a 12 min exercise period. Ventilation, pedal pulse train and heart rate were sampled at 17 Hz on a PDP 11/23 computer. Ratios of limb frequency to dominant respiratory frequency were determined following Fourier analysis of these signals. Data that lay within +/- 0.05 of an integer and half-integer ratio were accepted as indices of entrainment, provided that the observed entrained scores were statistically significant. Ventilation frequency showed a clear, but intermittent tendency to entrain with limb frequency. This tendency was greater during bicycle ergometry, possibly as a consequence of task familiarisation, although both exercise entrainments were independent of workload. No difference between preferred versus varied exercise rhythm was evident, but more entrainment (p less than 0.01) was observed during a decremental change in exercise rhythm. These responses do not appear to support an appreciable role for limb-based afferents in the control of entrainment. The results of this study provide evidence that exercise rhythm has some regulatory role in the control of breathing during moderate rhythmical laboratory-based exercise ergometry.

Respiratory adaptations to exercise

The primary function of the equine respiratory system is the exchange of oxygen and carbon dioxide at a rate that is matched to metabolism. Gas exchange requires ventilation, distribution of gas within the lung, perfusion of blood through pulmonary capillaries, matching of ventilation and blood flow, diffusion of gases between air and blood, and transport of gases to and from the muscles. In this article, the author reviews what is known about each of these processes in the resting and exercising horse.

Effect of coupling the breathing- and cycling rhythms on oxygen uptake during bicycle ergometry

The influence of the degree of coupling between the breathing and cycling rhythms (K) on oxygen uptake (Vo2) was examined in 30 volunteers. They cycled on an ergometer with a load equal to 50% of their work capacity 170 in two experimental runs with spontaneous breathing rhythm, and in a further two runs with acoustically triggered breathing. K was continuously ascertained. Vo2 and other respiratory parameters were measured by an automatic "breath-by-breath analysis" system. In 16 subjects, Vo2-differences between runs were correlated with the differences in K. In the majority of these subjects (12), Vo2 decreased significantly with increasing K. In 14 subjects, Vo2-and K-variations within individual runs were analyzed. Phases with higher K were regularly accompanied by a decrease in Vo2. It is concluded that coupling the breathing and cycling rhythms reduces Vo2 for a given moderate work load, although the magnitude of the Vo2-reduction varies considerably between individuals.

Respiratory effects of high cervical cord cold blockade on efferent vagal and phrenic discharges in the rabbit

A technique of reversible cold blockade was applied in decerebrate and vagotomized rabbits that were immobilized and artificially ventilated to study the modulation of spontaneous respiratory rhythms. Respiratory discharges were recorded from vagal and phrenic efferents before and during cold blockade at the second cervical segment (C2) with a coolant-circulated thermode (-15 degrees C). Measurement of the cooling profile demonstrated that there was significant hypothermia in the regions of the phrenic nucleus (+25 degrees C) and obex of the medulla (+26 degrees C). Arterial pressure was maintained by continual norepinephrine infusion, end-tidal carbon dioxide tension was held at hypercapnic levels, and rectal temperature was regulated near 38 degrees C. The cold blockade of descending respiratory drives to the cervical phrenic nucleus inhibited the spontaneous activity in the phrenic nerve for more than 90 min. Phrenic activity could be induced by the intravenous injection of strychnine, but not doxapram, although this was not of respiratory quality. These results show that in the absence of descending and pharmacologic drives, but in the presence of phrenic hypothermia, spinalized rabbits are incapable of generating rhythmic patterns of discharge. C2 cold blockade also significantly slowed the spontaneous central respiratory rhythm with no change in integrated vagal amplitude, presumably due to a direct cooling effect on brainstem oscillators for breathing.

Phasic modulation of trunk muscle efferents during fictive spinal locomotion in cats

In high spinal paralysed cats electromyograms were recorded from nerves supplying lumbar back muscles (longissimus dorsi) and abdominal muscles (obliquus abdominis externus) during fictive locomotion induced by I.V. injection of nialamide and L-DOPA. Activity in nerves to hind-limb muscles was also recorded. During periods of stable 'locomotor' activity in the hind-limb nerves the efferents to the back and abdominal trunk muscles were generally also rhythmically active. Three different patterns of activity were observed. The predominant rhythmic pattern showed a synchronous activation of the efferents to the back and abdominal muscles of one side together with an activation of the hind-limb flexors of that side, alternating with activation of the efferents to the corresponding contralateral muscles. This pattern was very stable and could last for about 3 h. Such a pattern of activity would be expected during the alternate stepping characteristic of walking and trotting. The second type of rhythmic locomotor activity was characterized by a synchronous bilateral activation of the efferents to the back muscles, alternating with activation of the abdominal muscles on both sides. This pattern occurred only for short periods and appears to correspond to the activity during in-phase stepping such as occurs during a gallop. Beside these well co-ordinated patterns less well co-ordinated rhythmic activities were also observed. These included regular rhythmic activity which occurred independently in different muscle groups as well as irregular rhythmic activity with unstable phase relations between different muscle groups. The rhythmic locomotor activity in efferents to trunk and limb muscles could be modulated by afferent nerve stimulation and by hypoxia. The results reveal that the spinal cord deprived of its supraspinal and peripheral control may generate a variety of different locomotor patterns, which incorporate the trunk muscles in an apparently meaningful way.

Running and breathing in mammals

Mechanical constraints appear to require that locomotion and breathing be synchronized in running mammals. Phase locking of limb and respiratory frequency has now been recorded during treadmill running in jackrabbits and during locomotion on solid ground in dogs, horses, and humans. Quadrupedal species normally synchronize the locomotor and respiratory cycles at a constant ratio of 1:1 (strides per breath) in both the trot and gallop. Human runners differ from quadrupeds in that while running they employ several phase-locked patterns (4:1, 3:1, 2:1, 1:1, 5:2, and 3:2), although a 2:1 coupling ratio appears to be favored. Even though the evolution of bipedal gait has reduced the mechanical constraints on respiration in man, thereby permitting greater flexibility in breathing pattern, it has seemingly not eliminated the need for the synchronization of respiration and body motion during sustained running. Flying birds have independently achieved phase-locked locomotor and respiratory cycles. This hints that strict locomotor-respiratory coupling may be a vital factor in the sustained aerobic exercise of endothermic vertebrates, especially those in which the stresses of locomotion tend to deform the thoracic complex.

Relation between pedalling- and breathing rhythm

The relationship between pedalling- and breathing rhythm was studied in 34 medical students (non-cyclists") and 10 racing cyclists on an electromagnetic bicycle-ergometer, the effective work load of which (50 W, 100 W, 150 W, 200 W) was independent of the pedalling rate. The criteria used were integer p/b ratios (pedalling rate being a multiple of breathing frequency) and phase coupling (the breathing phases starting preferentially at a certain angle of the pedalling cycle). Unconsciously occurring coordination of pedalling and breathing rhythm was found in the majority of the test persons; 70%-100% of the racing cyclists, 50%-63% of the regularly breathing and 25%-33% of the decreased with increasing work load. Phase coupling was even more frequent than integer p/b ratios and was not affected by increasing work load. The majority of racing cyclists (unlike the non-cyclists) coupled the inspiration-onset with the onset of either the left or the right leg movement. Expiratory phase coupling, however, was analogous in all groups; expiration began preferentially at mid-contraction of either leg. The results are discussed in terms of relative (nervous) coordination. It is concluded that the tendency to coordination between pedalling- and breathing rhythm increases with pedalling training and with regularity of breathing.

Sympathetic rhythms in spinal cats

Simultaneous recordings from preganglionic sympathetic nerves at different spinal levels, cervical sympathetic and greater splanchnic, reveal the presence of common periodicities as shown by cross-correlation and power spectral analysis; the major types of periodicities are cardiac, respiratory and 10/sec rhythm. These common periodicities could be explained in two ways: (1) there are common periodic inputs to the two types of preganglionic neurons; and (2) there are feedback connections in the spinal cord between the two groups of neurons. To distinguish between these two possibilities, spinal cord transections at C2-C3 were performed on decerebrate unanesthetized cats; recordings were then taken at hourly intervals for more than 12 h, during which time activity gradually increased but still remained small compared to pre-section levels. This low level activity showed no sign of periodicity. Asphyxia of sufficient duration produced increased activity in sympathetic nerves. Splanchnic activity during asphyxia had 2-3/sec oscillations; but the cross-correlation histograms (CCHs) of cervical sympathetic and splanchnic activity were almost flat. Strychnine excited spinal cord neurons more effectively than asphyxia; the CCHs showed locking of activity in phrenic, cervical sympathetic and splanchnic nerves on a slow time-scale (1-5 sec), but no appreciable locking of cervical sympathetic and splanchnic activity on a faster time-scale (100-500 msec) such as occurs in the intact animal. Thus, while there can be oscillation of sympathetic activity at the spinal cord level, the normally occurring synchrony of oscillations between different segmental levels is dependent on inputs from the brain stem.