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J Physiol Volume 544, Number 1, 253-265, October 1, 2002 DOI: 10.1113/jphysiol.2002.019687
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Journal of Physiology (2002), 544.1, pp. 253-265
© Copyright 2002 The Physiological Society
DOI: 10.1113/jphysiol.2002.019687

Role of synaptic inhibition in turtle respiratory rhythm generation

Stephen M. Johnson *, Julia E. R. Wilkerson * †, Michael R. Wenninger *, Daniel R. Henderson * and Gordon S. Mitchell *

* Department of Comparative Biosciences, School of Veterinary Medicine and † Neuroscience Training Program, University of Wisconsin, Madison, WI 53706, USA

  ABSTRACT
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Abstract
Introduction
Methods
Results
Discussion
References

In vitro brainstem and brainstem-spinal cord preparations were used to determine the role of synaptic inhibition in respiratory rhythm generation in adult turtles. Bath application of bicuculline (a GABAA receptor antagonist) to brainstems increased hypoglossal burst frequency and amplitude, with peak discharge shifted towards the burst onset. Strychnine (a glycine receptor antagonist) increased amplitude and frequency, and decreased burst duration, but only at relatively high concentrations (10-100 µM). Rhythmic activity persisted during combined bicuculline and strychnine application (50 µM each) with increased amplitude and frequency, decreased burst duration, and a rapid onset-decrementing burst pattern. The bicuculline-strychnine rhythm frequency decreased during µ-opioid receptor activation or decreased bath PCO2. Synaptic inhibition blockade in the brainstem of brainstem-spinal cord preparations increased burst amplitude in spinal expiratory (pectoralis) nerves and nearly abolished spinal inspiratory activity (serratus nerves), suggesting that medullary expiratory motoneurons were mainly active. Under conditions of synaptic inhibition blockade in vitro, the turtle respiratory network was able to produce a rhythm that was sensitive to characteristic respiratory stimuli, perhaps via an expiratory (rather than inspiratory) pacemaker-driven mechanism. Thus, these data indicate that the adult turtle respiratory rhythm generator has the potential to operate in a pacemaker-driven manner.

(Received 28 February 2002; accepted after revision 15 July 2002; first published online 9 August 2002)
Corresponding author S. M. Johnson: Department of Comparative Biosciences, School of Veterinary Medicine, University of Wisconsin, 2015 Linden Drive, Madison, WI 53706, USA. Email: johnsons{at}svm.vetmed.wisc.edu

  INTRODUCTION
Top
Abstract
Introduction
Methods
Results
Discussion
References

Most vertebrate rhythmic motor networks require synaptic inhibition to regulate timing and pattern. For example, network models of respiratory rhythm generation generally include groups of neurons that are reciprocally coupled via inhibitory synaptic connections, thereby establishing exclusive bursts of activity associated with the phases of respiration (reviewed in Richter et al. 1992, 1997; Duffin et al. 1995; Ramirez & Richter, 1996; Rybak et al. 1997; Richter & Spyer, 2001). Other models of respiratory rhythm generation propose that pacemaker neurons contribute to the basic respiratory rhythm without the need for synaptic inhibition (Feldman & Cleland, 1982; Getting, 1988). Evidence for potential involvement of pacemaker neurons in respiratory rhythm generation includes: (1) persistent rhythmic inspiratory activity during blockade of inhibitory synaptic transmission with GABAA and glycine antagonists, or removal of extracellular chloride ions in tadpole brainstems in vitro (Galante et al. 1996) and neonatal rat preparations in vitro (Smith & Feldman 1987; Feldman et al. 1989, 1990; Shao & Feldman, 1997; Brockhaus & Ballanyi, 1998; Bou-Flores & Berger, 2001; Johnson et al. 2001a), and (2) demonstration of conditional pacemaker neurons in the pre-Bötzinger complex (Smith et al. 1991; Johnson et al. 1994; Rekling et al. 1996; Koshiya & Smith, 1999; Thoby-Brisson & Ramirez, 2000, 2001), a region necessary for normal respiratory activity in anaesthetized cats (Ramirez et al. 1998) and awake rats (Gray et al. 2001). The hybrid pacemaker- network model hypothesizes that pacemaker neurons embedded within a network of excitatory and inhibitory synaptic interactions play an important role in respiratory rhythm production (Smith et al. 1991; Funk & Feldman, 1995; Rekling & Feldman, 1998; Butera et al. 1999a, b; Koshiya & Smith, 1999; Smith et al. 2000). Likewise, in the group pacemaker model, inspiratory bursts are an emergent property of special neurons with pacemaker properties that are mutually interconnected by excitatory synapses (Rekling & Feldman, 1998; Del Negro et al. 2002).

To reconcile network vs. pacemaker-driven models, pacemaker neurons were hypothesized to be important in neonates and young animals, but synaptic inhibition was thought to become increasingly important during maturation (Hayashi & Lipski, 1992; Duffin et al. 1995; Paton et al. 1994; Paton & Richter, 1995; Galante et al. 1996; Ramirez et al. 1996; Richter & Spyer, 2001). This hypothesis is controversial because rhythmic respiratory activity persists during synaptic inhibition blockade in medullary slices from day 22 postnatal mice (Ramirez et al. 1996), 7 days after the proposed transformation from a pacemaker-driven to a network-driven system (see discussion in Funk & Feldman, 1995). Alternatively, the 'switching' hypothesis suggests that respiration is switched from a network-based system to a pacemaker-driven system under conditions of decreased synaptic inhibition and increased extracellular [K+], thereby permitting pacemaker neurons that are not normally part of the rhythm generator to burst, forcing respiratory neurons to oscillate rhythmically (Rybak et al. 2001; see also Büsselberg et al. 2001).

Our goal was to determine whether respiratory rhythm persists during synaptic inhibition blockade using recently developed in vitro adult turtle preparations, and to determine if the persistent rhythm is respiratory-related. Turtle brainstem (-spinal cord) preparations are fully mature, remain viable under in vitro conditions for > 6 h at temperatures physiologically appropriate for turtles, and produce patterns of expiratory and inspiratory activity similar to intact turtles (Douse & Mitchell, 1990; Johnson et al. 1998; Johnson & Mitchell, 1998). This is the first report describing the effects of combined GABAA and glycine receptor blockade on respiratory activity in an adult poikilothermic vertebrate under in vitro conditions. Such information is necessary for a full understanding of the biological significance of synaptic inhibition in respiratory motor control. A preliminary report has been published in abstract form (Johnson et al. 2001b).

  METHODS
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Abstract
Introduction
Methods
Results
Discussion
References

All experiments were approved by the Animal Care and Use Committee at the University of Wisconsin-Madison School of Veterinary Medicine. Adult red-eared slider turtles (Trachemys, n = 78, 705 ± 13 g) were obtained from commercial suppliers and kept in large open tanks where they had access to water for swimming, and heat lamps and dry areas for basking. Room temperature was 27-28 °C with light 14 h per day. Turtles were fed ReptoMin floating food sticks (Tetra, Blacksburg, VA, USA) 3-4 times per week.

Turtle brainstem and brainstem-spinal cord preparations

The isolation of the brainstem or brainstem-spinal cord has been described previously (Johnson et al. 1998; Johnson & Mitchell, 1998). Briefly, turtles were intubated and anaesthetized with 4 % halothane or isoflurane in 100 % O2 until the limb withdrawal reflex to noxious foot pinch was eliminated. All turtles were decerebrated, rendering them insentient to pain. Anaesthetic was subsequently withdrawn. The brainstem or brainstem and spinal cord were removed and pinned down on Sylgard in a recording chamber. The tissue was superfused (4-6 ml min-1) with a solution containing Hepes (N-[2-hydroxyethyl]piperazine-N'-[2-ethane-sulfonic acid]) buffer as follows (mM): 100 NaCl, 23 NaHCO3, 10 glucose, 5 Hepes (sodium salt), 5 Hepes (free acid), 2.5 CaCl2, 2.5 MgCl2, 1.0 K2PO4, and 1.0 KCl. The Hepes solution was bubbled with 5 % CO2-95 % O2 to maintain a pH of ~7.4, as measured periodically with a calomel glass pH electrode (Digi-Sense, Cole-Parmer Instrument Co., Vernon Hills, IL, USA). In experiments using brainstem-spinal cord preparations, plastic barriers sealed with petroleum jelly were used to partition the bath into three compartments in order to apply drugs to the brainstem only (see Fig. 8 in Johnson & Mitchell, 1998). All drugs and chemicals were obtained from Sigma/RBI Aldrich (St Louis, MO, USA). All preparations were allowed to equilibrate for 4-5 h before initiating a protocol.

Electrophysiological recordings

To record bursts of respiratory motor activity, glass suction electrodes were attached to hypoglossal nerve rootlets in brainstem preparations (Fig. 1) or hypoglossal, pectoralis (expiratory), and serratus (inspiratory) nerves in brainstem-spinal cord preparations (see Fig. 8 in Johnson & Mitchell, 1998). Signals were amplified (times 10 000) and band-pass filtered (10-10 000 Hz) using a differential AC amplifier (model 1700, A-M Systems, Everett, WA, USA) before being rectified and integrated (time constant = 200 ms) using a moving averager (MA-821/RSP, CWE, Inc., Ardmore, PA, USA). The signals were then digitized and analysed using Axoscope software (Axon Instruments, Union City, CA, USA).

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Figure 1. Spontaneous respiratory motor activity produced by in vitro turtle brainstem preparations

A, turtle brainstems were isolated, placed in an in vitro recording chamber, and suction electrodes were attached to hypoglossal (XII) nerve rootlets to record respiratory activity. B, a sample recording trace shows rhythmic bursts of integrated respiratory activity.

Experimental protocols

For dose-response curves, integrated hypoglossal bursts were recorded for 30 min (baseline) before switching to a superfusate containing drugs at progressively increasing concentrations (every 45 min). The drugs tested included: strychnine (a glycine receptor antagonist), bicuculline (a GABAA receptor antagonist), 2-hydroxysaclofen (a GABAB receptor antagonist), or DAMGO ([D-Ala2,N-Me-Phe4,Gly5-ol] enkephalin; a µ-opioid agonist). Bursts recorded during the last 20 min of drug application were analysed. After the last drug application, brainstems were bathed with drug-free standard solution for 90-120 min to obtain washout data. In other experiments, baseline data were recorded for 30 min before switching to solution containing both bicuculline and strychnine (50 µM each; pH ~7.4). After allowing 2.5 h for the rhythm to stabilize, the superfusate was switched to either bicuculline-strychnine solution with a lower PCO2 (bubbled with 1.1-1.2 % CO2 in O2), or bicuculline-strychnine solution containing DAMGO. After a 60 min application, washout data were obtained by bathing brainstems in bicuculline-strychnine solution at pH ~7.4. For brainstem-spinal cord preparations, baseline data were recorded for 30 min before bathing the brainstem compartment with bicuculline-strychnine solution (50 µM each).

Data analysis and statistics

Respiratory burst variables were measured as described previously (Johnson et al. 1998; Johnson & Mitchell, 1998). Amplitude was measured at the highest point of integrated discharge trajectory in arbitrary units, and normalized to the average amplitude recorded during the baseline period. Two or more bursts separated by less than the average duration of a single burst were defined as an episode; only the first burst of an episode was measured for amplitude data (Johnson & Mitchell, 1998). Frequency was calculated as the number of bursts per 10 min, while burst duration was measured from burst onset to burst termination. Peak time was calculated by dividing the time to peak by burst duration to determine the relative timing of the peak during bursts (reported as a percentage). All measurements were averaged into bins and reported as means ± S.E.M. For statistical inferences, a one-way ANOVA with repeated measures design (Sigma Stat, Jandel Scientific Software, San Rafael, CA, USA) was used to determine if data were different from the baseline period. Individual, post hoc comparisons were made using Dunnett's test. P values < 0.05 were considered significant.

  RESULTS
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Abstract
Introduction
Methods
Results
Discussion
References

Blockade of glycine receptors

Strychnine application to brainstems (n = 13) elicited dose-dependent changes in respiratory burst amplitude, frequency and duration without causing erratic or tonic activity (Fig. 2A). Amplitude was not altered at 0.01-1.0 µM, but increased slightly at 10 µM, and increased by 110 % at 50 µM (P < 0.05; Fig. 2B). Frequency tended to increase between 0.01 and 1.0 µM, and increased by 145-155 % at 10-50 µM (P < 0.05; Fig. 2C). Burst duration decreased by 30-50 % in a dose-dependent manner at 1.0-50 µM (Fig. 2D). Although strychnine appeared to alter the hypoglossal burst pattern from an incrementing-decrementing pattern to a rapid onset-decrementing pattern (e.g. Fig. 2A), peak time was not significantly altered (Fig. 2E). Strychnine-dependent changes in amplitude, frequency and duration were not reversed after a 90 min washout (n = 4/13 preparations).

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Figure 2. Glycine receptor blockade alters hypoglossal burst amplitude, frequency, and duration

A, integrated hypoglossal bursts are shown following glycine receptor blockade with increasing strychnine concentrations (0-50 µM). Individual bursts shown on a faster time scale are aligned to the onset of hypoglossal burst onset (vertical dotted line; right-hand side). B-E: filled circle, group data during drug application; circle, group baseline data (left) and washout data (right) in each graph. B, amplitude was not significantly altered until the strychnine concentration reached 50 µM. C, frequency tended to increase between 0.01-1.0 µM, and increased by > 100 % at 10-50 µM. D, duration decreased by 30-50 % at 1.0-50 µM. E, peak time was not significantly altered, although there was a tendency for a shift to a rapid onset-decrementing pattern at 10-50 µM. No strychnine effects were reversed during washout. * P < 0.05 relative to baseline. All data were derived from 13 brainstems except for the 50 µM (n = 7) and washout data (n = 4).

Blockade of GABAA and GABAB receptors

Bicuculline application to brainstems (n = 11) produced complex changes in integrated hypoglossal respiratory output (Fig. 3A). At 0.1-1.0 µM bicuculline, hypoglossal amplitude, frequency and duration were unaltered (Fig 3B-D), with a tendency for a rapid onset- decrementing pattern (Fig. 3E). At 10 µM, hypoglossal activity was erratic with highly variable bursts (Fig. 3A). Frequency increased by 10 ± 1.0 bursts (10 min)-1 (P < 0.05; Fig. 3C) and there was a shift to a rapid onset-decrementing pattern with a peak time of 13 ± 2 % (P < 0.05; Fig. 3E). At 50 µM, regular rhythmic bursts were observed (Fig. 3A) with amplitude increased by 130 ± 4 % (P < 0.05; Fig. 3B), frequency increased by 3.4 ± 0.7 bursts (10 min)-1 (P < 0.05; Fig. 3C), and peak time decreased to 10 ± 1 % (P < 0.05; Fig. 2E). Burst duration was not altered by 0.1-50 µM bicuculline. Application of a GABAB receptor antagonist (2-hydroxysaclofen, 0.01-50 µM) to brainstems (n = 8) did not alter amplitude, frequency, duration or peak time (Fig. 4A-D).

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Figure 3. GABAA receptor blockade alters burst amplitude, frequency, and pattern

A, traces of integrated hypoglossal respiratory motor output are shown with increasing bicuculline concentrations (0-50 µM). B-E, group data from 11 brainstems are shown with the same symbols as in Fig. 2. B, bicuculline tended to increase amplitude at 10 µM, and significantly increased amplitude by > 200 % at 50 µM. C, frequency was significantly increased at 10 and 50 µM by 4-8 bursts (10 min)-1. D, burst duration was unaltered at all bicuculline concentrations, but there was a dose-dependent decrease in peak time (P < 0.05 at 10 and 50 µM), reflecting a shift to a rapid onset-decrementing pattern. E, all bicuculline effects were reversible following washout (n = 4).

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Figure 4. GABAB receptor blockade had no effect on respiratory activity

GABAB receptor blockade with increasing concentrations of 2-hydroxysaclofen did not alter burst amplitude (A), frequency (B), duration (C), or peak time (D). Symbols as in Fig. 2.

Rhythmic activity persists following combined GABAA and glycine receptor blockade

To test whether rhythmic activity persisted during combined synaptic inhibition blockade, bicuculline and strychnine (50 µM each) were applied simultaneously to brainstems (n = 11). Shortly after drug application, frequency increased, bursts were superimposed on tonic activity and then a high-frequency rhythm emerged with large amplitude bursts in a rapid onset-decrementing pattern (Figs. 5A and B). During combined blockade, amplitude increased by 180 ± 50 % (P < 0.05; Fig. 5C), frequency increased by 6.3 ± 1.3 bursts (10 min)-1 (P < 0.05; Fig. 5D), duration decreased by ~22 % (P < 0.05; Fig. 5E) and peak time decreased from 36 % to 11 % (P < 0.05; Fig. 5F). The persistent rhythm produced during GABAA and glycine receptor blockade is hereafter referred to as the bicuculline- strychnine rhythm. Washout was not attempted since strychnine effects were not reversible (see Fig. 2).

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Figure 5. Rhythmic activity persists during combined GABAA and glycine receptor blockade

Bicuculline and strychnine (50 µM each) were applied to brainstems (n = 11) to block GABAA and glycine receptors, respectively. A, a trace of integrated hypoglossal bursts from one brainstem shows that GABAA and glycine receptor blockade caused an initial increase in frequency, followed by bursts superimposed on tonic activity. Afterwards, a high frequency rhythm emerged with large amplitude bursts. B, a comparison of a hypoglossal burst trace during baseline (1, thick line trace) with a hypoglossal burst trace after blocking GABAA and glycine receptors (2, thin line trace) shows the shift to rapid onset-decrementing pattern of discharge. Group data show that amplitude (C) and frequency (D) increased significantly by > 100 % while duration (E) and peak time (F) decreased significantly. Data gathered over 30 min were averaged to give baseline; blockade value is the average of data gathered over 20 min.

Bicuculline-strychnine rhythm altered by µ-opioid receptor activation and CO2 /pH changes

To test whether the bicuculline-strychnine rhythm could be altered by characteristic respiratory stimuli, such as µ-opioid receptor activation and CO2/pH changes, control experiments were performed to examine time-dependent changes in bicuculline-strychnine rhythm frequency. Bicuculline and strychnine (50 µM each) were applied to brainstems (n = 12) for 5 h. Within 45-60 min of drug application, a steady-state bicuculline-strychnine rhythm was established with a frequency of 17 ± 2 bursts (10 min)-1. The frequency then remained within 17.4-18.5 bursts (10 min)-1 for the next 80 min (filled circle in Fig. 7C and D). Amplitude was unaltered during this 100 min period; bursts were only 1 ± 3 % larger at the end compared to the beginning of the 100 min period. Consequently, experimental protocols on the bicuculline-strychnine rhythm were performed after bicuculline and strychnine had been applied for 1.5-2.0 h.

Opiate receptor activation. DAMGO (a µ-opioid agonist) was applied at increasing concentrations to determine which concentration abolished respiratory activity in brainstems (n = 7) bathed in control superfusate (Fig. 6). At 0.001-0.01 µM, DAMGO had little effect, but activity was abolished in six of seven brainstems at 0.1-10 µM (P < 0.05; Fig. 6B). Amplitude decreased by 17 % at 0.01 µM (P < 0.05) and was decreased at 1.0-10 µM, but statistics were not calculated because n = 1 (Fig. 6A). Duration and peak time were not altered at 0.001-0.01 µM (Fig. 6C and D). Amplitude and frequency effects were not reversed after a 3 h washout.

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Figure 6. Activation of µ-opioid receptors abolishes respiratory activity

Application of DAMGO (a µ-opioid receptor agonist) had no effect at 0.001 µM, but decreased respiratory burst amplitude and frequency at 0.01-10 µM. A, amplitude was significantly decreased by 17 % at 0.01 µM and was decreased by ~50 % at 1.0 and 10 µM (insufficient data available for statistical analysis), and following washout. Numbers in parentheses below symbols indicate the number of brainstems producing respiratory activity; otherwise the symbols are as in Fig. 2. B, frequency decreased at 0.01 µM and was abolished in 7/7 brainstems at 0.1 µM (P < 0.05), and 6/7 brainstems at 1.0 and 10 µM (P < 0.05). There were no significant changes in burst duration (C) or peak time (D).

To test whether single DAMGO doses elicited similar responses, DAMGO was applied at either 0.01 µM (n = 4) or 0.1 µM (n = 4) after recording baseline data. At 25-45 min during DAMGO application, burst frequency decreased from 7.0 ± 1.7 to 3.4 ± 3.9 bursts (10 min)-1 for 0.01 µM, and from 4.3 ± 1.7 to zero bursts (10 min)-1 for 0.1 µM. These frequencies were nearly identical to the frequency data points at 0.01 and 0.1 µM in Fig. 6B. Burst amplitude, duration and time-to-peak were relatively unaltered (data not shown). Thus, single DAMGO doses altered respiratory rhythm in a manner similar to cumulative doses.

In brainstems (n = 8) expressing the bicuculline- strychnine rhythm, the steady-state frequency was 22.1 ± 2.4 bursts (10 min)-1 during a 20 min baseline period. DAMGO (10 µM) significantly reduced frequency by 19.4 ± 0.8 bursts (10 min)-1 during the 80 min application (Fig. 7A-C). In all brainstems, DAMGO stopped rhythmic activity for 9.4 ± 2.8 min (range 4.9-28.4 min) before activity resumed. Amplitude was unaltered by DAMGO as bursts were 6 ± 5 % larger (P > 0.05) after 60 min of DAMGO application.

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Figure 7. Strychnine-bicuculline rhythm altered by µ-opioid receptor activation and low PCO2

Brainstems were exposed to bicuculline and strychnine (50 µM each) for 1.5-2.0 h to establish a stable bicuculline-strychnine rhythm before DAMGO or low PCO2 application. A and B, traces of integrated hypoglossal nerve activity produced during synaptic inhibition blockade by individual brainstems are shown. A, DAMGO (10 µM) application abolished rhythmic activity for 8.4 min, and decreased frequency by 19 ± 4 bursts (10 min)-1 for the next 60 min. B, switching from standard solution containing bicuculline and strychnine (5 % CO2; pH 7.39) to a similar solution bubbled with 1.2 % CO2 (pH 7.94) decreased frequency by 33.7 ± 1.2 bursts (10 min)-1 within 10 min. For both C and D, the frequency of the steady-state bicuculline-strychnine rhythm in control brainstems (filled circle; n = 12) was 17 ± 2 bursts (10 min)-1 at the zero time point, and remained within 17.4-18.5 bursts (10 min)-1 for the next 80 min. All data were averaged in 20 min bins. C, continuous DAMGO application (10 µM, 80 min) reduced the steady-state bicuculline- strychnine frequency of 22.1 ± 2.4 bursts (10 min)-1 by 19.4 ± 0.8 bursts (10 min)-1 during 80 min application (circle; n = 8). D, switching from 5 % to 1.2 % CO2 (80 min) increased the steady-state bicuculline- strychnine frequency of 21.5 ± 1.8 bursts (10 min)-1 at the zero time point by 7.6 ± 4.5 bursts (10 min)-1 during the first 20 min before causing a decrease of 10.5 ± 0.8 bursts (10 min)-1 during the next 60 min (circle; n = 8). *P < 0.05 compared to the first 20 min for delta peak frequencies.

CO2/pH sensitivity. In brainstems (n = 8) expressing the bicuculline-strychnine rhythm with the superfusate equilibrated with 5 % CO2 (pH = 7.38 ± 0.01), the steady-state frequency was 21.5 ± 1.8 bursts (10 min)-1. Switching to an identical solution equilibrated with 1.2 % CO2 (pH 7.92 ± 0.01) increased burst frequency by 7.6 ± 4.5 bursts (10 min)-1 (P > 0.05) during the first 20 min period. During the next 60 min, however, frequency was significantly decreased by an average of 10.5 ± 0.8 bursts (10 min)-1 (Fig. 7B-D). Amplitude was unaltered as bursts were 12 ± 8 % larger (P > 0.05) after 60 min of exposure to the lower PCO2.

Bicuculline-strychnine rhythm produces spinal expiratory activity

Semi-aquatic turtles breathe by moving their pectoral (neck and forelimbs) and pelvic (tail and hindlimbs) girdles inward and outward to generate positive (expiratory) and negative (inspiratory) lung pressures (Gans & Hughes, 1967; Gaunt & Gans, 1967). To move the pectoral girdle, respiratory rhythm in the brainstem is transmitted to pectoralis (expiratory) and serratus (inspiratory) cervical spinal motoneurons (Gans & Hughes, 1967; Takeda et al. 1986). An in vitro turtle brainstem-spinal cord spontaneously produces respiratory motor output very similar to that produced by intact turtles (Johnson & Mitchell, 1998). Expiratory activity in pectoralis motoneurons occurs with an incrementing-decrementing pattern shortly after hypoglossal burst onset, while inspiratory activity in serratus motoneurons increases in a ramp-like pattern before abruptly terminating (Fig. 8).

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Figure 8. Bicuculline-strychnine rhythm drives expiratory, but not inspiratory, spinal motoneurons

A, schematic drawing of a turtle brainstem-spinal cord preparation with the chamber partitioned into brainstem, rostral spinal, and caudal spinal compartments. B, suction electrodes attached to hypoglossal, pectoralis (expiratory), and serratus (inspiratory) nerves record bursts of respiratory activity. Traces of integrated respiratory activity on the three nerves are shown while the brainstem compartment was bathed with control solution (C), and with bicuculline and strychnine (50 µM each) (D). E, individual bursts from baseline recordings (thin lines labelled as 'baseline' with arrows) are superimposed onto bursts recorded during bicuculline-strychnine brainstem application (thick lines). All bursts were aligned with respect to the onset of hypoglossal activity (vertical dashed line). The sample tracings show that hypoglossal and pectoralis amplitudes were increased with the peak time occurring near the onset of activity, whereas serratus activity was nearly abolished. Hyp., hypoglossal; Pect., pectoralis; Serr., serratus.

To determine how GABAA and glycine receptor blockade in the brainstem alters respiratory spinal motor output, bicuculline and strychnine (50 µM each) were applied to the brainstem compartment of brainstem-spinal cord preparations (n = 6; Fig. 8A). Frequency increased from 3.7 to 10.2 bursts (10 min)-1 (P < 0.05; Fig. 8D and Fig. 9B). Hypoglossal bursts increased amplitude by 140 % (P < 0.05; Fig. 8E and Fig. 9A), decreased duration by 4.8 s (P < 0.05; Fig. 8E and Fig. 9C), and decreased peak time from 32 % to 8 % (P < 0.05; Fig. 8E and Fig. 9D). Spinal expiratory activity in pectoralis increased amplitude by 260 % (P < 0.05; Fig. 8E and Fig. 9A), was not altered in duration (Fig. 9C), and decreased peak time from 46 % to 15 % (P < 0.05; Fig. 8E and Fig. 9D). Spinal inspiratory activity in serratus was nearly abolished because amplitude decreased by 80 % (P < 0.05; Fig. 8E and Fig. 9A). Duration was not altered (P = 0.075; Fig. 9C) and peak time decreased from 74 % to 46 % (P < 0.05; Fig. 8E and Fig. 9D).

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Figure 9. Characteristics of rhythm during brainstem GABAA and glycine receptor blockade

Group data for brainstem-spinal cord preparations (n = 6) under baseline conditions, and following blockade of GABAA and glycine receptors in the brainstem. All data were averaged in 20 min bins. A, hypoglossal and pectoralis burst amplitude increased by 140 % and 260 %, respectively (P< 0.05), whereas serratus burst amplitude decreased by 80 % (P < 0.05). B, frequency increased significantly by nearly 7 bursts (10 min)-1. C, duration decreased in all three nerves, but a significant decrease was observed only in hypoglossal bursts. Open bars indicate baseline data; black bars indicate data during blockade of brainstem GABAA and glycine receptors. D, peak time significantly shifted from the middle to the beginning of the burst in hypoglossal and pectoralis nerves, whereas peak time significantly shifted from near the end of the burst to the middle of the burst for serratus nerves. E, burst onset, peak time, burst amplitude relative to baseline (horizontal dashed lines), and burst termination are graphed for baseline (circle) and blockade of brainstem GABAA and glycine receptors (filled circle) for hypoglossal, pectoralis, and serratus. All timing data are graphed with respect to the onset of hypoglossal activity. Baseline amplitude is set at 1.0 arbitrary units (horizontal continuous lines); amplitude at burst onset and burst termination is set at zero (horizontal dashed lines). * Significant differences with respect to baseline in terms of timing only; significant amplitude differences have already been indicated in Fig. 9A.

A composite graph illustrates timing and amplitude changes in hypoglossal, pectoralis, and serratus nerve discharges before and after application of bicuculline- strychnine solution to the brainstem (Fig. 9E). During synaptic inhibition blockade, hypoglossal burst amplitude was larger, duration was shorter and peak time shifted from the middle to the onset of activity. Similarly, pectoralis burst amplitude was larger, duration was not significantly shorter, and peak time was shifted from the middle to the onset of activity. In contrast, serratus burst amplitude was much smaller, duration was not significantly shorter, and the characteristic slow-incrementing pattern (Fig. 8B) was abolished. The phasic pattern of pectoralis and serratus activity was also altered. In controls, the onset of serratus (inspiratory) activity always follows, or is closely coincident with, the end of pectoralis (expiratory) activity (Figs 8B, 8E and 9E; see also Johnson & Mitchell, 1998). Following synaptic inhibition blockade, serratus activity occurred during the latter half of hypoglossal and pectoralis discharge, but peak serratus activity still occurred after peak pectoralis activity (Fig. 9E).

  DISCUSSION
Top
Abstract
Introduction
Methods
Results
Discussion
References

This study is the first to show that rhythmic activity persists in an adult vertebrate in vitro brainstem preparation during both GABAA and glycine receptor blockade. The bicuculline-strychnine rhythm appears to involve respiratory-related neurons because µ-opioid receptor activation and low PCO2 reduced rhythm frequency. Although these data do not decisively favour either network or pacemaker models for rhythmogenesis, they show that an adult vertebrate respiratory rhythm generator has the capacity to exhibit properties consistent with a pacemaker-driven network. These data are also consistent with our working hypothesis that chemosensitive expiratory neurons with pacemaker properties contribute to respiratory rhythm generation in turtles.

Synaptic inhibition blockade

Glycine receptors. Glycine receptor blockade with strychnine increases respiratory frequency in neonatal and mature vertebrate preparations (Schmid et al. 1991; Hayashi & Lipski, 1992; Galante et al. 1996; Ramirez et al. 1996; Kimura et al. 1997; Shao & Feldman, 1997; Bou-Flores & Berger, 2001; Büsselberg et al. 2001). In turtle brainstems, however, low concentrations of strychnine (0.01-1.0 µM) did not alter hypoglossal activity; increased hypoglossal frequency and burst amplitude were observed only at higher concentrations (10-50 µM). However, strychnine effects at 10-50 µM may have been due to GABAA receptor blockade, since strychnine is reported to be a GABAA receptor antagonist at concentrations greater than 1.0 µM (Jonas et al. 1998). Although further experiments are required to determine whether strychnine crossed over to block GABAA receptors in turtles, glycine receptors may not play a prominent role in regulating turtle respiratory frequency.

Strychnine did alter burst duration in a dose-dependent manner in turtle brainstems, similarly to its effects on other vertebrate preparations (Schmid et al. 1991; Hayashi & Lipski, 1992; Paton & Richter, 1995; Galante et al. 1996; Ramirez et al. 1996, 1997; Kimura et al. 1997; Shao & Feldman, 1997; Lieske et al. 2000; Büsselberg et al. 2001), and 10-50 µM strychnine tended to transform hypoglossal bursts into a rapid onset-decrementing pattern , as seen in in situ frog brainstems (Kimura et al. 1997). Thus, glycine receptors in turtle brainstems appear primarily to regulate respiratory burst shape (Lieske et al. 2000).

GABA receptors. Bicuculline increased respiratory burst frequency and amplitude in turtle brainstems, similar to results obtained using in vitro neonatal rodent preparations (Smith & Feldman, 1987; Paton & Richter, 1995; Shao & Feldman, 1997, but see Bou-Flores & Berger, 2001) and perfused adult rats (Hayashi & Lipski, 1992). In tadpole brainstems, however, bicuculline increased frequency with variable amplitude effects (Galante et al. 1996). Burst duration was decreased by bicuculline in turtle brainstems and murine medullary slices (more than 15 days old; Paton & Richter, 1995), but not in perfused adult rats (Hayashi & Lipski, 1992). Although there is some variability in GABAA-dependent effects, which may be due to differences between motoneuron pools (e.g. hypoglossal vs. phrenic vs. trigeminal pools) or of species or age, most data indicate that GABAA receptors regulate respiration. In contrast, GABAB receptors do not appear to play a necessary role in respiratory rhythm generation since GABAB receptor blockade does not alter respiratory activity in turtle brainstems (Fig. 4) or neonatal rat brainstem-spinal cord preparations (Feldman & Smith, 1989; Brockhaus & Ballanyi, 1998).

Combined GABAA and glycine receptor blockade. Combined GABAA and glycine receptor blockade in turtle brainstems produced robust (albeit altered) rhythmic motor activity in hypoglossal and pectoralis (expiratory) nerves. To our knowledge, this is the first demonstration of rhythmic motor activity persisting during blockade of synaptic inhibition in an adult vertebrate. Previously, rhythmic activity was produced under these conditions only in in vitro neonatal and juvenile rodent preparations (Smith & Feldman, 1987; Feldman et al. 1989, 1990; Shao & Feldman, 1997; Brockhaus & Ballanyi, 1998; Bou-Flores & Berger, 2001; Johnson et al. 2001a). The tadpole brainstem preparation is particularly interesting because it contains gill and lung rhythmic motor networks (Torgerson et al. 2001; Wilson et al. 2002), which differentially respond to synaptic inhibition blockade. Since synaptic inhibition blockade abolishes fictive gill ventilation while fictive lung ventilation persists (Galante et al. 1996), it is hypothesized that these two highly integrated respiratory motor networks use distinct mechanisms (i.e. are network- vs. pacemaker-driven) to generate rhythmic motor output (reviewed in Gdovin et al. 1999). In contrast, synaptic inhibition blockade in intact adult mammalian preparations is reported to completely disrupt respiratory rhythm and may induce seizure-like activity (Schmid et al. 1991; Hayashi & Lipski, 1992; Paton & Richter, 1995; Pierrefiche et al. 1998).

One caveat is that synaptic inhibition within the turtle respiratory rhythm generator may not have been completely abolished during bicuculline-strychnine application. At 50 µM concentrations, virtually all mammalian GABAA and glycine receptors are blocked by bicuculline and strychnine, respectively (Jonas et al. 1998). It is not known, however, whether GABAA and glycine receptor-induced currents in turtle central neurons are likewise blocked at these concentrations. Significant alterations in GABAA and glycine receptor-dependent responses in turtle neurons are reported for bath application of 3.5-100 µM bicuculline (Larson-Prior & Slater, 1988; Akopian et al. 1998; Russo et al. 1998; Mancilla & Ulinksi, 2001) and 5-20 µM strychnine (Currie & Lee, 1997; Russo et al. 1998). Thus, this question needs to be addressed via intracellular recordings of brainstem respiratory neurons. In addition, other mechanisms of synaptic inhibition may have still remained functional during bicuculline- strychnine application, such as K+ conductance activation, synaptic blockade via presynaptic depolarization, or shunting of postsynaptic currents near the axon hillock or at dendritic branches (see discussion in Feldman et al. 1989). There is, however, very little experimental evidence that any of these mechanisms contribute to respiratory rhythm generation.

Which model best explains turtle respiratory rhythm generation?

Current models for respiratory rhythm generation are controversial. The data in this study are not sufficient to rule out any particular model, or make one model more attractive than the others.

Pacemaker-driven models. In turtle brainstems, the persistence of rhythmic activity during synaptic inhibition blockade suggests that synaptic inhibition is not required for respiratory rhythm generation. The chemosensitive, µ-opioid-sensitive bicuculline-strychnine rhythm is consistent with the hypothesis that respiratory neurons involved in rhythm generation have pacemaker properties that are revealed during synaptic inhibition blockade, as proposed by the hybrid pacemaker-network model (Smith et al. 1995; Butera et al. 1999a, b; Koshiya & Smith, 1999; Smith et al. 2000). In neonatal rodents, the pacemaker neurons thought to underlie rhythm generation are pre-inspiratory neurons, i.e. neurons hypothesized to initiate bursts of activity within the respiratory network (Smith et al. 1991, 1995; Butera et al. 1999a, b; Koshiya & Smith, 1999; Smith et al. 2000). Our data suggest that expiratory neurons, which are active at the onset of the turtle respiratory cycle (McCutcheon, 1943; Gans & Hughes, 1967; Gaunt & Gans, 1967; Milsom & Jones, 1980; Silver & Jackson, 1985; Takeda et al. 1986), are pacemaker neurons because rhythmic activity during synaptic inhibition blockade was expressed in spinal expiratory nerves in the brainstem-spinal cord preparations (Fig. 8 and Fig. 9).

The role of pacemaker properties in respiratory rhythm generation, however, remains controversial. Some investigators suggest that respiratory-related pacemaker neurons synchronize or amplify recurrent excitation within the network, rather than play a major role in generating rhythmicity (Ramirez & Richter, 1996; Richter & Spyer, 2001; Del Negro et al. 2002). Alternatively, pacemaker neurons may provide a fail-safe mechanism for maintaining breathing during certain physiological and pathophysiological conditions whereby synaptic transmission is decreased, such as extreme hypoxia (McCrimmon et al. 2000). Another interpretation is that synaptic inhibition blockade causes changes in respiratory network function that allow respiratory-related neurons to express pacemaker properties that are not ordinarily expressed in vivo. From this point of view, pacemaker properties in respiratory neurons might be an artifact of in vitro conditions and synaptic inhibition blockade. Although determining the role of pacemaker properties in rhythm generation remains a technically challenging problem, the turtle brainstem preparation provides the opportunity to test whether expiratory neurons (that may belong to the respiratory rhythm generator of an adult vertebrate) have pacemaker properties, and whether these neurons are chemosensitive and µ-opioid-sensitive.

Our data are also consistent with the group-pacemaker model (Rekling & Feldman, 1998; Del Negro et al. 2002), which proposes that excitatory synaptic inputs within a network of highly interconnected (expiratory) neurons gradually increase until all neurons synchronously fire action potential bursts (pacemaker neurons are not required). This model is supported by evidence that turtle brainstem expiratory neurons gradually depolarize due to increasing excitatory synaptic inputs prior to firing action potentials during expiration (Takeda et al. 1986). The source of excitatory synaptic inputs may be located elsewhere in the brainstem (as proposed by Takeda et al. 1986), or by other expiratory neurons as proposed by the group-pacemaker model. Further experiments will be required to directly test predictions of the group-pacemaker model.

Network models and the 'switching' hypothesis. Although synaptic inhibition may not be necessary for turtle respiratory rhythm generation, network models cannot be ruled out because the respiratory network may have been switched from a network-based system to a pacemaker-driven system during synaptic inhibition blockade, or in a manner suggested by the 'switching' hypothesis (Rybak et al. 2001; see also Büsselberg et al. 2001). The switching hypothesis suggests that increased extracellular [K+] and decreased phasic synaptic inhibition 'release' pacemaker neurons from inhibitory synaptic mechanisms that regulate neuronal excitability. The released chemosensitive pacemaker neurons then burst freely and force downstream respiratory neurons to rhythmically fire action potentials. The switching hypothesis is congruent with network models because no respiratory rhythm-generating neurons are proposed to have pacemaker properties. In other words, the chemosensitive pacemaker neurons are considered to be outside the normal respiratory rhythm-generating network, although this assumption has little experimental verification. Nevertheless, our data are consistent with the switching hypothesis because turtle brainstems produced a chemosensitive rhythm during synaptic inhibition blockade. It remains unclear if rhythmic neurons are respiratory rhythm-generating neurons, or central chemosensory neurons normally separate from the rhythm generator. Thus, our data do not provide evidence for or against the switching hypothesis.

In summary, following synaptic inhibition blockade, the turtle respiratory network is still able to produce a rhythm that is sensitive to characteristic respiratory stimuli. This is consistent with several models of vertebrate respiratory rhythm generation that incorporate respiratory pacemaker neurons. However, in this case, the rhythm is observed in expiratory (rather than inspiratory) motor output, suggesting an expiratory pacemaker. Our data do not allow conclusions regarding the role of pacemaker neurons in normal respiratory rhythm generation; rather they indicate that the system has the potential to operate in a pacemaker-driven manner.

  REFERENCES
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Abstract
Introduction
Methods
Results
Discussion
References

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Acknowledgements

This work was supported by National Heart, Lung and Blood Institute Grants HL-60028 and HL-53319. J.E.R.W. is supported by a National Science Foundation predoctoral fellowship.


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