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Am J Physiol Regul Integr Comp Physiol 293: R2027-R2035, 2007. First published August 22, 2007; doi:10.1152/ajpregu.00349.2007
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ENVIRONMENTAL, EXERCISE AND RESPIRATORY PHYSIOLOGY

Effects of temperature on ventilatory response to hypercapnia in newborn mice heterozygous for transcription factor Phox2b

N. Ramanantsoa,1,2 V. Vaubourg,1,2 B. Matrot,1,2 G. Vardon,3 S. Dauger,1,4 and J. Gallego1,2

1Institut National de la Santé et de la Recherche Médicale, U676, Hôpital Robert Debré, Paris, France; 2University Paris 7, Faculté de Médecine Denis Diderot, Paris, France; and 3Université de Picardie, Amiens, France; and 4Service de Pédiatrie-Réanimation, Hôpital Robert-Debré, Paris, France

Submitted 17 May 2007 ; accepted in final form 16 August 2007

Congenital central hypoventilation syndrome (CCHS) is a rare disease with variable severity, generally present from birth and chiefly characterized by impaired chemosensitivity to hypercapnia. The main cause of CCHS is a mutation in the PHOX2B gene, which encodes a transcription factor involved in the development of autonomic medullary reflex pathways. Temperature regulation is abnormal in many patients with CCHS. Here, we examined whether ambient temperature influenced CO2 sensitivity in a mouse model of CCHS. A weak response to CO2 at thermoneutrality (32°C) was noted previously in 2-day-old mice with an invalidated Phox2b allele (Phox2b+/–), compared with wild-type littermates. We exposed Phox2b+/– pups to 8% CO2 at three ambient temperatures (TAs): 29°C, 32°C, and 35°C. We measured breathing variables and heart rate (HR) noninvasively using a novel whole body flow plethysmograph equipped with contact electrodes. Body temperature and baseline breathing increased similarly with TA in mutant and wild-type pups. The hypercapnic ventilatory response increased linearly with TA in both groups, while remaining smaller in mutant than in wild-type pups at all TAs. The differences between the absolute increases in ventilation in mutant and wild-type pups become more pronounced as temperature increased above 29°C. The ventilatory abnormalities in mutant pups were not associated with significant impairments of heart rate control. In both mutant and wild-type pups, baseline HR increased with TA. In conclusion, TA strongly influenced the hypercapnic ventilatory response in Phox2b+/– mutant mice. These findings suggest that abnormal temperature regulation may contribute to the severity of respiratory impairments in CCHS patients.

chemosensitivity; Ondine syndrome; congenital central hypoventilation syndrome; thermoregulation



Address for reprint requests and other correspondence: J. Gallego, INSERM U676, Hôpital Robert-Debré, 48 Bd Sérurier, 75010 Paris France (e-mail: gallego{at}rdebre.inserm.fr)




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Neural control of breathing: insights from genetic mouse models
J Appl Physiol, May 1, 2008; 104(5): 1522 - 1530.
[Abstract] [Full Text] [PDF]




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