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Departments of 1 Pediatrics and 3 Physiology and 4 Interdepartmental Neuroscience Program, Constance S. Kaufman Pediatric Pulmonary Research Laboratory, Tulane University School of Medicine, New Orleans, Louisiana 70112; and 2 Department of Physical Therapy, Exercise and Nutrition Sciences, State University of New York at Buffalo, Buffalo, New York 14214
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ABSTRACT |
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The developmental role of
-amino-3-hydroxy-5-methyl-4-isoxazolepropionate (AMPA) glutamate
receptors in respiratory regulation remains undefined. To
study this issue, minute ventilation
(
E) was measured in 5-, 10-, and
15-day-old intact freely behaving rat pups using whole body
plethysmography during room air (RA), hypercapnic (5%
CO2), and hypoxic (10% O2) conditions, both
before and after administration of the
non-N-methyl-D-aspartate (NMDA) receptor antagonist
1,2,3,4-tetrahydro-6-nitro-2,3-dioxobenzo[f]quinoxaline-7-sulfonamide disodium (NBQX; 10 mg/kg ip). In all age groups,
E during RA was unaffected by
NBQX, despite reductions in breathing frequency (f)
induced by increases in both inspiratory and expiratory duration. During hypoxia and hypercapnia,
E
increases were similar in both NBQX and control conditions in all age
groups. However, tidal volume was greater and f lower after
NBQX. To determine if AMPA receptor-positive neurons are recruited
during hypoxia, immunostaining for AMPA receptor (GluR2/3) and
c-fos colabeling was performed in caudal brain stem
sections after exposing rat pups at postnatal ages 2, 5, 10, and 20 days, and adult rats to room air or 10% O2 for 3 h. GluR2/3 expression increased with postnatal age in the nucleus of
the solitary tract (NTS) and hypoglossal nucleus, whereas
a biphasic pattern emerged for the nucleus ambiguus (NA). c-fos expression was enhanced by hypoxia at all
postnatal ages in the NTS and NA and also demonstrated a clear
maturational pattern. However, colocalization of GluR2/3
and c-fos was not affected by hypoxia. We
conclude that AMPA glutamate receptor expression in the caudal brain
stem is developmentally regulated. Furthermore, the role of non-NMDA
receptors in respiratory control of conscious neonatal rats appears to
be limited to modest, albeit significant, regulation of breathing pattern.
hypoxia; hypercapnia; normoxia; nucleus of the solitary tract; caudal brain stem
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INTRODUCTION |
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WHEN MAMMALS ARE EXPOSED to an hypoxic environment,
brisk increases in minute ventilation (
E)
occur and are primarily mediated by increased carotid chemoreceptor
afferent activity (21). The ventilatory response to hypoxia (HVR) in
the neonate is disproportionately smaller compared with the adult and
undergoes significant developmental changes during the first 2 wk of
life, after which adultlike responses occur (11, 16).
The nucleus of the solitary tract (NTS) is a longitudinal structure in the dorsomedial portion of the medulla oblongata, where it extends from the spinomedullary junction caudally to the level of the caudal region of the facial motor nucleus in the rostral medulla. In the context of the HVR, the portions of the NTS structure caudal to the obex provide the first central relay to cardiorespiratory afferent inputs, such that lesions of this area will result in marked attenuation or abolition of HVR (13, 19). At this level of the caudal brain stem are also located the nucleus ambiguus (NA) and the hypoglossal nucleus (XII), which have well-defined roles in respiratory control.
Although multiple neurotransmitters and their receptors have been
implicated in HVR, glutamatergic pathways have been primarily implicated in the early component of cardiovascular and ventilatory responses to hypoxia (5). In adult rats,
N-methyl-D-aspartate (NMDA) glutamate receptors
within the NTS are critical to such responses, and therefore it was
expected that the density of NMDA receptors would account for
developmental changes in the magnitude of HVR. However, in a previous
study in our laboratory, administration of NMDA blockers did not modify
HVR in the neonatal rat, thereby suggesting a potential role for other
ionotropic glutamate receptors such as
-amino-3-hydroxy-5-methyl-4-isoxazolepropionate (AMPA) glutamate
receptors (29).
Ionotropic non-NMDA receptors (GluR) include both AMPA receptors (GluR1-GluR4), which bind AMPA with high affinity and pharmacologically differ from kainate receptor subunits GluR5-GluR7 and KA1 and KA2 (2). AMPA receptors are most abundantly expressed in the brain and consist of hetero-oligomers made up of five subunits of different combinations of GluR1-GluR4 (40). It is now becoming increasingly clear that non-NMDA receptors play a major role in central pathways modulating baroreceptor inputs (8, 18, 25). However, the data on the potential role of AMPA glutamate receptors in respiratory control are rather limited. In a recent study, Borday et al. (4) showed that blockade of non-NMDA receptors with 1,2,3,4- tetrahydro-6-nitro-2,3-dioxo-benzo[f]quinoxaline-7- sulfonamide disodium (NBQX) did not affect ventilatory output in adult conscious mice or cats, but induced marked respiratory depression in neonatal or anesthetized animals. In addition, Vardhan and colleagues (39) demonstrated that microinjection of the non-NMDA receptor antagonist 6,7-dinitro-quinoxaline-2,3-dione within the NTS of anesthetized adult rats attenuated the ventilatory response to carotid body stimulation. However, the role of non-NMDA receptors in the developmental characteristics of respiratory patterning during normoxia and in the responses to hypoxia and hypercapnia has not been systematically explored.
Therefore, on the basis of the hypothesis that AMPA receptors would provide the neuronal substrate underlying the HVR during early postnatal life, the ventilatory responses to hypoxia and hypercapnia (HCVR) were measured in rat pups at various postnatal ages before and after administration of the non-NMDA receptor antagonist NBQX. In addition, the developmental patterns of AMPA GluR2/3 receptor and c-fos protein expression were examined in the caudal brain stem during normoxia and hypoxia.
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MATERIALS AND METHODS |
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Experimental protocols were approved by the Institutional Animal Care and Use Committee. Time-pregnant Sprague-Dawley rats were obtained from a commercial breeder (Charles River), and delivery times were recorded.
Ventilatory Responses
For assessment of the ventilatory response to NBQX and for hypoxic and hypercapnic ventilatory studies, pups were randomly selected from every litter at postnatal days 5, 10, or 15. At least six animals were studied per treatment group. These ages have been shown to be representative of maturational changes in the biphasic response to hypoxia (11, 16).Protocol
Ventilatory challenges with 10% O2 (balance N2) or 5% CO2 (balance air) were initially performed in each rat pup after intraperitoneal administration of 0.2 ml normal saline (control). After a 30- to 45-min period of acclimatization, each pup was exposed to either 10% O2 or 5% CO2 for 30 min. Gas switches were performed by rapidly bleeding the premixed gas mixture into the recording chamber. Animals were then allowed to recover with their mother in room air for at least 60 min and were then injected with the non-NMDA glutamate receptor antagonist NBQX (RBI, Natick, MA; 10 mg/kg ip). Thirty minutes after NBQX administration, ventilatory challenges were repeated.Ventilatory Recordings
Respiratory measures were continuously acquired in the freely behaving, unrestrained animal placed in a previously calibrated 0.5-liter barometric chamber (Buxco Electronics, Troy, NY), using the methods described by Bartlett and Tenney (1) and Pappenheimer (31). To minimize the long-term effect of signal drift due to temperature and pressure changes outside the chamber, a reference chamber of equal size, in which temperature was measured using a T-type thermocouple, was used. In addition, as previously recommended by Epstein and colleagues (12), a correction factor was incorporated into the software routine to account for inspiratory and expiratory barometric asymmetries. Environmental temperature was maintained within 29-32°C, which corresponds to usual temperatures recorded in the dam. A calibration volume of 0.5 ml of air was repeatedly introduced into the chamber before and on completion of recordings. At least 30 min before the start of each protocol, animals were allowed to acclimate to the chamber, in which humidified air (90% relative humidity) warmed at 30°C was passed through at a rate of 2 l/min, using a precision flow pump-reservoir system. Pressure changes in the chamber due to the inspiratory and expiratory temperature changes (9) were measured using a high-gain differential pressure transducer (Validyne, model MP45-1). Analog signals were continuously digitized and analyzed online by a microcomputer software program (Buxco Electronics). A rejection algorithm was included in the breath-by-breath analysis routine and allowed for accurate rejection of motion-induced artifacts. Tidal volume (VT), inspiratory duration (TI), expiratory duration (TE), respiratory frequency (f), and (
E) were computed and stored for
subsequent off-line analysis.
For ventilatory challenges, early and late components of HVR and HCVR
were assessed as the average of the first and last 3-min periods of
each 30-min challenge, whereas baseline ventilation was defined as the
average of the 3 min immediately preceding the gas switch. Although the
initial 3 min of a hypoxic challenge period may not always correspond
to the peak
E response in a particular
animal, they are primarily representative of the peripheral chemoreceptor-mediated component with little contamination from central
sources and were therefore selected for comparative analyses. Differences in data among the various age groups or within each age
group for the saline and NBQX treatments were compared by ANOVA (2-way
ANOVA for repeated measures) and the Newman-Keuls post hoc test. A
P value of <0.05 was considered to achieve statistical significance.
Immunocytochemistry
To determine the developmental pattern of AMPA receptor expression and the topography of neuronal recruitment in response to hypoxia, double-label immunocytochemistry was performed for the GluR2/3 subunits of the AMPA receptor and for the early gene product c-fos (23).Rat pups (ages 2, 5, 10, and 20 days) and adult rats were studied after 3-h exposures to either room air or hypoxia (10% O2 balance N2). For all pups, exposures were conducted in the presence of the mother to prevent separation stress and while maintaining environmental temperatures at ~28-30°C. Five animals were studied per experimental group. At the end of the exposures, rats were anesthetized with pentobarbital sodium (50 mg/kg ip) and perfused transcardially with 30-200 ml PBS at ambient temperature and then with 2.5% paraformaldehyde in cold PBS containing 5% sucrose, pH 7.4. The brain was removed immediately from the skull after perfusion and placed overnight in a fixative containing 1% paraformaldehyde in PBS and 30% sucrose at 4°C. Coronal sections (30 µm) were cut on a freezing microtome and divided into two series. One series was stained for Nissl substance with thionine, and the other was processed immunocytochemically. Sections were washed extensively in PBS and incubated in 0.4% Triton X-100 in PBS containing 1.5% normal goat serum (Vector, Burlingame, CA) for 1 h. Sections were then incubated with anti-c-fos (Santa Cruz Biotechnology, Santa Cruz, CA, sc-52, 1:10,000 dilution) and with an antibody to the AMPA glutamate receptor subunits 2 and 3 (23, 40) raised against the carboxy terminus peptide of rat GluR2 conjugated to BSA with glutaraldehyde (Chemicon, Temecula, CA; catalog no. AB 1506; 1:1,000). The sections were then washed extensively in PBS, incubated in biotinylated anti-rabbit IgG (Vector) diluted in 0.4% Triton X-100 in PBS for 1 h, washed three times in PBS, incubated for 1 h in avidin-biotinylated horseradish peroxidase (Vectastain Elite kit, Vector) diluted in 0.4% Triton X-100 in PBS, rinsed three times in Tris (pH 7.6), and incubated in 50 mg/100 ml diaminobenzidine tetrahydrochloride (Sigma) and 0.005% H2O2 (Sigma) diluted in Tris pH 7.6 for variable intervals until appropriate staining was achieved. The reaction was stopped in PBS, and the sections were mounted from sodium acetate onto slides coated with gelatin chrom-alum. The resulting double-labeled neurons were easy to identify because c-fos was localized to the nucleus, whereas the AMPA receptor marker was found in the cytoplasm or plasma membrane. Control experiments with either one or both antibodies were done to determine whether the primary or secondary antibodies produced false positive results.
Sections were assessed using a light microscope, and the distribution and number of cells containing c-fos, GluR2/3, or c-fos-GluR2/3 immunoreactivities were indicated on camera lucida drawings and maps of the NTS using the atlases by Paxinos and colleagues (32, 33). At least five sections were examined per animal. The cytoarchitectural boundaries of the various rostral medullary nuclei were defined by superimposing the adjacent thionine-stained sections with the camera lucida drawings. We primarily analyzed the cellular patterning within the three major nuclei of interest in the medulla oblongata, namely the NTS, XII, and NA. In every nucleus, at least 1,000 cells were counted for each animal. Data were tabulated, and responses were compared using two-way ANOVA (postnatal age and hypoxia) followed by the Newman-Keuls post hoc test. A P value of <0.05 was considered to achieve statistical significance.
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RESULTS |
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Ventilatory Responses
Effects of NBQX on resting ventilation. With advancing postnatal age, progressive increases in
E
during room air breathing (baseline) were observed (P < 0.0001), primarily as a result of increases in VT
(P < 0.0001; Fig. 1).
Respiratory frequency was similar in 5- and 10-day-old pups, whereas in
15-day-old pups, f had decreased 15% (P = 0.007).
Inspiratory time increased in 15-day-old pups (P < 0.0001),
paralleling the change in f, whereas TE was not
different across all ages. Ventilatory drive, determined as
VT/TI, increased progressively with
postnatal age (P < 0.0001).
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Administration of NBQX was without effect on baseline
E, VT, and
VT/TI at all postnatal ages (Fig. 1). However,
in 5- and 10-day-old pups, NBQX administration resulted in a reduction
in f to levels similar to 15-day-old animals (P < 0.0001). Increases in TI were observed after NBQX
administration at all ages (P < 0.01), but in
particular in 5- and 10-day-old pups. Similarly, TE
prolongations occurred at ages 5 and 10 days (P = 0.012).
Interestingly, the lowering of f and lengthening of
TE after NBQX observed at ages 5 and 10 days were not
detected in 15-day-old pups.
Effects of NBQX on the hypoxic ventilatory response. Exposure
to hypoxia was associated with a brisk increase in ventilation in all
ages, followed by a reduction in ventilation (Fig.
2), and this response was not altered by
NBQX administration. Before NBQX administration, early increases in
E were associated with increases in
f (P < 0.003), whereas VT remained
relatively unchanged. After NBQX, alterations in breathing pattern
during the early hypoxic ventilatory response occurred at all ages,
such that f was lower (P < 0.0005) and VT
tended to be greater (significant only at 5 days postnatally; P < 0.02) than in the pre-NBQX condition.
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The magnitude of the ventilatory decline during hypoxia (late phase of
the hypoxic ventilatory response) varied with age, the youngest animals
decreased ventilation to levels below baseline, whereas the
E decline in 15-day-old pups was smaller
and remained above baseline, similar to the characteristic adult
response (Fig. 2). The decline in
E
during the late phase of the hypoxic ventilatory response was
attributable primarily to reductions in f (P < 0.0001). During the late phase, NBQX administration resulted in lower
f than in the pre-NBQX condition at all ages (P < 0.004).
Effects of NBQX on the hypercapnic ventilatory response. To
determine the contribution of non-NMDA receptors to the ventilatory response to hypercapnia in developing animals, the effect of NBQX administration on the ventilatory response to 5% CO2 was
examined in a separate group of pups (Fig.
3). Exposure to hypercapnia was associated
with increases in
E at all ages, with the
magnitude of the response increasing with advancing postnatal age.
Within 3 min of exposure to hypercapnia,
E increased by ~16% (not
significant), 21% (P < 0.0001), and
36% (P < 0.0001) in 5-, 10-, and 15-day-old pups,
respectively. In 5-day-old pups, early increases in VT
(P < 0.001) without changes in f were observed. In
the older animals, increases in f accounted for the initial
rise in ventilation (P < 0.005). After 30 min of hypercapnia,
E remained elevated, being
~40-60% greater than baseline levels (P < 0.0002).
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The ventilatory response to hypercapnia at any age was not altered by administration of NBQX. However, alterations in breathing pattern were again observed. VT was greater at all time points after NBQX administration in 10- and 15-day-old pups (P < 0.03), with a trend toward larger VT present in the 5-day-old pups. Conversely, NBQX administration resulted in lower f at all time points in 5- and 10-day-old animals (P < 0.03) and was without effect on f responses in the 15-day-old group.
Immunocytochemistry
With advancing postnatal age, significant increases in GluR2/3 immunoreactivity were present in the NTS and XII (Figs. 4 and 5). In the NA, a biphasic pattern of GluR2/3 expression emerged such that increases occurred until postnatal day 10, after which the GluR2/3 immunoreactivity decreased until it reached adult levels (Fig. 5). Hypoxia induced increased c-fos labeling at all postnatal ages in both the NTS and NA but not in the XII. However, the magnitude of c-fos increase was particularly prominent in older animals (Figs. 4 and 5). The colabeling of c-fos and GluR2/3 increased with postnatal development in the NTS. However, at younger ages (2 and 5 days old), decreases in the percentage of AMPA-positive cells displaying c-fos immunoreactivity occurred with hypoxia in the NTS (Fig. 5, right). Similar patterns of decreased c-fos labeling among AMPA immunoreactive cells were observed in the NA and persisted at later stages of development.
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DISCUSSION |
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In this study, we showed that systemic administration of the non-NMDA
receptor antagonist NBQX elicits changes in f with reciprocal changes in VT such that
E is preserved across all
postnatal ages in the developing rat. In addition, NBQX was not
associated with altered
E responses to
either hypoxic or hypercapnic challenges. We further demonstrate that
significant changes in AMPA receptor expression occur within several
nuclei of the caudal brain stem, such as the NTS, XII, and NA, and that
with advancing maturation, marked enhancements in c-fos nuclear
immunoreactivity are induced by hypoxia. However, as would be expected
from the physiological recordings, the relative proportion of cells
demonstrating double labeling for GluR2/3 and c-fos was not
modified by hypoxia in the NTS and NA, and, at younger ages, the
percentage of c-fos-positive cells among cells with AMPA
immunoreactivity decreased.
During the first 2 wk of life, maturational changes were observed in
resting ventilation and the ventilatory responses to hypoxia and
hypercapnia. Specifically, room air ventilation, VT, and
respiratory drive more than doubled, whereas respiratory frequency decreased during this time interval, and these findings concur with
previous studies (11, 16). HVR and HCVR also underwent changes with
advancing postnatal age. Between 10 and 15 days postnatally, the late
HVR changed from one of profound hypoxic ventilatory depression to one
more characteristic of that observed in the adult animal, where the
level of ventilation during the late phase remained above baseline
values. The evolution of both early and late phases of HVR in this
study closely agrees with that reported by Eden and Hanson (11) and
Gozal et al. (16). Similarly, the responsiveness to 5% CO2
appeared to increase between 10- and 15-day-old animals. Although
CO2 sensitivity was not specifically measured, the percent
change in
E was greater in 15-day-old pups than in the younger animals. These findings suggest that significant maturation of the ventilatory control system is occurring between postnatal age 10 and 15 days in the rat. An additional developmental feature in HCVR involved the differing f
recruitments in 5- and 10-day-old animals compared with older rats.
Indeed, f decreased in the youngest animals during both the
early and late time points of the hypercapnic challenge, whereas in
10-day-old pups, f decreases occurred only later in the course
of the challenge, and in 15-day-old pups, f increased
throughout the challenge. Because this pattern was not affected by
NBQX treatment, it is likely that the maturational process of
respiratory frequency recruitments during central chemoreceptor
stimulation is dependent on other neurotransmitter systems.
Before addressing the potential significance of our findings, it is important to emphasize that major differences in the responses observed during pharmacological manipulation of NMDA or non-NMDA glutamate receptors occur between the waking and anesthetized state (4, 6, 24, 37). In addition, caution should be applied in the extrapolation of responses obtained from the in vitro brain stem preparation to those measured during in vivo experimental conditions (30). In our experiments, maintenance of resting, hypoxic, and hypercapnic ventilation after systemic administration of a non-NMDA receptor antagonist suggests that neuronal pathways controlling ventilation in the awake developing rat in these conditions do not require non-NMDA receptor-mediated mechanisms. Despite the overall level of ventilation being unaffected by the non-NMDA receptor antagonist NBQX, small but significant alterations in breathing pattern were observed after NBQX administration. Specifically, in 5- and 10-day-old pups, respiratory frequency was reduced after AMPA receptor antagonism in all conditions studied. Similar results have been observed in neonatal mice (4), nonanesthetized fetal sheep (3), and anesthetized adult rats (37). Interestingly, by 15 days postnatally, the NBQX-induced reduction in frequency was not observed during room air or hypercapnic exposure and was only modestly present during the hypoxic exposure. However, this is not surprising, because by this age, significant maturation of the respiratory system has already occurred and the lack of considerable effect of NBQX on respiratory frequency in this age group is consistent with similar findings in adult mice and cats (4). Thus it appears that NBQX administration particularly impacts respiratory function in animals before maturation of the ventilatory responses to chemical stimuli. Consistent with these findings in the conscious rat pup, data obtained using a neonatal rat brain stem slice preparation have demonstrated that AMPA receptor activation is crucial for respiratory rhythm generation in neurons within the pre-Bötzinger complex (14). Taken together, these results indicate that AMPA receptor mechanisms modulate components of respiratory pattern generation in the immature, but not in the mature, rat.
The location and magnitude of c-fos immunoreactivity enhancements in the developing and adult animals studied herein are in close agreement with those previously reported by White et al. (41), Haxhiu et al. (17), and Teppema et al. (38) after similar hypoxic exposures. In addition, we have extended our experiments to younger postnatal ages and document on the existence of marked developmental pattern of c-fos enhancements in both the NTS and NA in response to hypoxia. Our findings suggest that with maturation, the NTS assumes an increasingly preponderant role in the processing of neural afferent input from peripheral chemoreceptor afferents as well as the cellular activation elicited by the hypoxic stimulus. Such trend was not as prominent in the NA, and because systematic exploration of all brain stem structures was not performed, it is possible that other brain regions may display similar developmental changes in hypoxic neuronal recruitment. Another interesting observation pertains to the decreases in colabeled cells during hypoxia occurring in both the NTS and NA in the younger animals. Although the exact function of the AMPA-positive cells remains undetermined, it is possible that they may play a role in the tonic regulation of blood pressure or of other cardiovascular functions (8, 18, 25) and that they may undergo lessened recruitments during hypoxic conditions.
We employed an antibody that recognizes the most widely expressed AMPA receptor subunits in the brain stem and confirmed the extensive distribution of these receptor subunits in the NTS of the adult rat (23, 40, 42). In addition, we further confirm previous reports on the distribution of AMPA receptor immunoreactivity throughout somata and proximal dendrites of neurons located within the ventral respiratory group as well as in the NTS (22, 36). The overall number of neurons expressing GluR2/3 immunoreactivity increased with advancing postnatal age in nearly all the caudal brain stem regions that were examined in this study. Previous investigators clearly demonstrated that AMPA glutamate receptor expression undergoes substantial developmental changes, which vary according to the brain region of interest (10, 20). Our findings are in close concordance with those recently reported by Rao and colleagues (35), who demonstrated that a postnatal increase in AMPA receptor number occurs between birth and postnatal day 9 in both the NTS and ventral medullary nuclei. Incidentally, a biphasic pattern in GluR2/3 expression was apparent in the NA, such that decreased immunoreactivity occurred in 20 day and older animals. Thus increased expression of AMPA GluR2/3 receptors occurs postnatally in brain stem nuclei, but their functional role remains to be determined. On the basis of our physiological experiments, there is little evidence to suggest that AMPA glutamate receptors play a major role in the modulation of hypoxic and hypercapnic ventilatory responses and that their role in respiratory control may actually be limited to regulation of timing mechanisms and/or to selective adaptation processes (43). Indeed, a very recent study by Petralia and colleagues (34) suggests that AMPA receptor expression may be needed to mobilize NMDA glutamate receptors to become synaptically active. It is also possible that this family of glutamate receptors may preferentially underlie cardiovascular functions, such as components of the baroreceptor reflex arc or modulation of vagal chronotropic efferent output originating in pathways involving both the NA and NTS (7, 8, 15, 27, 28). Obviously, exploration of such possibilities is clearly beyond the scope of the present study.
In summary, we showed that although marked developmental changes occur in GluR2/3 expression within caudal brain stem regions traditionally associated with cardiorespiratory functions, such maturational processes are not immediately correlated to functional determinants of overall ventilatory output or responsiveness to chemical stimulation. Instead, the apparent role of non-NMDA receptors in respiratory control appears to be limited to modest, albeit significant, regulation of VT-f interactions.
Perspectives
The central neural mechanisms underlying the developmental characteristics of the acute HVR in mammals remain elusive. Although the glutamatergic hypothesis for the HVR emerges as viable in the mature rat, the present study further indicates that extrapolation from neural pathways operative in the adult animal does not always find validation in the neonate. Further studies are needed to examine three major conceptual frameworks that derive from the results presented herein: 1) the neural processing of afferent input from peripheral chemoreceptors during hypoxia takes place within different brain stem regions dependent on the maturational stage; 2) the neurotransmitter(s) and respective receptors underlying such neural processing undergo radical changes during postnatal development; and 3) AMPA receptor expression and activation within regions such as the NTS and NA are required to elicit the conversion of NMDA receptors from synaptically silent to functionally active (34).| |
ACKNOWLEDGEMENTS |
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This study was supported by grants from the American Lung Association (CI-002-N), the National Institutes of Health (HD-01072 and HL-65270), and the Maternal and Child Health Bureau (MCJ-229163).
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FOOTNOTES |
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The costs of publication of this article were defrayed in part by the payment of page charges. The article must therefore be hereby marked "advertisement" in accordance with 18 U.S.C. §1734 solely to indicate this fact.
Address for reprint requests and other correspondence: D. Gozal, Dept. of Pediatrics, Univ. of Louisville School of Medicine, 571 S. Floyd St., Ste. 300, Louisville, KY 40202-3830 (E-mail:d0goza01{at}gwise.louisville.edu).
Received 26 January 1999; accepted in final form 17 October 1999.
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