The respiratory response to hypoxia reflects the integration of peripheral stimulation of carotid chemoreceptors and the modulation of the respiratory neuronal network by the effects of central hypoxia. The effect of central hypoxia on the net integrated respiratory output is determined by the summation of the inhibitory and excitatory effects of CNS hypoxia. Although the predominant effect of brain hypoxia is to cause a reduction in neuronal excitability, recent work suggests that there may be unique sites within the brain that are directly stimulated by hypoxia. For example, while respiratory premotor ventral respiratory group (VRG) neurons are depressed by hypoxia, sympathoexcitatory and pre-Botzinger respiratory-related neurons in the rostral ventrolateral medulla (RVLM) have been shown to increase their activity in response to local hypoxia. The cellular events that distinguish these two contrasting neuronal responses to hypoxia have not been defined. The studies outlined in this application will investigate the mechanisms underlying these responses in retrogradely labeled (fluorescent latex beads) premotor VRG (hypoxia- depressed) and RVLM (hypoxia-excited) neurons dissociated and cultured from neonatal rats using perforated patch clamp recording techniques to identify the ionic currents that distinguish the different membrane responses of these excited and depressed neurons. Identification of the ionic changes that characterize these neuronal responses to hypoxia will then allow us to explore the cellular mechanisms important for transduction of the hypoxic signal in RVLM oxygen sensing neurons. Since heme oxygenase (HO) has been shown to be an important factor in the oxygen in the oxygen sensing mechanism of excitation of the carotid body and we have found that HO is expressed in the RVLM, we will also test the hypothesis that activation of HO is important for oxygen sensitivity of RVLM neurons. Hypoxic excitation of central cardiorespiratory neurons promotes an effective autoresuscitative response (in the form of intense sympathetic discharge synchronized with respiratory gasping)which may be critical for surviving life-threatening hypoxic events. In fact, failure to gasp has been proposed as a potential cause of sudden infant death syndrome.

Agency
National Institute of Health (NIH)
Institute
National Heart, Lung, and Blood Institute (NHLBI)
Type
Research Project (R01)
Project #
3R01HL058730-03S1
Application #
6096593
Study Section
Respiratory and Applied Physiology Study Section (RAP)
Project Start
1997-07-01
Project End
2002-06-30
Budget Start
1999-07-01
Budget End
2000-06-30
Support Year
3
Fiscal Year
1999
Total Cost
Indirect Cost
Name
University of Medicine & Dentistry of NJ
Department
Internal Medicine/Medicine
Type
Schools of Medicine
DUNS #
622146454
City
Piscataway
State
NJ
Country
United States
Zip Code
08854
D'Agostino, Dominic; Mazza Jr, Emilio; Neubauer, Judith A (2009) Heme oxygenase is necessary for the excitatory response of cultured neonatal rat rostral ventrolateral medulla neurons to hypoxia. Am J Physiol Regul Integr Comp Physiol 296:R102-18
Mazza, E; Thakkar-Varia, S; Tozzi, C A et al. (2001) Expression of heme oxygenase in the oxygen-sensing regions of the rostral ventrolateral medulla. J Appl Physiol 91:379-85
Mazza Jr, E; Edelman, N H; Neubauer, J A (2000) Hypoxic excitation in neurons cultured from the rostral ventrolateral medulla of the neonatal rat. J Appl Physiol 88:2319-29