The Journal of Neuroscience, March 15, 2003, 23(6):2265
Proteolipid Protein Gene Mutation Induces Altered
Ventilatory Response to Hypoxia in the Myelin-Deficient Rat
Martha J.
Miller1,
Musa
A.
Haxhiu1,
Paraskevi
Georgiadis1,
Tatyana I.
Gudz2,
Cindy D.
Kangas2, and
Wendy B.
Macklin2
1 Department of Pediatrics, Case Western Reserve
University and Rainbow Babies and Children's Hospital, Cleveland, Ohio
44106, and 2 Department of Neurosciences, Lerner Research
Institute, Cleveland Clinic Foundation, Cleveland, Ohio 44195
Pelizaeus Merzbacher disease is an X-linked dysmyelinating disorder
of the CNS, resulting from mutations in the proteolipid protein
(PLP) gene. An animal model for this disorder, the
myelin-deficient (MD) rat, carries a point mutation in the
PLP gene and exhibits a phenotype similar to the fatal,
connatal disease, including extensive dysmyelination, tremors, ataxia,
and death at approximately postnatal day 21 (P21). We postulated that
early death might result from disruption of myelinated neural pathways
in the caudal brainstem and altered ventilatory response to oxygen
deprivation or hypercapnic stimulus. Using barometric plethysmography
to measure respiratory function, we found that the MD rat develops
lethal hypoxic depression of breathing at P21, but hypercapnic
ventilatory response is normal. Histologic examination of the caudal
brainstem in the MD rat at this age showed extensive dysmyelination and
downregulation of NMDA and to a lesser extent GABAA
receptors on neurons in the nucleus tractus solitarius, hypoglossal
nucleus, and dorsal motor nucleus of the vagus. Unexpectedly,
immunoreactive PLP/DM20 was detected in neurons in the caudal
brainstem. Not all biosynthetic functions and structural elements were
altered in these neurons, because phosphorylated and nonphosphorylated
neurofilament and choline acetyltransferase expression were comparable
between MD and wild-type rats. These findings suggest that PLP
is expressed in neurons in the developing brainstem and that
PLP gene mutation can selectively disrupt central
processing of afferent neural input from peripheral chemoreceptors,
leaving the central chemosensory system for hypercapnia intact.
Key words:
proteolipid protein; MD rat; hypoxic ventilatory
response; NMDA receptor; GABAA receptor; dysmyelination
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