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The Journal of Neuroscience, March 15, 1999, 19(6):2368-2380
Concurrent Inhibition and Excitation of Phrenic Motoneurons
during Inspiration: Phase-Specific Control of Excitability
M. A.
Parkis1,
X.-W.
Dong2,
J. L.
Feldman3, and
G. D.
Funk1
1 Department of Physiology, Faculty of Medicine and
Health Sciences, University of Auckland, Auckland, New Zealand,
2 Schering-Plow Research Institute, CNS/CV Research,
Kenilworth, New Jersey 07033, and 3 Systems Neurobiology
Laboratory, Departments of Neurobiology and Physiological Science,
University of California Los Angeles, Los Angeles, California
90095-1763
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ABSTRACT |
The movements that define behavior are controlled by motoneuron
output, which depends on the excitability of motoneurons and the
synaptic inputs they receive. Modulation of motoneuron excitability takes place over many time scales. To determine whether motoneuron excitability is specifically modulated during the active versus the
quiescent phase of rhythmic behavior, we compared the input-output properties of phrenic motoneurons (PMNs) during inspiratory and expiratory phases of respiration.
In neonatal rat brainstem-spinal cord preparations that generate
rhythmic respiratory motor outflow, we blocked excitatory inspiratory
synaptic drive to PMNs and then examined their phase-dependent responses to superthreshold current pulses. Pulses during inspiration elicited fewer action potentials compared with identical pulses during
expiration. This reduced excitability arose from an inspiratory-phase inhibitory input that hyperpolarized PMNs in the absence of excitatory inspiratory inputs. Local application of bicuculline blocked this inhibition as well as the difference between inspiratory and expiratory firing. Correspondingly, bicuculline locally applied to the midcervical spinal cord enhanced fourth cervical nerve (C4) inspiratory burst amplitude. Strychnine had no effect on C4 output. Nicotinic receptor antagonists neither potentiated C4 output nor blocked its potentiation by bicuculline, further indicating that the inhibition is not from
recurrent inhibitory pathways. We conclude that it is bulbospinal in origin.
These data demonstrate that rapid changes in motoneuron excitability
occur during behavior and suggest that integration of overlapping,
opposing synaptic inputs to motoneurons is important in controlling
motor outflow. Modulation of phasic inhibition may represent a means
for regulating the transfer function of PMNs to suit behavioral demands.
Key words:
phrenic motoneuron; brainstem; spinal cord; respiration; GABA; neonatal rat
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INTRODUCTION |
Motoneurons shape motor patterns by
transforming inputs into appropriate outputs controlling muscle
contraction. This transformation of input into output, excitability, is
determined by an interaction between synaptic inputs and the expression
and modulation of intrinsic voltage- and ligand-gated conductances
(Hultborn and Kiehn, 1992 ). Excitability is not static. It changes over
multiple time scales (Feldman et al., 1990 ), such as during development
(Berger et al., 1996 ) and in transitions between sleep states (Soja et
al., 1991 ; Kubin et al., 1993 ). Because the output of multiple
motoneuron pools must be coordinated to optimize movements for various
behaviors, motoneuron properties may also change over faster time
scales to achieve changes in excitability specific to a given behavior (Dickinson, 1995 ; Krawitz et al., 1997 ) or to a particular phase of
behavior (Brownstone et al., 1992 ).
Various mechanisms could underlie such rapid changes in motoneuron
excitability. (1) Coactivation of neuromodulatory pathways to
motoneurons during behaviors is suggested by reductions in action
potential threshold during fictive locomotion (Krawitz et al., 1997 )
and by monoamine-induced plateau potentials (Hounsgaard et al., 1988 ;
Hounsgaard and Kiehn, 1989 ; Hultborn and Kiehn, 1992 ). (2) The strength
of recurrent inhibitory pathways can be modulated (Hultborn et al.,
1979 ; Hilaire et al., 1986 ). (3) The balance of concurrent excitatory
and inhibitory synaptic inputs may be adjusted. Indirect evidence for
such opposing inputs to hypoglossal motoneurons during inspiration
(Withington-Wray et al., 1988 ; Woch and Kubin, 1995 ), and evidence for
GABAergic gain modulation of respiratory premotoneurons (McCrimmon et
al., 1997 ), led us to test whether concurrent inhibition and excitation
underlie phase-specific modulation of motoneuron excitability.
Determining whether motoneuron excitability is differentially modulated
between phases of a behavior requires preparations exhibiting behavior.
Moreover, investigating motoneuron excitability during the active phase
of behavior presents a challenge, because changes in membrane potential
and input resistance produced by excitatory synaptic drive can mask
underlying modulatory effects. For example, increased excitability of
lumbar motoneurons during the active versus quiescent phase of the
fictive locomotor cycle (Brownstone et al., 1992 ) suggests that
activation of central rhythmic behavioral circuits changes the
input-output function of motoneurons. However, interpretation of these
results is confounded by the presence of ongoing rhythmic locomotor
drive potentials and the associated changes in membrane conductance. In
most rhythmic behaviors, block of these postsynaptic drive potentials
to motoneurons will disrupt generation of behavioral rhythm, due to
proximity of the motoneurons to the rhythm-generating circuitry
(Robertson and Stein, 1988 ; Brownstone et al., 1992 ).
To address these problems and test for rapid, phase-specific modulation
of motoneuron excitability, we used a neonatal rat brainstem-spinal
cord preparation that generates rhythmic inspiratory drive to
motoneurons (Smith and Feldman, 1987 ). This preparation was chosen
because phrenic motoneurons (PMNs), which drive the diaphragm, are
spatially segregated from the rhythm-generating networks that produce
their primary behavioral (inspiratory) input, thereby facilitating
pharmacological manipulation of fast excitatory inputs at the
motoneuron level without disruption of respiratory rhythm. In addition,
in vitro conditions allow complete block of excitatory
postsynaptic rhythmic drive currents.
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MATERIALS AND METHODS |
Brainstem-spinal cord preparations. Experiments were
performed on brainstem-spinal cord preparations (n = 74) from neonatal Wistar rats ranging in age from 0 to 3 d
postnatal (P0-P3). Preparations were isolated using methods previously
described for Sprague Dawley rats (Smith and Feldman, 1987 ; Dong and
Feldman, 1995 ). Briefly, an animal was anesthetized with diethyl ether
and decerebrated, then the brainstem-spinal cord isolated in a
dissection chamber containing artificial CSF (aCSF) containing
(in mM): 128 NaCl, 3 KCl, 1.5 CaCl2, 1 MgSO4, 21 NaHCO3, 0.5 NaH2PO4, 30 D-glucose, pH
7.4, at 20-22°C, oxygenated with
95%O2/5%CO2. Preparations extended
from the midpontine level rostrally to the seventh cervical segment caudally.
After isolation, the brainstem-spinal cord was pinned, ventral surface
up, on Sylgard resin in a recording chamber (2 ml volume) perfused with
oxygenated aCSF at a flow rate of 2-2.5 ml/min. The pia mater was then
removed from the ventral surface of the spinal cord just lateral to
midline at the level of the C4 nerve root to allow introduction of
whole-cell recording electrodes into the PMN column and facilitate drug
diffusion. Bath temperature was gradually increased to 26-27°C
before recording.
Extracellular recording of whole-nerve inspiratory activity.
Inspiratory motoneuron activity was recorded from the severed ends of
C1 or C4 cervical roots using suction electrodes (80-100 µm internal
diameter). In experiments requiring block of glutamatergic drive to
individual PMNs, C4 nerve output was also abolished. Thus C1 nerve
output was recorded as an index of respiratory cycle timing. In
experiments designed to determine the effect of drugs on PMN population
output, we recorded from the C4 nerve. Nerve recordings were amplified
(50,000 times), bandpass-filtered (0.1-3 kHz), full wave-rectified,
and integrated using a leaky integrator ( = 50 msec).
Whole-cell recording. Intracellular recordings from PMNs
(n = 54) were made using "blind" whole-cell
patch-clamp recording techniques (Blanton et al., 1989 ). Patch
electrodes (resistance 4.0-5.5 M ; 1.5-2 µm tip size) were pulled
on a horizontal puller (Sutter Model P-97) from 1.2 mm outer diameter,
filamented borosilicate glass (Clark/WPI) and filled with solution
containing (in mM): K+-gluconate 125, NaCl 5, CaCl2 1, HEPES 10, BAPTA 10, ATP
(Mg2+ salt) 2. Intracellular solution pH was
adjusted to 7.2-7.3 with 5 M KOH. Signals were amplified
and filtered with a patch-clamp amplifier (5 kHz Bessel filter,
Axopatch 1D; Axon Instruments, Foster City, CA).
Series resistance and whole-cell capacitance were estimated under
voltage-clamp conditions by using short voltage pulses (100 Hz, 10
mV, 3.0 msec). Series resistance ranged from 10 to 32 M , (mean,
17 ± 6 M ) and was monitored throughout experiments. Data were
discarded if series resistance changed between control and test
conditions. Voltage-current (V-I) relationships
were obtained in current clamp by applying a series of current steps (500 msec, +50 to 300 pA). In voltage clamp, current-voltage (I-V) relationships were obtained by applying a
series of voltage steps (+24 to 36 mV from resting membrane
potential). Cell input resistance (RN)
was calculated from the slope or the inverse of the slope of a least
squares regression line fitted to V-I or I-V
curves, respectively. Rheobase was estimated by increasing the
amplitude of depolarizing square-wave current steps (400-600 msec
duration) until a single spike was elicited.
Neurons included in the database satisfied criteria described
previously for PMNs (Liu et al., 1990 ; Dong and Feldman, 1995 ). Briefly, they had resting membrane potentials of 60 mV or more hyperpolarized, received rhythmic synaptic drive currents/potentials in
phase with inspiratory burst activity on C1 ventral nerve roots, produced action potentials that overshot 0 mV, and were located at
intermediate laterality 110-260 µm deep from the ventral surface at
the level of C4.
Pharmacological substances and application. Drugs that were
used included bicuculline methbromide [Research Biochemicals
(RBI), Natick, MA; 0.1-1.0 mM],
6-cyano-7-nitroquinoxaline-2,3-dione disodium (CNQX) (RBI; 0.25-0.5
mM), GABA (Sigma, St. Louis, MO; 1 mM),
hexamethonium bromide (Serva Feinbiochemica, Heidelberg, Germany;
0.1-0.5 mM), 3-[2-methylphenoxy]-1,2-propanediol
(mephenesin) (Sigma; 1 mM), mecamylamine hydrochloride
(RBI; 50 µM), (+)-MK-801 hydrogen maleate (MK801) (RBI;
0.5-1.0 mM), 5-aminomethyl-3-hydroxyisoxazole (muscimol)
(Sigma; 10-100 mM),
1,2,3,4-tetrahydro-6-nitro-2,3-dioxo-benzo[f]quinoxaline-7-sulfonamide disodium (NBQX) (RBI; 0.375-0.5 mM), strychnine
hydrochloride (Sigma; 1 mM), and tetrodotoxin (TTX) (RBI;
0.5-1.0 µM). All drugs were made up in aCSF and stored
as frozen aliquots, with the exception of hexamethonium, which was made
fresh before each use.
Drugs were either applied locally over the ventral surface of the C4
spinal cord over the region containing the PMN pool, or added to the
bath. Local application of drugs from triple-barreled pipettes (6 µm
per barrel outside diameter at the tip) was via timed pressure
injection controlled by solenoid valves.
Drugs were bath-applied when multisegmental action of a given drug was
required (e.g., when we wanted to block recurrent inhibition throughout
the cervical cord rather than at C4 alone). The recording chamber was
divided into two compartments (split-bath configuration) by
construction of a petroleum jelly barrier at the spinomedullary junction. This allowed selective application of drugs to the spinal cord aCSF without affecting processes in the brainstem where
respiratory rhythm originates. A minimum of 10 min was allowed for drug
equilibration. The split-bath configuration involved analysis of C4
population output only, because the petroleum jelly used for the
partition interferes with formation of G seals required for
whole-cell recording. The integrity of the partition was tested at the
start and the end of each experiment by removing all solution from one compartment and verifying that no solution leaked through.
Neuronal properties during inspiratory and expiratory periods:
repetitive firing protocol. The paradigm used to compare
repetitive firing elicited during inspiration with firing elicited
between inspiratory bursts, which we refer to as expiration, is
illustrated in Figure 1. First, C1 ventral root population inspiratory
activity and whole-cell recording of PMN inspiratory synaptic inputs
were established (see Fig. 1Bi). After inspiratory
synaptic inputs were characterized under voltage- and current-clamp
conditions, they were blocked via continuous local application of a
glutamate receptor antagonist mixture over the C4 PMN pool until no
depolarization of PMNs was observed concurrent with inspiratory bursts
on the C1 nerve (see Fig. 1Bii). The antagonist
mixture comprised 0.25-0.5 mM CNQX and 0.5 mM MK801, or 0.375 mM NBQX and 0.5 mM MK801, or 0.5 mM CNQX, 0.375 mM
NBQX, and 0.5 mM MK801. C1 nerve inspiratory activity
remained unblocked by the glutamate antagonist cocktail because of its
spatial separation from the site of drug injection and therefore was
used as an index of cycle phase. The rising phase of C1-integrated
inspiratory activity elicited a TTL pulse from a window
discriminator that initiated an eight-cycle series of injected current
pulse triplets. The first pulse was delivered during inspiration; the
second and third pulses of equal magnitude were delivered during the
expiratory period (between inspiratory bursts) at 2-4 sec intervals
(see Fig. 1Biii). The third pulse was applied to
control for the possibility that accommodative properties may have
produced different PMN responses to the second of a pair of identical
current pulses independent of any phasic alteration of neuron
properties. Temporal characteristics of the square-wave pulses were
controlled with a Master-8 Stimulator (A.M.P.I., Jerusalem,
Israel) and Axodata software. Duration of the pulses was varied
from 400 to 600 msec to match the duration of the inspiratory phase of
the preparation. Injected current amplitude incremented or decremented
with each respiratory cycle (i.e., after one inspiratory and two
expiratory pulses), with a total of eight equal steps chosen
empirically to produce a range of firing frequencies comparable between PMNs.
Block of primary excitatory inspiratory synaptic drive was essential
for these experiments. (1) It prevented changes in motoneuron input
conductance associated with activation of the ligand-gated glutamate
receptor channels that mediate inspiratory drive (Liu et al., 1990 );
(2) it removed rapid membrane potential fluctuations associated with
inspiratory synaptic drive (see Fig. 1Bi),
facilitating analysis of repetitive firing behavior; and most
importantly, (3) it ensured that inspiratory-phase responses were not
evoked from more depolarized membrane potentials than expiratory-phase responses. If excitatory synaptic inputs were not blocked,
inspiratory-phase responses would be from the summed action of synaptic
and injected currents, whereas expiratory-phase responses would
represent responses to injected current only. Thus PMNs were not
subjected to the repetitive firing protocol if inspiratory-phase
depolarizations were still observed.
Tests for phase-dependent changes in
RN. PMN RN during
inspiratory and expiratory periods was compared, after block of
glutamatergic inputs, from the slope of least squares regression line
fitted through voltage-current relationships generated by plotting the
steady-state voltage responses to incrementing or decrementing current
pulses (50 pA steps; 200 to +50 pA) delivered during the inspiratory
and expiratory periods. As above, the rising phase of C1 inspiratory
activity was used as the index of inspiratory onset.
Data acquisition and analysis. Signals were displayed on
line on a chart recorder and oscilloscope and were recorded on
videotape via pulse code modulation (Vetter 402 or 3000A; A. R. Vetter, Rebersberg, PA) (sampled at 10-40 kHz/channel) for storage and off-line analysis. Selected portions of data were digitized at 1-20
kHz using AxoData software and a National Instruments NBMIO-16 A/D
board and stored on computer for subsequent analysis. Peaks of EPSPs
and IPSPs and of integrated nerve activity were calculated using
the peak detection analysis in AxoGraph software (version 3.0). The
effects of bath-applied and locally applied drugs on frequency and peak
amplitude of C4 inspiratory bursts were assessed using a custom-written
LabVIEW acquisition and analysis program.
PMNs exhibited a wide range of rheobase,
RN, and maximum firing frequency values.
Thus, the absolute magnitude of the eight current pulses injected to
examine repetitive firing varied between PMNs. Therefore to pool data
on firing frequency versus injected current from different PMNs for
statistical analysis, firing frequency was plotted against the current
step number rather than absolute current. Each of the eight steps
produced a similar increment in PMN output relative to maximum firing
for that cell.
Data are reported as mean ± SE. Means of data on C4 burst
amplitude and PMN subthreshold properties were compared using a two-tailed Student's paired t test. An arc sine transform
was performed to normalize all percentage data before statistical comparison. Comparison of PMN firing behavior during the inspiratory and expiratory phase was made with Statistical Analysis Software using
an 8 × 3 or 3 × 3 univariate one-way ANOVA for unbalanced data sets. Linear contrast coefficients were used to partition the sum
of squares to determine whether firing was significantly different
between inspiration and expiration or between the two expiratory
pulses. Values of p < 0.05 were assumed to be significant.
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RESULTS |
Behavior of brainstem-spinal cord preparations isolated from
P0-P3 Wistar rats was indistinguishable from that of similar preparations isolated from Sprague Dawley rats [Smith and Feldman (1987) ; Lin et al. (1990) ; Dong and Feldman (1995) ; also see Connelly et al. (1992) ]. Preparations produced spontaneous inspiratory-related bursts of activity (5-12/min) on ventral cervical nerve roots. Burst
envelopes were rapidly incrementing and slowly decrementing (Fig.
1).

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Figure 1.
Experimental set-up and protocol for comparison of
PMN firing behavior during inspiratory and expiratory phases.
A, Schematic of the rhythmically active
brainstem-spinal cord preparation showing the configuration of the
suction electrode for recording first cervical nerve (C1) activity, the
whole-cell recording electrode at the level of the fourth cervical
nerve for recording PMN activity, and the triple-barrel drug ejection
pipette. B, Rectified, integrated recording of C1 output
( C1, top trace) showing population
inspiratory activity and whole-cell current-clamp record of a PMN
(VM, middle trace)
(i) under control conditions with inspiratory
synaptic potential present, (ii) after complete blockade
of the PMN excitatory inspiratory input with NBQX and MK801, and
(iii) during the repetitive firing protocol in the
continued presence of NBQX and MK801. After block of excitatory
inspiratory drive to the PMN (Bii), population
inspiratory activity on C1 was used to trigger injection
of square-wave current pulses during inspiration (Biii).
Responses of PMNs to current pulses injected during inspiratory and
expiratory periods were then compared. C, Expanded
versions of voltage traces (VM) in
B, showing the firing responses of the PMN to
(i) endogenous inspiratory synaptic input,
(ii) a 380 pA pulse delivered during inspiration, and
(iii) the same amplitude current pulse delivered during
expiration.
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PMN properties were also similar to those described previously (Liu et
al., 1990 ; Dong and Feldman, 1995 ). PMNs received rhythmic synaptic
input (200-1500 pA) in phase with C1 inspiratory nerve activity, had
resting membrane potentials of 64 ± 1 mV,
RN of 79 ± 5 M in control solution
(n = 41), and fired repetitively in response to
square-wave depolarizing current pulses (rheobase, 370 ± 210 pA).
Repetitive firing is reduced during inspiration
versus expiration
To facilitate comparison of repetitive firing behavior of PMNs
during inspiration and expiration, excitatory synaptic inputs mediating
the inspiratory drive were blocked with local application of NBQX or
CNQX + MK801 or both. Drugs were applied continuously to ensure
continued block of excitatory synaptic drive until protocols were
completed. Although 95% of the inspiratory synaptic inputs to PMNs can
be blocked by 5-50 µM CNQX (Liu et al., 1990 ), complete block of excitatory input required up to 500 µM CNQX or
NBQX. MK-801 was included in the antagonist solution to ensure that all
ionotropic glutamatergic receptors were blocked (Greer et al., 1991 ).
Complete block of excitatory drive was determined by the absence of
inspiratory-phase depolarizing inputs to the recorded PMN. Although
recent observations suggest a possible metabotropic glutamate receptor
contribution to the inspiratory drive to PMNs (Dong and Feldman, 1996 ),
our ability to completely block inspiratory-phase depolarization in 32 of 37 PMNs suggests that a metabotropic component is not present in all
cells, or that, where present, it was blocked by the high
concentrations of antagonists. Complete block typically took 5-15 min.
The antagonist mixture was associated with a 22 ± 4% increase in
RN (to 97 ± 6 M ; n = 26).
The repetitive firing protocol was completed in 20 of the PMNs in which
all inspiratory-phase depolarization was blocked. Visual inspection of
the responses revealed a clear reduction in inspiratory-phase firing in
14 PMNs, as shown for one PMN in Figure
2A. In the remaining
six PMNs, differences between inspiratory and expiratory firing
responses were not obvious. We compared firing frequencies between
inspiration and expiration on data pooled from all 20 PMNs and on data
from the 14 cells showing obvious reductions in inspiratory-phase
firing. Inspiratory-phase firing was significantly lower than
expiratory firing regardless of whether 20 or 14 cells were used for
analysis (see below). Because the 14 PMNs with obvious phase
differences in firing may represent a subpopulation of PMNs that
receive inspiratory modulation, we report only the quantitative results
from analysis of those cells. Firing frequencies were calculated in two
ways. (1) To quantify the overall response to a current pulse, the
number of action potentials produced was divided by pulse duration.
This gave a value for average firing frequency that enabled comparison of firing between inspiration and expiration at current levels that did
not produce enough action potentials to calculate a representative instantaneous firing frequency. (2) Instantaneous firing frequency, the
inverse of the interspike interval duration, was also averaged at the
fourth, sixth, and eighth current steps to ensure that average and
instantaneous firing frequencies responded similarly to inspiratory and
expiratory input.

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Figure 2.
PMN excitability is reduced in
inspiration relative to expiration. A, Responses of one
PMN to four levels of current steps presented during inspiration and at
two times during expiration after block of excitatory inspiratory
synaptic input. Responses to pulses presented during the inspiratory
phase are shown in the left-hand traces
(INSPIRATION); responses to pulses presented
during the expiratory phase are shown in the middle
(EXPIRATION, Pulse 1) and right-hand
traces (EXPIRATION, Pulse 2). Pulse amplitude is
indicated to the left of each triplet. B,
Plot of total pulse firing frequency versus current step number
calculated from responses to pulses presented during inspiration
(Insp) and at two times during expiration (Exp 1, Exp 2) (n = 14). C, Plot of
instantaneous firing frequency versus current step number calculated
from responses to the fourth, sixth, and eighth current steps during
inspiration (Insp) and at two times during expiration
(Exp 1, Exp 2) (n = 14).
D, Plot of percentage reduction in inspiratory-phase
action potential (AP) output (number of APs relative to
expiratory phase discharge) as a function of current step number.
E, Plots of interspike interval
(ISI) duration versus interval number for
repetitive firing in one PMN. Firing was elicited by the sixth
(left-hand trace) and eighth (right-hand
trace) current steps delivered during inspiration ( ) and by
the same current levels at two times during the expiratory phase (Exp
1, ; Exp 2, ). Compare with Figure 4C.
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The relationship of firing frequency to injected current step was
shifted to the right during inspiration (i.e., more current was needed
to produce a given firing frequency). Thus the overall mean spike
frequency during inspiration (15.4 ± 1.1 Hz) was significantly lower than during expiration (17.4 ± 1.1 Hz; n = 14; p < 0.001) (Fig. 2B). Similarly,
instantaneous firing frequency was significantly lower during
inspiration than during expiration. At the fourth, sixth, and eighth
steps, average instantaneous firing frequencies during inspiration were
13 ± 1, 22 ± 1, and 28 ± 2 Hz, respectively, versus
16 ± 1, 25 ± 1, and 30 ± 2 Hz during expiration
(p < 0.001) (Fig. 2C). Firing
frequency responses to pulses delivered early and late in expiration
were not different at any level of current (p > 0.5) regardless of whether average or instantaneous firing frequencies
were compared (Fig. 2B,C). The reduction in firing was manifest as one or two fewer action potentials per 400-600 msec
current pulse, independent of current level. Thus, when expressed in
terms of relative change in action potential output, the reduction in
inspiratory versus expiratory discharge was greater at the lower firing
levels (Fig. 2D). Relative to the expiratory phase, inspiratory firing was reduced by 49 ± 15% and 7 ± 3% for
steps 1 and 8, respectively (n = 14).
Plots of interspike interval duration against time, calculated from the
firing responses to square-wave pulses, revealed that interspike
interval durations increased during inspiration relative to expiration
(Fig. 2E), indicating that excitability is reduced during the inspiratory phase.
The reduction in inspiratory firing is caused by phasic
inspiratory inhibition
The increase in duration of interspike intervals during evoked
repetitive firing in the inspiratory phase indicated that PMN excitability was decreased during inspiration. Examination of membrane
potential during the inspiratory phase (after block of excitatory
synaptic input) revealed that in 16 of the 32 PMNs in which the
inspiratory-phase depolarization was completely blocked, a small
hyperpolarizing input arrived coincident with inspiratory bursts on the
C1 nerve. Ten of the PMNs exhibiting this hyperpolarization were among
those subjected to the repetitive firing protocol. Of these 10 PMNs,
nine showed a clear reduction in inspiratory firing. Failure to observe
a hyperpolarization in ~50% of the PMNs may reflect that not all
PMNs are phasically inhibited or that where unobserved, the
hyperpolarization was masked by incompletely blocked excitatory drive.
The latter possibility was supported by the finding that blocking the
hyperpolarization with bicuculline (100-200 µM) in 10 cells revealed a small (<2 mV) remaining inspiratory-phase depolarization in four of them (data not shown).
An example of the inspiratory hyperpolarization in one PMN in current
clamp is shown in Figure 3A.
Hyperpolarizations had an average duration of 580 ± 97 msec at a
membrane potential of 55 mV. Peak magnitude was dependent on membrane
potential, increasing from 0.7 ± 0.1 mV at resting membrane
potential ( 62 mV), to 1.1 ± 0.4 mV and 1.5 ± 0.5 mV
at 55 and 50 mV, respectively (n = 4). The
hyperpolarization reversed between 65 and 75 mV (Fig.
3A).

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Figure 3.
PMNs receive hyperpolarizing input during
inspiration. A, Current-clamp recordings from one PMN
illustrating the magnitude of the inspiratory hyperpolarization at five
different membrane potentials (shown at left of traces).
Traces represent averages of five inspiratory cycles. B,
Time course of the excitatory (top trace) and inhibitory
inspiratory potentials (middle trace) relative to the
inspiratory burst recorded from C1 (bottom trace).
Traces represent averages of 10 inspiratory cycles. C,
The high degree of overlap between these inspiratory excitatory and
inhibitory synaptic inputs is demonstrated by inverting and amplifying
(8.7 times) the inhibitory input (gray trace) and
superimposing it on the excitatory input (thin black
trace).
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Durations of the inhibitory (580 ± 97 msec) and excitatory
(690 ± 66 msec) inputs to PMNs were similar (n = 6), and a rapidly incrementing, slowly decrementing envelope was common
to both. The temporal relationship between excitatory and inhibitory
inspiratory synaptic inputs could not be established directly because
the inhibitory input was only visible during block of the excitatory input. Instead, the timing of the peak of the excitation, measured before application of glutamate antagonists, and the peak of the inspiratory inhibition, measured after glutamate receptor block, were
compared relative to the peak of the C1 ventral root inspiratory burst.
Peaks of the inspiratory synaptic excitation and inhibition were thus
determined to be nearly coincident, arriving 10 ± 10 msec and
34 ± 22 msec (n = 5), respectively, after the
peak of the C1 nerve inspiratory burst (Fig. 3B).
Not only was its time course similar: the inspiratory inhibition
corresponded closely in shape to the inverted excitatory drive. This is
shown for one PMN in Figure 3C where the inhibitory potential envelope averaged from 10 inspiratory cycles was inverted, scaled (in this case amplified 8.7 times), and superimposed on the
averaged excitatory inspiratory input (before it was blocked) from the
same cell. The close correspondence of the relationships between
inhibitory and excitatory synaptic inputs (Fig. 3C) is consistent with the possibility that inhibitory and excitatory drives
are proportional.
To test whether the inspiratory hyperpolarization was mediated via GABA
receptors, we examined the effects of locally applied bicuculline
(GABAA receptor antagonist; 100-200 µM) on
the inspiratory-related hyperpolarization. Bicuculline blocked the
hyperpolarization in all PMNs tested (n = 11) (Fig.
4A). It also eliminated
the difference between inspiratory and expiratory firing (Fig.
4B) (n = 3) and blocked the
differences between inspiratory and expiratory firing behavior evident
in the plots of interspike interval versus time (Fig. 4C).
These data support our hypothesis that the inspiratory-phase hyperpolarization was responsible for reduced firing during the inspiratory relative to the expiratory phase.

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Figure 4.
The hyperpolarizing inspiratory inhibition of PMNs
and the reduction in PMN firing during inspiration are blocked by
bicuculline. A, The same cell as in Figure
3A at 56 mV. The membrane potential of a PMN during
the inspiratory phase, before (CONTROL) and after local
application of 200 µM bicuculline
(BICUCULLINE). Traces are averages of eight inspiratory
cycles. B, Bicuculline (200 µM) blocked
the reduction in spike output during inspiration relative to expiration
(same cell as in Fig. 2A). C,
Bicuculline also blocked the increases in inspiratory interspike
interval (same cell and current steps as in Fig.
2E).
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GABA receptor activation inhibits PMN excitability
We tested the effects of GABA and muscimol (GABAA
receptor agonist) on PMN properties and repetitive firing behavior to
determine whether their actions supported our hypothesis that the
reductions in inspiratory firing were caused by endogenous activation
of GABAA receptors.
GABA (1 mM, applied locally) rapidly (within one
inspiratory cycle) and reversibly reduced the number of spikes produced
during the inspiratory phase (Fig.
5A), completely blocking
inspiratory-phase firing in six of six cells. Similarly, GABA greatly
reduced repetitive firing elicited by current injection
(n = 6) (Fig. 5B). This was not due to block
of cells' ability to fire action potentials, because higher amplitude
current pulses still elicited repetitive firing (data not shown). The
associated increase in rheobase did not appear to be attributable to a
change in spike threshold but to a reduction in cell
RN by GABA to 33 ± 8% of control
(n = 10) (Fig. 5C,D). The GABA-induced
decrease in RN persisted in TTX (n = 3) (Fig. 5D), suggesting that it is
mediated at least in part by postsynaptic receptors. The effects of
GABA were mimicked by the GABAA receptor agonist muscimol
(0.01-1.0 mM), which similarly decreased
RN to 48 ± 12% of control
(n = 4) (Fig. 5C). No consistent effects on
membrane potential were observed in response to GABA or muscimol at
resting membrane potential ( 63 ± 5 mV).

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Figure 5.
GABA reduces PMN excitability. A,
Current-clamp recording from a PMN before (CONTROL),
during (GABA), and after (WASH)
local application of GABA (1 mM) over the C4 phrenic
motoneuron pool. During GABA application, endogenous excitatory
synaptic drive did not elicit action potentials. B, The
same PMN as in A, showing that injected current pulses
that elicited firing in control did not bring the cell to threshold
during GABA application. C, Plot of membrane potential
versus injected current for one PMN, showing a decrease in slope of the
V-I relationship in the presence of GABA (1 mM, ) or muscimol (0.01 mM, ) relative to
control ( ), indicating a reduction in cell
RN. D, Application of GABA (1 mM) also reduced RN after block
of synaptic transmission with 0.8 µM TTX (different cell
than in C).
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In keeping with its observed effects on PMN activity, local application
of 1 mM GABA over the C4 spinal cord for 10, 30, and 60 sec
significantly reduced C4 nerve burst amplitude to 40 ± 7, 25 ± 7, and 21 ± 7% of control (Fig.
6) (n = 5).

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Figure 6.
A, Sixty second application of GABA
(1 mM) over the PMN pool nearly abolished C4 population
inspiratory activity in a P1 rat. B, Pooled data showing
the dose-dependent reduction in C4 burst amplitude (expressed as
percentage of control amplitude) produced by 10, 30, and 60 sec
applications of 1 mM GABA over the C4 motoneuron pool
(n = 5; mean ± SE).
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Bicuculline potentiates C4 inspiratory activity
To assess the impact of the bicuculline-sensitive inspiratory
inhibition of PMNs on inspiratory input to the diaphragm, we measured
changes in C4 nerve burst activity after locally applying bicuculline
(1 mM) over the C4 PMN pool. Bicuculline (1 mM;
30-60 sec) significantly increased C4 nerve burst amplitude by 33 ± 9% (Fig. 6) (n = 14; p < 0.05).
The bicuculline-induced potentiation peaked at 1-2 min and returned to
control levels 10-15 min after application.
A bicuculline-induced potentiation of C4 burst amplitude could result
from block of tonic rather than inspiratory-phase GABA-mediated inhibition of PMN activity. We therefore examined the effects of
bicuculline on PMN membrane properties and repetitive firing behavior
during expiration. Consistent with a phase-dependent (inspiratory)
inhibition, bicuculline (0.2 or 1.0 mM) did not increase
RN during the expiration (n = 9)
(Fig. 7C), nor did it alter
the relationship between injected current and firing frequency (n = 4) (Fig. 7D,E). Establishing that the
potentiation of C4 burst amplitude by bicuculline results from block of
an inspiratory-phase inhibition enabled us to later use
bicuculline-induced potentiation as an indirect measure of the
magnitude of the inspiratory inhibition (Figs. 7, 9, 10).

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Figure 7.
Bicuculline increases C4 inspiratory output
without changing RN or firing responsiveness
of PMNs during expiration. A, Rectified, integrated C4
nerve recording from a P1 rat showing increased burst amplitude in
response to a 60 sec application of bicuculline (1 mM) over
the PMN pool (bar under trace). B, Time
course of the effects of bicuculline on C4 inspiratory burst amplitude
expressed as a percentage of control (n = 5;
mean ± SE). C, Bicuculline (0.2-1.0
mM) had no significant effect on
RN of PMNs measured during expiration
(n = 10). D, Current-clamp recording
from a PMN showing repetitive firing during expiration elicited by
current steps injected under control conditions and during local
application of bicuculline (1 mM) over the C4
motoneuron pool. E, Plot of firing frequency versus
injected current during expiration for a PMN in control ( ) and
bicuculline (1 mM, ).
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GABA-mediated gain modulation of PMN excitability
The shapes of IPSPs and EPSPs appear similar (Fig. 3). This raises
the possibility that the GABA-mediated inhibition provides a means for
gain control over PMN output. Gain control is defined as a process
whereby the output discharge frequency of a neuron, Fo(t), is the product of its
discharge frequency in the absence of modulation,
Fi(t), and a modulation coefficient
(1 ) (McCrimmon et al., 1997 ). If endogenous GABAergic
inhibition decreases gain of the PMN to inspiratory inputs, it would
reduce the peak output of the PMN, reduce the slope of the relation
between Fo(t) and Fi(t) below identity, and cause
minimal change in burst duration, such that
Fo(t) = (1 )
Fi(t). Blocking this inhibition would have the opposite effect.
To test for gain modulation, we examined the effect of bicuculline
applied over the PMN pool on C4 nerve inspiratory bursts. We examined
C4 output rather than individual PMN output because (1) C4 output
provides a reliable estimate of PMN activity, as evident in the close
correspondence between the shape of the inspiratory synaptic drive
potential and C4 burst envelope (Fig. 8),
and (2) firing of individual PMNs during inspiration was often low,
making it difficult to establish a reliable relationship between
discharge Fo(t) and
Fi(t). Thus, we compared voltage of
the integrated C4 nerve recording during bicuculline
(V(bic)) versus control
(V(con)). Voltage was measured at 25 msec
intervals during the decrementing phase of the cycle (Fig.
8A, boxed region). Figure 8A shows
the voltage profile of the integrated C4 nerve burst (averaged from 10 cycles) for one preparation before and after bicuculline application. Bicuculline increased the peak C4 burst amplitude (also apparent in
Fig. 7). Linear regression indicated that the slope of the relationship
between V(bic) and V(con)
was greater than unity (control) (Fig. 8B). The slope
and intercept were 1.47 ± 0.10 and 0.20 ± 0.04, respectively (n = 3). Burst duration was not significantly affected by bicuculline (673 ± 72 msec in control; 714 ± 113 msec in bicuculline). These data suggest that phasic GABAergic input modulates PMN gain during inspiration. Although this
may appear inconsistent with the lack of a change in slope in the
relationship between firing and injected current step in Figure
2B, a change in slope would not be expected in that
relationship because the square-wave pulses used to elicit the firing
did not match the waveform of the inspiratory inhibition. The proposed gain control arises from the proportionality of the excitatory and
inhibitory inputs.

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Figure 8.
GABA-mediated gain modulation of PMN inspiratory
activity. A, Superimposed voltage profiles of the
integrated C4 nerve inspiratory burst envelopes (averaged from 10 cycles) for one preparation before (Control) and
after local application of bicuculline (1 mM) over the C4
PMN pool. Bicuculline increased C4 burst amplitude and the slope of
dV/dt, but did not change burst duration. B,
Measurements of voltage, taken at 25 msec intervals through the
decrementing phase (region enclosed in box) of the
control and bicuculline C4 burst envelopes shown in A
were used to generate a plot of voltage in bicuculline
(V(bic)) versus control
(V(con)). Linear regression provided
estimates of the slope (1.55) and intercept of this relationship and
indicated a 1.55-fold increase in gain of the population PMN
inspiratory input-output relationship. The line of identity was
produced by plotting V(con) versus
V(con).
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Source of inspiratory inhibition
The endogenous GABA-mediated inspiratory inhibition to PMNs had
two potential sources: (1) recurrent (feedback) inhibition arising from
PMN activation of Renshaw cells or (2) concurrent (feedforward)
inhibition from the brainstem via either direct monosynaptic inhibition
of PMNs from bulbospinal inspiratory inhibitory neurons, or
polysynaptic inhibition through activation of GABAergic interneurons in
the spinal cord by bulbospinal inspiratory excitatory neurons.
Recurrent Inhibition
Recurrent inhibition sometimes has a GABAergic component (Curtis
et al., 1976 ; Cullheim and Kellerth, 1981 ; Schneider and Fyffe, 1992 );
however, there are no reports of recurrent inhibition in which glycine
does not play a major role. Thus, if recurrent inhibition were the
source of the inspiratory hyperpolarization, block of glycine receptors
should potentiate C4 inspiratory burst amplitude. Strychnine (1 mM), a glycinergic antagonist, had no significant effect on
C4 output when applied for up to 2 min (n = 6) (Fig.
9A,B) over the C4 motoneuron
pool at the same site where GABA inhibited (Fig. 6), and bicuculline
potentiated (Fig. 7A,B), C4 inspiratory burst amplitude.

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Figure 9.
Renshaw cells do not mediate the
bicuculline-sensitive inspiratory inhibition. A,
Rectified, integrated record of C4 inspiratory activity from a P1 rat
brainstem-spinal cord showing no change in nerve burst amplitude after
a 60 sec application of 1 mM strychnine (bar under
trace) to the C4 PMN pool. B, Pooled data
confirm that strychnine applied to the C4 PMN pool (60 sec starting at
t = 0, indicated by bar) had no
effect on C4 inspiratory output (n = 6; mean ± SE). C, Addition of mecamylamine (50 µM) to the medium perfusing the spinal cord (split-bath
configuration) did not block the potentiation of C4 inspiratory
burst amplitude induced by local application of bicuculline (1 mM, 60 sec) (n = 4; error bars indicate
SE). D, Potentiation of C4 burst amplitude induced by
local application of bicuculline (60 sec, 1 mM) over the
PMN pool (Control) was not affected by addition
of mephenesin (1 mM) to the spinal cord bath
(n = 5; error bars indicate SE).
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Motoneuronal excitation of Renshaw cells, which mediate recurrent
inhibition, is largely via nicotinic acetylcholine receptors (nAChRs)
(Curtis and Ryall, 1966 ; Noga et al., 1987 ). Thus, we used the
split-bath configuration to further test for involvement of
recurrent inhibitory pathways in producing the inspiratory inhibition.
The nAChR antagonists hexamethonium and mecamylamine were applied in
the spinal bath to determine whether they would increase C4 inspiratory
burst amplitude and occlude the bicuculline-mediated response.
Hexamethonium (500 µM) had no effect on C4 burst
amplitude, nor did it block potentiation of C4 nerve burst amplitude
induced by locally applied bicuculline (1 mM)
(n = 2; data not shown). Similarly, C4 burst amplitude
was unaffected by application of mecamylamine (50 µM) to
the spinal cord bath. The bicuculline-mediated potentiation of C4 burst
amplitude was reduced slightly in mecamylamine, from 42 ± 5 to
35 ± 4% (n = 5), but was never abolished (Fig. 9C).
Feedforward inhibition from inspiratory-modulated
brainstem areas
The minimal change in the C4 inspiratory output after disruption
of recurrent inhibitory spinal networks suggested that the inspiratory
inhibition originates supraspinally. To test whether the inspiratory
inhibition of PMN activity was monosynaptic or polysynaptic (see
above), mephenesin was applied to the solution perfusing the spinal
cord (split-bath configuration) to selectively block transmission in
polysynaptic versus monosynaptic pathways within the spinal cord
(Farkas et al., 1989 ). Mephenesin (1 mM) reduced C4 output
by 30-40% but did not alter the bicuculline-mediated increase in C4
burst amplitude (n = 4), which was 28 ± 3% in
control and 29 ± 3% in mephenesin (Fig. 9D).
We next tested the hypothesis that the inspiratory inhibition of PMNs
originated within the Bötzinger Complex, a region in the rostral
medulla that has widespread inhibitory inputs to many brainstem and
spinal respiratory neurons (Fedorko and Merrill, 1984 ; Merrill and
Fedorko, 1984 ). The brainstem-spinal cord preparation was pinned onto
a paraffin-coated chuck in a vibratome bath, and serial sections
(60-100 µm) were removed in the rostrocaudal direction starting at
the caudal pons. The response of C4 inspiratory burst amplitude to
local application of bicuculline (1 mM) over C4 was recorded after each section. Sections were fixed in 4%
paraformaldehyde in 0.1 M phosphate buffer and stained with
cresyl violet to identify structures. In the three preparations tested,
complete removal of the Bötzinger Complex up to the rostral
border of the pre-Bötzinger Complex had no effect on the
bicuculline-mediated potentiation of C4 burst amplitude. Amplitude
potentiation was 51% before and 56% after removal of the
Bötzinger Complex. Tests of bicuculline responses after removal
of more caudal structures were not performed because sectioning of the
pre-Bötzinger Complex substantially reduced burst amplitude and
disrupted respiratory rhythm (Fig. 10Biii) (Smith et
al., 1991 ).

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Figure 10.
The inspiratory-related inhibition does not arise
from structures rostral to the pre-Bötzinger Complex.
A, Sagittal view of the brainstem showing levels of
transection (dashed lines labeled 1
through 6) taken serially, in relation to
organization of ventrolateral brainstem respiratory nuclei.
B, Time course of the effects on C4 inspiratory burst
amplitude (in volts) and burst frequency (F) of
locally applying bicuculline (60 sec, 1 mM) over the C4 PMN
pool after transection of the brainstem at levels 1
(Bi) and 5 (Bii).
Individual data points represent amplitude and frequency of single
inspiratory cycles. The line in the top panel of
Bi represents the moving average of the C4 burst
amplitude response to bicuculline applied after transection at level
1. This moving average is included in Bii
to illustrate that the effects of bicuculline were unaffected with
progressively more caudal transections up to level 5.
Removal of the rostral component of the pre-Bötzinger Complex
with transection at level 6 disrupted both respiratory
rhythm and C4 burst amplitude (Biii), precluding further
analysis of responses to bicuculline. BötC,
Bötzinger Complex; VII, facial nucleus;
XII, hypoglossal nucleus; cNA, compact
division of nucleus ambiguus; LRN, lateral reticular
nucleus; NA, nucleus ambiguus;
Pre-BötC, pre-Bötzinger Complex;
rVRG, rostral-ventral respiratory group).
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DISCUSSION |
We describe an inspiratory-phase inhibitory input to PMNs that (1)
reduces inspiratory output of the C4 nerve, (2) reduces PMN
excitability during inspiration relative to expiration, (3) is mediated
via GABAA receptors, (4) is unlikely to arise from recurrent inhibitory pathways or from descending inputs from the Bötzinger Complex, and (5) is synchronous with, and of similar shape to, the inspiratory excitatory drive to PMNs. We propose that
this concurrent inhibition allows for rapid modulation of PMN excitability.
Mechanism of inspiratory inhibition
GABAergic inhibition
Complete block of the inspiratory inhibition by bicuculline in all
PMNs tested and reduction of PMN RN and action
potential discharge by GABA and muscimol indicate that the inhibition
is mediated by GABAA receptors. Potentiation of C4
inspiratory output by bicuculline, but not strychnine, further supports
the conclusion that the inhibition is GABA-mediated, with minimal
contribution of glycine receptors. The possibility that bicuculline
produced its actions through direct effects (i.e.,
non-receptor-mediated), as reported in cultured mouse neurons (Heyer et
al., 1982 ), is unlikely because bicuculline had no effect on
subthreshold properties or firing behavior of PMNs during expiration.
Our studies did not establish whether the GABAergic inhibition is
presynaptic or postsynaptic; however, GABA receptors are present on
PMNs (Zhan et al., 1989 ), and reduction in PMN
RN by GABA [and muscimol (Su and Chai, 1998 )]
after block of synaptic transmission with TTX is consistent with
postsynaptic GABA receptor involvement.
Recurrent inhibition
Innervation of Renshaw cells by PMNs and the demonstration of
recurrent inhibition of PMNs (Hilaire et al., 1983 , 1986 ; Lipski et
al., 1985 ) raise the possibility that the inspiratory inhibition arises
from a recurrent inhibitory pathway. However, several lines of evidence
argue against this. (1) Glycine is an important transmitter in
recurrent inhibitory pathways (Curtis et al., 1976 ; Cullheim and
Kellerth, 1981 ; Schneider and Fyffe, 1992 ), yet strychnine had no
effect on C4 inspiratory output. (2) Motoneurons activate Renshaw cells
primarily via nAChRs (Curtis and Ryall, 1966 ; Noga et al., 1987 );
however, nAChR antagonists neither potentiated C4 inspiratory burst
output nor occluded its potentiation by bicuculline. (3) The
inspiratory inhibition was present during prolonged application of
glutamate receptor antagonists over the C4 motoneuron pool, which would
have greatly reduced the number of PMNs capable of activating recurrent pathways.
Descending inhibition from the brainstem:
concurrent inhibition
Given that recurrent inhibition appears minimal, we propose that
the inspiratory inhibition arises from inspiratory-modulated neurons
within the brainstem.
Direct bulbospinal pathways. Respiratory-modulated
bulbospinal inputs to PMNs originate primarily from the Bötzinger
Complex, the rostral-ventral respiratory group (rVRG), the dorsal
respiratory group (DRG) and the raphe obscuris and pallidus (Fedorko
and Merrill, 1984 ; Ellenberger et al., 1990a ,b ; Dobbins and Feldman,
1994 ). The Bötzinger Complex is unlikely to be the source of the
inspiratory inhibition. Bötzinger Complex neurons provide
expiratory- rather than inspiratory-phase inhibition to PMNs (Merrill
and Fedorko, 1984 ; Milano et al., 1992 ), and in our study, removal of
the Bötzinger Complex by serial sectioning was without effect on
the bicuculline-mediated potentiation of C4 inspiratory burst amplitude.
In rat, the predominant direct inspiratory bulbospinal projection to
PMNs originates from the rVRG (Ellenberger and Feldman, 1988 ;
Ellenberger et al., 1990b ; Saji and Miura, 1990 ; Dobbins and Feldman,
1994 ), with minimal contributions from the DRG (Onai et al., 1987 ;
Dobbins and Feldman, 1994 ). Although data indicate that these
projections are primarily excitatory (Ellenberger et al., 1990a ; Tian
and Duffin, 1996b ), they may not be exclusively so. Some inspiratory
neurons in the rVRG inhibit other respiratory neurons (Segers et al.,
1987 ; Ezure et al., 1989 ; Schmid et al., 1996 ; Ramirez et al., 1997 ),
and a population of inspiratory rVRG neurons may provide inhibitory
inputs to PMNs, as suggested by the presence of a small proportion of
symmetrical densities at rVRG-PMN synapses (Ellenberger et al.,
1990a ). Coactivation of bulbospinal inhibitory and excitatory
premotoneuron pools would account for the similar time course of
inhibitory and excitatory synaptic inputs we observed in PMNs.
Medullary raphe neurons may also provide the inspiratory inhibition of
PMNs. Neurons in the raphe obscuris and pallidus project to the region
of the phrenic nucleus (Holtman et al., 1984 ; Onai et al., 1987 ;
Dobbins and Feldman, 1994 ) and show GAD immunoreactivity (Jones et al.,
1991 ; Holmes et al., 1994 ) and respiratory-modulated activity (Lindsey
et al., 1987 ; Hosagai et al., 1993 ; Gilbey et al., 1995 ).
Propriospinal pathways. Inspiratory phase inhibition with a
profile similar to the excitatory input could arise polysynaptically. In cat spinal cord, agonist motoneurons and Ia inhibitory
interneurons that inhibit antagonist motoneurons receive parallel
descending synaptic drive (Baldissera et al., 1981 ).
Inspiratory and expiratory interneurons with unknown connectivity are
located proximal to the phrenic nucleus in cat (Bellingham and Lipski,
1990 ; Grelot et al., 1993 ) and rabbit (Palisses et al., 1989 ). A group
of interneurons 200 µm from PMNs may be interposed between
bulbospinal neurons and PMNs (Dobbins and Feldman, 1994 ). However, a
role for either group in mediating the inspiratory inhibition that we
observed is doubtful. Their proximity to the phrenic nucleus means that
their inspiratory activation would have been greatly reduced, if not
blocked, by local application of glutamatergic antagonists.
Contributions from more distant propriospinal inspiratory neurons in
the upper cervical cord (Nakazono and Aoki, 1994 ; Tian and Duffin,
1996a ) cannot be ruled out. However, mephenesin, which preferentially
blocks polysynaptic versus monosynaptic transmission (Farkas et al.,
1989 ), failed to block the bicuculline-induced potentiation of C4 burst
amplitude when applied to the spinal cord bath, arguing against a
propriospinal-mediated inhibition of PMN activity.
In summary, we conclude that the inspiratory-phase inhibition of PMNs
does not originate from recurrent inhibition at the level of the spinal
cord or from descending Bötzinger projections. Its proposed
bulbospinal origin remains to be verified.
Functional significance of concurrent inhibitory and
excitatory inputs
The physiological relevance of the inspiratory inhibition of PMNs
is apparent in that blocking it with bicuculline produces an ~30%
increase in C4 inspiratory output. This inhibition may serve a number
of functions, as described below.
Competing synaptic drives in the control of
motoneuron excitability
Integration of simultaneous excitatory and inhibitory synaptic
inputs is important in shaping neuronal discharge patterns at the
interneuronal/premotoneuronal level in various motor systems, including
respiration (Ballantyne and Richter, 1984 ; Schmid et al., 1996 ; Ramirez
et al., 1997 ). GABA receptor-mediated inhibition of medullary
inspiratory neuron discharge during inspiration is well documented
(Wang et al., 1982 ; Paton and Richter, 1995 ; Schmid et al., 1996 ;
McCrimmon et al., 1997 ; Ramirez et al., 1997 ). In contrast, at the
level of the motoneuron, it is generally held that excitatory and
inhibitory synaptic inputs arrive alternately, not simultaneously, and
thus underlie rhythmic alternation between active and quiescent phases
in behaviors including scratching, locomotion, and respiration (Perret,
1983 ; Merrill and Fedorko, 1984 ; Shefchyk and Jordan, 1985 ; Robertson
and Stein, 1988 ). Periods of overlap between inhibitory and excitatory
synaptic inputs are typically brief and presumed to bring about phase
transitions. In inspiratory-modulated hypoglossal motoneurons, however,
IPSPs arrive concurrently with excitatory inspiratory drive
(Withington-Wray et al., 1988 ), and RN is
reduced during inspiration (Woch and Kubin, 1995 ). These findings, in
conjunction with our observation of simultaneous excitation and
inhibition of PMNs during inspiration and observations of large periods
of overlap between excitatory and inhibitory inputs in cat motoneurons
during fictive locomotion (Perret, 1986 ) and in turtle motoneurons
during some forms of fictive scratch (Robertson and Stein, 1988 ),
suggest that integration of overlapping opposing synaptic inputs at the
level of the motoneuron may play multiple roles in controlling motor
output. It may control gain, shape discharge pattern, establish
recruitment order, or smooth force production and provide greater
flexibility of control (Robertson and Stein, 1998 ; Feldman and Smith,
1995 ).
Phase-specific control of motoneuron excitability
Evidence for behavioral- or phase-specific modulation of
motoneuron properties is limited. Krawitz et al. (1997) showed that firing of lumbar motoneurons is enhanced during all phases of fictive
locomotion. They suggest that this may result from a locomotion-related modulation of motoneuron excitability, perhaps via a mechanism similar
to that which underlies bistable behavior [i.e., "plateau potentials" (see Hultborn and Kiehn, 1992 )]. Brownstone et al. (1992) found that motoneuron excitability increases specifically during
the active phase of the locomotor cycle and attributed this to a
phase-specific reduction in afterhyperpolarization. In our study, block
of rhythmic excitatory drive revealed a GABA-mediated inhibition of
PMNs during the inspiratory phase. Relative to other motoneuron systems
with partially overlapping inhibitory and excitatory inputs (Perret,
1983 ; Orsal et al., 1986 ; Robertson and Stein, 1988 ), the unique aspect
of the inspiratory-phase inhibition of PMNs is that its shape and time
course match those of the excitatory input (Fig. 3). It therefore
provides a means for inspiratory-specific gain control of PMN output.
Gain control via GABAergic inhibition may play a role in controlling
the excitability of respiratory premotoneurons (McCrimmon et al.,
1997 ), where it is proposed to contribute to the optimization of
respiratory and nonrespiratory behaviors. A similar mechanism may
operate at the motoneuron level. Inspiratory inhibition may arise from
neurons that provide the interface between respiratory and
nonrespiratory behavior (Orem, 1989 ), and modulation of its amplitude
may adjust PMN output from that optimal for respiration to that suited
to other behaviors such as apnea, gasping, coughing, vocalization, or
defecation (Chang, 1992 ; Grelot et al., 1992 ; Gestreau et al., 1996 ).
 |
FOOTNOTES |
Received Oct. 20, 1998; revised Dec. 28, 1998; accepted Jan. 7, 1999.
This research was supported by grants from the Marsden Fund, the New
Zealand Lottery Grants Board, the Health Research Council of New
Zealand, and National Institutes of Health (Grant NS-24742). We thank
Ms. C. Walsh, Dr. D. Robinson, and Mr. A. Frankcom-Burgess for
excellent technical assistance.
Correspondence should be addressed to to Dr. M. A. Parkis,
Department of Physiology, Faculty of Medicine and Health Science, University of Auckland, Private Bag 92019, Auckland, New Zealand.
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