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The Journal of Neuroscience, June 1, 2002, 22(11):4756-4765
Coordinations of Locomotor and Respiratory Rhythms In
Vitro Are Critically Dependent on Hindlimb Sensory Inputs
Didier
Morin and
Denise
Viala
Laboratoire Neurobiologie des Réseaux, Université
Bordeaux 1, Unité Mixte de Recherche Centre National de la
Recherche Scientifique 5816, 33405 Talence Cedex, France
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ABSTRACT |
A 1:1 coordination between locomotor and respiratory movements has
been described in various mammalian species during fast locomotion, and
several mechanisms underlying such interactions have been proposed.
Here we use an isolated brainstem-spinal cord preparation of the
neonatal rat to determine the origin of this coupling, which could
derive either from a direct interaction between the central locomotor-
and respiratory-generating networks themselves or from an indirect
influence via a peripheral mechanism. We demonstrate that during
fictive locomotion induced by pharmacological activation of the lumbar
locomotor generators, a concomitant increase in spontaneous respiratory
rate occurs without any evident form of phase coupling. In contrast,
respiratory motor activity can be fully entrained (1:1 coupling) over a
range of periodic electrical stimulation applied to low-threshold
sensory pathways originating from hindlimb muscles. Our results provide
strong support for the existence of pathways between lumbar
proprioceptive afferents, medullary respiratory networks, and phrenic
motoneurons that could provide the basis of the locomotor-respiratory
coupling in many animals. Thus a peripheral sensory system involved in
a well defined rhythmic motor function can be responsible for the tight
functional interaction between two otherwise independent motor behaviors.
Key words:
locomotion; respiration; neuronal network interactions; newborn rat; brainstem-spinal cord; in vitro; entrainment; sensory-motor integrations; proprioceptive feedback
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INTRODUCTION |
In freely moving invertebrates and
vertebrates, different regions of the CNS and peripheral nervous
system interact to elicit coordinated physiological responses to
environmental and behavioral changes. In this context,
rhythm-generating networks involved in different rhythmic motor
behaviors may function independently but can express coordinated
activity patterns under particular physiological circumstances
(Dickinson, 1995 ). In vertebrates, for example, breathing frequency is
well known to increase immediately at the onset of exercise (Krogh and
Lindhard, 1913 ; Dejours, 1959 ) and a 1:1 coupling occurs during
locomotion when fast gaits have been reached, particularly in
quadrupeds (Bramble and Carrier, 1983 ). The neurogenic mechanisms
underlying coupling are hypothesized to be an important part of the
physiological response required to maintain a sufficient supply of
oxygen during exercise, especially in animals in which there is high
potential for mechanical interference between locomotor and respiratory movements.
The mechanisms underlying locomotor-respiratory
coordination, however, remain controversial, and a number of different
hypotheses have been proposed (for review, see Viala, 1997 ). For
example, the mechanical consequences of visceral mass motion,
especially during quadrupedal locomotion (Bramble and Carrier, 1983 ;
Young et al., 1992 ; Bramble and Jenkins, 1993 ), could lead to a close interaction between the respiratory rate and locomotor stride frequency
by providing a tight 1:1 coordination between limb movements and volume
changes of the thoracic cavity. However, although this mechanical
"visceral piston" hypothesis (Bramble and Carrier, 1983 ) may apply
to quadrupeds with their horizontal body position, it cannot account
for harmonic locomotor-respiratory couplings (for example, in human
2:1, 4:1, and also 3:2 or 5:2) observed in running bipeds (Bechbache
and Duffin, 1977 ; Bramble and Carrier, 1983 ; Perségol et al.,
1991 ; Banzett et al., 1992 ; Bernasconi and Kohl, 1993 ) and in birds
during free flight (Butler and Woakes, 1980 ; Funk et al., 1993 ).
A purely central neural origin has also been proposed for
locomotor-respiratory interactions. One possibility is that a common drive originating from the hypothalamus (Eldridge et al., 1981 ) or
medullary structures (Romaniuk et al., 1994 ) could simultaneously influence locomotor and respiratory rhythm generators. Direct interactions between the central rhythm-generating networks could also
be involved because a close coupling between locomotor and breathing
patterns persists in a variety of decerebrate and paralyzed vertebrate
preparations (Viala et al., 1987 ; Perségol et al., 1988 ; Kawahara
et al., 1989 ; Funk et al., 1992b ; Corio et al., 1993 ). Finally,
periodic activation of limb (Iscoe and Polosa, 1976 ; Palisses et al.,
1988 ) or wing (Funk et al., 1992a ) sensory inputs has been proposed to
play a supportive role in locomotor-respiratory coordination. From
this ensemble of data, therefore, it appears that
locomotor-respiratory coupling in vertebrates results from a
combination of diverse mechanisms, whose relative contribution to the
coordination process remains largely unknown.
To further explore the neurogenic origin of the coordination between
locomotion and respiration, we have used a completely isolated in
vitro preparation of a neonate mammalian nervous system in which
various parameters can be easily controlled. Changes in spontaneous
fictive respiratory activity were analyzed both with extracellular
motor root and whole-cell patch-clamp recordings during
pharmacologically induced fictive locomotor activity. Our results show
that central lumbar locomotor networks can modulate the frequency of
the respiratory generator but are unable to couple it with locomotion.
However a strictly phase-locked locomotor-respiratory pattern can be
evoked by rhythmic activation of hindlimb (likely proprioceptive)
sensory input pathways that could provide the basis of
locomotor-respiratory coupling.
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MATERIALS AND METHODS |
In vitro brainstem-spinal cord preparations.
Experiments were performed on isolated in vitro preparations
of brainstem-spinal cord from newborn rats (0-4 d of age; Sprague
Dawley) from different litters. Timed pregnant rats were obtained from
a breeding center (Iffa Credo-Charles Rivers, L'Arbresle, France).
Animals were deeply anesthetized with ether and decerebrated just
rostrally to the fifth cranial nerves. The skin and muscles were
rapidly removed and preparations were then placed in a 25 ml chamber
containing artificial CSF (see composition below) maintained at 10°C
during the dissection. The flow rate (5-10 ml/min) was set to change the total chamber volume within 5 min. The dissection was continued under binocular microscopy to gently isolate the brainstem and the
entire spinal cord with its dorsal and ventral roots still attached. At
the cervical level, the ventral roots of one side of the spinal cord
were kept intact and uncut. The phrenic nerve was then located and cut
at the diaphragm level to allow inspiratory activity to be recorded
from its central cut end. Finally, the neuraxis was fixed on a Sylgard
resin block (Dow Corning, Midland, MI) with the ventral surface upward.
Preparations were superfused continuously with artificial CSF
equilibrated with 95% O2/5%
CO2, pH 7.4, and containing (in
mM): 113 NaCl, 4.5 KCl, 1 NaH2PO4, 2 CaCl2, 1 MgCl2, 25 NaHCO3, and 11 D-glucose.
Recordings. After dissection, preparations were
placed in a 10 ml recording chamber partitioned into two baths with
independent perfusion systems (Fig.
1A). Perfusion rates
(3-5 ml/min) of rostral and caudal chambers were set to change the
total chamber volume within 2 min. Petroleum jelly bridges allowed the
cord to remain intact between the different compartments and
watertightness was checked at the end of each experiment by adding dye
(Fast Green, Sigma, Saint-Quentin Fallavier, France) to the perfusion
medium. The brainstem-spinal cord preparation was partitioned at low
thoracic (T10-T11) spinal levels. The temperature of the artificial
CSF was then progressively raised to 25°C and both spinal ventral root and nerve activities were recorded using glass suction electrodes. Signals were amplified (×10000) by homemade amplifiers, bandpass filtered (0.1-3 kHz), rectified, integrated ( = 100 msec),
displayed on an oscilloscope (Hameg, Frankfurt, Germany), and stored on a computer hard disk (Spike 2; Cambridge Electronics Design, Cambridge, UK) for off-line analysis.

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Figure 1.
In vitro mammal preparation used to
study locomotor-respiratory coupling. A, Schematic
drawings of a neonate rat CNS (brainstem-spinal cord) before and after
isolation in a recording chamber. Simultaneous recordings were made
from a respiratory phrenic nerve (Phr) and locomotor
lumbar (L2, L5) ventral roots. Locomotor
rhythm-generating networks had to be activated by lumbar cord perfusion
of a medium containing 5-HT (10 5 M)
and NMDA (0.5-2 × 10 5 M).
B, Raw (top) and integrated
(bottom) phrenic nerve activity showing spontaneous
respiratory bursts. C, Episode of 5-HT/NMDA-induced
locomotor rhythmicity recorded from homolateral lumbar L2 and L5
ventral roots.
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Intracellular recordings were made from spinal motoneurons with the
blind whole-cell patch-clamp recording technique. Patch electrodes
(4.5-6.5 M ) were pulled from borosilicate glass (TW150-4; World
Precision Instruments, Sarasota, FL) with a vertical puller (PP-83,
Narishige, Tokyo, Japan) and filled with a solution containing (in
mM): 130 K+-gluconate, 1 CaCl2, 10 HEPES, 2 ATP
(Mg2+ salt), and 10 EGTA, pH 7.3, adjusted
with KOH. To facilitate tissue penetration by the patch electrode, a
thin layer of the ventral part of the white matter was gently
scratched. Ventral root activity was checked before and after the
scratch procedure to evaluate possible lesioning of the motoneuronal
areas. Signals were amplified (Axopatch 1D; Axon Instruments, Foster
City, CA) and low-pass filtered (5 kHz; Bessel filter).
Electrical stimulation. Train stimulus pulses over a range
of 0.2-5 V with a 0.5 msec duration were applied to spinal roots via
glass suction electrodes at 5-20 Hz using an eight channel digital
stimulator (A.M.P.I., Jerusalem, Israel).
Drug application and modified saline. Pharmacological
substances were bath-applied at least 30 min after the end of
dissection by means of gravity supply. The following drugs (all from
Sigma) were used: glutamate agonist acting on NMDA receptors
(0.5-2 × 10 5
M), serotonin (5-HT;
10 5 M), and the
GABAergic antagonist bicuculline (0.2-2 × 10 5 M). In some
experiments, a modified saline containing a low
Ca2+ concentration (0.1 mM CaCl2, 5 mM MgCl2) was used to
reversibly block synaptic transmission.
Histology. Spinal cords were fixed by immersion overnight in
2% paraformaldehyde at 4°C. Selected nervous tissue was
cryoprotected at 4°C in 15% (for 24 hr) and then 30% (for 12 hr)
sucrose in 0.1 M phosphate buffer. The tissue was
quickly frozen, embedded in a plastic resin (Tissue-Tek; Sakura, Tokyo,
Japan), and cut transversely with a cryostat at 25 µm thickness.
Serial sections were mounted on gelatin-coated glass slides and stained
with methylene blue.
Data analysis. Membrane potentials of motoneurons were
adjusted for liquid junction potentials ( 10 mV for the solution
contained in the patch electrode). Statistical values were expressed as mean ± SEM. Differences between means were analyzed using a
statistical software package (Sigma Stat) and assessed either by the
Student's t test or one-way ANOVA. Changes in mean values
for each parameter were taken to be significant at p < 0.05.
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RESULTS |
Modulation of respiratory rate by fictive locomotion
The isolated in vitro brainstem-spinal cord
preparation from neonate rats (Fig. 1A) (for review,
see Hilaire and Duron, 1999 ) is a suitable model for analyzing
locomotor-respiratory interactions near birth, because it has the
capacity to produce both spontaneous respiratory rhythm originating
from the medulla (Fig. 1B) and a pharmacologically
induced locomotor rhythm generated in the lumbar spinal cord (Fig.
1C). In such a deafferented preparation, therefore, possible
interactions between the two rhythm-generating networks can be assessed
directly without any involvement of peripheral sensory inputs.
Motor activity recorded from the phrenic motor nerves is considered to
be a close reflection of the operation of the medullary network
underlying respiratory genesis (Rekling et al., 2000 ). Under control
conditions in our in vitro neonatal preparation, the pattern
of this spontaneous activity was stable, with rhythmic bursts occurring
at a mean period of 14.6 ± 1.1 sec (ranging from 8 to 21 sec;
n = 10 brainstem-spinal cords). In contrast, under the
same control conditions, simultaneous recordings from lumbar (L)2 and
L5 ventral roots, which carry hindlimb flexor and extensor motor
innervation, respectively (Kiehn and Kjaerulff, 1996 ), invariably lacked spontaneous locomotor rhythmogenic activity (Fig.
2A1). However, bath application of a mixture of 5-HT
(10 5 M) and NMDA
(0.5 × 10 5
M) consistently elicited a stable rhythm in the
L2 and L5 ventral roots (with a mean period of 3.3 ± 0.2 sec;
n = 4) (Fig. 2B) (Cazalets et al.,
1992 ; Kiehn and Kjaerulff, 1996 ). Importantly, this induction of
rhythmic activity in the lumbar locomotor networks had no significant effect (p = 0.119) on the ongoing respiratory
rhythm period (Fig. 2C). An increase in the NMDA
concentration (to 10 5
M) in the perfusion cocktail slightly accelerated
the locomotor rhythm (to a mean period of 2.8 ± 0.1 sec;
n = 11) (Fig. 2B) but did not have
any significant effect (p = 0.292) on the
respiratory rhythm frequency (Fig.
2A2,C). However, perfusion of
the lumbar cord with a still higher NMDA concentration (2 × 10 5 M)
significantly decreased both the mean locomotor (1.7 ± 0.2 sec;
n = 6; p < 0.01) (Fig.
2A3,B) and respiratory
periods (by 31 ± 8.1%; n = 6; p < 0.01) (Fig. 2A3,C). These
effects of NMDA and 5-HT, which are reversible (Fig.
2A4), therefore suggest that a
direct and central influence from the spinal locomotor networks on the
upstream respiratory generators occurs only when a "threshold" locomotor frequency has been reached. However, this ascending influence
appears to involve a generalized excitability-dependent modulation,
because no strict phase coupling between the two rhythms was
observed.

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Figure 2.
Modulation of respiratory burst frequency by
activation of the lumbosacral locomotor generators. A,
Phrenic (Phr) and lumbar (L2,
L5) integrated activity under control conditions and
during application (restricted to the lumbar cord) of constant 5-HT
(10 5 M) and increasing NMDA
concentrations (from 10 5 to 2 × 10 5 M). B, Histogram
showing the relationship between different NMDA concentrations
(0.5-2 × 10 5 M plus
10 5 M 5-HT) in the lumbosacral bath
and the period of the induced locomotor rhythm. C,
Histogram showing the resulting change in respiratory rate expressed as
percentage of control value in the absence of drugs. Vertical
bars indicate mean values; vertical lines
indicate the SEM. N.S., Nonsignificant.
  p < 0.001;  p < 0.01.
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Respiratory rhythm resetting by lumbar peripheral afferents
Because close locomotor-respiratory coupling is not mediated by a
direct central interaction between the two rhythm-generating networks
in this in vitro neonate preparation, we postulated the involvement of a third system in the coupling process. Specifically, we
investigated a possible coordinating role played by the lumbar peripheral afferents arising from hindlimb proprioceptors, because this
sensory system is functional at birth (Kudo and Yamada, 1987 ) and is
known to be naturally activated during episodes of actual locomotion
(Clarac et al., 2000 ; Duysens et al., 2000 ; Pearson, 2000 ).
To activate lumbar sensory inputs in our reduced preparation,
electrical stimuli (trains of shocks with a threshold ranging from 0.6 to 1.1 V) were applied via a suction electrode to the distal end of an
identified lumbar dorsal root (L1-L5; n = 11 preparations). The evoked incoming volley was recorded more centrally from the same dorsal root as far as possible from the stimulation site
to identify which types of afferent were implicated (Fig. 3A, inset).
Concomitantly, respiratory-like activity was monitored from a phrenic
nerve (Fig. 3A-C). Using this paradigm and under control
saline perfusion of the whole cord, activation of low-threshold lumbar
afferents caused premature triggering of phrenic bursts in the
otherwise spontaneous respiratory cycle (Fig. 3C). No
significant difference was observed between evoked and spontaneous
respiratory bursts (Table 1, left). This
respiratory resetting phenomenon was validated first by the lack of
significant change in respiratory cycle periods after the occurrence of
the triggered phrenic burst (Fig. 3D). Second, as seen in
the phase response plot of Figure 3E, the low-threshold
afferent activation evoked respiratory rhythm resetting at all phases
in the respiratory cycle. Moreover, the phase shift ( ) of phrenic
respiratory bursting was a strict function of stimulus phase ( ), so
that the earlier in a cycle a lumbar afferent stimulus was applied, the
greater the phase advance of the subsequent respiratory cycle. This
robust effect, which was further confirmed by the value of the
coefficient of determination (R2 = 0.98), therefore demonstrated that a strong functional connection exists between lumbar peripheral afferents and the medullary
respiratory rhythm generating networks.

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Figure 3.
Ability of low-threshold lumbar afferents to reset
spontaneous respiratory rhythmicity. A, Schematic
representation of the experimental procedure. B, C,
Continuous recordings of spontaneous phrenic (Phr)
activity during a volley of lumbar (L5) dorsal root
(DR) stimulation. Shown above each phrenic trace is a
faster time base recording from the corresponding L5 DR during a single
shock at the indicated stimulus intensity. The gray bar
indicates a train stimulation of lumbar afferents. Subthreshold
electrical stimulation (0.2 V) of lumbar afferents
(B) did not reset the respiratory phrenic
rhythmicity, whereas respiratory resetting was obtained when
low-threshold lumbar afferents were activated by 0.8 V
(C). Arrowheads denote the
expected time of occurrence of spontaneous phrenic bursts in the
absence of resetting. D, Histograms showing lack of
significant change in respiratory period (expressed as percentage of
the mean control period) after resetting. The control value
corresponds to the mean of three successive respiratory periods before
the stimulated cycle (white bar), which is compared with
the respiratory cycle observed after the stimulated cycle (black
bar). N.S., Nonsignificant. E,
Phase response plot calculated as follows (also see schematic): the
reference period (Pm) was measured from three
spontaneous respiratory cycles (P1, P2,
and P3); the ratio of the stimulus latency
(L) and Pm determined the stimulus phase ( );
the phase shift of the phrenic burst ( ) expressed as the
difference between Pm and the stimulated period (Ps) and
divided again by Pm, was plotted on the ordinate. The solid
line indicates linear regression.
R2, Coefficient of determination.
Standardized data were collected from three different
preparations.
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Table 1.
Activity in phrenic nerves and phrenic motoneurons during
spontaneous (generated endogenously) and evoked (by lumbar dorsal root
stimulation) respiratory bursts
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In a subsequent step, lesion and pharmacological experiments were
performed to determine whether the respiratory resetting action of
lumbar afferent stimulation is mediated by a direct neuronal pathway up
the spinal cord or is conveyed indirectly via the central lumbar
locomotor circuitry itself. A number of experimental arguments favor
the first possibility. First, partial transection (dorsal half) of the
spinal cord at the C1 level (n = 3) (Fig.
4A,B) between the
medullary respiratory-generating networks and phrenic motor output
prevented dorsal ascending pathways from reaching the medullary
respiratory centers. This blocked the ability of the lumbar afferents
to reset respiratory rhythm without affecting the ability of the
respiratory networks to drive phrenic motoneurons. Second, all synaptic
input from lumbar afferents to lower spinal networks was reversibly
blocked using a low Ca2+ medium
(n = 3) applied selectively to the lumbosacral cord.
Under control conditions in these experiments (Fig. 4C,
top), stimulation of the low-threshold lumbar afferents
induced respiratory resetting and elicited brief locomotor rhythmicity.
When the lumbosacral spinal cord was perfused with a low
Ca2+ medium (Fig. 4C,
middle), respiratory resetting by lumbar afferent stimulation remained, whereas its ability to induce locomotor activity
was totally blocked. These results therefore support the conclusion
that lumbar sensory inputs have direct access to the higher respiratory
centers via a neuronal pathway that bypasses the lumbar locomotor
generator networks to ascend in the dorsal spinal cord.

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Figure 4.
Direct influence of low-threshold lumbar afferents
on medullary respiratory networks. A, B, Respiratory
resetting (A) results from an action on medullary
respiratory centers, because transection of the dorsal spinal cord at
C1 (B, see histological control; compare with
A) suppressed the ability of the same lumbar afferent
stimulation to reset phrenic activity (bottom trace).
Note that the pattern of phrenic (Phr) motor bursts was
similar in the two experimental conditions (see fast time base raw and
integrated records at the top right of each
panel). Arrowheads denote the
expected time of occurrence of phrenic bursts in the absence of
resetting. The gray bar in A and B
indicate a train stimulation (St., 0.5 msec, 0.8 V, 10 Hz)
of lumbar afferents. The dotted line in B shows
the part of the spinal cord removed. C, Effects of
lumbar afferent activation (gray bar: St., train
stimulation, 0.5 msec, 0.7 V, 10 Hz) on both phrenic nerve
(Phr) and lumbar ventral root (L5)
activity under control conditions (top), during low
Ca2+ perfusion of the lumbosacral cord
(middle), and after washout with normal saline
(bottom). Note that under normal saline perfusion
(top and bottom panels), activation of
the lumbar afferents also elicited a short sequence of locomotor
bursting (arrows).
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Priming of phrenic motoneurons for premature activation
To further evaluate the impact of low-threshold lumbar afferents
on respiratory output, whole-cell patch-clamp recordings of phrenic
motoneurons (n = 9) were performed. As seen above with whole-root recordings, bursting in individual phrenic motoneurons was
phase reset by electrical activation of lumbar afferents (Fig. 5A). Although the mean firing
rate appeared slightly but significantly increased during evoked
respiratory bursts, the burst duration and the respiratory synaptic
drive potential did not show any significant difference (Table 1,
right). During such stimulation, a sequence of different types of
postsynaptic potentials was elicited in the recorded motoneuron,
consisting of an initial, usually subthreshold EPSP (mean
latency, 55.2 ± 1.3 msec; n = 20) (Jahr and
Yoshioka, 1986 ) that was immediately followed by a series of
IPSPs and finally by a spike burst driven by a membrane
depolarization (Fig. 5B; also see Fig. 7B,
numbers 1, 2, and 3, respectively). Injection of constant hyperpolarizing current into these phrenic cells
nullified and then reversed the compound IPSP at membrane potentials
approximately equal to 70 mV (Fig. 5C,D) in the
vicinity of the estimated Cl equilibrium
potential (ECl = 73.6
mV). Moreover, perfusion of the GABA antagonist bicuculline (0.2-2 × 10 5
M; n = 4) on the entire spinal
cord reversibly blocked the IPSPs induced by lumbar sensory activation
but did not prevent subsequent resetting of the phrenic motor burst
(Fig. 5E). We therefore propose that lumbar afferent input
has access in parallel to several different levels of the central
respiratory circuitry (see Fig. 7B, pathway schematic).

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Figure 5.
Postsynaptic effects of lumbar afferent activation
on phrenic motoneurons. A, Simultaneous whole-cell
patch-clamp recording of a phrenic motoneuron (Phr Mn)
and raw activity of cervical ventral root (C5) under
control conditions (top) and during lumbar dorsal root
stimulation (bottom, St.). The traces are
contiguous (dashed lines). Arrowheads
denote the expected time of occurrence of phrenic bursts in the absence
of resetting. The inset shows motoneuron identification
by antidromic electrical stimulation (St.) of
corresponding phrenic ventral root. B, Details of
postsynaptic events induced in the phrenic motoneuron by lumbar dorsal
root stimulation. Vertical bars: St., Train
stimulation (0.5 msec, 0.7 V, 10 Hz). Note the initial occurrence of an
EPSP followed by series of IPSPs before a spike burst. The
dashed line indicates the resting membrane potential
level. C, Hyperpolarizing current-induced reversal of
stimulus-evoked compound IPSP. Dashed lines represent the
resting membrane potential. D, Scatter plot illustrating
the relationship between maximal IPSP amplitude and motoneuron membrane
potential. Note the reversal potential at approximately 70 mV (data
from 7 phrenic motoneurons). The solid line indicates
linear regression. R2, Coefficient of
determination. E, Bicuculline application (0.2 × 10 5 M) blocks lumbar afferent-evoked
inhibition of a phrenic motoneuron. Note that the action potentials in
E have been truncated.
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Rhythmic lumbar peripheral input can entrain
respiratory rhythmicity
Does the resetting action of lumbar afferent stimulation provide a
functional substrate for phase-locked locomotor and respiratory coupling? To address this question, we rhythmically activated low-threshold afferents to the lumbar cord with different train stimulation periods (TSPs), to mimic cyclic sensory feedback from the
hindlimb during changing locomotor frequencies in the freely moving
animal. Because spontaneous respiratory activity in our reduced
preparation occurred at minimal periods of ~8 sec, this value was
taken as the maximal TSP applied to the lumbar dorsal roots. With this
approach, rhythmic low-threshold lumbar afferent stimulation with a TSP
decreasing progressively in 1 sec steps could fully entrain (1:1
coupling) spontaneous respiratory activity at stimulus rate over a
range from 8 down to 4 sec (Fig.
6A,B). With an
additional reduction in TSPs, the 1:1 coupling disappeared (data not
shown) and coordination then reappeared as a harmonic (2:1) of the
fundamental coupling (Fig. 6A, bottom
trace). It is noteworthy that for a given TSP value, the delay to
the next phrenic burst remained constant, although it varied for
different TSPs (Fig. 6A,C). Together, these data
point to a powerful action of lumbar afferents on the medullary
respiratory rhythm-generating network, in addition to a direct
influence on phrenic motoneurons themselves (see also Perségol et
al., 1987 ).

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Figure 6.
Respiratory rhythm entrainment by rhythmic
activation of low-threshold lumbar afferents. A,
Recordings of phrenic nerve activity (Phr) during
electrical stimulation (St.; 0.9 V, 0.5 msec, 10 Hz) of
lumbar afferents with different TSPs. A 1:1 coordination occurs with
TSPs of 6 sec and 4 sec but fails at a TSP of 3 sec. B,
Scatter plot showing the relationships between respiratory cycle period
and lumbar afferent TSPs; the solid line indicates a 1:1
coupling. C, Box plots representing phrenic
burst latency (lat.) in relation to the train
stimulation period (see schematics above).  p < 0.01; p < 0.05.
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Finally, in an attempt to mimic the situation during real motor
behavior, we experimentally "closed" the lumbar motor-sensory loop
in vitro by stimulating the low-threshold lumbar afferents in time with fictive locomotor activity (n = 3) (Fig.
7B). As reported above,
perfusion of the lumbosacral cord with both 5-HT and NMDA elicited
locomotor rhythmicity that was completely unrelated to the timing of
spontaneous respiratory phrenic activity (Fig. 7A,
left traces). However, when the low-threshold lumbar
afferents were driven in time with these rhythmic locomotor bursts,
tight locomotor-respiratory coupling occurred immediately (Fig.
7B, bottom left traces).

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Figure 7.
Lumbar motor-sensory loop as a neural substrate
for mammalian locomotor-respiratory coupling. A,
Spontaneous respiratory activity of phrenic nerve (Phr)
and pharmacologically induced locomotor rhythmicity (L2,
lumbar ventral root) in the absence of low-threshold lumbar afferent
stimulation. The underlying central networks are schematized on the
right. B, bottom left,
Repetitive activation of low-threshold lumbar afferents
(vertical bars: St.) in time with locomotor bursts
immediately drives locomotor-respiratory coupling. The two sets of
traces in A and B are from
the same experiment. Related synaptic events recorded from a single
phrenic motoneuron are shown in B (upper
left). B, right, Schematic
representation of proposed circuitry involved in the
locomotor-respiratory coupling (hindlimb extensor and flexor muscles,
which were removed in our preparations, are included to complete the
in vivo motor-sensory loop). Connections responsible for
different synaptic influences (arrowheads) on phrenic
motoneurons are also numbered. Phr Mn, Phrenic
motoneuron; Lumbar Mn, lumbar motoneuron;
Resp., respiratory; Loco.,
locomotor.
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DISCUSSION |
The results described here from the newborn rat provide new
evidence that neural pathways between lumbar proprioceptive inputs and
respiratory networks (medullary centers and phrenic motoneurons) exist
that could underlie locomotor-respiratory coupling. They also provide,
for the first time in a neonate mammal, an insight into the cellular
mechanisms and central pathway by which this neurogenic coupling is achieved.
Mechanisms underlying locomotor-respiratory coordination
Locomotor-respiratory coupling in vertebrates is likely to be
influenced by a variety of physiological factors acting
synergistically. As mentioned previously, various mechanisms (e.g.,
mechanical, metabolic, and neurogenic interactions) could underlie
respiratory entrainment that may vary according to the animal and the
locomotor mode used (for review, see Viala, 1997 ). The use of an
isolated in vitro preparation of the vertebrate nervous
system restricts analysis to the contribution of purely neurogenic
interactions (central and peripheral) and allows a precise control of
sensory feedback activation (i.e., dorsal root stimulations). In these reduced preparations, moreover, higher neural centers such as the
hypothalamus and the cortex have been removed. Although we do not
exclude the possible involvement of these regions in
locomotor-respiratory interaction, their ability (through feedforward
mechanisms) to provide information in locomotor period that could
entrain respiration is doubtful. Clearly they cannot account for the
results obtained in the present study.
We report here that pharmacological activation of lumbar
locomotor-generating networks leads to an increase in respiratory frequency only when a threshold locomotor rate has been reached (Fig.
2). This agrees with previous studies showing that the strength of
locomotor-respiratory interaction increases with stepping rate (Kawahara et al., 1989 ). However in our experiments, this direct network interaction did not manifest any form of phase-coupling, which
is also consistent with previous reports (Hill et al., 1988 ) that
rhythmic activity of the lumbar locomotor networks can excite the
respiratory centers but is not directly responsible for any cycle-by-cycle coupling.
Proprioceptive hindlimb inputs are known to be rhythmically activated
during actual locomotion in a cycle-to-cycle manner, and previous
experiments performed on walking cats with intact sensory hindlimb
feedback have shown that proprioceptive inputs can crucially influence
the timing of stepping movements (for review, see Orlovsky et al.,
1999 ; Duysens et al., 2000 ). In this way, a number of studies have
reported the powerful effect of group I muscle afferents in resetting
the locomotor rhythm using in vitro preparations from
neonatal rats (Kiehn et al., 1992 ; Iizuka et al., 1997 ). Our in
vitro results indicate that activation of the lumbar motor-sensory
loop also contributes to locomotor-respiratory coupling in quadrupeds,
and that the ability of hindlimb somatic afferent inputs (see also
below) to reset and entrain the respiratory rhythm at birth is the
mechanism underlying this phenomenon (Fig. 7). Although there are no
data available regarding locomotor-respiratory coordinations in the
freely moving rat, our results indicate that these fictive motor
activities in an in vitro neonate preparation can become
coupled through stimulation of lumbar proprioceptive afferents.
However, we cannot rule out the possibility that in the adult, other
mechanisms of coupling (e.g., central relationships) could exist that
are not yet functional in the immature neonate animal and that may be
more crucial in animals in which these two rhythms show complex
coordinations as harmonic couplings. Moreover in quadrupeds, we do not
exclude the possibility that the activation of cervical locomotor
central pattern generators (Ballion et al., 2001 ) could be required for
the occurrence of a central entrainment.
Although similar data from other vertebrate preparations are thus far
unavailable, our findings are consistent with data obtained from a
number of invertebrate preparations. For example, in the lobster,
rhythmic activation of a proprioceptor enables two otherwise independent rhythms to become coordinated via a rhythm-resetting process (Nagy and Moulins, 1981 ) and in a related system, a single mechanoreceptor neuron is able to redefine the phase relationships between the activity of two central pattern generators (Combes et al.,
1999 ). Unlike in these systems, however, the capacity for rhythm
resetting by afferent stimulation in our experiments was surprisingly
strong. Indeed, as illustrated by the phase response curve in Figure
3E, electrical activation of the lumbar low-threshold afferents evoked respiratory rhythm resetting at all phases within the
respiratory cycle. Moreover, consistent with the ability of an
unexpected synaptic input to prematurely reactivate the respiratory rhythm generator in each cycle, a state-dependent (rest, active, or
refractory) variation in the latency of the respiratory response to
lumbar afferent activation was also evident (Fig. 6C). As
reported in disinhibited rat spinal cord, such properties are
characteristic of an autoregenerative mechanism (Bracci et al., 1997 ),
and interestingly, the well studied medullary structure, the
pre-Bötzinger complex, is known to display such autoregenerative
capacities (Smith et al., 1991 ; Koshiya and Smith, 1999 ). Because the
respiratory burst evoked through electrical stimulation is similar to
that generated endogenously (Table 1), we therefore propose that
low-threshold lumbar afferents also project to this medullary area
thought to be critical for respiratory rhythm generation. In this way,
respiratory entrainment, characterized by a 1:1 coupling that does not
occur at all imposed rates but escapes to modes of harmonic coupling (2:1), may be achieved through a periodic resetting of the respiratory drive.
Finally, unitary whole-cell recordings revealed that lumbar afferent
feedback has synaptic access to several different components of the
respiratory system. Phrenic motoneurons receive a characteristic and
well defined sequence of synaptic input in response to activation of
lumbar sensory afferents. We propose that the barrage of IPSPs mediated
by GABAergic synaptic inputs serves to prevent any motoneuronal activity during the activation of lumbar afferents. This suppression of
activity may "prepare" the phrenic motor neuron population to
receive excitatory command via the medullary respiratory network. Phrenic motoneurons, therefore, would be prepared to respond
preferentially to the premature respiratory drive triggered by the
lumbar sensory afferent activation (Fig. 7B,
right).
Involvement of proprioceptive afferents in the developing
locomotor-respiratory system
One question arising from our findings is the identity of the
sensory fiber group that is activated by electrical stimulations of
lumbar dorsal roots. The very low stimulus intensities used to activate
these peripheral sensory inputs point to the involvement of
larger-diameter fibers, most likely proprioceptive afferents. Interestingly, previous studies on the development of the stretch reflex pathway in isolated rat lumbar spinal cord have reported very
similar stimulation parameters used to activate proprioceptive Ia
afferents (Kudo and Yamada, 1987 ). Even if group II afferents supplying
the secondary endings of muscle spindles cannot be totally excluded as
potential candidates, it is noteworthy that these fibers are much less
abundant than group Ia afferents in the developing rat spinal cord
(Snider et al., 1992 ).
Although there are no data available concerning the patterns of
afferent activity during actual locomotion in the neonatal rat, those
produced through lumbar dorsal root stimulation in this in
vitro study are also effective in inducing episodes of locomotor-like activity (Fig. 4C, arrows). Such a
triggering effect on lumbar locomotor-generating networks has been
convincingly reported in a number of recent studies on rodents using
similar patterns of dorsal root stimulation (Lev-Tov et al., 2000 ;
Whelan et al., 2000 ; Marchetti et al., 2001 ). However, the influence of
low-threshold sensory inputs on spinal locomotor networks changes during postnatal development (Iizuka et al., 1997 ), and the patterns of
locomotion produced in neonates in vivo and the resultant
afferent discharge differ drastically from that generated in adults. On the basis of these data, therefore, we conclude that, at least at
birth, neural pathways between lumbar proprioceptive inputs and the
respiratory system are present that could provide the basis for the
locomotor-respiratory coordination. Consistent with this conclusion,
finally, is the abolition of any respiratory resetting after a high
cervical transection of the dorsal cord that eliminates proprioceptive
effects mediated via dorsal spinal columns. However, we do not exclude
the possibility that other afferent systems may have been damaged after
this lesion approach.
Surprisingly, our results, performed on isolated preparations from very
young neonatal rats (0-4 d of age), have revealed that
locomotor-respiratory interactions are established very early during
the development. Indeed, although the locomotor-generating networks are
functional in fetal rodents and are able to produce alternate
locomotor-like bursts as early as embryonic day 18.5 (for review, see
Branchereau et al., 2000 ; Nishimaru and Kudo, 2000 ), neonatal rats do
not walk spontaneously with an adult gait pattern until postnatal day
10 (Westerga and Gramsbergen, 1990 ), primarily because of the
immaturity of limb postural control (Brocard et al., 1999 ; Vinay et
al., 2000 ). Therefore, we can hypothesize that the mechanisms
underlying locomotor-respiratory coupling could play a role in
developing nervous systems because they are present at an early stage
of life and are possibly functional during an embryonic period when
primary muscle afferents are known to make synaptic contact with spinal
neurons (Saito, 1979 ; Kudo and Yamada, 1985 , 1987 ). Significantly, this
timing is well before the stage at which the animal has developed
actual locomotion relieved of postural constraints.
Concluding remarks
The use of an isolated mammalian nervous system has provided
evidence for a peripheral neural origin of locomotor-respiratory coupling. However, we cannot exclude the possibility that in freely moving animals other factors such as mechanical constraints, central neurogenic control, or metabolic conditions are able in parallel to
influence locomotor-respiratory interactions. According to the
species, the age, the mode (biped or quadruped), and the strength of
locomotion (flight, trot, gallop,... ), one of these factors could
become predominant over the others. In any case, locomotor-respiratory interactions are present from insects (Ramirez, 1998 ) to vertebrates, and our results bring new insights to the functional relationships and
integrated physiology of mammalian neural networks involved in
different vital functions.
 |
FOOTNOTES |
Received Oct. 22, 2001; revised March 19, 2002; accepted March 21, 2002.
This work was supported by the Université Bordeaux 1, the Centre
National de la Recherche Scientifique, and the "Conseil Régional Aquitaine." We thank Drs. John Simmers, Daniel
Cattaert, Jean-René Cazalets, and Gérard Hilaire for their
thorough contribution to this manuscript, and Bérangère
Ballion for histology. We also acknowledge the skillful assistance of
all technical services of our laboratory.
Correspondence should be addressed to Dr. Didier Morin, Laboratoire
Neurobiologie des Réseaux, Université Bordeaux 1, Unité Mixte de Recherche Centre National de la Recherche
Scientifique 5816, Avenue des Facultés, 33405 Talence
Cedex, France. E-mail: d.morin{at}lnr.u-bordeaux.fr.
 |
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