Abstract
Neural networks called central pattern generators (CPGs) generate repetitive motor behaviors such as locomotion and breathing. Glutamatergic neurons are required for the generation and inhibitory neurons for the patterning of the motor activity associated with repetitive motor behaviors. In the mouse, glutamatergic V2a neurons coordinate the activity of left and right leg CPGs in the spinal cord enabling mice to generate an alternating gait. Here, we investigate the role of V2a neurons in the neural control of breathing, an essential repetitive motor behavior. We find that, following the ablation of V2a neurons, newborn mice breathe at a lower frequency. Recordings of respiratory activity in brainstem–spinal cord and respiratory slice preparations demonstrate that mice lacking V2a neurons are deficient in central respiratory rhythm generation. The absence of V2a neurons in the respiratory slice preparation can be compensated for by bath application of neurochemicals known to accelerate the breathing rhythm. In this slice preparation, V2a neurons exhibit a tonic firing pattern. The existence of direct connections between V2a neurons in the medial reticular formation and neurons of the pre-Bötzinger complex indicates that V2a neurons play a direct role in the function of the respiratory CPG in newborn mice. Thus, neurons of the embryonic V2a lineage appear to have been recruited to neural networks that control breathing and locomotion, two prominent CPG-driven, repetitive motor behaviors.
Introduction
Neurons of the ventral respiratory column (VRC) that includes the pre-Bötzinger complex (pre-BötC) and the parafacial respiratory group or retrotrapezoid nucleus (pFRG/RTN) generate the respiratory rhythm (Onimaru and Homma, 2003; Janczewski and Feldman, 2006; Alheid and McCrimmon, 2008). Many targeted mutations that affect the development of these and other neurons of the hindbrain affect breathing and can be classified into three categories. The first category includes genes that regulate rhombomeric identity in the developing hindbrain. Mutations in hoxa1 and krox20 genes affect the development of the pFRG, and the phenotype includes slower breathing and more frequent apneas (del Toro et al., 2001; Borday et al., 2005; Chatonnet et al., 2007; Thoby-Brisson et al., 2009). Mutations in hoxa2 do not affect pFRG development; instead, there is an expansion of respiration-related neurons in the locus ceruleus, pedunculopontine tegmental nucleus, and Kolliker-Fuse nucleus (Chatonnet et al., 2007). In hoxa2−/− mice, the frequency of breathing and apneas is not affected; instead, there is an increase in the inspiratory amplitude and tidal volume (Chatonnet et al., 2007). The second category includes genes that regulate neuronal cell fate. Neurons expressing Lbx1, Phox2b, and Math1 are found in many locations in the CNS including the pFRG/RTN (Pagliardini et al., 2008; Amiel et al., 2009; Rose et al., 2009a; Thoby-Brisson et al., 2009). Mutations in these genes disrupt breathing, resulting in lower breathing frequency. In none of the mutants in these two categories has the development of V2a neurons been studied. The third category includes genes that define neurotransmitter phenotype. Reduced excitation and excessive GABA-mediated inhibition in Tlx mutant mice produces respiratory dysfunction (Cheng et al., 2004). Mice homozygous for a null mutation in the vglut2 gene fail to breathe (Wallén-Mackenzie et al., 2006). V2a neurons, Math1 neurons, and neurons in the pre-BötC and pFRG/RTN express vglut2 (Lundfald et al., 2006; Al-Mosawie et al., 2007; Crone et al., 2009; Rose et al., 2009a,b). However, the individual contributions of the many types of glutamatergic neurons to respiration are not known.
Three subtypes of glutamatergic neurons, namely, V2a, V3, and HB9 interneurons, play distinct roles in the functioning of the locomotor CPG (Hinckley et al., 2005; Wilson et al., 2005; Al-Mosawie et al., 2007; Lundfald et al., 2007; Crone et al., 2008, 2009; Zhang et al., 2008). Neurons with similar developmental origin as V2a neurons are also generated in the hindbrain. Whether V2a neurons play a role in the neural control of repetitive motor behaviors generated by CPGs located in the hindbrain has not been investigated. Here, we demonstrate that, in the absence of V2a neurons, newborn mice show irregular breathing. The breathing deficiency following the ablation of V2a neurons is preserved even in the minimal respiratory network contained within the medullary slice preparation. These data demonstrate that medullary V2a neurons are needed to maintain regular breathing in newborn mammals.
Materials and Methods
Transgenic animals.
All animal care was performed in accordance with the University of Chicago Animal Care and Use Committee. Chx10:LNL:DTA mice containing a protamine-Cre transgene (for germline recombination and removal of the LNL translation stop cassette) were bred to C57BL/6 or ICR females to produce Chx10::DTA mice as described by Crone et al. (2008, 2009).
Immunohistochemistry.
The locations of hindbrain developmental markers were assessed as follows. Neonatal (P0) pups were anesthetized and perfused with 4% paraformaldehyde, brains and spinal cords were dissected out, postfixed for 2 h in 4% paraformaldehyde, and washed overnight in PBS. Tissue was cryoprotected in 30% sucrose for 2–4 h and mounted in OCT medium (Tissue-Tek) for cryosectioning. Coronal sections (14 μm) of medulla were stained with antibodies to Chx10 (guinea pig; 1:10,000) (Thaler et al., 1999), GATA 2/3 (guinea pig; 1:8000), and/or NK1R (rabbit; 1:12,000; Sigma-Aldrich) according to methods previously described (Peng et al., 2007). Species-specific secondary antibodies conjugated to Cy3 or FITC (Jackson ImmunoResearch) were used at a concentration of 1:500–1:750. Images were obtained with a Zeiss Axioplan II microscope, a Zeiss Axiocam digital camera, and analyzed with OpenLab 3.1 software (Improvision). The locations of nuclei positive for Chx10 or GATA3 in medulla sections at the level of the nucleus ambiguus (NA) were plotted relative to the midline and the section boundary. E15.5 embryos were decapitated, fixed 2 h in 4% paraformaldehyde, cryoprotected, mounted in OCT, and cryostat sectioned (14 μm) for immunostaining using antibodies to NK1R and Chx10.
Confocal microscopy.
P0 medulla coronal sections (14 μm) were immunostained with antibodies to cyan fluorescent protein (CFP) (goat; 1:30,000; Novus), vGLUT2 (guinea pig; 1:2000; Millipore Bioscience Research Reagents), NK1R and/or choline acetyltransferase (ChAT) using Cy3, FITC, and Cy5 secondary antibodies. Single optical sections (<0.5 μm) were obtained for each channel using a Zeiss LSM 5 Pascal confocal microscope with 405, 488, and 543 nm laser modules for double-labeling experiments or Leica SP2 laser scanning confocal microscope with 405, 488, 543, and 633 nm laser modules for triple-labeling experiments.
Cell counts.
Cell counts of Chx10 and GATA3 neurons were made on coronal sections (14 μm thick, every sixth section counted) immunostained overnight with Chx10 or GATA3 antibodies as described and then visualized with biotin-conjugated anti-guinea pig secondary (overnight at 4°C) followed by ABC amplification (Vector Laboratories), and SigmaFast DAB (brown) color development (Sigma-Aldrich). Only hemisections adjacent to those containing the nucleus ambiguus (as determined by AChE staining) were counted (6–12 per mouse). For acetylcholinesterase (AChE) staining, tissue sections were incubated for 20–24 h at 37°C in a solution containing 650 mm sodium acetate, pH 5.5, 100 mm glycine, 20 mm cupric sulfate, 2 mm ethopropazine, and 2 mg/ml acetylthiocholine iodide. Color development was performed by incubating 10 min in 1.25% sodium sulfide, pH 6.0, and then stopped by washing six times in water. Slides were dehydrated in graded ethanol concentrations, and then xylenes, and mounted in Permount (Thermo Fisher Scientific).
In situ hybridization.
P0 coronal medulla sections (20 μm, dried) were hybridized with mouse vGLUT2 (811 bp cDNA; courtesy of M. Goulding, Salk Institute, La Jolla, CA)-specific digoxigenin-labeled probes (Schaeren-Wiemers and Gerfin-Moser, 1993). Detection was performed using anti-digoxigenin alkaline phosphatase antibody followed by NBT-BCIP color reaction (Roche). For dual in situ hybridization and immunohistochemistry, following the blue in situ color reaction, immunohistochemistry was performed using antibodies to Chx10 and a biotin-conjugated secondary antibody, ABC amplification (Vector Laboratories), and SigmaFast DAB (brown) color development (Sigma-Aldrich).
Plethysmography.
Whole-body plethysmography was performed on age P0–P28 wild-type and Chx10::DTA mice. Animals were placed in a barometric chamber and equilibrated to the chamber with open air flow for 10 min (age, P0–P6) or 30 min (age, P12–P28). Chamber size was adjusted for each age group using Plexiglas inserts or a custom-built chamber (P0 pups). The chamber was sealed for a 60 s recording session, and the pressure difference was measured between the experimental and reference chamber with a differential pressure transducer. Only recording periods in which the animals were immobile were analyzed. At least 3 min of open air flow was allowed between trials. Signals were amplified, digitized, and low-pass filtered (0.1 Hz). Data were collected and analyzed using pCLAMP 9.0 software (Molecular Devices). For ages P0–P6, the same wild-type and Chx10::DTA animals were recorded on P0, P2, P4, and P6.
Brainstem spinal cord preparation.
P0 wild-type and Chx10::DTA mice were anesthetized and decerebrated, and the medulla and cervical spinal cord were dissected out and placed ventral side up in a recording chamber superfused with artificial CSF (aCSF) bubbled with 5% CO2/95% O2. The rhythmic phrenic burst activity was recorded using a suction electrode on the fourth cervical ventral root as described previously (Viemari et al., 2004).
Medullary respiratory slice preparation.
Transverse medulla slice preparations were made from neonatal (P0) wild-type and Chx10::DTA mice. Brainstems were dissected out and placed in ice-cold artificial CSF bubbled with 5% CO2/95% O2 and serially sliced at a 20° angle with a vibratome until disappearance of the parafacial group and appearance of the inferior olive, nucleus ambiguus, and the hypoglossal nucleus. A 600 μm slice containing these landmarks was placed in a recording chamber at 29 ± 0.5°C superfused with oxygenated aCSF containing the following (in mm): 118 NaCl, 25 NaHCO3, 3 KCl, 1 NaH2PO4, 1.5 CaCl2, 1 MgCl2, and 30 glucose, pH 7.4, bubbled with 5% CO2/95% O2. The potassium concentration was raised from 3 to 8 mm over 30 min to initiate and maintain fictive respiratory rhythmic activity. Population activity of the ventral respiratory group (VRG) was recorded using a suction electrode on the surface of the slice. The signals were amplified, filtered (low pass, 1.5 kHz; high pass, 250 Hz), rectified, and integrated (time constant, 60 ms).
Data analysis of C4 and VRG recordings.
All physiological recordings were stored on a personal computer using AxoTape (version 2.0; Molecular Devices) and analyzed off-line using customized analysis software written with IGOR Pro (Wavemetrics). We measured C4 and VRG burst frequency, amplitude, and duration. Bursts were automatically detected by the IGOR program as described extensively in our previous study (Lieske et al., 2000; Viemari and Ramirez, 2006). Measured parameter values are reported in the text as mean ± SD for all C4 and VRG recordings. Burst duration was measured as the width at half-maximum amplitude. To estimate the cycle duration variability, we calculated the coefficient of variability of cycle duration defined as the ratio between the SD and the mean cycle duration measured during 30–60 successive cycles (Viemari et al., 2004). To further determine whether the pattern of bursts was predictable or random, we calculated approximate entropy (ApEn) values using the algorithm developed by Pincus et al. (1991) for 20 consecutive bursts for each wild-type or mutant slice. As described in detail by Duclos et al. (2008), two input parameters have to be specified for ApEn computations: m, the run length (the length of a sequence of contiguous observations), and r, the filter (also called the criterion of similarity, a fixed value between 10 and 25% of SD). In the present study, the run length was m = 1 (the duration of each interburst interval was compared with the following one), and r = 10% of SD. Smaller ApEn values reflect a predictable pattern of bursts. Conversely, random data result in higher ApEn values (high irregularity). Poincaré maps were constructed by plotting the period (Tn) versus the subsequent period (Tn+1) between bursts recorded from transverse slices or between inspiratory peaks in plethysmography recordings. Statistical comparisons of coefficient of variation (CV) values were performed using the Mann–Whitney rank sum test. All other statistical comparisons were performed using Student's t test.
Pre-BötC retrograde tracing.
The pre-BötC was identified by rhythmic bursting activity at the surface of medullary respiratory slices (see above, Medullary respiratory slice preparation). The recording electrode was then filled with fluorescein-dextran and lowered into the slice just below the surface for 1–2 h to allow uptake and retrograde transport by axons damaged at the site of injection. Slices were fixed in 4% paraformaldehyde for 2 h, cryoprotected in 30% sucrose, and mounted in OCT for cryostat sectioning (14 μm). Colocalization of Chx10 and fluorescein-dextran was determined after immunostaining for Chx10 as described above.
Intracellular recordings.
Chx10::CFP mice (age P0) were anesthetized with ether and decapitated. Coronal slices (300 μm thick) were prepared from the ventral medulla using a Vibratome (Leica VT1000S). Slices were maintained at room temperature in the recording solution until use (1–2 h). Slices were mounted in a chamber on the stage of an upright microscope (Axioskop; Zeiss) and visualized by infrared–differential interference contrast video microscopy through a 40× water-immersion objective with ORCA-ER camera (Hamamatsu). Fluorescence was visualized using a Lambda DG-4 high-speed filter changer (Sutter Instrument) with CFP excitation at 436 nm and emission at 480 nm (Chroma filters). Images were captured using MetaMorph software (Molecular Devices).
Slices were superfused continuously at a rate of 5 ml/min with oxygenated aCSF. The slice temperature was maintained at 31°C (±2°C). Patch pipettes (2–6 MΩ) were pulled from borosilicate glass (G150F-4; Warner Instruments) and filled with internal solution containing the following (in mm): 138 potassium-methane sulfonate, 10 HEPES, 10 EGTA, 4 Na2ATP, 0.3 Na-GTP, 2 MgCl2, 1 CaCl2, and 0.1% rhodamine-dextran (Invitrogen), pH 7.2, 300–315 mOsm. Whole-cell intracellular recordings were made from individual Chx10 neurons using an Axopatch 1D amplifier (Molecular Devices). Data were digitized at 5 kHz and low-pass filtered before acquisition (Bessel characteristic of 5 kHz cutoff frequency). Data are reported as mean ± SEM. Membrane potential values shown are not corrected for the liquid junction potential of −8.2 mV and are reported as raw values from the amplifier monitor.
Results
Early neonatal death in mice lacking V2a neurons
Previously, we generated a Chx10::DTA mouse line to selectively ablate V2a neurons by targeted expression of diphtheria toxin A-chain (DTA) under the control of the endogenous chx10 gene promoter (Crone et al., 2008, 2009). These mice are generated by mating a chx10PNP:DTA/+, prm:cre C57BL/6 sire with wild-type C57BL/6 or ICR dams. As reported previously, Chx10::DTA mice born to C57BL/6 dams fail to survive past P0. Born to ICR dams, 60% of Chx10::DTA mice die within 3 d after birth and the remaining 40% that are alive on day 4 survive to adulthood (Crone et al., 2009). To test whether the difference in survival between progenies of C57BL/6 and ICR dams is due to the degree of V2a neuron ablation, we performed V2a neuron counts in the medulla. Comparison of Chx10 expression in wild-type and Chx10::DTA mice demonstrates that >98% of V2a neurons are ablated in the medulla of Chx10::DTA mice by the age P0 in both C57BL/6 [number of Chx10 neurons ± SEM: 99.7 ± 5.3 wild-type (n = 5); 1.2 ± 0.2 Chx10::DTA (n = 5); p < 0.005] and ICR genetic backgrounds [number of Chx10 neurons ± SEM: 111.3 ± 6.9 wild-type (n = 3); 2.2 ± 0.3 Chx10::DTA (n = 3); p < 0.005]. Furthermore, in both strains there was no significant difference in the number of GATA3-expressing neurons in Chx10::DTA mice compared with wild-type mice [number of GATA3 neurons ± SEM for C57BL/6: 106.0 ± 2.6 wild-type (n = 5), 114.4 ± 2.6 Chx10::DTA (n = 5), p > 0.05; number of GATA3 neurons ± SEM for ICR: 99.9 ± 7.7 wild-type (n = 3), 93.8 ± 7.2 Chx10::DTA (n = 3), p > 0.05]. The GATA3-expressing V2b neurons are generated from the same pool of neural progenitors as V2a neurons. These data demonstrate that the difference in survival of Chx10::DTA mice born to C57BL/6 and ICR dams cannot be explained simply by the efficiency or specificity of V2a neuron ablation.
Breathing deficiency in mice lacking V2a neurons
Genetic variability plays an important role in breathing. For example, the C57BL/6 mice are more prone to breathing irregularities and apneas compared with mice of other strains (Stettner et al., 2008; Yamauchi et al., 2008). We predicted that neonatal C57BL/6 mice might be less tolerant to experimentally induced breathing irregularities compared with the ICR mice. We tested breathing in P0 Chx10::DTA and their control littermate pups born to C57BL/6 and ICR dams using whole-body plethysmography. In the case of mice born to C57BL/6 dams, plethysmographic recordings (Fig. 1a) reveal that newborn Chx10::DTA pups inspire less frequently compared with wild-type littermates (106 ± 9 cycles/min vs 45 ± 7 cycles/min; p = 0.008; n = 7 wild-type, 7 Chx10::DTA). Newborn Chx10::DTA pups show irregular breathing. The frequency of breathing varies greatly from one breath to the next in Chx10::DTA pups compared with wild-type pups (Fig. 1b,c). Further analysis of the temporal structure of the breathing irregularity in Chx10::DTA mice was done by generating Poincaré maps (Del Negro et al., 2002; Mellen et al., 2003). Poincaré maps are generated by plotting the breathing period (Tn) versus that of the subsequent breath (Tn+1) in a continuous series of successive breaths. When the breathing is normal, as in wild-type pups (Fig. 1d), points in a Poincaré map form a tight cluster. In contrast, the Poincaré map of Chx10::DTA pups are disperse (Fig. 1e), indicating that the breathing period fluctuates from breath to breath. Next, we analyzed breathing in P0 Chx10::DTA pups and their control littermates born to ICR dams at various ages from P0 to P28. At P0 and P2, ICR Chx10::DTA mice exhibit a reduced breathing frequency compared with wild type and increased variability in respiratory rate as measured by the coefficient of variation of the frequency (Fig. 2a,b,g,h). As with pups born to C57BL/6 dams, breath-to-breath plots of the breathing frequency show that the breathing period of P0 and P2 ICR Chx10::DTA pups varies from breath to breath (Fig. 2d,e). However, by P4, the frequency of breathing in Chx10::DTA mice is comparable with littermate wild-type control mice of the same genetic background, as is the coefficient of variation and breath-to-breath variation in the frequency (Fig. 2c,f,g,h). Between P6 and P28, Chx10::DTA mice breathe less frequently compared with wild-type controls (Fig. 2g). However, the breathing pattern seems to be regular as measured by similar coefficient of variation in Chx10::DTA and wild-type control mice (Fig. 2h). These data demonstrate that the loss of glutamatergic V2a neurons leads to an irregular breathing pattern in neonatal mice of both C57BL/6 and ICR genetic backgrounds. As these mice mature, breathing becomes more regular, but the frequency of breathing remains slower.
Central origin of breathing deficit in Chx10::DTA mice
To exclude possible afferent influences on respiratory behavior, we isolated the brainstem–spinal cord of P0 Chx10::DTA mice (C57BL/6) and recorded respiratory activity from the C4-root. As with plethysmography recordings, significant differences were observed in C4 burst activity in preparations obtained from P0 Chx10::DTA mice compared with wild-type littermates (Fig. 3a–d). The frequency of C4 burst activity was significantly lower (0.12 ± 0.02 vs 0.19 ± 0.01 Hz; p = 0.008; n = 6 wild-type, 7 Chx10::DTA), and the variability of the interburst interval significantly higher in Chx10::DTA preparations compared with wild-type littermates (CV = 0.45 ± 0.03 vs 0.30 ± 0.02; p = 0.012). However, the relative amplitude of individual bursts, measured as the area under an integrated burst, and burst duration were similar in Chx10::DTA and wild-type littermates [burst amplitude: 0.42 ± 0.12 vs 0.30 ± 0.06, p = 0.229; burst duration (in seconds): 0.52 ± 0.08 vs 0.40 ± 0.07, p = 0.629]. These data demonstrate that V2a neurons located in the brainstem and spinal cord play a role in determining the frequency and regularity of respiratory motor neuron activity without affecting the amplitude or duration of each firing episode.
A neural network that can generate rhythmic respiratory output is contained within a transverse slice from the medulla (Smith et al., 1991). Essential to the generation of the inspiratory rhythm in this transverse medullary slice are neurons located in the pre-BötC (Gray et al., 1999, 2001) of the VRG. First, we asked whether the ablation of V2a neurons affects the development of the pre-BötC. Many neurons in the pre-BötC and the adjacent nucleus ambiguus express the NK1R receptor. The neurons of the pre-BötC can be identified by the lack of ChAT immunoreactivity, a marker for cholinergic neurons of the nucleus ambiguus. Expression of NK1R is indistinguishable in P0 wild-type and Chx10::DTA mice (Fig. 3e,f). In wild-type mice, NK1R-expressing neurons of the pre-BötC and nucleus ambiguus are clearly visible by E15.5, and these neurons are located lateral to the V2a neurons (Fig. 3g). At the same developmental stage, nearly all V2a neurons have been ablated in the Chx10::DTA mice; however, the NK1R-expressing neurons appear normal (Fig. 3h). Next, we compared inspiratory-like activity in transverse medullary slices from P0 Chx10::DTA mice and wild-type littermates. Inspiratory rhythmic burst activity was recorded in the VRG from all slices prepared from Chx10::DTA mice and wild-type littermates under standard conditions (Fig. 3i,j). However, the frequency of burst activity was significantly lower in the Chx10::DTA mice compared with controls (0.11 ± 0.01 vs 0.22 ± 0.01 Hz; p = 0.0012; n = 10 Chx10::DTA, 10 wild-type; Fig. 3k). In addition to the lower mean frequency, the coefficient of variation of the interburst interval was significantly higher in slices from Chx10::DTA mice compared with control slices (0.58 ± 0.04 vs 0.28 ± 0.01; p = 0.0012; Fig. 3l). Despite significant changes in the frequency and regularity of the rhythm, the burst amplitude and duration of individual bursts were similar in slices from Chx10::DTA and wild-type littermates [burst amplitude: 0.27 ± 0.04 vs 0.30 ± 0.06, p = 0.343; burst duration (in seconds): 0.53 ± 0.04 vs 0.46 ± 0.02, p = 0.286]. These data demonstrate that V2a neurons of the medulla are required to maintain the frequency and regularity of burst activity in the mouse pre-BötC.
We further analyzed the transition between successive inspiratory burst periods using Poincaré maps. We plotted the period between bursts (Tn) versus the subsequent period (Tn+1) for a series of inspiratory bursts recorded from the pre-BötC in slices from P0 Chx10::DTA and wild-type mice. As observed in the case of plethysmography recordings from intact mice (Fig. 1d,e), points in Poincaré maps from wild-type slices form a tight cluster (Fig. 3m), whereas those from Chx10::DTA slices are scattered (Fig. 3n). This analysis reveals that the interburst periods observed in recordings from the pre-BötC in Chx10::DTA slices vary widely from breath to breath. The relationship between successive bursts was also analyzed using ApEn, a statistic that detects changes in the regularity of an ordered series of events (Duclos et al., 2008). The ApEn values, unlike the coefficient of variation, are dependent on the order of events rather than just the variance within a data set and measure the predictability of successive points in a data set. The ApEn values were larger (more unpredictable) in the case of Chx10::DTA mice compared with the wild-type littermates (Chx10::DTA: ApEn = 0.26 ± 0.02, n = 5; wild-type: ApEn = 0.12 ± 0.03, n = 5; p = 0.016). These results demonstrate that the loss of V2a neurons causes a failure in the ability of the pre-BötC neurons to maintain a constant or predictable interburst period between successive bursts of activity.
Neurochemical activation of the respiratory network compensates for the lack of V2a neurons in the medulla
In the mouse medulla, V2a neurons are located lateral to serotonin-expressing cells of the raphe (Fig. 4a,b). In comparison, neurons that express the V2b marker GATA3 map to multiple locations including the raphe, mRF, and more dorsal-lateral areas of the medulla (Fig. 4c). Next, we combined in situ hybridization and immunohistochemistry to test whether V2a neurons in the medulla, like the majority of V2a neurons in the spinal cord, express vglut2 mRNA (Al-Mosawie et al., 2007; Lundfald et al., 2007; Crone et al., 2008). This analysis revealed that Chx10-expressing neurons in the mRF express mRNA for vglut2 (Fig. 4d). In Chx10::DTA mice, ablation of V2a neurons reduces vglut2 expression in the mRF (Fig. 4e,f). Thus, in the medulla of P0 mouse, V2a neurons are located exclusively within the medial reticular formation and most of these neurons express vglut2.
Given that most medullary V2a neurons are glutamatergic, we asked whether the main deficiency in Chx10::DTA mice is the lack of excitatory drive. We sought to rescue the regularity and frequency of inspiratory burst activity in slices by providing an alternate source of excitation. Substance P (SP) is an endogenous excitatory chemical and the expression of SP in medulla is comparable in wild-type and Chx10::DTA mice (Fig. 4g). We added SP to the bath of medullary slices from P0 wild-type or Chx10::DTA mice and recorded VRG burst activity. As expected, SP increased the burst frequency in wild-type slices without affecting the regularity of the interburst interval (Fig. 4h,i; n = 5 wild-type, 5 Chx10::DTA). Bath application of SP also increased the frequency of bursting in slices from Chx10::DTA mice to levels similar to wild type (Fig. 4h,i). Moreover, the regularity of the interburst interval was restored in Chx10::DTA slices by treatment with SP (Fig. 4k). Similarly, bath application of NMDA also rescued the frequency and regularity of the respiratory rhythm in slices from Chx10::DTA mice to levels comparable with those observed in the slices from wild-type mice (Fig. 4j,l; n = 4 wild type, 4 Chx10::DTA). Rescue of the irregular respiratory rhythm in Chx10::DTA slices to near wild-type levels by the application of SP and NMDA is consistent with the idea that the development of the basic respiratory network is not affected by targeted ablation of V2a neurons. Instead, the loss of V2a neurons simply removes an excitatory input that is required to generate a regular respiratory motor rhythm.
V2a neurons in the mRF show a tonic firing pattern
To directly visualize the V2a neurons, we used Chx10::CFP mice in which these neurons express CFP (Crone et al., 2008) (Fig. 5a). Consistent with the immunohistochemical data, in the medulla of P0 Chx10::CFP mice, CFP expression is restricted to the mRF in neurons that coexpress Chx10. We find that 98.4 ± 0.2% of neurons expressing Chx10 in P0 medulla also express CFP, while CFP expression is not seen in neurons that do not express Chx10 (n = 4). We used Chx10::CFP mice to record from V2a neurons in the medullary slice preparation. Optical recordings of the firing pattern in medullary slices have revealed that neurons in the mRF do not show the characteristic burst firing pattern as observed within the pre-BötC (Koizumi et al., 2008; Mellen and Mishra, 2010). Consistent with these earlier reports, whole-cell patch-clamp recordings from V2a neurons in medullary slices obtained from P0 Chx10::CFP mice show that V2a neurons are spontaneously active and exhibit slow tonic firing with a mean frequency of 5.1 ± 0.7 Hz and baseline membrane potential of −58 ± 2 mV (n = 8). Interspike intervals (mean, 208 ± 32 ms; n = 5) exhibited high regularity (coefficient of variation, 0.18 ± 0.03) within individual cells. A series of depolarizing current pulses (from 50 to 300 pA) increased the firing frequency up to a maximum of 50 Hz, after which further current injection caused depolarization block (Fig. 5c). Spike frequency adaptation was not observed in any V2a neuron (n = 8). The presence of a hyperpolarization-activated cation current (Ih) was tested in current clamp by a series of DC current pulses (from −50 to −150 pA). V2a neurons exhibited a rebound depolarization sag of 13.4 ± 0.7 mV (n = 7) measured from a maximum hyperpolarization at −120 mV (Fig. 5b). Since many neurons in the medulla show burst firing at higher [K]o, we increased the potassium concentration. Raising [K]o from 3 to 5 mm depolarized V2a neurons and increased tonic firing frequency to 9.2 ± 1.7 mV (n = 5; Fig. 5d). High potassium shortened the interspike intervals (mean, 141 ± 36 ms; n = 5; p = 0.027) but did not significantly alter the ISI regularity (CV = 0.18 ± 0.03 at 3 mm and 0.15 ± 0.03 at 5 mm [K]o; p > 0.05) nor did it induce burst firing of V2a neurons. These data demonstrate that the glutamatergic V2a neurons in the mRF of the mouse medulla likely generate a tonic excitatory drive.
V2a neurons make excitatory contacts on neurons in the pre-BötC
How might glutamatergic neurons in the mRF regulate burst-firing activity in the pre-BötC? We asked whether V2a neurons make direct contacts with neurons in the pre-BötC. In the medulla of neonatal Chx10::CFP mice, V2a neuron cell bodies are restricted to the mRF, whereas CFP-labeled processes are observed both within the mRF and in the adjacent ventrolateral medulla. To localize the pre-BötC, we colabeled medullary tissue sections with anti-NK1R and anti-ChAT. In the ventral lateral medulla, NK1R is expressed by neurons located in the NA (Fig. 6a,b) and the pre-BötC. These two structures can be readily distinguished by the selective expression of ChAT in NA neurons (Fig. 6a,c). Adjacent tissue sections were labeled with anti-CFP and anti-NK1R antibodies (Fig. 6d–f). In all neonatal Chx10::CFP mice analyzed (n = 5), CFP-labeled processes were found among NK1R-expressing neurons that were located within the ChAT-negative pre-BötC. These data indicate that V2a neurons extend projections to the pre-BötC.
In Chx10::CFP mice, CFP-labeled V2a neurons are located throughout the brainstem and spinal cord. To determine the location of the V2a neurons that project to the pre-BötC, we performed retrograde labeling. We identified the pre-BötC by its rhythmic firing pattern recorded in a transverse slice preparation (Smith et al., 1991; Ramirez and Richter, 1996). Upon identification of the pre-BötC, we injected fluorescein-dextran, a retrograde tracer (Fig. 7a). In three of four slice preparations, the fluorescein-dextran retrogradely labeled neurons. In these three cases, retrogradely labeled neurons were found within the mRF and many of these neurons expressed Chx10, indicating that these were V2a neurons (Fig. 7b). In these experiments, many Chx10 cells in the mRF were not labeled retrogradely, likely due to the small volumes of the tracer dye injected into the pre-BötC. However, we cannot rule out that some V2a neurons in the mRF might not project to the pre-BötC. Based on the anterograde CFP label and retrograde labeling, these data show that one target of V2a neurons in the mRF is the pre-BötC.
We asked whether axon terminals from V2a neurons in the mRF establish glutamatergic synaptic contacts on neurons in the pre-BötC. In P0 Chx10::CFP mice, we identified CFP-labeled synaptic contacts by colabeling for vGLUT2, a vesicular transporter that localizes to presynaptic glutamatergic terminals. Tissue sections were triple labeled using anti-CFP, anti-vGLUT2, and anti-NK1R antibodies and analyzed by confocal microscopy. This analysis revealed puncta that coexpressed CFP and vGLUT2 and are found in close proximity to NK1R-expressing neurons in the pre-BötC (Fig. 7c–l). Consistent with previous reports that pre-BötC neurons make robust reciprocal glutamatergic contacts with each other (Funk et al., 1993), the vGLUT2+/CFP+ puncta comprise only a subset of all vGLUT2+ puncta within the pre-BötC (Fig. 7g,l). These data demonstrate that the glutamatergic input to pre-BötC neurons has multiple origins and includes contacts made by V2a neurons located in the mRF.
Discussion
In human infants, congenital central hypoventilation syndrome and sudden infant death syndrome present with slow, irregular breathing. These syndromes underscore a special need to understand neural control of breathing in neonates. In this study, we demonstrate that, in both C57BL/6 and ICR strains of mice, targeted ablation of V2a neurons decreases the frequency and regularity of breathing in the newborn. We trace the decreased frequency and loss of regularity in the breathing down to a minimal respiratory network contained within the well established medullary slice preparation. We also find that the frequency of the respiratory rhythm generated by this minimal respiratory network isolated from mice lacking the V2a neurons can be restored by the application of excitatory neurochemicals NMDA and Substance P. These findings indicate that breathing abnormalities observed in Chx10::DTA mice likely result from insufficient excitatory drive to the medullary respiratory network, and identify medullary V2a neurons as a critical component of the neural network that controls breathing in neonates.
V2a neurons and neural control of breathing in neonates
In both C57BL/6 and ICR strains of mice, targeted ablation of V2a neurons decreases the frequency and regularity of breathing in the newborn. However, in the absence of V2a neurons, the ability of newborn mice to survive past day 3 is dependent on the strain. All Chx10::DTA mice born to C57BL/6 dams die, while 40% of Chx10::DTA pups born to ICR dams survive. This difference in survival may be because C57BL/6 mice are more prone to breathing irregularities and apneas compared with other mouse strains (Stettner et al., 2008; Yamauchi et al., 2008) and therefore are more likely to succumb to further breathing irregularities caused by the loss of V2a neurons than ICR mice. It is also possible that the functions of V2a neurons are not limited to motor behaviors such as breathing and locomotion and might include other repetitive behaviors such as suckling, chewing, or swallowing. Also, C57BL/6 dams are known to have poor motherly instincts and might fail to rear pups with deficiencies in any of these behaviors.
In contrast to gene knock-outs that affect neural progenitors or rhombomere identity, V2a neurons are ablated in Chx10::DTA mice only after these cells differentiate. Another advantage of using genetic ablation versus gene knock-out is the possibility of neurons acquiring new functions in knock-out studies. However, neural plasticity following embryonic manipulations is a well documented phenomenon and a compounding factor in all studies targeting genes or neurons in embryos. Three sets of data bolster our conclusion that the loss of V2a neuron function rather than plastic changes following their ablation in the embryo results in breathing abnormalities. First, surviving Chx10::DTA pups show marked improvement in respiratory frequency and regularity after postnatal day 4. This time period coincides with a dramatic decrease in endogenous opiates in the brainstem that normally occurs after the neonatal period in both mice and humans (Jansen and Chernick, 1983). A small proportion of Chx10::DTA C57BL/6 pups (10 of 159 pups) treated with naloxone (an inhibitor of endogenous opiates) once per day for at least 2 postnatal days survive past the weaning age (Crone et al., 2009). Because opiates depress the activity of pre-BötC neurons (Gray et al., 1999), inhibition of endogenous opiates likely compensates for the loss of excitation provided by V2a neurons. This observation indicates that the role of V2a neurons is to act as an excitatory counterbalance to endogenous inhibitors of breathing in neonates. Second, consistent with selective ablation of V2a neurons, extensive analysis of the expression of various factors expressed in the medulla shows no significant difference between Chx10::DTA and wild-type mice. These factors include the following: NK1R, a marker expressed by many neurons in the pre-BötC; AChE, a marker for cholinergic motor and interneurons; serotonin, a marker for neurons in the raphe; SP, a marker for afferents to NK1R-expressing neurons in the pre-BötC; GATA3, a transcription factor expressed by neurons in the raphe and also by inhibitory V2b neurons in the mRF; Evx1, expressed by V0 neurons of the medulla; and GAD67, a marker for inhibitory GABAergic neurons (S. Crone and K. Sharma, unpublished data). Furthermore, pre-BötC development based on the expression of NK1R follows the same time schedule in Chx10::DTA mice as in the wild-type. Third, in respiratory slice preparations, augmenting excitation by bath application of NMDA or SP compensates for the loss of V2a neurons and restores regular burst firing by the pre-BötC, demonstrating that the main deficit in Chx10::DTA mice is reduced excitatory input to pre-BötC neurons. These data show that breathing abnormalities observed in neonatal Chx10::DTA mice are most likely due to the absence of V2a neuron function rather than a developmental defect produced by neural plasticity.
V2a neurons and respiratory rhythm generation
Glutamatergic transmission plays an important role in respiration (Funk et al., 1993; Rekling and Feldman, 1998). Inhibition of glutamatergic transmission using CNQX slows the breathing rhythm in a dose-dependent manner (Greer et al., 1991; Funk et al., 1993). Mice with a loss-of-function mutation in the NMDA receptor NR1 are able to generate normal respiratory rhythm (Funk et al., 1997) but show depressed breathing at birth (Poon et al., 2000). Mice lacking all vGLUT2-dependent glutamatergic transmission fail to produce a respiratory rhythm (Wallén-Mackenzie et al., 2006). Neurons in the pFRG/RTN express vglut2, and developmental defects in the pFRG/RTN observed in Phox2b mutant and Math1 null mice depress breathing (Dubreuil et al., 2008; Rose et al., 2009a). Thus, subtypes of glutamatergic neurons are likely to play distinct roles in the neural control of breathing.
In Chx10::DTA mice, only a subset of vglut2-expressing neurons is ablated. Based on the distribution of V2a neurons in the medulla, only the most medial and ventrally located vglut2-expressing neurons are missing in respiratory slice preparations from Chx10::DTA mice. Recordings of pre-BötC burst firing activity in Chx10::DTA medullary slices show that V2a neurons located within the medullary slice are essential for maintaining a robust respiratory rhythm. V2a neurons are also located outside the medullary mRF. For example, in the rostral pontine tegmentum, the V2a neurons are located in the pedunculopontine and laterodorsal tegmental nuclei and within the pontine reticular formation (C. Hollands and K. Sharma, unpublished data). However, V2a neurons in the pedunculopontine nucleus are glutamatergic and distinct from the cholinergic neurons of the reticular activating system (Chamberlin and Saper, 1994; Kubin and Fenik, 2004; Rose et al., 2009a). Moreover, Cre-LoxP regulated selective labeling of these pontine V2a neurons has revealed that they do not project to the VRC (C. Hollands and K. Sharma, unpublished data). Thus, V2a neurons residing within the medulla likely provide excitatory input to the pre-BötC; however, we cannot rule out potential roles for pontine V2a neurons in breathing.
V2a neurons and the known respiratory networks
The manner in which breathing is perturbed in mice lacking V2a neurons provides information about the role of tonic excitation in the neural control of respiratory rhythm. Approximate entropy measurements of the interburst interval in slices and Poincaré maps of the breathing period demonstrate that the frequency of breathing varies unpredictably following the loss of V2a neurons. From this analysis, it is clear that following the loss of V2a neurons, mice do not simply skip breaths, as is the case when breathing is slowed by experimental opioid treatment in rats (Mellen et al., 2003). It is also important to note that the presence of tonic excitatory drive is a critical component of most computational models of respiratory rhythm generation (Ogilvie et al., 1992; Butera et al., 1999a; Joseph and Butera, 2005; Purvis et al., 2007; Rubin et al., 2009). How might excitatory input from V2a neurons control frequency and stability of respiratory rhythm generation? One way that V2a neurons may promote rhythm generation is by altering the activity of pre-BötC neurons with intrinsic bursting properties, called “pacemaker neurons.” By depolarizing neurons with pacemaker properties, V2a neurons may increase their frequency of bursting and thereby increase respiratory frequency (Butera et al., 1999a,b). A second possibility is that V2a neurons may influence “conditional pacemaker neurons.” These neurons do not burst rhythmically when isolated from synaptic input, but have the potential to burst when neuromodulators alter their excitability (Rekling and Feldman, 1998; Viemari and Ramirez, 2006). Thus, V2a neurons might affect the rate and stability of the respiratory rhythm by controlling the state (quiescent, oscillatory, or bursting) of neurons in the respiratory circuit. Third, V2a neurons may control the timing of inspiratory bursts. By altering the excitability of pre-BötC neurons, V2a neurons may control the time to reach threshold for spiking and thus determine when inspiratory bursts are initiated. A recent model proposes that the respiratory rhythm is an emergent network property (Feldman and Del Negro, 2006). This network appears to include two rhythm generators, one for inspiratory rhythm and other for the expiratory rhythm. The tonic excitatory drive provided by V2a interneurons to either pacemaker or nonpacemaker neurons in the putative inspiratory rhythm generator, namely, the pre-BötC, is expected to increase frequency and regularity of the respiratory rhythm.
The experimental approach used in this study is based on an emerging concept that neurons derived from a distinct progenitor pool that expresses unique molecular markers often perform equivalent functions. This approach has been validated by numerous studies of motor circuits in the spinal cord that regulate locomotion (Stepien and Arber, 2008; Grossmann et al., 2010). For example, V2a neurons in the spinal cord make vGLUT2-enriched synaptic contacts with commissural neurons and are required for stabilizing the locomotor rhythm as well as for maintaining left–right alternation (Crone et al., 2008, 2009). One type of commissural neuron that receives glutamatergic input from V2a neurons is the V0 class of interneurons. An intriguing parallel with the current findings is that V0 neurons in the spinal cord and NK1R neurons in the pre-BötC are derived from neural progenitors that express dbx1 (Bouvier et al., 2010; Gray et al., 2010). In respiratory circuits, V2a neurons do not appear to be required for coordination between the left and right pre-BötC, as we observed simultaneous bursts in left and right pre-BötC in slice preparations from both wild-type and Chx10::DTA mice (data not shown). This difference between locomotor and respiratory circuits might be due to the inhibitory (V0 in the spinal cord) versus excitatory (NK1R in the medulla) nature of the target neurons.
In conclusion, V2a neurons in the medulla provide a critical excitatory drive that promotes regular burst firing and a normal breathing pattern. This function of V2a neurons in the mRF has striking similarity to the role of V2a neurons in the lumbar spinal cord in stabilizing the locomotor rhythm.
Footnotes
This work was supported by grants from the Paralyzed Veterans Association and Muscular Dystrophy Association (K.S.) and by NIH Grants HL/NS60120, HL107084-01, and HL090554 (J.M.R.). This study was conducted as part of an ongoing collaboration between the laboratories of K.S. and J.M.R. We thank Drs. Michael Carroll and Alfredo Garcia for many discussions and help with data analysis.
- Correspondence should be addressed to Kamal Sharma, R218, Knapp Research Center, 924, East 57th Street, Chicago, IL 60637. ksharma{at}bsd.uchicago.edu