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1 Department of Respiratory
Medicine,
We examined
whether receptors in the tongue muscle respond to negative upper airway
pressure (NUAP). In six cats, one hypoglossal nerve was cut and its
distal end was prepared for single-fiber recording. Twelve afferent
fibers were selected for study on the basis of their sensitivity to
passive stretch (PS) of the tongue. Fiber discharge frequency was
measured during PS of the tongue and after the rapid onset of constant
NUAP. During PS of 1-3 cm, firing frequency increased from 17 ± 7 to 40 ± 11 (SE) Hz (P < 0.01). In addition, 8 of the 12 fibers responded to NUAP (
10 to
30 cmH2O), with firing
frequency increasing from 23 ± 9 to 41 ± 9 Hz
(P < 0.001). In two fibers tested,
the increase in firing frequency in response to NUAP was not altered by
topical anesthesia (10% lignocaine) applied liberally to the entire
upper airway mucosa. Our results demonstrate that afferent discharges
from the hypoglossal nerve are elicited by
1) stretching of the tongue and
2) NUAP before and after upper
airway anesthesia. We speculate that activation of proprioceptive
mechanoreceptors in the cat's tongue provides an additional pathway
for the reflex activation of upper airway dilator muscles in response
to NUAP, independent of superficially located mucosal mechanoreceptors.
upper airway control; hypoglossal nerve; muscle spindles
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