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Vol. 83, Issue 5, 1448-1453, 1997
Laboratory of Behavioral Sciences, Gerontology Research Center, National Institute on Aging, National Institutes of Health, Baltimore, Maryland 21224
Chefer, Svetlana I., Mark I. Talan, and Bernard T. Engel.
Central neural correlates of learned heart rate control during exercise: central command demystified. J. Appl.
Physiol. 83(5): 1448-1453, 1997.
To identify the
brain areas involved in central command, four monkeys were trained to
attenuate the tachycardia of exercise while different brain sites
affecting heart rate (HR) were simultaneously stimulated electrically.
Among 24 brain sites located mostly in the limbic structures, we have
identified four types of control systems that mediate cardiovascular
and motor behavior during exercise. One system increases HR
equivalently during both exercise and operantly controlled HR, whereas
another increases HR during both tasks and abolishes operant HR
control. In the third system, the effect of brain stimulation on HR is attenuated during exercise and during exercise with operantly controlled HR. The fourth system increases HR in both tasks, but its
effect is significantly attenuated during operant HR control. We
believe that this last system, which includes the mediodorsal nucleus,
nucleus ventralis anterior, and cingulate cortex, plays a significant
role in central command.
monkeys; nonhuman primates; central nervous system; operant
conditioning; tachycardia of exercise
KROGH AND LINDHARD reported in 1913 (10) that "the
rise in ventilation like the increase in heart rate [during
exercise] is not produced reflexly but by irradiation of impulses
from the motor cortex." Contemporary physiologists use the term
central command as a substitute for "irradiation of impulses"
(12). Nevertheless, there is little substantive research available to characterize the possible central neural mediators of central command.
However, from a behavioral perspective, it is clear that operant
learning is one of the primary mechanisms underlying the phenomena of
adaptation and central command (3).
We have previously shown that nonhuman primates can be operantly
conditioned to attenuate the tachycardia of exercise (4, 14); i.e., the
cardiovascular adjustments to exercise can be learned behaviors.
Neither sympathetic nor vagal blockade prevented the learned
attenuation of tachycardia of exercise (5). This fact established that
the responses of the circulation during exercise are not merely passive
effects mediated by somatomotor activity or metabolic needs but that
they are also a complex behavior mediated by the central nervous system
in response to learned, environmental signals (6). We concluded that
the mechanisms mediating cardiovascular responses during exercise in
trained subjects are under direct control of the central nervous
system. Metabolic and reflexive mechanisms define the limits of
performance rather than its expression (5). These findings, coupled
with earlier findings which showed that animals trained to slow heart rate (HR) could do so even in the presence of brain stimulation which
normally caused a tachycardia (9), indicate that the cardiovascular
adjustments to exercise are emitted in parallel with somatomotor
responses and that somatomotor and cardiovascular responses can be
dissociated under proper conditions.
The present research was directed at understanding the central neural
mechanisms that mediate conditioning of cardiovascular behavior
accompanying exercise. The goal of the present study was to identify
the brain areas involved in learned attenuation of the tachycardia of
exercise.
Subjects.
Four male monkeys (Macaca mulatta),
3-4 yr of age and weighing 4-9 kg, were used in this study.
The monkeys were trained to wear protective primate jackets at all
times and to be transferred daily from home cages into primate chairs
(except weekends). They were adapted to remain in the chairs during
experimental sessions from 9 AM to 4 PM. Animals were provided with
~200 g/day primate laboratory diet (between 5 PM and 9 AM) and water
at all times except during testing. This ration was supplemented daily
with fresh fruit (apples, oranges, grapes, or bananas). The animals were housed in a room with 12:12 h light-dark cycle (lights off at
2000) at an ambient temperature of 22 ± 1°C.
Before the beginning of brain stimulation experiments, each of the four
experimental animals was successfully trained to attenuate the
tachycardia of exercise. Table 1 presents
the average changes (
) in HR per weight lift and the average number
of lifts during Ex and Comb sessions. For each animal,
HR per weight
lift increased significantly less during Comb sessions than during Ex
sessions, despite the fact that two animals (nos.
1 and 4) pulled less
often during Comb sessions (for animals
2 and 3, no. of pulls
was similar in both sessions).
HR for all four animals during Ex was
25.8 beats/min and during Comb was 13.8 beats/min, a difference of 12.0 beats/min.
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A total of 24 brain sites were tested. Most of the sites were located
in the thalamus and limbic system (18 points): nucleus ventralis
anterior (VA), mediodorsal nucleus (MD), ventromedial complex (VM) and
intralaminar nuclei, nucleus hypothalami dorsomedialis (DM), and
cingulate cortex (CCr). One electrode was located in the nucleus
caudatus (CN) and five in the fiber pathways [corpus callosum
(CC) and pedunculus cerebri (PC)]. Figure
1 presents a schematic view of all sites.
Each site has an assigned number, which will be used throughout the
text.
, Type
1 responses;
, type
2 responses;
, type
3 responses;
, type
4 responses. Sites
1-3, 9,
10,
17, ventral anterior thalamic nucleus
(VA); 4, mediodorsal thalamic nucleus
(MD); 5,
18, ventromedial thalamic nucleus
(VM); 6,
12, pedunculus cerebri (PC);
7, 8,
paracentral thalamic nucleus (PrC);
11, cingulate cortex (CCr);
13, central median thalamic nucleus
(CM); 14,
15,
24, corpus callosum (CC); 16,
23, central lateral thalamic nucleus
(CL); 19, nucleus ventralis posterior
inferior thalami (VPI); 20, nucleus
hypothalami dorsomedialis (DM); 21,
nucleus thalami parafascicularis; 22,
caudate nucleus (CN).
Table 2 presents the effects of brain stimulation of different brain sites on HR during the sessions without exercise (No Feedback) as well as Ex and Comb sessions. Table 2 also presents the results of the statistical analyses of the effects of brain stimulation without exercise (t-test) and comparisons of Ex and Comb sessions with and without brain stimulation (ANCOVA). For instance, the third row of Table 2 presents the results of the experiments for site 3 (VA). Electrical stimulation of that site during no-feedback sessions increased HR from 111.2 to 127.0 beats/min (t = 5.67). During Ex sessions, the HR increase was 18.6 beats/min without electrical stimulation and 17.7 beats/min during electrical stimulation. During Comb sessions, HR increase was 0.3 beats/min without electrical stimulation, whereas during electrical stimulation, HR decreased by 3.1 beats/min. ANCOVA revealed a significant main effect of sessions [F(1,38) = 5.94, P < 0.01], a significant main effect of stimulation [F(1,38) = 11.79, P < 0.001], and a significant interaction [F(1,38) = 55.21, P < 0.001]. ANCOVA indicated that HR change was different between Ex and Comb sessions, that HR was changed as a result of electrical stimulation, and that the effect of electrical stimulation on HR was different between Ex and Comb sessions. The high variability in resting HR in the no-feedback columns is attributed to large variations in resting HR among animals.
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Electrical stimulation of most of the sites without exercise caused an increase of HR (12 points). Activation of three sites in VA (sites 1, 9, and 10) and site 16 in central lateral thalamic nucleus (CL) evoked a reduction of HR in the control conditions. Stimulation of eight sites (sites 2, 11, 14, 15, 17, 19, 21, and 22) produced biphasic effects on HR, which resulted in statistically insignificant results.
ANCOVA of the effects of brain stimulation in eight sites (7, 8, 13-15, 21, 22, and 24) revealed a nonsignificant main effect for the type of the session (Ex vs. Comb), indicating that electrical stimulation suppressed the differences in HR between Ex and Comb sessions. In the remainder of the brain sites, the main effect of the type of the session was significant; i.e., the differences between Ex and Comb sessions were preserved during electrical stimulation.
For five sites (10, 11, 16, 17, and 24), ANCOVA revealed a nonsignificant main effect of brain stimulation (Stim vs. Nonstim), indicating that, during both Ex and Comb sessions, the effect of electrical stimulation on HR was absent. For the remainder of the sites, the main effect of stimulation was significant.
In eight sites (1-4,
9-11, and
17), statistical analyses revealed a
significant interaction between stimulation condition and session type,
indicating that electrical stimulation affected HR differently in Ex
and Comb sessions. For the remainder of the sites, there were no
significant interactions; i.e., electrical stimulation affected HR
similarly in both kinds of sessions.
The concept of central neural initiation of the cardiovascular
adjustments to exercise (central command) has appeared in the physiological literature for at least 100 years (8). At the same time,
parallel concepts characterizing experience, namely learning, as a
factor in the expression of cardiovascular responses (see Ref. 1 for a
review) has also flourished. However, these two conceptual models,
though implicitly similar, have not merged. This study was designed to
fill this lacuna. In previous research, we have shown that monkeys can
be trained to attenuate HR at rest (2) and during exercise (14).
Furthermore, we have shown that the ability to attenuate HR can be
expressed, even in the presence of electrical stimulation of the brain,
which normally elicits a tachycardia (9). The present study integrates
these findings by using electrical brain stimulation and learned
control of HR during exercise to identify brain regions that mediate
central command.
On the basis of the statistical analyses, it is possible to establish four types of effects of brain stimulation on learned cardiovascular adjustments to exercise. These are illustrated diagrammatically in Fig. 2. Type 1 comprises sites with statistically significant main effects of the type of the session (Ex vs. Comb) and brain stimulation (Stim vs. Nonstim) and nonsignificant interactions. Functionally, the effects of brain stimulation on HR were additive to the tachycardia of exercise or operant attenuation of the tachycardia of exercise. In type 2 sites, the effects of electrical stimulation were also imposed on the tachycardia of exercise, but learned attenuation of exercise disappeared. Statistically this type was expressed by a significant effect of stimulation, but nonsignificant effect of the session type; the interaction was also nonsignificant. Type 3 effects were statistically expressed in a significant main effect of the session type, but nonsignificant main effect of stimulation and nonsignificant interaction. Functionally, the effect of electrical stimulation was HR attenuation in both Ex and Comb sessions. In type 4 sites, the main effects of session type and the interaction were always significant, whereas main effects of stimulation were significant for some sites and nonsignificant for others. Functionally, in Comb sessions, the effect of electrical stimulation that induced an increase of HR was attenuated, and the effect of electrical stimulation that induced a decrease of HR was accentuated.
Type 1 effects were observed during stimulation of the brain sites located in DM (site 20), VM (sites 5 and 18), nucleus ventralis posterior inferior thalami (VPI; site 19), and PC (sites 6 and 12). Stimulation of most of the sites caused an increase of HR. Only stimulation of the VPI (site 19) produce a decrease of HR.
Type 2 effects were observed during electrical stimulation of brain sites in intralaminar thalamic nucleus [2 points in nucleus paracentralis (PrC), sites 7 and 8; nucleus central median (CM), site 13; and nucleus parafascicularis, site 21], CN (site 22), or CC (sites 14, 15, and 24). Stimulation of all these sites, in the absence of exercise, produced an elevation of HR.
Type 3 effects were observed during electrical stimulation of brain sites in CL (sites 16 and 23). Electrical stimulation of brain sites of three areas was responsible for the type 4 effects: MD (site 4), VA (sites 1-3, 9, 10, and 17), and CCr (site 11). Stimulation of the site in MD (site 4) produced an elevation of HR in the control condition. Activation of one site in VA (site 3) produced tachycardia, but three sites in VA (sites 1, 9, and 10) evoked the reduction of HR in the control condition. Stimulation of CCr site (site 11) and two sites in VA (sites 2 and 17) produced biphasic effects in the control condition.
Figure 3 is the model we are proposing to characterize the effects seen in this study. Type 1 sites act directly on HR control centers to modulate HR changes that are initiated elsewhere. Stimulation in these sites increased HR equivalently in Ex and Comb sessions and appears to play no role in central command. Type 2 sites also act directly on HR control centers. However, they have the added effect of abolishing the ability of the animal to control HR voluntarily. These sites probably play a role in central command, but it is not clear from the present studies whether they override learned control of HR or inhibit it. Another possibility is that they interact with the punitive effects of tail shock, so that it is no longer effective as an aversive stimulus. Behaviorally, this last effect would be called extinction. Type 3 sites interact with the electrical stimulation so as to attenuate its effects similarly during Ex and Comb sessions. It is not clear whether the cardiac effects of these sites are overridden whenever the subject is behaving because the performance factors, i.e., exercise with or without learned HR attenuation, block their direct effects on the HR control centers or because the contingency (tail shock) interacts with their effects in operant conditioning integrative centers, as we have hypothesized. Thus their role in central command is uncertain. Finally, type 4 sites show different effects dependent on whether Ex or Comb is operative: during Ex, the electrical brain stimulation adds to the tachycardia of exercise; however, during Comb, stimulation is significantly attenuated. In contrast to type 2 and 3 sites, brain stimulation in type 4 sites is unlikely to interact with the tail shock contingency, since the HR response differs with the experimental condition during type 4 site stimulation but is similar during type 2 and 3 site stimulation. Therefore, according to our model, type 4 sites act on the operant conditioning integrative centers and play a role in central command.
In a normal setting, exercise is a behavioral phenomenon, initiated and maintained by environmental contingencies. Central command is a synonym for this reality. We believe that this study has provided a model for studying some of its neural mechanisms.
The authors express their gratitude to Dr. M. Mishkin, Dr. E. Murray, and T. Fobbs (Laboratory of Neuropsychology, National Institute of Mental Health) for help with histological verification of brain sites.
Address for reprint requests: M. Talan, Lab. of Cardiovascular Sciences, Gerontology Research Center, 4940 Eastern Ave., Baltimore, MD 21224.
Received 24 February 1997; accepted in final form 18 June 1997.
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