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J Appl Physiol 85: 372-376, 1998;
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Vol. 85, Issue 1, 372-376, July 1998

RAPID COMMUNICATION
NF-kappa B induction during in vivo hypoxia in dorsocaudal brain stem of rat: effect of MK-801 and L-NAME

Evelyne Gozal, Narong Simakajornboon, and David Gozal

Constance S. Kaufman Pediatric Pulmonary Research Laboratory, Departments of Pediatrics and Physiology, Tulane University School of Medicine, New Orleans, Louisiana 70112

    ABSTRACT
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Abstract
Introduction
Methods
Results
Discussion
References

In the nucleus of the solitary tract, NMDA receptors are critical for the hypoxic ventilatory response while neuronal nitric oxide synthase (NOS) modulates the late component of this response. Nuclear factor (NF)-kappa B is a ubiquitous transcription factor that increases the expression of multiple stress-activated genes. We sought to examine temporal changes in expression of NF-kappa B within the dorsocaudal brain stem of conscious rats after exposures to 10% O2. Time-dependent increases in NF-kappa B occurred with hypoxia and peaked at 60 min. Pretreatment with the N-methyl-D-aspartate (NMDA)-receptor channel antagonist dizocilpine maleate (MK-801) markedly attenuated NF-kappa B complexes during hypoxia. In contrast, after NOS inhibition with NG-nitro-L-arginine methyl ester (L-NAME), although NF-kappa B was diminished in normoxia, increased NF-kappa B expression still occurred with hypoxia. Increased phosphorylation of the NF-kappa B regulatory unit [inhibitory (I)kappa B] was detected by immunoblotting and also peaked at 60 min. Phosphorylation of Ikappa -B during hypoxia was attenuated by MK-801 but not by L-NAME. Thus NMDA-receptor activation in the dorsocaudal brain stem during hypoxia elicits in NF-kappa B activity marked enhancements that are unaffected after NOS blockade.

nuclear factor-kappa B; NG-nitro-L-arginine methyl ester; hypoxia; transcription factors; nitric oxide; glutamate; N-methyl-D-aspartate

    INTRODUCTION
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Abstract
Introduction
Methods
Results
Discussion
References

NUCLEAR FACTOR-kappa B (NF-kappa B) is a family of hetero- or homodimer proteins with DNA-binding and transcription-activation capacities that is ubiquitously involved in the regulation of various stress-related genes. NF-kappa B activation is an early inducible event that does not require de novo protein synthesis (2). Inactive NF-kappa B is located in the cytosol and is bound to inhibitory-kappa B (Ikappa B), a regulatory protein (2, 5, 13). Ikappa B phosphorylation on Ser 32 and Ser 36 by different regulatory kinases dissociates Ikappa B from the NF-kappa B complex, targeting Ikappa B for degradation and NF-kappa B for translocation to the nucleus. In the nucleus, NF-kappa B binds to DNA and activates the transcription of several genes (2-5). An alternative mechanism for NF-kappa B activation has recently been described in reoxygenated Jurkat cells after anoxic exposure and appears to involve Ikappa B tyrosine phosphorylation and translocation of NF-kappa B to the nucleus but without Ikappa B degradation (10). Thus cell- and stimulus-dependent mechanisms may be involved in NF-kappa B activation.

The nucleus tractus solitarius (NTS) within the dorsocaudal brain stem is the first central relay of peripheral chemoreceptor and baroreceptor afferent inputs (11). During hypoxia, increased glutamate release occurs within the NTS of awake rats, leading to activation of N-methyl-D-aspartate (NMDA) glutamate receptors, which are critical to the ventilatory and cardiovascular responses to hypoxia (14, 16). Conversely, the NMDA-receptor inhibitor {(+)-5-methyl-10,11-dihydro-5H-dibenzo[a,d]cyclopenten-5,10-imine hydrogen maleate} (dizocilpine maleate or MK-801) markedly attenuates the ventilatory response to hypoxia (1, 14, 16). In addition, increased nitric oxide (NO) release after NMDA-receptor activation during hypoxia modulates the late phase of the hypoxic ventilatory response (6-8, 15). Thus increased understanding of intracellular regulatory processes in general, and particularly of the transcription factors that are activated by NMDA glutamate-receptor channel opening, could lead to identification of putative genes playing a functional role in the ventilatory response to hypoxia. An obvious candidate for such transcriptional regulation could be NF-kappa B. However, the pattern of NF-kappa B activation within brain stem regions subserving a respiratory task in response to hypoxia is currently unknown.

In this study, we examined whether a physiological hypoxic stimulus in awake rats was associated with NF-kappa B activation within the dorsocaudal brain stem. Furthermore, we sought to determine whether pharmacological inhibition of NMDA receptor or NO production would modify the NF-kappa B response to hypoxia in the dorsocaudal brain stem of freely behaving rats.

    METHODS
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Abstract
Introduction
Methods
Results
Discussion
References

Animals and surgery. The experimental protocols were approved by the Institutional Animal Use and Care Committee. To determine the time course of NF-kappa B activation and Ikappa B phosphorylation, unrestrained Sprague-Dawley adult rats weighing 200-350 g underwent a hypoxic challenge (10% O2-90% N2) in a whole body plethysmographic chamber for 0, 30, 60, 90, and 180 min. To assess the effect of NMDA receptor or NOS blockade on baseline and hypoxic NF-kappa B activation and Ikappa B phosphorylation (Ikappa B-P) in the dorsocaudal brain stem, animals were injected with MK-801 (3 mg/kg ip; RBI, Natick, MA) or with NG-nitro-L-arginine methyl ester (L-NAME, 100 mg/kg ip; Alexis, San Diego, CA) and were exposed to either room air (RA) or to 10% O2-90% N2 for 60 min (H).

Animals were killed with a pentobarbital sodium overdose. The skull was rapidly opened. The brain was extracted, immediately placed in ice-cold artificial cerebrospinal fluid, and dissected under surgical microscopy. The obex was visually identified, and a coronal section 1-mm caudal to 1-mm rostral to the obex was performed. The dorsal regions of this section containing the dorsocaudal brain stem were identified, carefully removed by using a 17-gauge thin-walled hypodermic needle for punch sampling, and stored at -70°C. Approximately 5-10 mg of dorsocaudal brain stem tissue were obtained from each rat.

Electrophoretic mobility shift assay (EMSA). For each experiment, dorsocaudal brain stem tissue from two or three rats exposed to H and RA (control) was minced on ice and homogenized with a Dounce homogenizer in buffer A [0.32 M sucrose, 3 mM magnesium chloride, 0.5 mM EGTA, 1 mM HEPES 0.1% Triton X-100, 0.5 mM phenylmethylsulfonyl fluoride (PMSF), 10 µg/ml aprotinin, and 10 µg/ml leupeptin]. Homogenates were filtered and centrifuged at 4°C at 700 g for 10 min. Pellets were resuspended in lysis buffer B [20 mM HEPES, 125 nM sodium chloride, 5 mM magnesium chloride, 12% vol/vol glycerol, 5 mM dithiothreitol (DTT), 0.5 mM PMSF, 10 µg/ml aprotinin, and 10 µg/ml leupeptin], sonicated on ice for 15 s, and centrifuged at 14,000 rpm at 4°C. Protein concentration was determined by using a Bio-Rad DC protein assay (Bio-Rad, Hercules, CA), and samples were stored at -70°C until use.

For EMSA, NF-kappa B consensus oligonucleotide 5'-GGGGACTTTCCC-3' (Santa Cruz Biotechnology, Santa Cruz, CA) was end labeled with [gamma -32P]ATP and T4 polynucleotide kinase (GIBCO-BRL Life Technologies, Gaithersburg, MD) and purified by using Sephadex G-25 columns (Pharmacia Biotech, Uppsala, Sweden). Five micrograms of protein from crude nuclear extract were mixed with the labeled probe and buffer [10 mM HEPES, 7.2% vol/vol glycerol, 3 mM magnesium chloride, 3 mM DTT, 3 µl Nonidet P-40, 60 µg BSA, 360 µg spermidine, 1.5 µg poly(dI-dC) (Pharmacia Biotech)] in a total volume of 20-µl and incubated to allow NF-kappa B binding to the probe. DNA-protein complexes were separated on 6% polyacrylamide gels (Novex, San Diego, CA), the gel was vacuum dried, and labeled complexes were detected by autoradiography. Competition assays were performed by using ×400 excess unlabeled probe or NF-kappa B mutant oligonucleotide (Santa Cruz Biotechnology). Supershifts were performed by adding antibodies to the p50 and p65 subunits of NF-kappa B to the binding mixture (Santa Cruz Biotechnology).

Western blots. For each immunoblot analysis, dorsocaudal brain stem tissue from three or four control (RA) and H rats was homogenized in 0.4 ml lysis buffer (50 mM Tris, pH 7.5; 0.4% vol/vol Nonidet, 10% vol/vol glycerol, 150 mM sodium chloride, 2 µg/ml leupeptin, 1 µg/ml aprotinin, 10 mM EDTA, 100 mM sodium fluoride, 1 mM vanadate), briefly sonicated, left on ice for 1 h, and centrifuged at 14,000 rpm at 4°C for 10 min. Protein concentration of the supernatants was determined by using a Bio-Rad DC protein assay (Bio-Rad). Lysates were stored at -70°C until use. Then 75 µg protein per sample were separated on 10% SDS-polyacrylamyde gels (Novex) and electroblotted onto 0.2-µm nitrocellulose membranes. Membranes were blocked for 1 h with 5% milk in 0.05% Tween-20 in Tris-buffered saline (TBS-T) and incubated overnight with affinity-purified rabbit polyclonal antibodies raised against phosphorylated Ikappa B-alpha (Ikappa B-alpha -P) (1:100) or against total Ikappa B-alpha (Ikappa B-alpha -T) [1:500; PhosphoPlus-Ikappa B-alpha (Ser 32) antibody kit; New England Biolabs, Beverly, MA] in 5% milk in TBS-T. The antibody concentrations were derived from preliminary experiments in which a control lysate (New England Biolabs) was included and was observed to migrate to the expected molecular weight and comigrate with the band obtained from the dorsocaudal brain stem lysate. Membranes were extensively washed with TBS-T and incubated with horseradish peroxidase-linked anti-rabbit antibody in 5% milk in TBS-T. Excess antibody was washed out, and proteins were visualized by using an enhanced chemiluminescence detection method.

Data analysis. As mentioned above, each sample consisted of pooled dorsocaudal brain stem tissue harvested from 2-4 rats for each experimental condition. Four samples (time-course experiments for NF-kappa B and experiments on Ikappa B-T and Ikappa B-P) or five samples (MK-801 and L-NAME experiments for NF-kappa B) were assayed. The bands corresponding to NF-kappa B, Ikappa B-T, and Ikappa B-P were scanned, and densitometric values were subjected to two-way ANOVA followed by Newman-Keuls post hoc tests for multiple comparisons. For presentation purposes, the means of the individual ratios of densitometric values for NF-kappa B during hypoxia (10% O2) divided by the densitometric values for NF-kappa B during normoxia (RA) were calculated for vehicle, MK-801, and L-NAME treatments. Similarly, the mean Ikappa B-P/Ikappa B-T ratios were calculated for the three different treatments during normoxia [control (C) + RA, MK-801 + RA, and L-NAME + RA], and the three treatments during hypoxia (C + H, MK-801 + H, and L-NAME + H).

    RESULTS
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Methods
Results
Discussion
References

An increase in NF-kappa B binding to DNA in the dorsocaudal brain stem of rats after hypoxia was detected at 30 min, peaked at 60 min, and slowly decreased at 90 and 180 min (Fig. 1A; top, lanes 2-6). These results were consistently reproduced in four different experiments.


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Fig. 1.   A (top): time course of nuclear factor-kappa B (NF-kappa B) activation during hypoxia within dorsocaudal brain stem. Lane 1: 60 min hypoxia and ×400 excess unlabeled oligonucleotide; lane 2: normoxia; lane 3: 30-min hypoxia; lane 4: 60-min hypoxia; lane 5: 90-min hypoxia; lane 6: 180-min hypoxia; lane 7: 60-min hypoxia and antibody against p50; lane 8: 60-min hypoxia and antibody against p65. A (bottom): lane 1: unlabeled oligonucleotide; lane 2: normoxia; lane 3: 60-min hypoxia; lane 4: normoxia and NG-nitro-L-arginine methyl ester (L-NAME); lane 5: 60-min hypoxia and L-NAME; lane 6: normoxia and MK-801; lane 7: 60-min hypoxia and MK-801; lane 8: 60-min hypoxia and ×400 excess unlabeled oligonucleotide; lane 9: 60-min hypoxia and mutant oligonucleotide. B: ratios (means ± SE) of NF-kappa B scanning-densitometry values of dorsocaudal brain stem nuclear extracts harvested from either hypoxic (10% O2-90% N2) or normoxic [room air (RA)] rats treated with vehicle (control), MK-801, and L-NAME (n = 5 samples). MK-801 vs. control or L-NAME, P < 0.01.

Phosphorylation of NF-kappa B regulatory unit Ikappa B is associated with the release of NF-kappa B, allowing its translocation to the nucleus and binding to DNA. Increases in Ikappa B-P at 30 min and decreases at 180 min of hypoxia were consistently observed in Western blots of dorsocaudal brain stem lysates (n = 4; Fig. 2A) compared with normoxic rats, thereby confirming the EMSA findings.


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Fig. 2.   A (top): immunoblots of dorsocaudal brain stem lysates of total Ikappa B (Ikappa B-T; top row) and phosphorylated Ikappa B (Ikappa B-P; second row) at 0 min (lane 2), 30 min (lane 3), 60 min (lane 4), 90 min (lane 5), and 180 min (lane 6) of a 10% O2 hypoxic challenge. Lane 1 corresponds to control lysate. Third row: immunoblots of dorsocaudal brain stem lysates of Ikappa B-T. Bottom row: Ikappa B-P. Lane 1: control lysate; lane 2: normoxia; lane 3: 60-min hypoxia; lane 4: normoxia and MK-801; lane 5: 60-min hypoxia and MK-801; lane 6: normoxia and L-NAME; lane 7: 60-min hypoxia and L-NAME. B: ratios (means ± SE) of Ikappa B-P and Ikappa B-T scanning densitometry values of dorsocaudal brain stem lysates harvested from normoxic rats (n = 4 samples) treated with vehicle [control (C) + RA], MK-801 (MK-801 + RA), and L-NAME (L-NAME + RA) and from hypoxic (H) rats [n = 4 samples; C + H, MK-801 + H, and L-NAME + H]. MK-801 + H vs. C + H, P < 0.02; L-NAME + H vs. C + H; P = not significant.

Administration of MK-801 to normoxic rats increased formation of NF-kappa B/DNA complex but markedly attenuated the increase in NF-kappa B binding to DNA after 60 min of hypoxia (Fig. 1B; n = 5). In contrast, L-NAME treatment was associated with marked reductions in binding of NF-kappa B to DNA in the dorsocaudal brain stem of normoxic rats (Fig. 1B; n = 5). However, the increase in NF-kappa B activation with 60 min of hypoxia was not affected by L-NAME (Fig. 1B). In addition, 60 min of exposure to 5% CO2-balance RA did not elicit significant changes in NF-kappa B/DNA complex formation (n = 2).

As with EMSA experiments, Ikappa B-P was mildly increased by MK-801 in the pooled dorsocaudal brain stem tissue lysate of four groups of normoxic rats (Fig. 2B). However, increases in Ikappa B-P with hypoxia were markedly blunted by MK-801 (Fig. 2B). Administration of L-NAME to normoxic rats decreased Ikappa B-P but did not modify the hypoxia-induced increase in Ikappa B-P (Fig. 2B).

    DISCUSSION
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Abstract
Introduction
Methods
Results
Discussion
References

The major findings of the present study include 1) the activation of NF-kappa B in the dorsocaudal brain stem of awake rats exposed to a relatively moderate hypoxic stimulus and 2) the modulation of such hypoxia-induced activation by NMDA-glutamate receptors but not by NO synthase (NOS) activity.

Glutamate activation of NF-kappa B has been previously observed in primary neuronal cell cultures (12) and may also display some cell specificity. Indeed, glutamate selectively induced NF-kappa B activation in cerebellar granules but not in astrocytes. In the latter, however, NF-kappa B could be activated by other stimuli, such as tumor necrosis factor-alpha and interleukin (9). It is now well established that NMDA receptors within the NTS are critical for development of the ventilatory response to hypoxia (1, 14, 16). Hypoxia will lead to increased peripheral chemoreceptor afferent discharge, which is associated with increases in NTS glutamate concentration (1, 14, 16), such that NF-kappa B activation in the dorsocaudal brain stem during hypoxia could be related to the increased glutamate release and NMDA-receptor channel activation that occur within this particular brain stem region. It is important to emphasize, however, that other stress-related pathways, as well as other glutamate receptors, such as alpha -amino-3-hydroxy-5-methyl-4-isoxazole proprionic acid (AMPA) and kainate glutamate receptors, could also contribute to overall NF-kappa B activation (17). Notwithstanding these possibilities, the attenuation of NF-kappa B activation by MK-801 and the absence of changes in NF-kappa B activity during hypercapnia are highly suggestive that NMDA receptors are indeed involved in NF-kappa B activation by hypoxia.

Activation of NMDA receptors may induce calcium elevations, either by voltage-dependent calcium channel opening or by release of intracellular calcium stores. Such a calcium signal will in turn bind calmodulin and activate NOS to produce NO. Current evidence suggests that NO influences neurotransmitter release through activation of cGMP-dependent protein-phosphorylation cascades or, alternatively, rapidly diffuses to the presynaptic neuron, where it modulates glutamate release (19). Thus, NO could modify glutamatergic pathways underlying the ventilatory response to hypoxia (6-8, 15). Within the framework of such a NMDA-NO pathway, if Ikappa B-P were independent of NOS activation, then L-NAME should not modify NF-kappa B activity. Alternatively, if NO release modifies Ikappa B-P, L-NAME should reduce NF-kappa B activation. We found that L-NAME reduced basal NF-kappa B activity during normoxia but failed to modify the NF-kappa B response to hypoxia. In light of the putative role played by NO as a retrograde messenger, the marked decrease in NF-kappa B activation in the dorsocaudal brain stem of unstimulated animals could be related to decreased glutamate release from presynaptic neurons after L-NAME administration rather than being caused by a direct NO effect on NF-kappa B activation. During hypoxia, increased glutamate release would still occur in the L-NAME-treated animals (15), and, therefore, increased NF-kappa B activation would ensue. Thus, in view of our findings, we postulate that Ikappa B-P and NF-kappa B activation occur upstream from NOS activation.

In a recent study (20), NO donors downregulated NF-kappa B activity of primary glial cell cultures, whereas increases in NF-kappa B activity occurred in astrocytes after >= 4 h of treatment with L-NMMA, a competitive NOS inhibitor. Our observation of decreased NF-kappa B activity during normoxia appears to be in contradiction with such findings. However, several factors may account for such disparities. First, the time frame and experimental conditions differ markedly between these two studies. Second, NOS inhibitors could have affected overall Ikappa B expression. The levels of Ikappa B-T protein were not changed after L-NAME administration in either normoxia or hypoxia, with only Ikappa B-P being reduced by L-NAME during normoxia, thus excluding the possibility of enhanced protein degradation by the NOS inhibitor in vivo. Third, L-NAME induces a sustained elevation of blood pressure in unrestrained rats (8), and this could lead to significant attenuation of peripheral baroreceptor input to the NTS, thereby reducing basal NF-kappa B activity. Alternatively, as mentioned above, L-NAME could have reduced the retrograde positive- feedback release of glutamate, leading to decreased NMDA-receptor activation, which in turn could have attenuated basal NF-kappa B activity.

In summary, we have shown that NF-kappa B is activated by hypoxia in the rat dorsocaudal brain stem, apparently through NMDA glutamate-receptor activation. The significance of such NF-kappa B activation, as it may relate to identification of NF-kappa B-regulated genes, which could be induced in the rat dorsocaudal brain stem by increased glutamatergic synaptic transmission, remains to be elucidated. The recent description of cyclooxygenase-2 gene induction by NF-kappa B during hypoxia in vascular endothelial cells (18) may represent an initial step in such direction.

    ACKNOWLEDGEMENTS

This study was supported in part by grants from National Institute of Child Health and Human Development (HD-01072) and the Maternal and Child Health Bureau (MCJ-229163) and by a Career Development Award from the American Lung Association (CI-002-N).

    FOOTNOTES

Address for reprint requests: D. Gozal, Sect. of Pediatric Pulmonology, SL-37, Dept. of Pediatrics, Tulane Univ. School of Medicine, 1430 Tulane Ave., New Orleans, LA 70112 (E-mail: dgozal{at}tmcpop.tmc.tulane.edu).

Received 13 November 1997; accepted in final form 12 March 1998.

    REFERENCES
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Abstract
Introduction
Methods
Results
Discussion
References

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2.   Baeuerle, P. A., and T. Henkel. Function and activation of NF-kappa B in the immune system. Annu. Rev. Immunol. 12: 141-79, 1994[Medline].

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4.   Claudio, E., F. Segade, K. Wrobel, S. Ramos, R. Bravo, and P. S. Lazo. Molecular mechanisms of TNF-alpha cytotoxicity: activation of NF-kappa B and nuclear translocation. Exp. Cell Res. 224: 63-71, 1996[Medline].

5.   Ghosh, S., and D. Baltimore. Activation in vitro of NF-kappa B by phosphorylation of its inhibitor Ikappa B. Nature 344: 678-682, 1990[Medline].

6.   Gozal, D., E. Gozal, Y. M. Gozal, and J. E. Torres. Nitric oxide synthase isoforms and peripheral chemoreceptor stimulation in conscious rats. Neuroreport 7: 1145-1148, 1996[Medline].

7.   Gozal, D., E. Gozal, J. E. Torres, Y. M. Gozal, T. J. Nuckton, and P. J. Hornby. Nitric oxide modulates ventilatory responses to hypoxia in the developing rat. Am. J. Respir. Crit. Care Med. 155: 1755-1762, 1997[Abstract].

8.   Gozal, D., J. E. Torres, Y. M. Gozal, and S. M. Littwin. Effect of nitric oxide synthase inhibition on cardiorespiratory responses in the conscious rat. J. Appl. Physiol. 81: 2068-2077, 1996[Abstract/Free Full Text].

9.   Guerrini, L., F. Blasi, and S. Denis-Donini. Synaptic activation of NFkappa B by glutamate in cerebellar granules neurons in vitro. Proc. Natl. Acad. Sci. USA 92: 9077-9081, 1995[Abstract/Free Full Text].

10.   Imbert, V., R. A. Rupec, A. Livolsi, H. L. Pahl, E. Britta-Mareen Traenckner, C. Mueller-Dieckmann, D. Farahifar, B. Rossi, P. Auberger, P. A. Baeuerle, and J. F Peyron. Tyrosine phosphorylation of I kappa B-alpha activates NF-kappa B without proteolytic degradation of I kappa B-alpha. Cell 86: 787-798, 1996[Medline].

11.   Jordan, D., and K. M. Spyer. Brainstem integration of cardiovascular and pulmonary afferent activity. Prog. Brain Res. 67: 295-314, 1986[Medline].

12.   Kaltschmidt, C., B. Kaltschmidt, and P. A. Baeuerle. Stimulation of ionotropic glutamate receptors activates transcription factor NF-kappa B in primary neurons. Proc. Natl. Acad. Sci. USA 92: 9618-9622, 1995[Abstract/Free Full Text].

13.   Liou, H. C., and D. Baltimore. Regulation of the NF-kappa B/rel transcription factor and Ikappa B inhibitor system. Curr. Opin. Cell Biol. 5: 477-487, 1993[Medline].

14.   Mizusawa, A., H. Ogawa, Y. Kikuchi, W. Hida, H. Kurosawa, S. Okabe, T. Takishima, and K. Shirato. In vivo release of glutamate in nucleus tractus solitarii of the rat during hypoxia. J. Physiol. (Lond.) 478: 55-65, 1994[Medline].

15.   Ogawa, H., A. Mizusawa, Y. Kikuchi, W. Hida, H. Miki, and K. Shirato. Nitric oxide as a retrograde messenger in the nucleus tractus solitarii of rats during hypoxia. J. Physiol. (Lond.) 486: 495-504, 1995[Medline].

16.   Ohtake, P. J., J. E. Torres, Y. M. Gozal, G. R. Graff, and D. Gozal. NMDA receptors mediate cardiorespiratory responses to afferent peripheral chemoreceptor input in the conscious rat. J. Appl. Physiol. 84: 853-861, 1998[Abstract/Free Full Text].

17.   O'Neill, L. A. J., and C. Kaltschmidt. NFkappa B: a crucial transcription factor for glial and neuronal cell function. Trends Neurosci. 20: 252-258, 1997[Medline].

18.   Schmedtje, J. F., Y. S. Ji, W. L. Liu, R. N. DuBois, and M. S. Runge. Hypoxia induces cyclooxygenase-2 via the NF-kappa B p65 transcription factor in human vascular endothelial cells. J. Biol. Chem. 272: 601-608, 1997[Abstract/Free Full Text].

19.   Schuman, E. M., and D. V. Madison. Nitric oxide and synaptic function. Annu. Rev. Neurosci. 17: 153-183, 1994[Medline].

20.   Togashi, H., M. Sasaki, E. Frohman, E. Taira, R. R. Ratan, T. M. Dawson, and V. L. Dawson. Neuronal (type I) nitric oxide synthase regulates nuclear factor kappa B activity and immunologic (type II) nitric oxide synthase expression. Proc. Natl. Acad. Sci. USA 94: 2676-2680, 1997[Abstract/Free Full Text].


J APPL PHYSIOL 85(1):372-376
8570-7587/98 $5.00 Copyright © 1998 the American Physiological Society



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