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Department of Animal Biology, School of Veterinary Medicine, and Center for Sleep and Respiratory Neurobiology, University of Pennsylvania, Philadelphia, Pennsylvania 19104-6046
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ABSTRACT |
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The A5 noradrenergic neurons are considered important for cardiorespiratory regulation. We hypothesized that A5 cells are silenced during rapid eye movement (REM) sleep, thereby contributing to cardiorespiratory changes and suppression of hypoglossal (XII) motoneuronal activity. We used an anesthetized, paralyzed, and artificially ventilated rat in which pontine microinjections of carbachol trigger signs of REM sleep, including hippocampal theta rhythm, motor suppression, and silencing of locus coeruleus neurons. All 16 putative noradrenergic A5 cells recorded were strongly suppressed when the REM sleep-like episodes were elicited and also after intravenous clonidine. Antidromic mapping showed that none of six neurons tested projected to the XII nucleus, whereas three of five projected to the nucleus of the solitary tract and two of four to the rostral ventrolateral medulla. Bilateral microinjections of clonidine into the A5 regions did not alter XII nerve activity. These data suggest that A5 neurons are silenced during natural REM sleep. This will lead to decreased norepinephrine release and may alter synaptic transmission in the nucleus of the solitary tract and rostral ventrolateral medulla without, however, a detectable impact on XII motoneurons.
hypoglossal motoneurons; norepinephrine; nucleus of the solitary tract; pons; rapid eye movement sleep
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INTRODUCTION |
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THE NOREPINEPHRINE-CONTAINING neurons of the A5 group, located in the ventrolateral pons between the root of the facial nerve and the superior olive, are considered important regulators of cardiorespiratory function (reviewed in Refs. 11, 24, 25, 45, 46). They have extensive axonal projections that include cardiorespiratory and motor regions of the brain stem and spinal cord (1, 8, 9, 23, 36). Through these projections, they may control, among others, sympathetic and respiratory outputs and, via projection to the hypoglossal (XII) motor nucleus, may mediate noradrenergic excitation of XII motoneurons (5, 22, 27, 40, 49). XII motoneurons are of particular interest because they innervate the genioglossus muscle of the tongue, an important airway dilator. Its decreased activity during sleep contributes, in predisposed individuals, to the pathophysiology of the obstructive sleep apnea syndrome (34).
The noradrenergic neurons of the locus coeruleus (LC) and the sub-LC region show a robust relationship of their firing frequency with the sleep-wake cycle: the highest activity occurs during wakefulness, and the lowest during the rapid eye movement (REM) stage of sleep (6, 43). Consistent with these findings, the extracellular level of norepinephrine is reduced in the XII nucleus during the motor atonia produced by electrical stimulation of the pontine reticular formation region implicated in the triggering of REM sleep (35). The noradrenergic cells of the A5 group may be similarly modulated with the sleep-wake cycle, but this has not been tested. Their reduced or abolished activity during sleep would contribute to the withdrawal of the effects that these neurons exert on their postsynaptic targets, including their putative excitatory postsynaptic effects on XII motoneurons.
To gain insight into changes in A5 cell activity that may occur during REM sleep, we used a recent variant of many carbachol models of REM sleep that have been developed since pontine cholinergic mechanisms were identified as crucial for generation of this state (reviewed in Refs. 7, 33). In the model that we used, carbachol, a cholinergic agonist, is microinjected into the dorsomedial pons of urethane-anesthetized, paralyzed, vagotomized, and artificially ventilated rats to produce REM sleep-like signs comprising cortical electroencephalogram (EEG) activation, hippocampal theta rhythm, suppression of XII nerve activity, and silencing of noradrenergic cells of the LC. This approach offers stable experimental conditions, whereas the XII nerve and two forebrain signals (cortical and hippocampal) provide the outputs by which one can assess the similarity of the carbachol-elicited condition to REM sleep. The REM sleep-like episodes can be elicited repeatedly, thus offering a tool with which one can characterize changes in neuronal activity and use invasive techniques to map neuronal projections.
Because A5 neurons have widespread projections, we focused our study on those A5 cells that project toward the dorsomedial medulla, including the XII nucleus, and to the rostral ventrolateral medulla (RVLM), another target of A5 neurons important for cardiorespiratory control (11, 24, 25, 45). We used the antidromic mapping technique to identify axonal projections of A5 neurons and assessed changes in their activity at the time when carbachol elicited REM sleep-like signs. Preliminary reports were published (19, 20).
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METHODS |
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Animal preparation and recording procedures. Experiments were performed on 24 adult Sprague-Dawley rats [body weight: 395 ± 48 (SD) g]. The procedures for anesthesia, surgery, and recording followed the guidelines of the Institute for Laboratory Animal Research and were approved by the Institutional Animal Care and Use Committee of the University of Pennsylvania.
The animals were anesthetized with isofluorane (2%) followed by urethane (1 g/kg ip, supplemented by 50-mg iv injections as needed). The trachea was exposed and intubated, and a femoral artery and vein were cannulated for arterial blood pressure monitoring and fluid injections, respectively. One XII nerve was cut peripherally, freed from the surrounding tissue, and placed in a cuff-type recording electrode (18). Both vagi were cut in the neck to enhance XII nerve activity and make it independent of lung volume feedback. The animal was placed in a stereotaxic head holder; two openings were drilled in the caudal, medial aspect of the right parietal bone; and the dura was removed for insertion of a carbachol-containing pipette and hippocampal recording electrode. Another opening was made in the interparietal bone for inserting a recording or microinjection pipette into the A5 region. The caudal medulla was exposed by a posterior fossa craniotomy to insert a stimulating electrode. For monitoring the cortical EEG, two screws were attached to the scull: one in the frontal bone 2 mm anterior and 2 mm to the right and one into the parietal bone 3 mm posterior and 2 mm to the left of the bregma. To record hippocampal activity, two insulated wires with tips separated by 0.8 mm were placed in the dorsal hippocampus, 3.7 mm posterior to and 2.2 mm to the right of the bregma and 2.4 mm below the cortical surface. The position of this electrode was adjusted to maximize the amplitude of the theta rhythm elicited by a strong foot pinch. The animals were paralyzed (pancuronium bromide, 2 mg/kg iv, supplemented with 1 mg/kg injections as needed) and artificially ventilated with an air-oxygen mixture (final O2 concentration 30-60%) at 50-70 lung inflations/min. Intravenous fluids (124 mM NaCl, 30 mM NaHCO3, 2% glucose) were continuously infused at a rate of 3 ml · kg
1 · h
1. After
paralysis, the level of anesthesia was assessed by continuously monitoring the arterial blood pressure and XII nerve activity and
intermittently applying a pinch to the tail or hindlimb. A regular
respiratory rhythm, steady XII nerve electroneurogram, and blood
pressure, and only transient changes in cortical and hippocampal
signals, similar to those before paralysis, indicated that the animal
was adequately anesthetized. The rectal temperature and end-expiratory
CO2 (Columbus Instruments capnograph) were continuously
monitored. All recordings were obtained from animals with a systolic
arterial blood pressure >85 mmHg, rectal temperature of
36-37°C, and end-expiratory CO2 adjusted to maintain
a steady respiratory modulation of XII nerve activity (5-6%).
Electrophysiological recordings and stimulation.
Extracellular single-cell activity was recorded with glass pipettes
having tip diameters of 2.5-3.0 µm and filled with 0.5 M Na
acetate and 2% Pontamine blue, which had a resistance of 4-5 M
at 1 kHz. The pipettes were held in a hydraulic manipulator (Haer) and
inserted at an angle of 7° lateral to avoid penetration of the
lateral sinus. The recording sites were marked by the iontophoretic deposition of Pontamine blue dye (5 µA, 10 min) (Fig.
1).
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; FHC). The electrodes were inserted
in the medulla to stimulate either the RVLM region at a depth of
2.0-3.5 mm or the dorsomedial medulla at a depth of 0.3-2.5
mm. Stimulation was performed by using single pulses of negative
current having an amplitude of 1-500 µA and a duration of 0.5 ms
(Grass S88). Antidromic activation was verified by using the collision
test. For each antidromically activated cell, the depth-threshold
relationship was obtained by moving the stimulating electrode in
50-µm steps. In each experiment, one stimulation site was marked with
an electrolytic lesion (20 µA, 40 s).
Carbachol and clonidine microinjections. For carbachol injections, a glass pipette (A-M Systems, tip diameter 20-30 µm) filled with 10 mM carbachol (carbamylcholine, Sigma Chemical) and 2% Pontamine in 0.9% saline was inserted into the dorsomedial pontine reticular formation by using surface landmarks established in earlier studies (50). Ten nanoliters of carbachol were injected over 10-20 s by applying pressure to the fluid in the pipette while monitoring the movement of the meniscus with a calibrated microscope. Only the effects of those injections that caused the characteristic REM sleep-like changes in the EEG and hippocampal signals (see RESULTS) were analyzed.
In some experiments, clonidine (RBI), an
2-adrenoceptor
agonist, was injected bilaterally into the A5 region (0.75 mM of clonidine and 2% Pontamine in 0.9% saline, 20-nl injections). The
pipettes of the same type and size as for carbachol were positioned in
a manner similar to the recording electrode for A5 neurons. Only the
effects of injections whose locations were confirmed histologically
were included in the analysis.
Experimental protocol and data analysis. The recorded cells were identified as putative noradrenergic A5 neurons when they fulfilled the following criteria (26, 32, 39, 42): 1) they had a low and steady firing rate (<5 Hz) and long-duration (>0.6 ms) action potentials; 2) their activity was inhibited by clonidine (2-4 µg iv); and 3) they were recorded in sites having coordinates corresponding to the location of the A5 group and subsequently found in the A5 region. In some cases, the presence of noradrenergic neurons at the recording site was additionally verified by tyrosine hydroxylase immunohistochemistry.
We searched with the recording electrode for cells in the A5 region while applying stimulating pulses (0.5 Hz) in either the RVLM or XII nucleus. Once a stable recording from a spontaneously active, putative A5 cell was achieved, with or without a response to antidromic activation, tests were performed in the following order: microinjection of carbachol into the pons, antidromic mapping of the cell's projections, and an intravenous injection of clonidine. For the effective carbachol injections, 30-s segments of records centered around the point of maximal response were analyzed. The measurements taken during these periods were compared with those obtained from a 30-s period preceding carbachol injections. The amplitude of XII nerve activity was measured from the moving average of the signal between the level in expiration, when there was usually no activity, and the peak activity in inspiration. Carbachol-induced changes were expressed relative to the amplitude of the respiratory modulation of XII nerve activity during the precarbachol period. The central respiratory rate was determined from the record of XII nerve activity. The durations of the carbachol responses were measured based on changes in hippocampal activity, which typically have a clear onset and offset (33). The latencies of the responses were assessed from the onset of the injection to the start of the response. In experiments with clonidine injections into the A5 region, measurements of XII nerve activity, respiratory rate, and blood pressure were performed at 30-s intervals, starting just before the first injection (baseline) and continuing past the second of the bilateral injections.Histology and immunohistochemistry. At the conclusion of the experiment, an overdose of urethane was injected (2 g/kg iv), one jugular vein was exposed and cut, and the animal was perfused intra-arterially with 50 ml of saline followed by 100 ml of phosphate-buffered 10% formalin. For identification of the stimulation and carbachol or clonidine injection sites, parasagittal or coronal 100-µm sections were cut on a vibratome, mounted, and counterstained with Neutral red. For identification of the recording sites, tissue blocks were cryoprotected in 30% sucrose, and 35-µm coronal or parasagittal sections were cut on a cryostat. Each recording, stimulation, and carbachol or clonidine injection site was placed on a corresponding standard cross section taken from a rat brain atlas (41).
For immunohistochemical verification that cell recordings were obtained from regions containing noradrenergic neurons, free-floating sections containing the recording site were incubated for 48-63 h at 4°C in phosphate-buffered saline containing anti-tyrosine hydroxylase antibodies (1:40,000; catalog number T-1299, Sigma Chemical), 0.2% Triton X, and 5% horse serum. Subsequently, they were successively incubated for 1 h at room temperature in biotinylated anti-mouse antibodies and avidin-biotin-horseradish peroxidase complex (ABC kit, Vector Laboratories). Horseradish peroxidase was then visualized by using diaminobenzidine and nickel ammonium sulfate, as previously described (16). Sections were mounted, counterstained with Neutral red, and coverslipped.Statistical analysis. Statistical analysis was performed by using SigmaStat (Jandel). ANOVA and paired or unpaired, two-tailed Student's t-tests were used to compare the measurements obtained after different treatments and the properties of different groups of cells. When t-tests were used, it was first verified that the data were normally distributed. The variability of the data is characterized by the SD. Differences were considered significant when P < 0.05.
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RESULTS |
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Behavior of A5 neurons during carbachol-induced REM sleep-like episodes. Because our goal was to assess the changes in the discharge of putative A5 cells during carbachol-induced REM sleep-like episodes, this report includes only the results from cells that were tested with carbachol and fulfilled our criteria for A5 noradrenergic neurons. Sixteen such cells were recorded in 16 rats. Their action potentials had a duration of 0.75 ± 0.1 ms and were followed by a slow afterpotential of opposite polarity (2.9 ± 1.5 ms). The mean control firing rate of these cells was 1.6 ± 1.0 Hz (range: 0.26-3.6 Hz). For eight cells, the brain sections containing the marked recording site were subjected to tyrosine hydroxylase immunohistochemistry. In all cases, noradrenergic neurons were found in close vicinity to the recording site (Fig. 1A). Fifteen of the 16 recording sites were recovered histologically; all were localized to a region dorsal, dorsolateral, and ventrolateral to the superior olive, near the roots of the facial nerve (Fig. 1B).
Each of the 16 cells was recorded during a pontine injection of carbachol that produced characteristic REM sleep-like changes in the cortical and hippocampal EEG and a profound suppression of XII nerve activity (33, 50). Figure 1C shows the location of 15 carbachol injection sites (one site was not recovered). The latency of the REM sleep-like episodes following the onset of the injection was 47 ± 44 s (range: 7-155 s), and their average duration was 3.1 ± 0.8 min (range: 1.6-4.7 min) (n = 16). In 14 out of the 16 cases, the baseline level of XII nerve activity was sufficiently high to assess its changes after carbachol. At the beginning of the carbachol-induced episodes, both XII nerve activity and respiratory rate decreased. The average maximal suppression of XII nerve activity was to 8.2 ± 15% (range: 0-41%) of control (P < 0.001; n = 14). In nine cases, the activity in the XII nerve was abolished after carbachol for 124 ± 57 s, making it impossible to determine the maximal slowing of the respiratory rate. When XII nerve activity was preserved throughout the episodes, the respiratory rate decreased from 50 ± 7 to 32 ± 13 breaths/min (P < 0.05; n = 5), or by 36 ± 23% of control, and the maximal suppression of XII nerve activity was to 36 ± 21% (range: 12-67%) of control. Thirteen of the 16 cells were silenced during the REM sleep-like episodes. One example is shown in Fig. 2A. The average cell firing rate decreased from 1.6 ± 1.0 to 0.1 ± 0.1 Hz and recovered to 1.3 ± 0.9 Hz after the episodes (n = 16). The average duration of the silent period was 143 ± 63 s (range: 41-265 s). The activity of the three cells that were not silenced was depressed from 2.9 ± 0.9 to 0.3 ± 0.07 Hz (P < 0.05). The dependence of the level of the cell's activity on the three successive conditions of the protocol (baseline, carbachol, and recovery) was highly significant when tested with one-way repeated-measures ANOVA (F2,15 = 37, P < 0.001). The post hoc pairwise comparisons with Bonferroni's correction revealed significant differences between the baseline level of activity and carbachol, and between carbachol and recovery, whereas the difference between baseline and recovery was not significant.
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Axonal projections of A5 neurons.
The axonal projections of 10 A5 cells were investigated. Figure
4 shows examples of antidromic responses
and collision tests for one cell whose two distinct axonal branches
were stimulated in the dorsomedial medulla. Stimulation of one branch
evoked an action potential with a latency of 26 ms (Fig. 4A)
and the other with a latency of 16 ms (Fig. 4C).
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Effects of bilateral inhibition of A5 cell activity by clonidine on XII nerve activity. Our findings indicated that the putative noradrenergic cells of the A5 region are spontaneously active under the control conditions of our experiments and become silent, or nearly silent, during carbachol-induced REM sleep-like episodes. The data also suggested that these cells had few or no axonal arborizations within the XII nucleus. Because the latter finding contrasted with retrograde tracing studies showing that A5 neurons project to the XII nucleus (1, 23), we considered the possibility that our study missed A5 cells with such projections.
To determine the impact of the simultaneous silencing of many A5 cells on XII nerve activity, we microinjected clonidine directly into the A5 region on both sides (Fig. 6). In eight rats, 20-nl injections of 0.75 mM clonidine were made first ipsilateral and then, 7.3 ± 1 min later, contralateral to the recorded XII nerve activity. The amount of clonidine per side was 1:1,000 of the amount sufficient to silence A5 neurons by systemic administration, with the volume selected to occupy a sphere of tissue having a diameter of 0.5 mm before diffusion (33, 38). No change in XII activity or blood pressure occurred within 3-5 min after either uni- or bilateral injections. After both injections, the level of XII nerve activity was not significantly different from the activity before the injections (106 ± 14% of control, P = 0.6; n = 8). The respiratory rate also did not change: it was 46.5 ± 4.4 breaths/min before and 46.1 ± 5.0 breaths/min after the injections (P = 0.6; n = 8). There were no changes in arterial blood pressure (89 ± 17 mmHg before, and 87 ± 14 mmHg after the injections). The effectiveness of clonidine injections into A5 was confirmed in a preliminary study (37) in which successive injections into the A5 and then LC triggered responses whose pattern and duration were similar to the REM sleep-like episodes elicited by carbachol injections into the pontine tegmentum, whereas bilateral clonidine injections into LC alone did not have such an effect.
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DISCUSSION |
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We determined that putative noradrenergic cells of the A5 group are silenced during REM sleep-like episodes elicited by small pontine injections of carbachol. This is similar to the behavior of LC and sub-LC cells during both natural REM sleep (6, 43) and the REM sleep-like condition elicited by carbachol (21) and suggests that A5 neurons are also silenced during natural REM sleep. The A5 neurons studied included those with identified axonal projections to the RVLM and NTS. Thus REM sleep is associated with silencing of noradrenergic A5 neurons and, presumably, a reduction of norepinephrine release in the NTS and RVLM (and probably also in the region of spinal preganglionic sympathetic, dorsal horn sensory neurons and other major projection sites of A5 neurons) (8, 9, 26). Because we found no A5 cells with axonal projections to the XII motor nucleus, the contribution of these cells to the noradrenergic excitation of XII motoneurons appears to be negligible.
The focus of this study was on noradrenergic A5 neurons and their behavior during REM sleep. To ensure that we recorded from noradrenergic cells, we used a combination of criteria (see METHODS) previously established for the identification of noradrenergic A5 neurons (26) and the prototypic noradrenergic neurons of the LC (32, 39, 42). We also verified that our recording sites were localized among tyrosine hydroxylase-containing neurons of the A5 region. Thus we maximized the probability that the cells studied were noradrenergic. The A5 cell activity decreased consistently during the time when carbachol elicited REM sleep-like signs, suggesting that the population of cells recorded in this study was homogeneous.
The function(s) of A5 neurons is not well established, but their axonal projections suggest a major involvement of the A5 group in cardiorespiratory regulation and/or nociception (8, 9, 26, 48). Recordings from these cells and local lesions or suppression of neuronal activity in the A5 region with muscimol show that they mediate a part of sympathoexcitatory response to stimulation of arterial chemoreceptors (30, 31; see, however, Ref. 47) and posthypoxic respiratory changes (10). In the neonatal rat brain stem in vitro, local application of clonidine into the A5 region results in slowing of respiratory rate (15, 28). Neuroanatomic studies show that descending projections of A5 cells include the dorsal horn and intermediolateral cell column in the spinal cord, ventrolateral medulla (RVLM as well as the pre-Bötzinger region containing neurons important for respiratory rhythmogenesis), NTS (a viscerosensory nucleus), and brain stem motor nuclei (1, 8, 9, 23, 26, 48). However, similar to our results with clonidine microinjections, acute inhibition of cells within the A5 region with muscimol does not alter the resting arterial blood pressure or sympathetic activity in anesthetized rats (25). Similarly, arterial blood pressure and sympathetic responses to stimulation of the RVLM are not altered in anesthetized rats following noradrenergic cell-specific destruction of A5 neurons (44). On the other hand, microinjections of glutamate, which stimulates noradrenergic and other cells in the A5 region, reduce the respiratory rate and increase arterial blood pressure (13, 26). These effects may be due to activation of silent cells in the A5 region. Indeed, we found silent cells in the A5 region that may project to the dorsomedial medulla but, based on their fast conduction velocities, were not noradrenergic.
Noradrenergic neurons may suppress nociceptive transmission in the spinal cord (9, 48). Because A5 neurons project to the dorsal horn of the spinal cord, their silencing during REM sleep, along with the silencing of other noradrenergic neurons, may explain the increase in the size of the receptive field of dorsal horn neurons during this state (29).
Neuroanatomic data also show that noradrenergic A5 neurons project to cranial motor nuclei. According to Grzanna et al. (23), A5 and A7 neurons are the main source of noradrenergic innervation of the facial and trigeminal motor nuclei, whereas Aldes et al. (1) estimated that A5 cells represent 10-20% of pontine noradrenergic cells with projections to the XII nucleus. Many other studies show that cells in the A5 region project to the XII motor nucleus (e.g., Refs. 14, 17), although without identification of such cells as noradrenergic. Based on the existing data, it is impossible to determine whether our inability to find at least one putative noradrenergic cell projecting to the XII nucleus out of six tested is sufficient to conclude that these cells do not project to the XII nucleus. It is, however, well established that many noradrenergic fibers are present in the XII nucleus (2, 3). Thus, to reconcile these data with our difficulty in finding A5 cells antidromically activated from the XII nucleus, we need to assume that there are relatively few A5 neurons projecting to the nucleus. For such few cells to have significant impact on the activity of XII motoneurons, their axons would have to possess extensive arborizations within the XII nucleus. If so, we apparently missed such cells in our study.
An alternative explanation allowing us to reconcile the apparent lack of A5 cell projections to the XII nucleus with their hypothesized direct involvement in the control of XII motoneurons would be that the noradrenergic A5 cells projecting to the NTS (three out of five cells tested had projections) act on XII motoneuronal dendrites that extend into the NTS and in other directions (4).
To assess the role of A5 cells in the control of XII motoneuron activity, we performed bilateral microinjections of clonidine into the A5 region. Local application of clonidine inhibits noradrenergic A5 neurons (15, 26, 28). Because norepinephrine excites XII motoneurons (5, 22, 40, 49), the silencing of A5 neurons by clonidine should reduce XII nerve activity. However, no changes occurred, suggesting that silencing A5 neurons (and presumed decrement in norepinephrine release in their target areas) has no effect on the activity of XII motoneurons. This contrasts with the profound depression of XII nerve activity during the REM sleep-like episodes produced by pontine carbachol in our experiments, suggesting that the two phenomena are not causally related.
Thus, although a reduced release of norepinephrine was observed in the XII nucleus region during the REM sleep-like suppression of motor activity (35), our results show that few or no A5 cell projections target XII motoneurons and the activity of A5 cells makes little or no contribution to the activity of XII motoneurons under our experimental conditions. By exclusion, norepinephrine cells of the A7 group and/or sub-LC region may play a larger role in withdrawing noradrenergic excitation from XII motoneurons during REM sleep, whereas the silencing of A5 neurons may be important in regulating afferent transmission in the NTS and elsewhere. Our recent preliminary data suggest that the silencing of A5 neurons plays a facilitatory role in the generation of the REM sleep-like signs in anesthetized rats (37). Thus A5 neurons may be an important part of the brain stem network generating REM sleep. This function has not been considered but is consistent with the extensive projections of A5 neurons to brain stem and hypothalamic sites involved in the regulation of sleep (8).
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ACKNOWLEDGEMENTS |
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The authors thank Dr. Patrice G. Guyenet for critical comments on an earlier version of the manuscript.
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FOOTNOTES |
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The study was supported by Specialized Center of Research Grant HL-60287. P. Janssen was supported by Training Grant HL-07713.
Address for reprint requests and other correspondence: V. B. Fenik, Dept. of Animal Biology 205E/VET, School of Veterinary Medicine, Univ. of Pennsylvania, 3800 Spruce St., Philadelphia, PA 19104-6046 (E-mail: vfenik{at}vet.upenn.edu).
The costs of publication of this article were defrayed in part by the payment of page charges. The article must therefore be hereby marked "advertisement" in accordance with 18 U.S.C. Section 1734 solely to indicate this fact.
June 14, 2002;10.1152/japplphysiol.00225.2002
Received 15 March 2002; accepted in final form 5 June 2002.
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