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Departments of 1Environmental Health Sciences and 2Biostatistics, The Johns Hopkins University, Bloomberg School of Public Health, Baltimore, Maryland 21205
Submitted 10 October 2003 ; accepted in final form 16 February 2004
| ABSTRACT |
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E) from 3 to 8% CO2 was computed, and the strain differences between B6 and C3 mice in HCVS were maintained. Inheritance patterns showed potentiation effects of hypoxia on HCVS (i.e., CO2 potentiation) unique to the B6C3F1/J offspring of B6 and C3 progenitors; i.e., the change in
E from 3 to 8% CO2 was significantly greater (P < 0.01) with hypoxia relative to normoxia in F1 mice. Linkage analysis using intercross progeny (F2; n = 52) of B6 and C3 progenitors revealed two significant quantitative trait loci associated with variable HCVS phenotypes. After normalization for body weight, variation in
E responses during 8% CO2 in hypoxia was linked to mouse chromosome 1 (logarithm of the odds ratio = 4.4) in an interval between 68 and 89 cM (i.e., between D1Mit14 and D1Mit291). The second quantitative trait loci linked differences in CO2 potentiation to mouse chromosome 5 (logarithm of the odds ratio = 3.7) in a region between 7 and 29 cM (i.e., centered at D5Mit66). In conclusion, these results support the hypothesis that a minimum of two significant genes modulate the interactive effects of hypoxia and hypercapnia in this genetic model. C3H/HeJ; C57BL/6J; carbon dioxide potentiation; control of breathing; linkage analysis
E) to end-tidal CO2] while O2 levels were lowered. Concordance between monozygotic twins was greatest relative to dizygotic twins for HCVS phenotypes in hypoxic admixtures. Similar concordance in HCVS phenotypes was not observed in the presence of hyperoxic admixtures. The concordance pattern indicates that robust genetic factors modulate breathing during hypercapnic and hypoxic interactions.
Another approach to studying such genetic factors (modulating breathing during hypercapnic and hypoxic interactions) is to determine the origin of variation among different inbred strains of mice. Our laboratory has focused on C3H/HeJ (C3) and C57BL/6J (B6) inbred strains because the breathing characteristics at baseline (i.e., room air) and during acute hypoxic and hypercapnic stimulation are most different relative to other inbred strains (38). Complementary studies, including cross-breeding strategies and quantitative genetic approaches, demonstrated phenotypic variation among first-generation offspring derived from C3 and B6 parental strains (4143). Inheritance patterns, using backcross and intercross (F2) offspring of C3 and B6 progenitors, suggested that specific breathing traits at baseline and during acute hypoxia were modulated by a modest number of major genes (39, 40). Subsequent linkage analysis identified two quantitative trait loci (QTL) that linked variation in specific breathing phenotypes to genomic regions on mouse chromosomes 3 and 9 (33, 34, 36). Hence, a QTL on chromosome 3 regulates differences in the inspiratory timing (TI) at baseline (i.e., the Itbq1 locus). Another QTL on chromosome 9 regulates variation in acute hypoxic ventilatory responses [i.e., tidal volume (VT),
E, and mean inspiratory flow (VT/TI)] during an inspirate challenge of 10% O2 and 3% CO2.
The purpose of the present study is to advance our QTL analysis by using the C3 and B6 variation in HCVS and consider the possible genetic determinants that modulate the regulation of breathing during hypercapnic and hypoxic interactions. To achieve these aims, a genome-wide screen was performed with 176 microsatellite markers to analyze DNA samples from 52 F2 offspring. F2 offspring were previously characterized with respect to eupneic and hypoxic breathing characteristics (37, 39). Considering that there are multiple CO2 and O2 chemosensory and transducing pathways, the hypothesis of the present study suggests that the genetic bases for variation in hypercapnic breathing characteristics differ from those regulating eupneic and hypoxic breathing. The results demonstrate candidate genomic regions on mouse chromosomes 1 and 5. These chromosomes contain genes that modulate phenotypic variation in hypercapnic
E and VT and influence the interaction between CO2 and O2 chemosensory and transduction mechanisms in this genetic model.
| METHODS |
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HCVS. The magnitude and pattern of ventilation was determined by whole body plethysmography using unrestrained and unanesthetized conditions. Detailed methods and results have been reported elsewhere (37, 38). Briefly, ventilatory function was evaluated during the following sequence of acute (35 min) inspiratory challenges [inspired CO2 fraction (FICO2)-inspired O2 fraction (FIO2) in N2]: 1) mild hypercapnic hypoxia, 0.03 CO2-0.10 O2; 2) mild hypercapnic normoxia, 0.03 CO2-0.21 O2; 3) severe hypercapnic hypoxia, 0.08 CO2-0.10 O2; and 4) severe hypercapnic normoxia, 0.08 CO2-0.21 O2. Each challenge was followed by exposure to room air to ensure that responses to ventilatory challenges were generated from similar preexposure levels. In general, baseline breathing characteristics were reestablished after 1520 min of room air exposure. The animals were weighed after each protocol.
The analog signal generated from a pressure transducer attached to the plethysmograph was recorded as digital input with a data acquisition system (Keithley Instruments) and a dedicated computer. The data were acquired at an input frequency of 100 Hz, and peak inspiration and expiration were determined from at least 15 consecutive tidal breaths. The analog signal was also captured by a strip-chart recorder (model 7D, Grass Polygraph) in the event that the computer did not secure a particular breathing sample. From each sample, breathing frequency (f), VT, and TI were directly measured. The product of f and VT was calculated to equal
E. Expiratory time was determined from the reciprocal of f (Ttot) minus TI, mean inspiratory flow was calculated as the ratio of VT to TI, and the inspiratory fraction was computed as the ratio of TI to Ttot. The slope of the HCVS curve was estimated during both normoxic and hypoxic conditions by determining the difference in VE response between CO2 levels of 3 and 8%. An indicator of CO2 potentiation was defined by an increase in the slope of the HCVS curve from normoxia to hypoxia. The VT/TI and TI/Ttot components of
E were used to identify the "driver" and "timer" elements (21), respectively, as a general model of respiratory control mechanisms. Each one of the ventilatory characteristics was compared with room air breathing to evaluate relevant percent change.
In the present study,
E and VT responses during severe hypercapnic hypoxia were notably correlated with body weight in the progenitor strains and second-generation offspring. Therefore, linear regression and correlational analyses were used to focus attention on estimating the influence of body weight on ventilatory responses. Although the results from these analyses were significant within parental strains and certain offspring classes, the body weight influence on between-strain variability or on the relative distributions of responses in segregant offspring was not substantial. Nevertheless, the results from linkage analysis were computed after ventilatory responses were normalized for individual differences in body weight. Body weight adjustments did not affect the computations for HCVS or for indexes of CO2 potentiation.
DNA isolation. After the ventilatory measurements, DNA samples were isolated from kidney tissue of 52 randomly selected F2 mice. To isolate high molecular weight DNA (26), sample tissue was gently homogenized using a Dounce homogenizer in an isotonic, high-pH solution that included Nonidet P-40. To release genomic DNA, nuclear membranes were lysed in a SDS-proteinase K solution. After incubation at 42°C for 3 h, DNA was separated from other cellular components by extraction with a phenol-chloroform-isoamyl alcohol solution. DNA was precipitated with ice-cold 95% ethanol and 0.15 M potassium chloride. Sample DNA was spooled on a glass rod, rinsed with 70% ethanol, and stored in Tris-EDTA buffer (pH = 8.0). We determined the purity of the sample DNA using spectrophotometry and calculating the ratio of optical densities at wavelengths of 260 and 280 nm (i.e., a target 260-nm-to-280-nm optical density ratio of 1.8).
PCR amplification.
Primers surrounding DNA microsatellite markers (n = 176) polymorphic between C3 and B6 mice were purchased from Research Genetics (Huntsville, AL). The primers were used to amplify sample DNA. One primer from each pair was end-labeled with
-32P using the following reaction conditions: 5.4 µl of sterile H2O; 3.6 µl of 5x kinase buffer [final concentration equal to 0.25 M Tris (pH = 9.0), 0.05 M MgCl2, 0.05 M dithiothreitol, 0.25 mg/ml bovine serum albumin]; 4.3 µl of primer (10 µM); 0.7 µl of T4 polynucleotide kinase (7 units); and 4 µl of [
-32P]ATP. The solution was incubated at 37°C for 1 h and diluted with 26 µl of sterile H2O followed by column purification to remove unincorporated
-32P.
In general, PCR was performed with the following reaction conditions (final volume of 12.5 µl): 1 µl of sample DNA (80 ng); 1.25 µl of 10x PCR buffer [final concentration of 500 mM KCl, 100 mM Tris (pH = 8.3), and 1.5 mM MgCl2]; 0.5 µl of deoxyribonucleotide triphosphates (equal volumes of dATP, dCTP, dGTP, and dTTP at 2.5 mM each); 0.5 µl of unlabeled primer (10 µM); 0.5 µl of labeled primer (1.5 µM); 0.1 µl of Taq polymerase (0.25 U); and 8.65 µl of sterile H2O. The thermocycler (Perkin Elmer 9600) was programmed to sequentially run linked files as follows: 1) 94°C for 10 min; 2) 30 three-step cycles, consisting of denaturation at 94°C for 30 s, annealing at a temperature optimized for each primer set for 30 s, elongation at 72°C for 30 s; 3) final extension phase at 72°C for 7 min; and 4) a soak phase at 4°C.
Acrylamide (6%) denaturing gels were used to separate single strands of amplified DNA according to size. Appropriate PCR controls (i.e., B6, C3, and F1 DNA and no DNA) were used to ensure proper sample loading and to establish the absence of DNA contamination. The genotypes of the F2 offspring were determined by comparing the allelic size of the simple sequence repeat to the known DNA allele size of the parental strains.
Marker selection and linkage analysis.
At the time of this study,
500 PCR-based markers were available throughout the mouse genome that differed between C3 and B6 strains. Markers were selected to establish 10- to 15-centimorgans (cM) intervals between two loci and to provide complete coverage of the mouse genome.
Quantitative trait linkage analysis was performed using the software R/qtl (5), an add-on package for the statistical software R (13). We used standard interval mapping approaches, as well as a modified version in which adjustment was made for body weight via the algorithm for composite interval mapping (36, 47, 48).
More specifically, in the standard interval mapping approach, we consider each genomic position, one at a time, as the location for a single putative QTL. Individuals with QTL genotype g are assumed to have a phenotype that is normally distributed with mean µg (depending on the QTL genotype) and standard deviation
(independent of the QTL genotype). Although the QTL genotypes are generally not known, one may calculate the conditional QTL probabilities, given the available multipoint marker genotype data. Evidence for the presence of a QTL was measured via the LOD score, the log10 likelihood ratio comparing the hypothesis of a single QTL at the specified position to the hypothesis of no QTL anywhere (i.e., that the individuals' phenotypes follow a single normal distribution).
In the modified version of standard interval mapping, in which adjustment was made for body weight, we assumed that an individual with QTL genotype g and body weight w had a phenotype that was normally distributed with mean
g +
w and standard deviation
. For both versions of the analysis, statistical significance was determined by permutation testing with 1,000 permutation replicates (9).
The summary results reported in Fig. 1 and Table 1 are means and SE. These data were analyzed using a one-way ANOVA to determine strain effects. Post hoc mean comparisons were performed, and statistical significance was established at an
level of 0.01.
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| RESULTS |
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E results from a rapid and deep breathing pattern; f is significantly (P < 0.01) greater relative to C3 mice and VT is significantly (P < 0.01) greater relative to F1 mice at each level of CO2 challenge (see Table 1). As a result, the VT-TI response in B6 mice is significantly (P < 0.01) greater than both C3 and F1 mice at each CO2 level.
In Fig. 1, right, the ventilatory responses to incremental hypercapnic challenge in hypoxia are shown for C3, B6, and F1 mice. In this case, the average
E response in C3 mice is significantly (P < 0.01) lower than B6 mice at each level of CO2. In contrast to normoxia, F1 mice show a significantly (P < 0.01) depressed response at low CO2 levels in hypoxia compared with both progenitors. During high CO2 levels in hypoxia, however, the
E response in F1 mice is intermediate compared with the progenitors; i.e., the
E response is significantly (P < 0.01) greater than in C3 mice yet remains significantly (P < 0.01) reduced relative to B6 mice. F1 mice achieve a greater
E response at high CO2 levels with hypoxia by significantly augmenting VT and VT-TI responses compared with C3 mice (see Table 1).
In Fig. 2, correlational plots illustrate the relationships between
E responses at high CO2 levels in hypoxia and body weight for C3 and B6 progenitors, and their first- and second-generation offspring. In Fig. 2, top, the progenitors show a significant positive correlation (r = 0.63; P < 0.01), suggesting that
E responses increase as a function of body weight. The same relationship between
E responses and body weight is not evident in F1 mice (r = 0.01; P > 0.05). Although the results suggest that body weight positively influences the
E responses at high CO2 levels in hypoxia for C3 and B6 mice, the between-strain variation in ventilatory responses evident in Fig. 1 is preserved among the progenitors and F1 mice. In Fig. 2, bottom, similar correlational plots are shown for three groups of second-generation offspring of C3 and B6 progenitors. The relationship between
E responses at high CO2 levels in hypoxia and body weight is robust (r = 0.53; P < 0.05) in C3BX mice; however,
E responses are not as greatly influenced by body weight in B6BX or F2 mice (r = 0.38; P > 0.05). Collectively, these data suggest that the segregation of
E phenotypes within B6BX and F2 offspring is attributable to variation in body weight to a lesser extent than in the progenitors and C3BX mice.
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E (i.e., normalized to body weight) from low to high CO2 levels in normoxia (Fig. 3A) and hypoxia (Fig. 3B) for the progenitors and first- and second-generation offspring. In normoxia, there is modest overlap in the distributions of
E differences for the progenitors. The individual
E differences in F1 mice fall within the range of C3 mice. The distribution of responses for C3BX mice also falls within the C3 range; however, B6BX and F2 response distributions are much broader, encompassing both parental ranges.
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E differences among the progenitors resemble the corresponding normoxic results, but B6 responses are more broadly distributed, and F1 responses are shifted above the range of C3 mice to an intermediate phenotype. The C3BX responses are again maintained within the C3 range, and B6BX and F2 response appear to parallel corresponding normoxic differences. As shown in Fig. 4, individual responses indicative of CO2 potentiation are plotted for the progenitors and first- and second-generation offspring. The hatched-line demarcates the number of individual responses conferring CO2 potentiation phenotypes. Although C3 and B6 progenitors show equal numbers of individuals with CO2 potentiation, all F1 responses consistently manifested CO2 potentiation phenotypes. These data strongly suggest that there are heritable genetic determinants derived from C3 and B6 progenitors, which confer greater CO2 ventilatory sensitivity during hypoxia relative to normoxia. Responses consistent with CO2 potentiation phenotypes are also observed in second-generation offspring. For example, as many as 30% of the F2 responses show CO2 potentiation phenotypes.
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E, VT, and VT/TI responses during severe hypercapnic hypoxia among F2 offspring to mouse chromosome 1. With peak LOD scores of 4.4, 4.2, and 4.9, respectively, these data strongly suggest that a putative QTL within the interval between 68 and 89 cM (i.e., between D1Mit14 and D1Mit291) regulates C3 and B6 strain variation in ventilatory responses to high CO2 levels in hypoxia.
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E and VT/TI responses, peak LOD scores of 3.7 and 3.5, respectively, suggest that at least one major genetic determinant modulates increased HCVS with hypoxia compared with normoxia. This genetic determinant is positioned on chromosome 5 in a region between 7 and 29 cM (i.e., centered at D5Mit66).
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| DISCUSSION |
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E, VT, and VT/TI responses to a region between 68 and 89 cM or between markers D1Mit14 and D1Mit291. The second QTL on mouse chromosome 5 links variation in CO2 potentiation phenotypes to a region between 7 and 29 cM or centered at D5Mit66. The QTL on chromosomes 1 and 5 likely modulate separate aspects of the chemosensory or signal transduction mechanisms essential to the central integration of hypoxic and hypercapnic breathing. One substantial piece of evidence supporting this postulation suggest that C3 and B6 progenitor strains differ in their activation of the nucleus tractus solitarius (NTS) during hypercapnic challenge. The C3 strain exhibits a significantly lower activation on NTS neurons during hypercapnic stimulation compared with the B6 strain (41). The strain difference in CO2-induced NTS activation is positively associated with the HCVS phenotypes (i.e., high gain in B6 and low gain in C3). Future studies are needed to identify the precise linkage between specific genes and the strain difference in chemosensory or signal transduction mechanisms between C3 and B6 mice.
Hypercapnic hypoxic breathing phenotype and chromosome 1.
Hypercapnic hypoxic
E responses covaried with body weight within each parental strain (Fig. 2). After adjustment for variation in body weight, hypercapnic hypoxic
E and VT/TI responses remain
40% greater in B6 compared with C3 mice. The hypercapnic hypoxic
E responses of F1 mice are unique relative to corresponding responses in the progenitors. At low CO2 levels, the
E responses of F1 mice are parallel or attenuated relative to the C3 progenitor. For example, F1 mice demonstrated lower VT and VT/TI responses to hypoxia relative to C3 mice at low CO2 levels (34, 37). In contrast,
E and VT/TI responses of F1 mice are significantly amplified by hypoxia at high CO2 levels, leading to an intermediate
E and VT/TI phenotype compared with the parental strains (Fig. 1). Therefore, the data fundamental to constructing HCVS curves in normoxia and hypoxia indicate another unique breathing phenotype in F1 mice by showing a consistently greater slope for HCVS with hypoxia. The CO2 potentiation phenotype observed in F1 mice is not consistently seen in other inbred strains (35).
Approximately 150 known genes and other QTL are mapped in a proximal linkage region on mouse chromosome 1 between markers D1Mit14 and D1Mit291, but only two genes are known to be polymorphic between these two progenitor strains (22a, 32). One construct, Pou5F1-rs1, is a related transcription factor to the Pou5f1 gene, which is essential to early neural development (27). Its deletion adversely impacts peripheral nervous development, and breathing defects in mutant homozygotes are associated with a dramatically increased mortality risk (3). Another gene at the same map position (i.e., 84.6 cM) is the Serpinc1 gene (28), which encodes for antithrombin III. There are a variety of human polymorphisms involving antithrombin III that are well studied related to thrombosis (2, 24). In mice, targeted gene disruption of the Serpinc1 gene causes embryonic mortality due to dysfunctional blood coagulation in the heart (16). Other biologically plausible genes reside within the linkage region of mouse chromosome 1. A multigene family consisting of at least six different regulators of G-protein signaling is positioned at 78 cM in the mouse genome (31). For example, Rgs2 gene expression is known to be rapidly responsive to dopamine D1 and D2 agonists (45) and to play a role in sensory experience-induced neural development (14) and neuronal plasticity (15). Two other genes in the region, Cacna1s and Cacna1e, encode subunits of the R- and L-type voltage-dependent Ca2+ channels (18).
Alternative explanations to account for covariation between hypercapnic hypoxic
E responses and body weight include other QTL mapped to chromosome 1 associated with obesity. Three such QTL (i.e., Bw17, Wt3q1, and Obq9) confer obese phenotypes (1, 22, 44), whereas other genes (e.g., Lmx1a and Hipp1) confer variation in brain size or morphology (7, 19). Last, one gene (i.e., Nidd6) is associated with noninsulin-dependent diabetes, and another gene (i.e., Amp2) is linked to variation in circadian pattern (12, 30). In summary, the close proximity of modulatory genes that affect obesity phenotypes, including diabetes and state-dependent behavior, may indicate a fundamental genetic basis for these phenotypes to covary with differences in ventilatory responses to chemical stimulation. Furthermore, the linkage region of interest on mouse chromosome 1 is highly conserved and mapped to human chromosome 1 (22a), suggesting that complex disease traits may originate from narrow genomic segments, and, as a result, act as comorbidity factors.
CO2-potentiation phenotypes and chromosome 5. Masuda et al. (20) recently demonstrated potentiated CO2 gain in humans, which ranged between end-tidal PCO2 of 45 to >60 Torr. The CO2 potentiation was observed at extreme inspirates of hypercapnia (FICO2 = 0.07) with hyperoxic or hypoxic admixtures (FIO2 = 0.93 or 0.11, respectively). This control of breathing characteristic has been observed in other larger mammalian species (8) and implicates a synergy between CO2 and O2 chemosensory and transduction mechanisms, possibly arising from multiple peripheral and central chemoreceptor input. In a survey of the 10 standard inbred strains, only B6 mice were characterized as manifesting CO2 potentiation. In the other strains, the interaction between hypoxic and hypercapnic ventilation appears to be more additive than synergistic (35). Given alternative definitions and phenotyping measurements (e.g., Ref. 46) to study the interactions between hypercapnic and hypoxia, CO2 potentiation in mouse strains akin to breathing phenotypes in humans may become more evident.
Approximately 75 known genes and other QTL are currently identified in the linkage region of interest on mouse chromosome 5 (22a), and 4 genes are known to be polymorphic between C3 and B6 strains. Two polymorphic genes, Htr5a and Adra2c, have strong potential biological relevance to control of breathing, particularly related to the interaction between hypercapnic and hypoxic ventilation. The Htr5a gene encodes the 5-hydroxytryptamine (5-HT or serotonin) receptor 5A, and the Adra2c gene encodes a subunit of the
2-adrenergic receptor. Both genes are located within 23 cM of the peak LOD score for the QTL-modulating variation in CO2 potentiation. The Htr5a gene is a relatively new clone, and its relevance to the control of breathing is not well established. However, in goats, the acute hypoxic ventilatory response is augmented by broad-spectrum serotonergic blockade, but the 5-HT(1A) and 5-HT(2A/C) receptors do not appear to mediate the augmented response (11), leaving open the possibility that alternative 5-HT receptor subtypes are influential in acute hypoxic
E responses. Serra et al. (29) showed that the ventilatory response to aortic chemoreceptor stimulation is mediated by 5-HT(5A) receptors in rats and piglets. The immunoreactive site for an abundance of 5-HT(5A) receptors was concentrated on the aortic chemosensitive sites (29). Therefore, the questionable role of 5-HT(5A) receptors in regulating variation in CO2 potentiation requires greater study.
The function of
2-adrenergic receptor stimulation in the control of breathing leads to an inhibition of f. This tonic inhibition of f is partially mediated by the
2-adrenergic receptor subtype 2C in goats (23). The novel phenotype of CO2 potentiation manifested by F1 mice in the present study results from a breathing strategy in which both f and VT components increase from normoxia to hypoxia. The f-dependent increase is likely derived from the C3 parental strain, whereas the VT-dependent increase is derived from the B6 parental strain. The C3 and F1 mice may generate a relatively greater tachypnea, with hypoxia involving differential interactions between
2-adrenergic receptor subtypes. O'Halloran et al. (23) demonstrated a greater isocapnic hypoxic
E response after blockade of these specific
2-adrenergic receptor subtypes. This investigative team suggested that the likely roles of
2-adrenergic receptors in potentiating the hypoxic
E responses occur either by increasing carotid body chemosensitivity or by altered chemoafferent fibers that synapse at the NTS, which affects central integration of several chemosensitive inputs. Although Bissonnette et. al (4) demonstrated ventilatory aberrations in mice lacking functional
2A-adrenergic receptors, the role of subtype 2C receptors remains undefined. One study by Puolivali et al. (25) suggested that
2C-adrenergic receptors mediated arousal and counterbalance the sedation effects of
2A-adrenergic receptor activation. This potential mechanism may involve the central integration of breathing as it relates to sleep and arousal state.
In summary, present results demonstrate that QTL on mouse chromosomes 1 and 5 interact to affect breathing responses during acute hypercapnic and hypoxic challenges. There is definitive strain variation between C3 and B6 mice in the magnitude and pattern of breathing during hypercapnic hypoxia, and the F1 inherit different parental phenotypes that embody the characteristic of CO2 potentiation. Candidate genes in the linkage region on mouse chromosome 1, regulating variation in
E, VT, and VT/TI responses during hypercapnic hypoxia, remain relatively obscure. Alternatively, two genes on mouse chromosome 5, Htr5a and Adra2c, encode relevant neuroreceptor subtypes involved in serotonergic and adrenergic pathways, which potentially regulate breathing. These two candidate genes are also known to be polymorphic between C3 and B6 mice. Although it is clear that the physiological mechanisms synchronizing the regulation of breathing during hypercapnic hypoxia are complex, the corresponding genetic interactions may represent one source of variation in unique breathing outcomes.
| GRANTS |
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| ACKNOWLEDGMENTS |
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| FOOTNOTES |
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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.
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2A-adrenergic receptors. Adv Exp Med Biol 499: 201208, 2003.
2-adrenoceptor blockade in awake goats. Respir Physiol 126: 2941, 2001.[CrossRef][ISI][Medline]
2C-Adrenoceptor mediated regulation of cortical EEG arousal. Neuropharmacology 43: 13051312, 2002.[CrossRef][ISI][Medline]
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