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J Appl Physiol (November 19, 2004). doi:10.1152/japplphysiol.00914.2004
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Submitted on August 20, 2004
Accepted on November 10, 2004

Orexin Stimulates Breathing Via Medullary and Spinal Pathways

John K Young1*, Mingfei Wu1, Kebreten F Manaye1, Prabha Kc1, Joanne S Allard1, Serdia O Mack1, and Musa A Haxhiu2

1 Departments of Physiology and Anatomy, Howard University, Washington, DC, USA
2 Departments of Physiology and Anatomy, Howard University, Washington, DC, USA; Department of Pediatrics and Anatomy, Case Western Reserve University, Cleveland, Ohio, USA

* To whom correspondence should be addressed. E-mail: jyoung{at}howard.edu.

A central neuronal network that regulates respiration may include hypothalamic neurons that produce orexin, a peptide that influences sleep and arousal. In these experiments, we investigated 1) projections of orexin-containing neurons to the pre-Botzinger region of the rostral ventrolateral medulla that regulates rhythmic breathing and to phrenic motoneurons that innervate the diaphragm; 2) the presence of orexin receptors in the pre-Botzinger region and in phrenic motoneurons; and 3) physiological effects of orexin administered into the pre-Botzinger region and phrenic nuclei at the C3-C4 levels. We found orexin-containing fibers within the pre-Botzinger complex. However, only 0.5 % of orexin-containing neurons projected to the pre-Botzinger region, whereas 2.9% of orexin-containing neurons innervated the phrenic nucleus. Neurons of the pre-Botzinger region and phrenic nucleus stained for orexin receptors, and activation of orexin A receptors by microperfusion of orexin in either site produced a dose dependent, significant (p < 0.05) increase in diaphragm electromyographic activity. These data indicate that orexin regulates respiratory activity and may have a role in the pathophysiology of sleep-related respiratory disorders.




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