Barbara J Morgan, Ruolin Song, Ivy McDermott, Jacqueline A Brinkman, Kelsey Holbert, Angie T Oler, Amy S Dresen, Nathan Sandbo, Ksenija Bernau, Mihaela Teodorescu
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Blood and bronchoalveolar lavage (BAL) fluid were collected for quantification of inflammatory cytokines. The rise in ventilatory equivalent for O<sub>2</sub> evoked by acute exposure to hypoxia was augmented following sensitization by OVA, whereas it remained stable after SALINE. This augmentation was driven by increased breathing frequency with no change in tidal volume. Tachypneic hyperventilation in normoxia was also observed with OVA. Neither the increased HVR nor excessive normoxic ventilation was affected by formoterol, suggesting that they were not secondary to lung mechanical constraints. Higher levels of inflammatory cytokines were observed in BAL fluid and serum of OVA vs. SALINE. In OVA, serum interleukin-5 correlated with change (baseline to post-sensitization) in ventilatory response to severe hypoxia (F<sub>I</sub>O<sub>2</sub>, 0.09). These observations are consistent with inflammation-induced enhancement of carotid chemoreflex function, <i>i.e.</i> increased controller gain, and they suggest a possible role for asthma-related allergic inflammation in the ventilatory instability known to promote upper airway collapse and sleep apnea in humans.</p>","PeriodicalId":16563,"journal":{"name":"Journal of neurophysiology","volume":null,"pages":null},"PeriodicalIF":2.1000,"publicationDate":"2024-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"ALTERED CONTROL OF BREATHING IN A RAT MODEL OF ALLERGIC LOWER AIRWAY INFLAMMATION.\",\"authors\":\"Barbara J Morgan, Ruolin Song, Ivy McDermott, Jacqueline A Brinkman, Kelsey Holbert, Angie T Oler, Amy S Dresen, Nathan Sandbo, Ksenija Bernau, Mihaela Teodorescu\",\"doi\":\"10.1152/jn.00301.2023\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>Obstructive sleep apnea (OSA) is highly prevalent in patients with asthma. 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Tachypneic hyperventilation in normoxia was also observed with OVA. Neither the increased HVR nor excessive normoxic ventilation was affected by formoterol, suggesting that they were not secondary to lung mechanical constraints. Higher levels of inflammatory cytokines were observed in BAL fluid and serum of OVA vs. SALINE. In OVA, serum interleukin-5 correlated with change (baseline to post-sensitization) in ventilatory response to severe hypoxia (F<sub>I</sub>O<sub>2</sub>, 0.09). 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引用次数: 0
摘要
阻塞性睡眠呼吸暂停(OSA)在哮喘患者中发病率很高。哮喘与哮喘持续时间成正比,促进了OSA的发生,这表明哮喘在OSA的发病机制中起着一定的作用。我们假设与哮喘有关的炎症会改变呼吸控制机制,特别是颈动脉化学反射。因此,我们测量了清醒、不受约束、卵清蛋白(OVA)致敏的布朗挪威鼠的缺氧通气反应(HRV),并将其与假致敏(SALINE)对照组的反应进行了比较。为了区分过敏性炎症和支气管收缩的作用,我们在服用长效支气管扩张剂福莫特罗后重复了 HVR。我们收集了血液和支气管肺泡灌洗液(BAL),用于量化炎症细胞因子。OVA致敏后,急性缺氧诱发的O2通气当量升高加快,而SALINE致敏后则保持稳定。这种增强是由呼吸频率增加而潮气量不变所引起的。OVA 还能观察到在正常缺氧状态下呼吸过速。福莫特罗对 HVR 增加和常压通气过度均无影响,这表明它们并非继发于肺部机械限制。与盐酸相比,在 OVA 的 BAL 液和血清中观察到更高水平的炎症细胞因子。在 OVA 中,血清白细胞介素-5 与严重缺氧时通气反应的变化(从基线到致敏后)相关(FIO2,0.09)。这些观察结果与炎症诱导的颈动脉化学反射功能增强(即控制器增益增加)相一致,并表明与哮喘相关的过敏性炎症在通气不稳定性中可能发挥作用,而通气不稳定性已知会促进人类上气道塌陷和睡眠呼吸暂停。
ALTERED CONTROL OF BREATHING IN A RAT MODEL OF ALLERGIC LOWER AIRWAY INFLAMMATION.
Obstructive sleep apnea (OSA) is highly prevalent in patients with asthma. Asthma, dose-dependently to its duration, promotes incident OSA, suggesting that asthma plays a role in OSA pathogenesis. We hypothesized that asthma-related inflammation alters breathing control mechanisms, specifically the carotid chemoreflex. Accordingly, we measured hypoxic ventilatory responses (HRV) in awake, unrestrained, ovalbumin (OVA)-sensitized Brown Norway rats and compared them with responses in sham-sensitized (SALINE) controls. To differentiate the role of allergic inflammation from bronchoconstriction, we repeated HVR after administration of formoterol, a long-acting bronchodilator. Blood and bronchoalveolar lavage (BAL) fluid were collected for quantification of inflammatory cytokines. The rise in ventilatory equivalent for O2 evoked by acute exposure to hypoxia was augmented following sensitization by OVA, whereas it remained stable after SALINE. This augmentation was driven by increased breathing frequency with no change in tidal volume. Tachypneic hyperventilation in normoxia was also observed with OVA. Neither the increased HVR nor excessive normoxic ventilation was affected by formoterol, suggesting that they were not secondary to lung mechanical constraints. Higher levels of inflammatory cytokines were observed in BAL fluid and serum of OVA vs. SALINE. In OVA, serum interleukin-5 correlated with change (baseline to post-sensitization) in ventilatory response to severe hypoxia (FIO2, 0.09). These observations are consistent with inflammation-induced enhancement of carotid chemoreflex function, i.e. increased controller gain, and they suggest a possible role for asthma-related allergic inflammation in the ventilatory instability known to promote upper airway collapse and sleep apnea in humans.
期刊介绍:
The Journal of Neurophysiology publishes original articles on the function of the nervous system. All levels of function are included, from the membrane and cell to systems and behavior. Experimental approaches include molecular neurobiology, cell culture and slice preparations, membrane physiology, developmental neurobiology, functional neuroanatomy, neurochemistry, neuropharmacology, systems electrophysiology, imaging and mapping techniques, and behavioral analysis. Experimental preparations may be invertebrate or vertebrate species, including humans. Theoretical studies are acceptable if they are tied closely to the interpretation of experimental data and elucidate principles of broad interest.