Key result
Central serotonin deficiency in Tph2 knockout rat pups significantly reduced survival to approximately 20% by postnatal day 21 compared to 55% in wild-type rats, independent of sex.
Why the study?
Infants dying from SIDS show reduced brainstem serotonin and Tph2, alongside age- and sex-dependent risk factors, prompting investigation into whether central serotonin deficiency causes sex-independent mortality and age-dependent ventilatory impairments.
Central serotonin deficiency in developing rats leads to high neonatal mortality and age-specific increases in apneas, supporting its critical role in respiratory control relevant to Sudden Infant Death Syndrome (SIDS).
Central serotonin deficiency increases age-specific apnea and mortality in rat pups without sex differences or chemoreflex changes; leaves open its contribution to human SIDS.
Serotonin (5-HT) influences brain development and has predominantly excitatory neuromodulatory effects on the neural respiratory control circuitry. Infants that succumb to sudden infant death syndrome (SIDS) have reduced brainstem 5-HT levels and Tryptophan hydroxylase 2 (Tph2). Furthermore, there are age- and sex-dependent risk factors associated with SIDS. Here we utilized our established Dark Agouti transgenic rat lacking central serotonin KO to test the hypotheses that CNS 5-HT deficiency leads to: (1) high mortality in a sex-independent manner, (2) age-dependent alterations in other CNS aminergic systems, and (3) age-dependent impairment of chemoreflexes during post-natal development. KO rat pups showed high neonatal mortality but not in a sex-dependent manner and did not show altered hypoxic or hypercapnic ventilatory chemoreflexes. However, KO rat pups had increased apnea-related metrics during a specific developmental age (P12-16), which were preceded by transient increases in dopaminergic system activity (P7-8). These results support and extend the concept that 5-HT per se is a critical factor in supporting respiratory control during post-natal development.
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Mouradian et al. (2021) studied Central serotonin deficiency (n=99). Central serotonin deficiency (Tph2 knockout) vs. Wild-type rats was evaluated on Survival rate at postnatal day 21 (p=<0.05). Central serotonin deficiency in Tph2 knockout rat pups significantly reduced survival to approximately 20% by postnatal day 21 compared to 55% in wild-type rats, independent of sex.
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