Key result
Perturbation of the Kölliker-Fuse nucleus markedly attenuated phase 3 responses to hypoxia, whereas CO2 sensitivity was unaffected by any pontine respiratory group perturbations (P>0.05).
p-value: p=>0.05
The Kölliker-Fuse nucleus plays an integrative or modulatory role in the phase 3 physiological responses to hypoxia in awake goats.
Does not support changes in clinical hypoxia management; leaves open translational relevance of pontine nuclei to human ventilatory control.
The objective of the present study was to test the hypothesis that, in the in vivo awake goat model, perturbation/lesion in the pontine respiratory group (PRG) would decrease the sensitivity to hypercapnia and hypoxia. The study reported herein was part of two larger studies in which cholinergic modulation in the PRG was attenuated by microdialysis of atropine and subsequently ibotenic acid injections neurotoxically lesioned the PRG. In 14 goats, cannula were bilaterally implanted into either the lateral (n=4) or medial (n=4) parabrachial nuclei or the Kölliker-Fuse nucleus (KFN, n=6). Before and after cannula implantation, microdialysis of atropine, and injection of ibotenic acid, hypercapnic and hypoxic ventilatory sensitivities were assessed. Hypercapnic sensitivity was assessed by three 5-min periods at 3, 5, and 7% inspired CO2. In all groups of goats, CO2 sensitivity was unaffected (P>0.05) by any PRG perturbations/lesions. Hypoxic sensitivity was assessed with a 30-min period at 10.8% inspired O2. The response to hypoxia was typically triphasic, with a phase 1 increase in pulmonary ventilation, a phase 2 roll-off, and a phase 3 prolonged increase associated with shivering and increased metabolic rate and body temperature. In all groups of goats, the phase 1 of the hypoxic ventilatory responses was unaffected by any PRG perturbations/lesions, and there were no consistent effects on the phase 2 responses. However, in the KFN group of goats, the phase 3 ventilatory, shivering, metabolic rate, and temperature responses were markedly attenuated after the atropine dialysis studies, and the attenuation persisted after the ibotenic acid studies. These findings support an integrative or modulatory role for the KFN in the phase 3 responses to hypoxia.
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Bonis et al. (2010) studied this question. Perturbation/lesion of the pontine respiratory group vs. Baseline was evaluated on Hypercapnic and hypoxic ventilatory sensitivities (p=>0.05). Perturbation of the Kölliker-Fuse nucleus markedly attenuated phase 3 responses to hypoxia, whereas CO2 sensitivity was unaffected by any pontine respiratory group perturbations (P>0.05).
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