Key result
Three 1-minute episodes of intermittent hypoxia caused a persistent (>60 min) and robust (>400% baseline) increase in inspiratory hypoglossal burst amplitude with a rightward shift in spectral content.
Intermittent hypoxia induces long-term facilitation in hypoglossal nerve activity characterized by increased high-frequency spectral content, suggesting premotor network plasticity.
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Basic LTF mechanisms in respiratory nerves remain preclinical; leaves open translation to human hypoxia therapies.
Power spectral analyses of electrical signals from respiratory nerves reveal prominent oscillations above the primary rate of breathing. Acute exposure to intermittent hypoxia can induce a form of neuroplasticity known as long-term facilitation (LTF), in which inspiratory burst amplitude is persistently elevated. Most evidence indicates that the mechanisms of LTF are postsynaptic and also that high-frequency oscillations within the power spectrum show coherence across different respiratory nerves. Since the most logical interpretation of this coherence is that a shared presynaptic mechanism is responsible, we hypothesized that high-frequency spectral content would be unchanged during LTF. Recordings of inspiratory hypoglossal (XII) activity were made from anesthetized, vagotomized, and ventilated 129/SVE mice. When arterial O2 saturation (SaO2) was maintained >96%, the XII power spectrum and burst amplitude were unchanged for 90 min. Three, 1-min hypoxic episodes (SaO2 = 50 ± 10%), however, caused a persistent (>60 min) and robust (>400% baseline) increase in burst amplitude. Spectral analyses revealed a rightward shift of the signal content during LTF, with sustained increases in content above ∼125 Hz following intermittent hypoxia and reductions in power at lower frequencies. Changes in the spectral content during LTF were qualitatively similar to what occurred during the acute hypoxic response. We conclude that high-frequency content increases during XII LTF in this experimental preparation; this may indicate that intermittent hypoxia-induced plasticity in the premotor network contributes to expression of XII LTF.
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ElMallah et al. (2015) studied this question. Intermittent hypoxia vs. Maintained SaO2 >96% was evaluated on Inspiratory hypoglossal (XII) burst amplitude and power spectrum. Three 1-minute episodes of intermittent hypoxia caused a persistent (>60 min) and robust (>400% baseline) increase in inspiratory hypoglossal burst amplitude with a rightward shift in spectral content.
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