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  1. Article ; Online: WGA-Alexa transsynaptic labeling in the phrenic motor system of adult rats: Intrapleural injection versus intradiaphragmatic injection.

    Buttry, Janelle L / Goshgarian, Harry G

    Journal of neuroscience methods

    2015  Volume 241, Page(s) 137–145

    Abstract: Background: Intrapleural injection of CTB-Alexa 488, a retrograde tracer, provides an alternative labeling technique to the surgically invasive laparotomy required for intradiaphragmatic injection. However, CTB-Alexa 488 is incapable of crossing ... ...

    Abstract Background: Intrapleural injection of CTB-Alexa 488, a retrograde tracer, provides an alternative labeling technique to the surgically invasive laparotomy required for intradiaphragmatic injection. However, CTB-Alexa 488 is incapable of crossing synapses restricting the tracer to the phrenic nuclei and the intercostal motor nuclei in the spinal cord.
    New method: Intrapleural injection of WGA-Alexa 488, a transsynaptic tracer, provides a method to label the respiratory motor pathway in both the spinal cord and medulla. Intradiaphragmatic injection of WGA-Alexa 594 and vagal nerve injections of True blue were used to confirm the phrenic nuclei and to differentiate between the rVRG and the NA in the medulla.
    Results: Following intrapleural injection, WGA-Alexa 488 was retrogradely transported to the phrenic nuclei and to the intercostal motor nuclei. Subsequently WGA-Alexa 488 was transsynaptically transported from the phrenic motoneurons to the pre-motor neurons in the rVRG that provide the descending drive to the phrenic neurons during inspiration. In addition WGA-Alexa 488 was identified in select cells of the NA confirmed by a dual label of both WGA-Alexa 488 and True blue.
    Comparison with existing method: WGA-Alexa 488 demonstrates retrograde transsynaptic labeling following intrapleural injection whereas the previous method of injecting CTB-Alexa 488 only demonstrates retrograde labeling.
    Conclusions: Intrapleural injection of WGA-Alexa fluor conjugates is an effective method to transsynaptically label the phrenic motor system providing an alternative for the invasive laparotomy required for intradiaphragmatic injections. Furthermore, the study provides the first anatomical evidence of a direct synaptic relationship between rVRG and select NA cells.
    MeSH term(s) Animals ; Diaphragm/chemistry ; Diaphragm/drug effects ; Injections ; Male ; Organic Chemicals/administration & dosage ; Organic Chemicals/analysis ; Phrenic Nerve/chemistry ; Phrenic Nerve/drug effects ; Pleural Cavity/chemistry ; Pleural Cavity/drug effects ; Rats ; Rats, Sprague-Dawley ; Staining and Labeling/methods ; Synapses/chemistry ; Synapses/drug effects ; Wheat Germ Agglutinins/administration & dosage ; Wheat Germ Agglutinins/analysis
    Chemical Substances Alexa594 ; Organic Chemicals ; Wheat Germ Agglutinins
    Language English
    Publishing date 2015-02-15
    Publishing country Netherlands
    Document type Comparative Study ; Journal Article ; Research Support, N.I.H., Extramural ; Research Support, Non-U.S. Gov't
    ZDB-ID 282721-9
    ISSN 1872-678X ; 0165-0270
    ISSN (online) 1872-678X
    ISSN 0165-0270
    DOI 10.1016/j.jneumeth.2014.12.013
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  2. Article ; Online: The crossed phrenic phenomenon and recovery of function following spinal cord injury.

    Goshgarian, Harry G

    Respiratory physiology & neurobiology

    2009  Volume 169, Issue 2, Page(s) 85–93

    Abstract: This review will focus on neural plasticity and recovery of respiratory function after spinal cord injury and feature the "crossed phrenic phenomenon" (CPP) as a model for demonstrating such plasticity and recovery. A very brief summary of the earlier ... ...

    Abstract This review will focus on neural plasticity and recovery of respiratory function after spinal cord injury and feature the "crossed phrenic phenomenon" (CPP) as a model for demonstrating such plasticity and recovery. A very brief summary of the earlier literature on the CPP will be followed by a more detailed review of the more recent studies. Two aspects of plasticity associated with the CPP that have been introduced in the literature recently have been spontaneous recovery of ipsilateral hemidiaphragmatic function following chronic spinal cord injury and drug-induced persistent recovery of the ipsilateral hemidiaphragm lasting long after animals have been weaned from drug treatment. The underlying mechanisms for this plasticity and resultant recovery will be discussed in this review. Moreover, two new models involving the CPP have been introduced: a mouse model which now provides for an opportunity to study CPP plasticity at a molecular level using a genetic approach and light-stimulated induction of the CPP accomplished by transfecting mammalian cells with channelrhodopsin. Both models provide an opportunity to sort out the intracellular signaling cascades that may be involved in motor recovery in the respiratory system after spinal cord injury. Finally, the review will examine developmental plasticity of the CPP and discuss how the expression of the CPP changes in neonatal rats as they mature to adults. Understanding the underlying mechanisms behind the spontaneous expression of the crossed phrenic pathway either in the developing animal or after chronic spinal cord injury in the adult animal may provide clues to initiating respiratory recovery sooner to alleviate human suffering and eventually eliminate the leading cause of death in human cases of spinal cord injury.
    MeSH term(s) Animals ; Cyclic AMP/metabolism ; Diaphragm/drug effects ; Diaphragm/physiology ; Disease Models, Animal ; Functional Laterality/physiology ; Humans ; Mice ; Models, Biological ; Neural Pathways/physiology ; Neuronal Plasticity/drug effects ; Neuronal Plasticity/physiology ; Phrenic Nerve/physiology ; Phrenic Nerve/surgery ; Rats ; Recovery of Function/drug effects ; Recovery of Function/physiology ; Respiration/radiation effects ; Spinal Cord Injuries/physiopathology
    Chemical Substances Cyclic AMP (E0399OZS9N)
    Language English
    Publishing date 2009-06-17
    Publishing country Netherlands
    Document type Journal Article ; Review
    ZDB-ID 2077867-3
    ISSN 1878-1519 ; 1569-9048
    ISSN (online) 1878-1519
    ISSN 1569-9048
    DOI 10.1016/j.resp.2009.06.005
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  3. Article ; Online: Injection of WGA-Alexa 488 into the ipsilateral hemidiaphragm of acutely and chronically C2 hemisected rats reveals activity-dependent synaptic plasticity in the respiratory motor pathways.

    Buttry, Janelle L / Goshgarian, Harry G

    Experimental neurology

    2014  Volume 261, Page(s) 440–450

    Abstract: WGA-Alexa 488 is a fluorescent neuronal tracer that demonstrates transsynaptic transport in the central nervous system. The transsynaptic transport occurs over physiologically active synaptic connections rather than less active or silent connections. ... ...

    Abstract WGA-Alexa 488 is a fluorescent neuronal tracer that demonstrates transsynaptic transport in the central nervous system. The transsynaptic transport occurs over physiologically active synaptic connections rather than less active or silent connections. Immediately following C2 spinal cord hemisection (C2Hx), when WGA-Alexa 488 is injected into the ipsilateral hemidiaphragm, the tracer diffuses across the midline of the diaphragm and retrogradely labels the phrenic nuclei (PN) bilaterally in the spinal cord. Subsequently, the tracer is transsynaptically transported bilaterally to the rostral Ventral Respiratory Groups (rVRGs) in the medulla over physiologically active connections. No other neurons are labeled in the acute C2Hx model at the level of the phrenic nuclei or in the medulla. However, with a recovery period of at least 7weeks (chronic C2Hx), the pattern of WGA-Alexa 488 labeling is notably changed. In addition to the bilateral PN and rVRG labeling, the chronic C2Hx model reveals fluorescence in the ipsilateral ventral and dorsal spinocerebellar tracts, and the ipsilateral reticulospinal tract. Furthermore, interneurons are labeled bilaterally in laminae VII and VIII of the spinal cord as well as neurons in the motor nuclei bilaterally of the intercostal and forelimb muscles. Moreover, in the chronic C2Hx model, there is bilateral labeling of additional medullary centers including raphe, hypoglossal, spinal trigeminal, parvicellular reticular, gigantocellular reticular, and intermediate reticular nuclei. The selective WGA-Alexa 488 labeling of additional locations in the chronic C2Hx model is presumably due to a hyperactive state of the synaptic pathways and nuclei previously shown to connect with the respiratory centers in a non-injured model. The present study suggests that hyperactivity not only occurs in neuronal centers and pathways caudal to spinal cord injury, but in supraspinal centers as well. The significance of such injury-induced plasticity is that hyperactivity may be a mechanism to re-establish lost function by compensatory routes which were initially physiologically inactive.
    MeSH term(s) Animals ; Cervical Vertebrae ; Diaphragm/drug effects ; Diaphragm/physiopathology ; Disease Models, Animal ; Electromyography ; Fluoresceins/pharmacokinetics ; Functional Laterality/drug effects ; Functional Laterality/physiology ; Injections, Intramuscular ; Male ; Neuromuscular Junction/drug effects ; Neuromuscular Junction/physiopathology ; Neuronal Plasticity/drug effects ; Neuronal Plasticity/physiology ; Neuronal Tract-Tracers/administration & dosage ; Neuronal Tract-Tracers/pharmacokinetics ; Rats ; Rats, Sprague-Dawley ; Spinal Cord Injuries/diagnosis ; Spinal Cord Injuries/pathology ; Spinal Cord Injuries/physiopathology ; Time Factors ; Wheat Germ Agglutinins/pharmacokinetics
    Chemical Substances Fluoresceins ; Neuronal Tract-Tracers ; Wheat Germ Agglutinins
    Language English
    Publishing date 2014-11
    Publishing country United States
    Document type Journal Article ; Research Support, N.I.H., Extramural ; Research Support, Non-U.S. Gov't
    ZDB-ID 207148-4
    ISSN 1090-2430 ; 0014-4886
    ISSN (online) 1090-2430
    ISSN 0014-4886
    DOI 10.1016/j.expneurol.2014.07.016
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  4. Article ; Online: Diaphragmatic recovery in rats with cervical spinal cord injury induced by a theophylline nanoconjugate: Challenges for clinical use.

    Liu, Fangchao / Zhang, Yanhua / Schafer, Janelle / Mao, Guangzhao / Goshgarian, Harry G

    The journal of spinal cord medicine

    2019  Volume 42, Issue 6, Page(s) 725–734

    Abstract: Context: ...

    Abstract Context:
    MeSH term(s) Animals ; Cervical Cord/injuries ; Diaphragm/drug effects ; Diaphragm/innervation ; Disease Models, Animal ; Electromyography ; Gold ; Medulla Oblongata/drug effects ; Metal Nanoparticles/administration & dosage ; Motor Neurons/drug effects ; Nanoconjugates/administration & dosage ; Phrenic Nerve/drug effects ; Pyramidal Tracts/drug effects ; Rats ; Recovery of Function/drug effects ; Spinal Cord Injuries/drug therapy ; Theophylline/administration & dosage
    Chemical Substances Nanoconjugates ; Gold (7440-57-5) ; Theophylline (C137DTR5RG)
    Language English
    Publishing date 2019-03-07
    Publishing country England
    Document type Journal Article ; Research Support, N.I.H., Extramural ; Research Support, Non-U.S. Gov't
    ZDB-ID 1223949-5
    ISSN 2045-7723 ; 1079-0268
    ISSN (online) 2045-7723
    ISSN 1079-0268
    DOI 10.1080/10790268.2019.1577058
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  5. Article ; Online: The pattern and extent of retrograde transsynaptic transport of WGA-Alexa 488 in the phrenic motor system is dependent upon the site of application.

    Goshgarian, Harry G / Buttry, Janelle L

    Journal of neuroscience methods

    2013  Volume 222, Page(s) 156–164

    Abstract: The first aim of the study was to determine if WGA-Alexa 488 would undergo retrograde transsynaptic transport in the phrenic motor system as we have shown with WGA-HRP in a previous study. The advantage of using WGA-Alexa 488 is that labeled neurons ... ...

    Abstract The first aim of the study was to determine if WGA-Alexa 488 would undergo retrograde transsynaptic transport in the phrenic motor system as we have shown with WGA-HRP in a previous study. The advantage of using WGA-Alexa 488 is that labeled neurons could be isolated and analyzed for intracellular molecular mechanisms without exposing tissue sections to chemicals for histochemical staining. The second aim of the study was to investigate the pattern and extent of labeling that occurs when WGA-Alexa 488 is applied to the cervical phrenic nerve as compared to intradiaphragmatic injection. After injecting the hemidiaphragm ipsilateral to a C2 spinal cord hemisection, WGA-Alexa 488 presumably diffused to the contralateral hemidiaphragm and labeled the phrenic nuclei bilaterally. In all animals with hemidiaphragmatic injection, the rostral ventral respiratory group (rVRG) was also labeled bilaterally in the medulla. Thus, injection of WGA-Alexa 488 into the diaphragm results in retrograde transsynaptic transport in the phrenic motor system. After applying WGA-Alexa 488 to the ipsilateral intact cervical phrenic nerve in both C2 hemisected rats and rats with a sham hemisection, only ipsilateral phrenic neurons were labeled; there was no labeling of the rVRG or any other center in the medulla. These results suggest that WGA-Alexa 488 must be applied in the vicinity of the phrenic myoneural junction where there is a high concentration of WGA receptors in order for transsynaptic transport to occur. The present study provides investigators with a new tool to study plasticity in the respiratory system after spinal cord injury.
    MeSH term(s) Animals ; Axonal Transport ; Cervical Vertebrae ; Diaphragm/pathology ; Diaphragm/physiopathology ; Diffusion ; Efferent Pathways/pathology ; Electromyography ; Fluoresceins/administration & dosage ; Fluoresceins/pharmacokinetics ; Injections, Intramuscular ; Male ; Medulla Oblongata/pathology ; Microscopy, Fluorescence ; Motor Neurons/pathology ; Neuromuscular Junction/pathology ; Neuronal Tract-Tracers/administration & dosage ; Neuronal Tract-Tracers/pharmacokinetics ; Phrenic Nerve/pathology ; Rats ; Rats, Sprague-Dawley ; Spinal Cord/pathology ; Spinal Cord Injuries/pathology ; Spinal Cord Injuries/physiopathology ; Synapses/pathology ; Wheat Germ Agglutinins/administration & dosage ; Wheat Germ Agglutinins/pharmacokinetics
    Chemical Substances Fluoresceins ; Neuronal Tract-Tracers ; Wheat Germ Agglutinins
    Language English
    Publishing date 2013-11-12
    Publishing country Netherlands
    Document type Journal Article ; Research Support, N.I.H., Extramural ; Research Support, Non-U.S. Gov't
    ZDB-ID 282721-9
    ISSN 1872-678X ; 0165-0270
    ISSN (online) 1872-678X
    ISSN 0165-0270
    DOI 10.1016/j.jneumeth.2013.11.003
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  6. Article ; Online: Colocalization of A

    Minic, Zeljka / O'Leary, Donal S / Goshgarian, Harry G / Scislo, Tadeusz J

    Physiological reports

    2018  Volume 6, Issue 22, Page(s) e13913

    Abstract: Adenosine operating in the nucleus of the solitary tract (NTS) may inhibit or facilitate neurotransmitter release from nerve terminals and directly inhibit or facilitate central neurons via ... ...

    Abstract Adenosine operating in the nucleus of the solitary tract (NTS) may inhibit or facilitate neurotransmitter release from nerve terminals and directly inhibit or facilitate central neurons via A
    MeSH term(s) Animals ; GABAergic Neurons/metabolism ; GABAergic Neurons/physiology ; Rats ; Rats, Sprague-Dawley ; Receptor, Adenosine A1/genetics ; Receptor, Adenosine A1/metabolism ; Receptor, Adenosine A2A/genetics ; Receptor, Adenosine A2A/metabolism ; Reflex ; Solitary Nucleus/cytology ; Solitary Nucleus/metabolism ; Solitary Nucleus/physiology
    Chemical Substances Receptor, Adenosine A1 ; Receptor, Adenosine A2A
    Language English
    Publishing date 2018-11-02
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2724325-4
    ISSN 2051-817X ; 2051-817X
    ISSN (online) 2051-817X
    ISSN 2051-817X
    DOI 10.14814/phy2.13913
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  7. Article ; Online: Transporter Protein-Coupled DPCPX Nanoconjugates Induce Diaphragmatic Recovery after SCI by Blocking Adenosine A1 Receptors.

    Minic, Zeljka / Zhang, Yanhua / Mao, Guangzhao / Goshgarian, Harry G

    The Journal of neuroscience : the official journal of the Society for Neuroscience

    2016  Volume 36, Issue 12, Page(s) 3441–3452

    Abstract: Respiratory complications in patients with spinal cord injury (SCI) are common and have a negative impact on the quality of patients' lives. Systemic administration of drugs that improve respiratory function often cause deleterious side effects. The ... ...

    Abstract Respiratory complications in patients with spinal cord injury (SCI) are common and have a negative impact on the quality of patients' lives. Systemic administration of drugs that improve respiratory function often cause deleterious side effects. The present study examines the applicability of a novel nanotechnology-based drug delivery system, which induces recovery of diaphragm function after SCI in the adult rat model. We developed a protein-coupled nanoconjugate to selectively deliver by transsynaptic transport small therapeutic amounts of an A1 adenosine receptor antagonist to the respiratory centers. A single administration of the nanoconjugate restored 75% of the respiratory drive at 0.1% of the systemic therapeutic drug dose. The reduction of the systemic dose may obviate the side effects. The recovery lasted for 4 weeks (the longest period studied). These findings have translational implications for patients with respiratory dysfunction after SCI.
    Significance statement: The leading causes of death in humans following SCI are respiratory complications secondary to paralysis of respiratory muscles. Systemic administration of methylxantines improves respiratory function but also leads to the development of deleterious side effects due to actions of the drug on nonrespiratory sites. The importance of the present study lies in the novel drug delivery approach that uses nanotechnology to selectively deliver recovery-inducing drugs to the respiratory centers exclusively. This strategy allows for a reduction in the therapeutic drug dose, which may reduce harmful side effects and markedly improve the quality of life for SCI patients.
    MeSH term(s) Adenosine A1 Receptor Antagonists/administration & dosage ; Adenosine A1 Receptor Antagonists/chemistry ; Animals ; Diaphragm/drug effects ; Diaphragm/physiopathology ; Male ; Muscle Strength/drug effects ; Nanoconjugates/administration & dosage ; Nanoconjugates/chemistry ; Rats ; Rats, Sprague-Dawley ; Receptor, Adenosine A1/metabolism ; Recovery of Function/drug effects ; Respiratory Mechanics/drug effects ; Respiratory Paralysis/drug therapy ; Respiratory Paralysis/etiology ; Respiratory Paralysis/physiopathology ; Spinal Cord Injuries/complications ; Spinal Cord Injuries/drug therapy ; Spinal Cord Injuries/physiopathology ; Treatment Outcome ; Wheat Germ Agglutinin-Horseradish Peroxidase Conjugate/chemistry ; Wheat Germ Agglutinin-Horseradish Peroxidase Conjugate/pharmacokinetics ; Xanthines/administration & dosage ; Xanthines/chemistry
    Chemical Substances Adenosine A1 Receptor Antagonists ; Nanoconjugates ; Receptor, Adenosine A1 ; Wheat Germ Agglutinin-Horseradish Peroxidase Conjugate ; Xanthines ; 1,3-dipropyl-8-cyclopentylxanthine (9PTP4FOI9E)
    Language English
    Publishing date 2016-03-21
    Publishing country United States
    Document type Journal Article ; Research Support, N.I.H., Extramural
    ZDB-ID 604637-x
    ISSN 1529-2401 ; 0270-6474
    ISSN (online) 1529-2401
    ISSN 0270-6474
    DOI 10.1523/JNEUROSCI.2577-15.2016
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  8. Article: The crossed phrenic phenomenon: a model for plasticity in the respiratory pathways following spinal cord injury.

    Goshgarian, Harry G

    Journal of applied physiology (Bethesda, Md. : 1985)

    2003  Volume 94, Issue 2, Page(s) 795–810

    Abstract: Hemisection of the cervical spinal cord rostral to the level of the phrenic nucleus interrupts descending bulbospinal respiratory pathways, which results in a paralysis of the ipsilateral hemidiaphragm. In several mammalian species, functional recovery ... ...

    Abstract Hemisection of the cervical spinal cord rostral to the level of the phrenic nucleus interrupts descending bulbospinal respiratory pathways, which results in a paralysis of the ipsilateral hemidiaphragm. In several mammalian species, functional recovery of the paretic hemidiaphragm can be achieved by transecting the contralateral phrenic nerve. The recovery of the paralyzed hemidiaphragm has been termed the "crossed phrenic phenomenon." The physiological basis for the crossed phrenic phenomenon is as follows: asphyxia induced by spinal hemisection and contralateral phrenicotomy increases central respiratory drive, which activates a latent crossed respiratory pathway. The uninjured, initially latent pathway mediates the hemidiaphragm recovery by descending into the spinal cord contralateral to the hemisection and then crossing the midline of the spinal cord before terminating on phrenic motoneurons ipsilateral and caudal to the hemisection. The purpose of this study is to review work conducted on the crossed phrenic phenomenon and to review closely related studies focusing particularly on the plasticity associated with the response. Because the review deals with recovery of respiratory muscles paralyzed by spinal cord injury, the clinical relevance of the reviewed studies is highlighted.
    MeSH term(s) Animals ; Diaphragm/physiopathology ; Neural Pathways/physiopathology ; Neuronal Plasticity ; Paralysis/etiology ; Paralysis/physiopathology ; Paralysis/surgery ; Phrenic Nerve/physiopathology ; Phrenic Nerve/surgery ; Recovery of Function ; Respiratory Mechanics ; Spinal Cord Injuries/complications ; Spinal Cord Injuries/physiopathology
    Language English
    Publishing date 2003-02
    Publishing country United States
    Document type Journal Article ; Research Support, U.S. Gov't, P.H.S. ; Review
    ZDB-ID 219139-8
    ISSN 1522-1601 ; 8750-7587 ; 0021-8987 ; 0161-7567
    ISSN (online) 1522-1601
    ISSN 8750-7587 ; 0021-8987 ; 0161-7567
    DOI 10.1152/japplphysiol.00847.2002
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  9. Article ; Online: Sleep disordered breathing induced by cervical spinal cord injury and effect of adenosine A1 receptors modulation in rats.

    Sankari, Abdulghani / Minic, Zeljka / Farshi, Pershang / Shanidze, Medea / Mansour, Wafaa / Liu, Fangchao / Mao, Guangzhao / Goshgarian, Harry G

    Journal of applied physiology (Bethesda, Md. : 1985)

    2019  Volume 127, Issue 6, Page(s) 1668–1676

    Abstract: Sleep-disordered breathing (SDB) is very common after spinal cord injury (SCI). The present study was designed to evaluate the therapeutic efficacy of adenosine A1 receptor blockade (8-cyclopentyl-1,3-dipropylxanthine, DPCPX) on SDB in a rodent model of ... ...

    Abstract Sleep-disordered breathing (SDB) is very common after spinal cord injury (SCI). The present study was designed to evaluate the therapeutic efficacy of adenosine A1 receptor blockade (8-cyclopentyl-1,3-dipropylxanthine, DPCPX) on SDB in a rodent model of SCI. We hypothesized that SCI induced via left hemisection of the second cervical segment (C2Hx) results in SDB. We further hypothesized that blockade of adenosine A1 receptors following C2Hx would reduce the severity of SDB. In the first experiment, adult male rats underwent left C2Hx or sham (laminectomy) surgery. Unrestrained whole body plethysmography (WBP) and implanted wireless electroencephalogram (EEG) were used for assessment of breathing during spontaneous sleep and for the scoring of respiratory events at the acute (~1 wk), and chronic (~6 wk) time points following C2Hx. During the second experiment, the effect of oral administration of adenosine A1 receptor antagonist (DPCPX, 3 times a day for 4 days) on SCI induced SDB was assessed. C2Hx animals exhibited a higher apnea-hypopnea index (AHI) compared with the sham group, respectively (35.5 ± 12.6 vs. 19.1 ± 2.1 events/h,
    MeSH term(s) Animals ; Cervical Cord/drug effects ; Cervical Cord/metabolism ; Cervical Cord/physiopathology ; Cervical Vertebrae/drug effects ; Cervical Vertebrae/metabolism ; Cervical Vertebrae/physiopathology ; Male ; Purinergic P1 Receptor Antagonists/pharmacology ; Rats ; Rats, Sprague-Dawley ; Receptor, Adenosine A1/metabolism ; Respiration/drug effects ; Sleep/drug effects ; Sleep/physiology ; Sleep Apnea Syndromes/drug therapy ; Sleep Apnea Syndromes/metabolism ; Sleep Apnea Syndromes/physiopathology ; Spinal Cord Injuries/drug therapy ; Spinal Cord Injuries/metabolism ; Spinal Cord Injuries/physiopathology ; Xanthines/pharmacology
    Chemical Substances Purinergic P1 Receptor Antagonists ; Receptor, Adenosine A1 ; Xanthines ; 1,3-dipropyl-8-cyclopentylxanthine (9PTP4FOI9E)
    Language English
    Publishing date 2019-10-10
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't ; Research Support, U.S. Gov't, Non-P.H.S.
    ZDB-ID 219139-8
    ISSN 1522-1601 ; 0021-8987 ; 0161-7567 ; 8750-7587
    ISSN (online) 1522-1601
    ISSN 0021-8987 ; 0161-7567 ; 8750-7587
    DOI 10.1152/japplphysiol.00563.2019
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  10. Article: Sleep onset hypoventilation in chronic spinal cord injury.

    Bascom, Amy T / Sankari, Abdulghani / Goshgarian, Harry G / Badr, M Safwan

    Physiological reports

    2015  Volume 3, Issue 8

    Abstract: A high prevalence of sleep-disordered breathing (SDB) after spinal cord injury (SCI) has been reported in the literature; however, the underlying mechanisms are not well understood. We sought to determine the effect of the withdrawal of the wakefulness ... ...

    Abstract A high prevalence of sleep-disordered breathing (SDB) after spinal cord injury (SCI) has been reported in the literature; however, the underlying mechanisms are not well understood. We sought to determine the effect of the withdrawal of the wakefulness drive to breathe on the degree of hypoventilation in SCI patients and able-bodied controls. We studied 18 subjects with chronic cervical and thoracic SCI (10 cervical, 8 thoracic SCI; 11 males; age 42.4 ± 17.1 years; body mass index 26.3 ± 4.8 kg/m(2)) and 17 matched able-bodied subjects. Subjects underwent polysomnography, which included quantitative measurement of ventilation, timing, and upper airway resistance (RUA) on a breath-by-breath basis during transitions from wake to stage N1 sleep. Compared to able-bodied controls, SCI subjects had a significantly greater reduction in tidal volume during the transition from wake to N1 sleep (from 0.51 ± 0.21 to 0.32 ± 0.10 L vs. 0.47 ± 0.13 to 0.43 ± 0.12 L; respectively, P < 0.05). Moreover, end-tidal CO2 and end-tidal O2 were significantly altered from wake to sleep in SCI (38.9 ± 2.7 mmHg vs. 40.6 ± 3.4 mmHg; 94.1 ± 7.1 mmHg vs. 91.2 ± 8.3 mmHg; respectively, P < 0.05), but not in able-bodied controls (39.5 ± 3.2 mmHg vs. 39.9 ± 3.2 mmHg; 99.4 ± 5.4 mmHg vs. 98.9 ± 6.1 mmHg; respectively, P = ns). RUA was not significantly altered in either group. In conclusion, individuals with SCI experience hypoventilation at sleep onset, which cannot be explained by upper airway mechanics. Sleep onset hypoventilation may contribute to the development SDB in the SCI population.
    Language English
    Publishing date 2015-08
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2724325-4
    ISSN 2051-817X
    ISSN 2051-817X
    DOI 10.14814/phy2.12490
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