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Genetic identification of medullary neurons underlying congenital hypoventilation

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Item Type:Article
Title:Genetic identification of medullary neurons underlying congenital hypoventilation
Creators Name:Cui, K., Xia, Y., Patnaik, A., Salivara, A., Lowenstein, E.D., Isik, E.G., Knorz, A.L., Airaghi, L., Crotti, M., Garratt, A.N., Meng, F., Schmitz, D., Studer, M., Rijli, F.M., Nothwang, H.G., Rost, B.R., Strauß, U. and Hernandez-Miranda, L.R.
Abstract:Mutations in the transcription factors encoded by PHOX2B or LBX1 correlate with congenital central hypoventilation disorders. These conditions are typically characterized by pronounced hypoventilation, central apnea, and diminished chemoreflexes, particularly to abnormally high levels of arterial PCO2. The dysfunctional neurons causing these respiratory disorders are largely unknown. Here, we show that distinct, and previously undescribed, sets of medullary neurons coexpressing both transcription factors (dB2 neurons) account for specific respiratory functions and phenotypes seen in congenital hypoventilation. By combining intersectional chemogenetics, intersectional labeling, lineage tracing, and conditional mutagenesis, we uncovered subgroups of dB2 neurons with key functions in (i) respiratory tidal volumes, (ii) the hypercarbic reflex, (iii) neonatal respiratory stability, and (iv) neonatal survival. These data provide functional evidence for the critical role of distinct medullary dB2 neurons in neonatal respiratory physiology. In summary, our work identifies distinct subgroups of dB2 neurons regulating breathing homeostasis, dysfunction of which causes respiratory phenotypes associated with congenital hypoventilation.
Keywords:Central Sleep Apnea, Homeodomain Proteins, Hypoventilation, Medulla Oblongata, Neurons, Phenotype, Transcription Factors, Animals, Mice
Source:Science Advances
ISSN:2375-2548
Publisher:American Association for the Advancement of Science
Volume:10
Number:25
Page Range:eadj0720
Date:21 June 2024
Official Publication:https://doi.org/10.1126/sciadv.adj0720
PubMed:View item in PubMed

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