Lecture 22: Respiration 1 Flashcards

1
Q

Why do you need to breath?

A

acquire oxygen and remove waste (CO2)
maintain blood pH
match metabolism
temperature regulation

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2
Q

What is the oxygen cascade?

A

ventilation -> pulmonary diffusion -> circulation -> tissue diffusion -> tissue metabolism

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3
Q

What are the three phases of respiration?

A

inspiration, post-inspiration and late expiration

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4
Q

What happens during inspiration?

A

diaphragm contracts and expands the thoracic cavity
abductor muscles of the upper airways contract resulting in dilation of the upper airways
subglottal pressure decreases

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5
Q

What happens during post-inspiration?

A

diaphragm starts to relax and volume of the thoracic cavity decreases
adductor muscles of the upper airways contract resulting in constriction of the upper airways
significant increase in subglottal pressure

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6
Q

What happens during late expiration?

A

diaphragm is relaxed and volume of the thoracic cavity is compressed
muscles of the upper airways are relaxed and the upper airways are opened up a little bit more
subglottal pressure is decreased

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7
Q

What does the phrenic nerve innervate?

A

the diaphragm

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8
Q

What does the hypoglossal nerve innervate?

A

the genioglossus muscle

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9
Q

What does activity of the recurrent laryngeal nerve lead to during inspiration?

A

contraction of the abductor muscles of the upper airway to reduce resistance and increase airflow

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10
Q

Where is the ventral respiratory group located?

A

in the medulla

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11
Q

What do brainstem regions produce synchronised respiratory output to?

A

the spinal cord

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12
Q

What is pre-BötC sufficient for?

A

generating respiratory rhythm

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13
Q

What would happen if you destroyed pre-BötC neurons?

A

this would lead to a decrease in respiratory frequency and amplitude of motor output

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14
Q

What is the function of pre-BötC neurons?

A

pre-inspiratory or early inspiratory function

little to no expiratory function

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15
Q

What do pre-BötC neurons express?

A

NK1-receptor, somatostatin(SST) and Dbx-1 transcription factor

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16
Q

What type of neuron are pre-BötC neurons?

A

glutamatergic

there is a subset that is glycinergic

17
Q

What is the endogenous ligand for the NK1-receptor?

A

substance P

18
Q

Why type of receptor is NK1?

A

G-protein coupled receptor which is internalised following stimulation by substance P
attached ligand is also internalised

19
Q

What is saporin?

A

a ribosomal inactivating protein (RIP) which inhibits protein synthesis and initiates cell death

20
Q

What is required for saporin to enter the cell?

A

needs to be bound to a chaperone

21
Q

Are NK1-R expressing cells in pre-BötC actually required for normal breathing rhythm generation?

A

yes

22
Q

What did destruction of NK1-receptor expressing neurons in the pre-Botzinger complex result in?

A

irregular breathing with large periods of apnea

23
Q

What did silencing of the pre-Botzinger complex by the insect peptide allatostatin after transfection with AAV result in?

A

cessation of breathing

24
Q

What do experiments in destruction and silencing of pre-Botzinger complex neurons serve to demonstrate?

A

pre-Botzinger complex is essential and necessary for respiratory rhythm generation

25
Q

What are the properties of pre-Botzinger neurons?

A

action potentials continue to fire even when all synaptic transmission is inhibited

26
Q

What allows for intrinsic bursting in pre-Botzinger neurons?

A

persistent sodium current

27
Q

What are two important factors in generation of bursts in pre-BötC neurons?

A

Ca2+ activated nonselective cationic current AND persistent sodium currents

28
Q

How does intra-alveolar pressure and intra-pleural pressure change during inspiration?

A

intra-alveolar pressure decreases then increases

intra-pleural pressure decreases

29
Q

How does intra-alveolar pressure and intra-pleural pressure change during post-inspiration?

A

intra-alveolar pressure increases then slightly decreases

intra-pleural pressure increases

30
Q

How does intra-alveolar pressure and intra-pleural pressure change during late expiration?

A

intra-alveolar pressure decreases

intra-pleural pressure increases

31
Q

How does airflow change during respiration?

A

inspiration: air flow in
post-inspiration: air flow out
late expiration: air flow out