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Breathing and Olfactory CO2 Chemoreceptors: Implications in SIDS Jessica Kenemuth and E. Lee Coates Neuroscience Program, Allegheny College, Meadville, PA

Introduction

Methods

“Sudden Infant Death Syndrome (SIDS) is the unexpected, sudden death of a child under age 12 months in which an autopsy does not show an explainable cause of death” (NIH, 2008). The “Triple Risk Model” proposes that SIDS is due to the intersection of a critical developmental period, an exogenous stressor, and an abnormality in cardiorespiratory control (Filano and Kinney, 1990).

Results

Conclusions

Breathing Study

Breathing Study • Breathing was measured in neonatal mice in response to 0, 4, 8% CO2

Breathing Study • Ventilation was successfully measured in neonatal mice.

Ventilatory Response to CO2 - Day 3

• Mice were placed in a plesthysmograph chamber (see Figure below)

Period 1

Pre-CO2

• Breathing responses were measured on days 1,2,3,5, and 8 after birth

Period 2

• Ventilation became more regular with age, indicating that central chemoreceptors are not fully developed at birth.

0% CO2

Breathing Study The objective of this study was to determine if neonatal mice could be used to investigate portions of the “Triple Risk Model” Highest rate 3-6 months

Critical Developmental Period

Electrophysiology Study

4% CO2

High CO2, Low O2, High Temp

• Application of Acetazolamide inhibited the receptor responses to CO2 • Application of QAS and did not affect receptor responses to CO2.

8% CO2

• We conclude that intracellular CA is necessary for the detection of CO2 by olfactory CO2 receptors.

1 sec

Exogenous Stressor

• Extracellular CA does not seem to play a role in the detection of CO2 by olfactory CO2 receptors.

Age-Related Ventilatory Response to CO2

Filiano and Kinney, 1990

Other Risk Factors: - Prone sleeping - Loose bedding - Smoking - Bed sharing - Pre-term birth

Abnormalities in Cardiorespiratory Control

1 minute of 0, 4, or 8% CO2

Pre-CO2

“Back to Sleep” campaign reduced SIDS from 1.2 cases/1000 live births in 1993 to 0.5 cases/1000 live birth in 2003

Coates EL, Silvis ML. (1999) Age-related changes in the ventilatory response to inspired CO2 in neonatal rats. Respiration Physiology 118: 173-179. Day 8 (8% CO2)

Electrophysiology Study

• Receptor responses to CO2 were recorded from the olfactory epithelium

The objective of this part of the study was to record from CO2 olfactory receptors in the mouse to determine the transduction mechanisms used to detect CO2.

• Membrane permeable (acetazolamide) or membrane impermeable (QAS) carbonic anhydrase inhibitors were applied to the olfactory epithelium.

Odorant Odorant

Olfactory receptor response to CO2 (Before and after inhibition with Acetazolamide or QAS)

Electro-olfactogram (EOG) electrode

Mucosal layer Cilia

AC R G CO2 + H2O

cAMP

Mature olfactory neuron

CA H2CO3

Supporting cell H+ + HCO3 -

?

Filiano JJ, Kinney HC. (1994) A perspective on neuropathologic findings in victims of the sudden infant death syndrome: The triple risk model. Biology of the Neonate 65: 194-197.

Electrophysiology Study

Na+, Ca2+

CO2

Coates EL. (2001) Olfactory CO2 chemoreceptors. Respiration Physiology 129: 219-229. 1 sec

Immature neuron Na+, Ca2+

Basement membrane

Axons

EOG Amplitude (% max baseline)

Specifically, we sought to determine the role of intracellular and extracellular carbonic anhydrase (CA)

CO2

References

Period 2

Electrophysiology Study

ATP

Period 2

Day 3 (8% CO2)

0% CO2

Period 1

Period 1

Pre-CO2

0% CO2

• Mice exhibited an age-related increase in ventilation with increasing CO2 concentrations.

120

Before - Acetazolamide After - Acetazolamide

N=7

120

100

100

80

80

60

60

40

40

20

20

0

0

0

5

10 15 20 25 30 35 40 45 50

% CO2

Before - QAS After - QAS

Hunt CE, Hauck FR. (2006) Sudden infant death syndrome. Canadian Medical Association Journal 174: 1861-1869. National Institute of Health (2008) www.NIH.gov

N=6

Acknowledgements We thank Dr. and Mrs. Edward Shanbrom for generously funding this project. 0

5

10 15 20 25 30 35 40 45 50

% CO2