Mapping of the excitatory, inhibitory, and modulatory afferent projections to the anatomically defined active expiratory oscillator in adult male rats

The lateral parafacial region (pF(L); which encompasses the parafacial respiratory group, pFRG) is a conditional oscillator that drives active expiration during periods of high respiratory demand, and increases ventilation through the recruitment of expiratory muscles. The pF(L)activity is highly modulated, and systematic analysis of its afferent projections is required to understand its connectivity and modulatory control. We combined a viral retrograde tracing approach to map direct brainstem projections to the putative location of pF(L), with RNAScope and immunofluorescence to identify the neurochemical phenotype of the projecting neurons. Within the medulla, retrogradely-labeled, glutamatergic, glycinergic and GABAergic neurons were found in the ventral respiratory column (Botzinger and preBotzinger Complex [preBotC], ventral respiratory group, ventral parafacial region [pF(V)] and pF(L)), nucleus of the solitary tract (NTS), reticular formation (RF), pontine and midbrain vestibular nuclei, and medullary raphe. In the pons and midbrain, retrogradely-labeled neurons of the same phenotypes were found in the Kolliker-Fuse and parabrachial nuclei, periaqueductal gray, pedunculopontine nucleus (PPT) and laterodorsal tegmentum (LDT). We also identified somatostatin-expressing neurons in the preBotC and PHOX2B immunopositive cells in the pF(V), NTS, and part of the RF. Surprisingly, we found no catecholaminergic neurons in the NTS, A5 orLocus Coeruleus, no serotoninergic raphe neurons nor any cholinergic neurons in the PPT and LDT that projected to the pF(L). Our results indicate that pF(L)neurons receive extensive excitatory and inhibitory inputs from several respiratory and nonrespiratory related brainstem regions that could contribute to the complex modulation of the conditional pF(L)oscillator for active expiration.

Automated summary

The lateral parafacial region is a conditional oscillator that can drive active expiration during high respiratory demand and increase ventilation. Neurons in the pF(L) receive extensive excitatory and inhibitory inputs from several brainstem regions, contributing to the complex modulation of active expiration.