Department of Physiology, Nippon Dental University, School of
Dentistry at Tokyo, Tokyo, Japan
The excitatory responses of deflationary slowly adapting pulmonary
stretch receptor (SAR) activity to lung deflation ranging from
approximately
15 to
25 cm of H2O for approximately
5 s were examined before and after administration of flecainide, a Na+ channel blocker, and K+ channel blockers,
such as 4-aminopyridine (4-AP) and tetraethylammonium (TEA). The
experiments were performed in anesthetized, artificially ventilated
rats after unilateral vagotomy. The deflationary SARs increased their
activity during lung deflation and its effect became more pronounced by
increasing the degree of negative pressure. During lung deflation the
average values for the deflationary SAR adaptation index (AI) were
below 40%. Intravenous administration of veratridine (50 µg/kg), an
Na+ channel opener, stimulated deflationary SAR activity:
one maintained excitatory activity mainly during deflation and the
other receptors showed a tonic discharge during both deflation and
inflation. Despite the difference in deflationary SAR firing patterns
after veratridine administration, flecainide treatment (6.0 mg/kg)
blocked veratridine-induced deflationary SAR stimulation and also
caused strong inhibition of the excitatory responses of deflationary SARs to lung deflation. Under these conditions, the average values for
deflationary SAR AI were over 90%. The responses of deflationary SARs
and deflationary SAR AI to lung deflation were not significantly altered by pretreatment with either 4-AP (0.7 and 2.0 mg/kg) or TEA
(2.0 and 6.0 mg/kg). These results suggest that the excitatory effect
of lung deflation on deflationary SAR activity is mediated by the
activation of flecainide-sensitive Na+ channels on the
nerve terminals of deflationary SARs.
 |
Introduction |
With
the exception of rapidly adapting pulmonary stretch receptors and vagal
C fibers, three different types of afferent receptors
inflationary
pulmonary stretch, deflation-sensitive, and irritant-like receptors
have been identified in the rat lung (Tsubone, 1986
). Similar types of afferent units of the vagus nerve in the same species
have been reported by Bergren and Peterson (1993)
; they suggested that
three categories of receptors, as suggested by Tsubone (1986)
, belong
to slowly adapting pulmonary stretch receptors (SARs). Based on the
difference between phasic firing patterns of SARs in both closed and
opened chest rats, Bergren and Peterson (1993)
classified four subtypes
of SARs: inflationary, most inflationary, deflationary, and most
deflationary. Wei and Shen (1985)
also demonstrated four different
types of SARs in rabbits, cats, and monkeys (i.e., phasic and tonic
inspiratory units and phasic and tonic expiratory units).
Although there may be differences in physiological function among the
four different types of SARs, it has been proposed that the
Hering-Breuer deflation reflex is mediated by the activation of
deflationary SARs (Knowlton and Larrabee, 1946
; Tsubone, 1986
). The
deflationary SARs are specific types of myelinated vagal afferent fibers responding to lung deflation on airway collapse. The thickening of the airway smooth muscle is considered to act as an effective stimulus for deflationary SARs oriented in a perpendicular manner to
the axis of the smooth muscle (Bergren and Peterson, 1993
). The
mechanism mediating the mechanical deformation of deflationary SARs has
not yet been determined, but those receptors may have mechanosensitive
channels on the endings. In the mechanoreceptor cells and spider
mechanoreceptor neurons, ion channels responsible for the mechanically
activated currents are mainly selective for Na+
rather than for K+ (Rydqvist and Purali, 1993
;
Juusola et al.,1994
; Höger et al., 1997
). In view of the action
potential generation, both Na+ and
K+ conductances have the ability to regulate the
number of spikes with a cycle of Na+ inflow and
K+ outflow, but the relationship between the
activation of mechanosensitive channels on deflationary SARs and the
influx of Na+ or the efflux of
K+ remains to be determined. On the other hand,
the decrease in deflationary SAR activity induced by lung collapse is
slow, and the average values for deflationary SAR adaptation index (AI) are 20%, indicating a slowly adapting fashion (Tsubone, 1986
). Bergren
and Peterson (1993)
found that the deflationary SAR AI was elevated
above inflationary SARs at positive 20 cm of H2O. From these observations, it is possible that the AI for deflationary SARs reflects faithfully the dynamic sensitivity of these receptors, which basically depends on the viscoelasticity of the structures containing deflationary SARs.
To investigate these relationships associated with lung deflation in an
in vivo preparation, we performed different types of experiments in
anesthetized artificially ventilated rats after unilateral vagotomy.
First, the responses of deflationary SAR activity and deflationary SAR
AI to deflation of the lungs were compared before and after
administration of flecainide, one of the Na+
channel blockers (Banitt et al., 1977
; Campbell and Williams, 1983
),
sufficient to abolish veratridine-induced deflationary SAR stimulation.
On the other hand, two broad classes of voltage-gated K+ channel currents have been distinguished as to
differences in time- and voltage-dependent properties: a typical
fast-inactivating A-type current (IA) and a more
sustained K+ current of delayed-rectifier type
(IK) (Storm, 1988
; Halliwell, 1990
). Two
pharmacologically different types of K+ channels
are also identified in the myelinated axons of the rat sciatic nerve
fibers: IA is blocked by 4-aminopyridine (4-AP) and IK is blocked by tetraethylammonium (TEA)
(Baker et al., 1987
; Kocsis et al., 1987
). In other series of
experiments, the changes in deflationary SAR activity and deflationary
SAR AI in response to lung deflation were examined before and after
administration of 4-AP or TEA. We selected deflationary SARs, as
described in previous studies (Tsubone, 1986
; Bergren and Peterson,
1993
).
 |
Materials and Methods |
Animal Preparations.
The experiments were performed on 24 Wistar rats (300-380 g). They were anesthetized with sodium
pentobarbital (45-50 mg/kg) given intraperitoneally. The trachea was
exposed through a middle incision and cannulated below the larynx. The
larynx and esophagus were retracted rostrally for nerve recording in a
paraffin pool. Tracheal pressure (PT) was
measured by connecting a polyethylene catheter inserted into the
tracheal tube to a pressure transducer. A polyethylene catheter was
also inserted into the right jugular vein for administration of drugs
or 0.9% NaCl solution. After administration of heparin (500 U/kg) into
the jugular vein, the right common carotid artery was cannulated for
measurement of blood pressure (BP). Then the left vagus nerve was
exposed and sectioned, but the right vagus nerve was left intact. The
animals were paralyzed with intravenous administration of gallamine
(5-10 mg/kg), and additional doses (3-5 mg/kg) of gallamine were
administered to avoid spontaneous respiratory movements, as required.
The level of anesthesia, abolishing the changes in BP seen during the
corneal reflex and pain reflexes induced by tail pinch, was maintained with additional doses of sodium pentobarbital (9-10 mg/kg/h) through a
cannula inserted into the jugular vein. The stroke volume of the
respirator was set at 10 ml/kg and its frequency ranged from 50 to 60 cycles/min.
Experimental Procedures for Deflation and Inflation of the
Lungs.
During artificial ventilation, the respirator was turned
off at expiration. In that case, PT fell to 0 cm
of H2O. After occluding the inspiratory line of
the respirator, the lungs were then subjected to negative pressure
(approximately
15 to
25 cm of H2O) for over
5 s. Subsequently, to reverse atelectasis, hyperinflation (inflation volume = 3 tidal volumes) was performed by means of a
syringe connected to the expiratory line of the respirator. It took
about 20 s to adjust the negative pressure to the next level
before that pressure was applied to the lungs. The negative pressure
was generated from the inlet port of a vacuum motor, changing the
variable level, and connected to the expiratory line of the respirator.
Concerning the inflation of the lungs, the respirator was initially
turned off at expiration. Positive pressure (approximately +5 to +15 cm
of H2O) was then applied for over 5 s by
increasing lung volume through a syringe connected to the expiratory
line of the respirator.
Measurement of Deflationary Slowly Adapting Pulmonary Stretch
Receptors
The peripheral end of the cut left vagus
nerve was desheathed. Then a thin filament containing afferent nerve
fibers was separated, placed on a unipolar silver electrode, and
submerged in a pool of warm liquid paraffin (37-38°C). The small
strands containing afferent nerve fibers were split until the single
activity deflationary slowly adapting pulmonary stretch receptors
(SARs) were identified, on the basis of their characteristic
firing patterns during deflation as follows: 1) they fired during the
deflation phase only; 2) the deflationary SAR discharge was inhibited
by the inflation of the lungs; 3) the deflationary SARs discharge
continued as long as the respirator was stopped; and 4) the increase in
the receptor discharge occurred after forced deflation. We determined the AI of deflationary SARs on stopping the respirator in the deflation
phase as well as during the deflation and inflation of the lungs as the
peak frequency of the receptors during the experimental procedures
minus the average frequency during the second of the procedures
and then divided this by the peak frequency, by applying the method of
Knowlton and Larrabee (1946)
or Widdicombe (1954)
. This number was
multiplied by 100 to obtain a percentage of adaptation. The value for
AI of deflationary SARs was below 50%, as described by Tsubone (1986)
and Bergren and Peterson (1993)
, particularly when lung deflation was
maintained for over 5 s. The deflationary SAR activity was
amplified with a preamplifier, and the individual receptor amplitude
was selected with a window discriminator and fed into a counter. The
number of impulses was recorded on a polygraph.
Experimental Design.
Experiments were designed to test the
roles of Na+ and K+
channels in the deflationary SAR responses to lung deflation. 1) In 12 deflationary SAR fibers in 12 rats, the effects of lung deflation for
over 5 s on deflationary SAR activity, deflationary SAR AI, and
PT were determined. Ten minutes after flecainide
administration (6.0 mg/kg, i. v.) sufficient to abolish 50 µg/kg (i.
v.) veratridine-induced deflationary SAR stimulation, the same sets of
experiments were performed. The effectiveness of flecainide was
determined by the absence of increased deflationary SAR activity after
veratridine administration. 2) In six deflationary SAR fibers in six
rats, the changes in deflationary SAR activity, deflationary AI and PT in response to lung deflation were examined.
Ten minutes after intravenous administration of 4-AP (0.7 and 2.0 mg/kg), the same tests were repeated under the same conditions. The
effectiveness of 4-AP effects was determined by the presence of
increased deflation SAR activity during lung deflation at 0 cm of
H2O. 3) In six deflationary SAR fibers in six
rats, the effects of lung deflation on deflationary SAR activity,
deflationary SAR AI, and PT were determined. Ten minutes after intravenous administration of TEA (2.0 and 6.0 mg/kg) the
same sets of experiments were repeated. The absence of TEA effects was
confirmed by restoring a slight decrease in either deflationary SAR
activity or BP.
Drugs.
Veratridine, 4-AP, and TEA were obtained from Sigma
Chemical Co. (St. Louis, Mo), and flecainide was purchased from Eizai Pharmaceutical Co. Ltd. (Tokyo, Japan). Veratridine (10 mg) was dissolved in a small amount of weak HCl and diluted with 0.9% NaCl
solution. Flecainide (10 mg) was dissolved in 5% glucose. 4-AP (10 mg)
and TEA (10 mg) were dissolved in 0.9% NaCl solution.
Statistical Analysis
During control
conditions, firing rates of the deflationary SARs during one whole
respiratory cycle were measured over several respiratory cycles and
expressed as impulses per second. The deflationary SAR responses to
stopping the respirator for approximately 5 s, deflation
(approximately
15 and
25 cm of H2O) and inflation (approximately +5 and +15 cm of H2O) of the lungs for
approximately 5 s, and veratridine administration (50 µg/kg)
were obtained by counting the firing rates of receptors during the
mechanical changes in the lungs and between onset of the increased
receptor activity and recovery to the control level, and the average
activities of deflationary SARs were calculated and expressed as
impulses per second. Similarly, the control values for PT
and mean BP (MBP) were averaged over several respiratory cycles and
expressed as centimeters of H2O and mm Hg, respectively.
The responses of PT and MBP to lung deflation and inflation
and veratridine administration were obtained by measuring the
respiratory parameters, as described above, and the average values for
PT and MBP were expressed as centimeters of H2O
and mm Hg, respectively. Under normal inflation, the statistical
significance of the effects of veratridine (50 µg/kg), flecainide (6 mg/kg), and veratridine (50 µg/kg) plus flecainide (6 mg/kg) on the
deflationary SAR activity was calculated by a one-way analysis of
variance for repeated measurements. The statistical significance
of the effects of flecainide (6 mg/kg) on the responses of
deflationary SAR activity, PT, and MBP to stopping the
respirator, the deflation and inflation of the lungs, and veratridine
administration was calculated by using a paired t test.
For the deflationary SAR AI studies, values in the absence and presence
of flecainide, 4-AP, or TEA were compared by using a paired
t test. All values were expressed as mean ± S.E. A
P value of less than 0.05 was considered statistically significant.
 |
Results |
The Firing Behavior of Deflationary SARs.
Under control
conditions, deflationary SARs discharged during deflation only (Fig.
1). Typical examples of the effects of stopping the respirator at the deflation phase, lung deflation, and
lung inflation on deflationary SAR activity, PT,
and BP are shown in Fig. 2. Stopping the
respirator led to a train of impulses and caused an increase in the
pulse pressure of BP (Fig. 2A). The deflation (approximately
25 cm of
H2O) of the lungs stimulated deflationary SAR
activity and the discharges continued in a slowly adapting fashion, and
the response was associated with an increase in the pulse pressure of
BP (Fig. 2B). In contrast, the activity of deflationary SARs was
abolished by the inflation (approximately +15 cm of
H2O) of the lungs, which reduced BP (Fig. 2C). In
some deflationary SARs, lung inflation (approximately +15 cm of
H2O) evoked a transient and burst activity, which
adapted rapidly (Fig. 2D). The responses of deflationary SAR activity
and deflationary SAR AI to the deflation and inflation of the lungs in
24 different deflationary SAR preparations in 24 rats are summarized in
Fig. 3. The average discharges of
deflationary SARs after stopping the respirator (0 cm of
H2O) and during two different negative pressures
(
14.6 ± 0.2 and
24.7 ± 0.3 cm of
H2O) of lung deflation were 48.7 ± 3.7, 69.4 ± 3.9 and 101.3 ± 5.2 impulses per second, respectively, and the average values for deflationary SAR AI in those
animals were 34.8 ± 2.6, 34.7 ± 2.5, and 34.7 ± 2.4%, respectively (Fig. 3A). Sixteen of 24 deflation SARs showed
silent activity during lung inflation ranging from approximately +5 to
+15 cm of H2O. But the remaining eight
deflationary SARs had very little activity during lung inflation, which
usually showed a rapidly adapting fashion (Fig. 3B).

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Fig. 2.
Responses of deflationary SARs, PT, and
BP to stopping the respirator at the deflation phase (A), lung
deflation (B), and lung inflation (C and D).
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Fig. 3.
Changes in deflationary SAR activity and deflationary
SAR AI in response to lung deflation (A, n = 24)
and lung inflation (B, n = 8). Values are mean ± S.E.
|
|
Effects of Flecainide on the Responses of Deflationary SARs to
Veratridine and Lung Deflation.
The administration of veratridine
(50 µg/kg), a Na+ channel opener, caused
excitation of the deflationary SAR activity during deflation, which was
accompanied by a weak stimulation of the receptor activity in the
inflation phase. Veratridine administration did not significantly alter
the values for PT as an index of global bronchomotor tone (Fig. 4A). After
administration of flecainide (6.0 mg/kg) in one of the
Na+ channel blockers, the deflationary SARs
decreased their activity in a 10-min period, and subsequent
administration of veratridine (50 µg/kg) did not cause any excitation
of the deflationary SAR activity (Fig. 4B). In 5 of 12 deflationary
SARs, this type of the receptor was observed. As shown in Fig. 4C,
veratridine (50 µg/kg) induced a tonic discharge of receptors during
both inflation and deflation, and such firing patterns lasted for
approximately 110 s, but the response was not associated with any
significant change in PT. At 10 min after
flecainide administration (6.0 mg/kg) this Na+
channel blocker abolished 50 µg/kg veratridine-induced deflationary SAR stimulation (Fig. 4D). Such an effect was seen in the seven remaining deflationary SARs. The effects of flecainide (6.0 mg/kg) on
the deflationary SAR and PT responses to
veratridine administration (50 µg/kg) during normal inflation (one
tidal volume) is summarized in Fig. 5, A
and B. During normal inflation, veratridine administration caused
approximately a 1.6-fold increase in the deflationary SAR activity;
this increase was abolished by pretreatment with flecainide, which
reduced the baseline discharge of deflationary SARs (Fig. 5A). The
changes in PT in response to normal ventilation
were not altered by administration of either flecainide or veratridine (Fig. 5B).

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Fig. 4.
Responses of deflationary SARs and PT to
i.v. administration ( ) of veratridine (50 µg/kg) before (A and C)
and after (B and D) administration of flecainide (6.0 mg/kg). Marked
gaps (30 sec and 80 sec) indicate the elapsed time between
recordings.
|
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Fig. 5.
Changes in deflationary SAR activity (A) and
PT (B) in response to i.v. administration of veratridine
(50 µg/kg) before and after pretreatment with flecainide (6.0 mg/kg)
under normal inflation. , control; , veratridine (50 µg/kg);
, flecainide (6.0 mg/kg); , veratridine (50 µg/kg) plus
flecainide (6.0 mg/kg). Values are mean ± S.E.;
n = 12. *, P < 0.05, statistically significant difference from control values.
|
|
Typical examples of the effects of flecainide (6.0 mg/kg) sufficient to
block 50 µg/kg veratridine-induced deflationary SAR stimulation on
the responses of the receptor activity, PT, and BP to lung deflation (approximately
25 cm of
H2O) are shown in Fig.
6, A and B. Pretreatment with flecainide
greatly inhibited lung deflation-induced deflationary SAR stimulation,
and the discharge pattern of the receptors changed from a slowly
adapting fashion to a rapidly adapting one (Fig. 6, A and B). The
effects of flecainide (6.0 mg/kg) to abolish veratridine-induced (50 µg/kg)deflationary SAR stimulation on the responses of the receptor
activity and deflationary SAR AI to lung deflation of different
pressures in 12 different deflationary SAR fibers in 12 rats are
summarized in Fig. 6, C and D. The changes in PT
produced by lung deflations were not significantly altered by
pretreatment with flecainide. The Na+ channel
blocker flecainide significantly inhibited the excitatory responses of
deflationary SAR activity to lung deflation with different pressures
but caused a significant increase in the values for deflationary SAR
AI. The MBP values during lung deflation at 0,
14.7 (average value),
and
24.6 cm of H2O in the absence of flecainide
were 108.6 ± 5.3, 112.7 ± 5.9, and 115.6 ± 6.4 mm Hg,
respectively, and in the presence of flecainide, were 105.4 ± 5.2, 111.4 ± 5.3, and 114.6 ± 6.2 mm Hg, respectively.
Although the maximal changes in MBP in response to lung deflations were not significantly altered by flecainide treatment, this
Na+ channel blocker caused bradycardia (lung
deflation: absence,
14.7 cm of H2O, 409.7 ± 13.5 beats/min;
24.6 cm of H2O, 418.6 ± 12.5 beats/min; in the presence of flecainide at 6.0 mg/kg,
14.7
cm of H2O, 258.6 ± 8.4 beats/min,
n = 12, P < 0.05;
24.6 cm of
H2O, 261.7 ± 7.9 beats/min,
n = 12, P < 0.05).

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Fig. 6.
Effects of flecainide on the responses of
PT and deflationary SAR activity to lung deflation. A,
control; B, after i.v. administration of flecainide (6.0 mg/kg); C,
summary of the effects of lung deflation on deflationary SAR responses
before ( ) and after ( ) flecainide treatment (6.0 mg/kg); D,
summary of the effects of lung deflation on deflationary SAR AI
responses before ( ) and after ( ) flecainide treatment (6.0 mg/kg). Values are mean ± S.E.; n = 12. *,
P < 0.05, statistically significant difference
from control values.
|
|
Effects of 4-AP on the Responses of Deflationary SARs to Lung
Deflation.
Deflation (approximately
25 cm of
H2O) of the lungs stimulated deflationary SAR
activity (Fig. 7A). After 10 min of 4-AP administration (2.0 mg/kg), the deflationary SARs increased their activity during deflation at 0 cm of H2O, but the
magnitude of the increased deflationary SAR activity during lung
deflation was similar to that before 4-AP treatment (Fig. 7B). The
change in PT in response to lung deflation before
4-AP treatment was the same as that after 4-AP treatment. The responses
of deflationary SARs and deflationary SAR AI to lung deflation with
different pressures in six different deflationary SAR fibers in six
rats were compared before and after 4-AP treatment (Fig. 7, C and D). The K+ channel blocker 4-AP at a dose of 2.0 mg/kg significantly increased the deflationary SAR activity seen after
stopping the respirator, but this K+ channel
blocker (0.7 and 2.0 mg/kg) did not significantly alter the excitatory
effect of lung deflation on deflationary SAR activity. Furthermore,
4-AP treatment (0.7 and 2.0 mg/kg) had no significant effect on the
values of deflationary SAR AI during lung deflation. The increase in BP
occurred after administration of 4-AP, but this pressor effect was
transient. The MBP values during lung deflation at 0,
14.8, and
24.7 cm of H2O in the absence of 4-AP were
96.2 ± 4.8, 104.5 ± 5.3, and 108.2 ± 6.3 mm Hg,
respectively, and in the presence of 4-AP (0.7 mg/kg), were 97.4 ± 4.9, 106.2 ± 5.4, and 110.4 ± 6.7 mm Hg, respectively,
and 98.3 ± 4.9, 107.5 ± 5.7, and 112.5 ± 6.8 mm Hg,
after 4-AP administration at 2.0 mg/kg, respectively. The maximal
changes in MBP in response to lung deflations were not significantly
altered by 4-AP treatment.

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Fig. 7.
Effects of 4-AP on the responses of deflationary SAR
activity and PT to lung deflation. A, control; B, after
i.v. administration of 4-AP (2.0 mg/kg); C, summary of the effects of
lung deflation on deflationary SAR responses before ( ) and after
4-AP treatment at 0.7 ( ) and 2.0 ( ) mg/kg; D, summary of the
effects of lung deflation on deflationary SAR AI responses before ( )
and after 4-AP treatment at 0.7 ( ) and 2.0 ( ) mg/kg. Values are
mean ± S.E.; n = 6. *,
P < 0.05, statistically significant difference
from control values.
|
|
Effects of TEA on the Responses of Deflationary SARs to Lung
Deflation.
Figure 8, A and B, shows
the responses of deflationary SAR activity and PT
to the deflation (approximately
25 cm of H2O) of the lungs before and after administration of TEA (6.0 mg/kg), a
K+ channel blocker. Pretreatment with TEA had no
significant effect on the excitatory response of deflationary SAR
activity to lung deflation. The effects of TEA (2.0 and 6.0 mg/kg) on
the changes in deflationary SAR activity and deflationary SAR AI in
response to lung deflation at 0,
14.8, and
24.6 cm of
H2O in six different deflationary SAR fibers in
six rats are summarized in Fig. 8, C and D. Pretreatment with TEA (2.0 and 6.0 mg/kg) did not significantly alter the values for
PT seen during lung deflations. The MBP values during lung deflation at 0,
14.8, and
24.6 cm of
H2O in the absence of TEA were 97.9 ± 5.2, 106.7 ± 5.9, and 108.8 ± 7.2 mm Hg, respectively, and after
TEA treatment at 2.0 mg/kg, were 95.5 ± 4.9, 103.1 ± 5.5, and 104.9 ± 6.8 mm Hg, respectively, and in the presence of TEA
at 6.0 mg/kg, were 94.6 ± 5.1, 102.8 ± 5.7, and 103.8 ± 7.1 mm Hg, respectively. TEA treatment (2.0 and 6.0 mg/kg) did not
significantly alter the responses of MBP to lung deflation at different
pressures.

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Fig. 8.
Effects of TEA on the responses of deflationary SAR
activity and PT to lung deflation. A, control; B, after
i.v. administration of TEA (6.0 mg/kg); C, summary of the effects of
lung deflation on deflationary SAR responses before ( ) and after TEA
treatment at 2.0 ( ) and 6.0 ( ) mg/kg; D, summary of the effects
of lung deflation on deflationary SAR AI responses before ( ) and
after TEA treatment at 2.0 ( ) and 6.0 ( ) mg/kg. Values are
mean ± S.E.; n = 6.
|
|
 |
Discussion |
The present study provided evidence that excitation of the
deflationary SAR activity during deflation of the lungs was greatly attenuated by pretreatment with an Na+ channel
blocker flecainide, whereas K+ channel blockers,
such as 4-AP and TEA, had no significant effect on the excitatory
responses of deflationary SAR activity to lung deflation. Because the
thickening of airway smooth muscle may be a possible stimulus of the
receptor activity during lung deflation (Bergren and Peterson, 1993
),
it is conceivable that the mechanical deformation of deflationary SARs
seen during lung deflation results in an increase in
Na+ influx via the activation of
flecainide-sensitive (voltage-gated) Na+ channels
into the receptor endings, and as a result, this effect stimulates
deflationary SAR activity.
Throughout collapse or forced deflation in the opened chest rat the
discharges of deflationary SARs are known to show a slowly adapting
fashion because during collapse the mean values for deflationary SAR AI
were approximately 20% (Tsubone, 1986
). Similar values for the AI of
deflationary SARs in opened chest rats have been demonstrated by
deflation to 0 cm of H2O or by exposure to a
constant-negative pressure of
10 cm of H2O
(Bergren and Peterson, 1993
). In this study, all deflationary SARs
fired during deflation only under normal ventilation, and they revealed
persistent discharges consisting of train or burst impulses with normal
ventilation and a train as well as a train followed by burst impulses
with deflation of the lungs. During deflation to
14.6 ± 0.2 and
24.7 ± 0.3 cm of H2O, the mean values for
the AI of deflationary SARs were 34.7 ± 2.5 and 34.7 ± 2.4%, respectively. The characteristic features of deflationary SARs
were different from these of the pulmonary deflation receptors as
described in previous studies, which responded to deflation of
asthmatic attack in guinea pigs (Koller and Ferrer, 1970
; Koller,
1973
). It is also unlikely that the deflationary SARs are the same as
the expiratory receptors responding to collapse, forced deflation, and
hyperinflation in the rabbit (Luck, 1970
). For this reason, the
recorded deflationary SARs had very little or no activity, particularly
during inflation of the lungs.
Veratridine can impair Na+ channel inactivation
and, as a result, cause the channels to remain open at rest (Strichartz
et al., 1987
). This implies that the concomitant increase in resting Na+ permeability after veratridine administration
occurs even when the membrane is not under voltage control (Ulbricht,
1969
; Catterall, 1992
). Indeed, we found that opening of
Na+ channels caused by veratridine could
stimulate deflationary SAR activity; some deflationary SARs increased
their activity mainly during deflation, and the other receptors showed
signs of tonic excitation during both inflation and deflation. The
latter effect resembled the behavior of mostly deflationary SARs
responding well to lung inflation (Bergren and Peterson, 1993
).
Presumably, there is a possible continuum between some deflation SARs
and mostly deflationary SARs. Veratridine administration (50 µg/kg) did not cause any significant change in PT as an
index of bronchomotor tone, particularly in the condition in which the
right vagus nerve was left intact. Similar results concerning the
effects of veratridine on SAR activity and PT
have been reported (Matsumoto et al., 2000
).
Veratridine is known to interact with tetrodotoxin (TTX)-sensitive
Na+ channels, resulting in a depolarization of
the nerve cell (Catterall, 1992
). In cultured hippocampal neurons,
veratridine application causes a TTX-sensitive intracellular
Na+ concentration
([Na+]i) increase (Rose and Ransom, 1997
).
Indeed we found that flecainide treatment abolished 50 µg/kg
veratridine-induced deflationary SAR stimulation. This finding leads us
to suggest that stimulation of deflationary SARs by veratridine is
mediated by the fast, TTX-sensitive Na+ channels,
but not by the slow, TTX-insensitive Na+
channels. Furthermore, flecainide treatment sufficient to block veratridine-induced deflationary SAR stimulation greatly inhibited the
excitatory responses of the receptor activity to deflation of the
lungs. The results suggest that the excitatory effect of lung deflation
on deflationary SAR activity may be related to the activation of
flecainide-sensitive Na+ channels on the receptor
endings. When considering the results reported in our previous study
indicating that pretreatment with flecainide (6.0 mg/kg) that blocked
veratridine-induced (50 µg/kg) inflationary SAR stimulation had no
significant effect on the excitatory responses of those receptors to
hyperinflation (inflation volume = 3 tidal volumes) in rats
(Matsumoto et al., 2000
), the results of the present study appear
contradictory because the average values for the conduction velocity of
deflationary SARs and mostly inflationary SARs in the rat are almost
the same (Bergren and Peterson, 1993
). Nevertheless, obvious
differences in the receptor activity during the inflation and deflation
phases of ventilatory cycles indicate the existence of two
subpopulations of SARs in the rat, which have different transduction
mechanisms. On the other hand, the inhibitory effect of flecainide on
lung deflation-induced deflationary SAR stimulation seems to include at
least in part reduction of the heart rate because some deflationary SARs in the absence and presence of flecainide revealed firing patterns
with a cardiac rhythm during normal ventilation as well as during
deflation of lungs. Tsubone (1986)
postulated that deflationary SARs
are located in or near the hilus of the pulmonary artery or in a site
in the lungs directly pulsated by the heartbeat. Further studies are
needed to clarify the difference between the effects of deflationary
and inflationary SARs on the transduction mechanism involving the
functional coupling of Na+ channels and
mechanosensitivities. In addition, after flecainide treatment, the AI
of all deflationary SARs changed from a slowly adapting fashion to a
rapidly adapting one. This probably implies that the activation of
Na+ channels sensitive to the
Na+ channel blocker flecainide contributes to the
slowly adapting response of the deflationary SARs to the deflation of
the lungs.
On the other hand, K+ conductances influence the
shaping of action potentials, neuronal repetitive firing patterns, and
the summation of synaptic inputs in neural cells (McLarnon, 1995
). Several different types of K+ channels have been
identified on the basis of electrophysiological and pharmacological
properties; the most widely distributed K+
currents are the Shaker (KV 1),
Shab (KV 2), Shaw
(KV 3), Shal (KV
4) (Butler et al., 1989
; Wei et al., 1990
), and a calcium-activated K+ channel current (IKCa)
(Meech and Standen, 1975
). Both IA
(Shaker and Shal) and IK
(Shab and Shaw) regulate the timing of action potential formation and the repetitive firing pattern of neuronal cells
(Dekin and Getting, 1987
; Spigelman et al., 1992
). In the myelinated
axons of the rat sciatic nerve fibers, 4-AP-sensitive K+ channels are related to action potential
repolarization, but TEA-sensitive K+ channels
cause posthyperpolarization after repetitive activity (Kocsis et
al., 1987
). The application of 4-AP is known to elicit a broad spike of
action potentials (Kocsis et al., 1987
; Poulter and Padjen, 1995
), but
such an effect could not be confirmed in this study because we measured
extracellular action potentials. In this study, administration of 4-AP
at a dose of 2.0 mg/kg increased deflationary SARs during lung
deflation at 0 cm of H2O. This excitatory effect
may be explained by evidence showing that 4-AP results in both membrane
depolarization and repetitive firing in squid axons (Yeh et al., 1976
,
a
,b
). This was further supported by good evidence that 4-AP application
(100 µM-1 mM) caused repetitive firing of action potentials in
guinea pig airway sensory fibers (A
range) derived from cell bodies
located within the nodose ganglion (McAlexander and Undem, 2000
). But
we found that prior treatment with TEA, inhibiting the
IK conductance, had no significant effect on the
activity of deflationary SARs under the deflation of the lungs at 0 cm
of H2O. This finding is consistent with the observation that TEA (10 mM) application alone has little effect on the
wave form of the compound action potentials obtained from the sciatic
nerves of immature and mature rats but blocks 4-AP-induced postspike
activity (hyperpolarization) (Eng et al., 1989
). In addition, there is
evidence that ganglion-derived airway sensory fibers (A
range) in
the guinea pig are relatively insensitive to TEA application (10 mM)
(McAlexander and Undem, 2000
). It is therefore possible that
TEA-sensitive K+ channels are not responsible for
repolarization after single action potentials. The fact that the AI
values for deflationary SARs in the deflation of the lungs were not
significantly altered by pretreatment with either 4-AP (0.7 and 2.0 mg/kg) or TEA (2.0 and 6.0 mg/kg) suggests that accommodation of the
deflationary SAR discharge during the deflation of the lungs is not
related to the activation of either IA or
IK of the receptive terminal membranes. This was
further confirmed by evidence that no detectable changes in
deflationary SAR activity were found when different pressure deflations
were applied to the lungs in the presence of 4-AP or TEA. From these
results, it is more conceivable that the excitatory mechanism of
deflationary SARs is not involved in the activation of either 4-AP
sensitive or TEA-sensitive K+ channels.
The excitatory responses of deflationary SAR activity to the deflation
of the lungs were greatly inhibited by pretreatment with flecainide,
but pretreatment with 4-AP or TEA did not significantly alter those
responses. The results suggest that stimulation of deflationary SARs by
lung deflation is mainly mediated by the stimulating action of
flecainide-sensitive (voltage-gated) Na+ currents
on the receptor terminals of deflationary SARs.
Accepted for publication October 26, 2001.
Received for publication August 3, 2001.