Reviewer #3 (Public Review):
This manuscript reveals opioid suppression of breathing could occur via multiple mechanisms and at multiple sites in the pontomedullary respiratory network. The authors show that opioids inhibit an excitatory pontomedullary respiratory circuit via three mechanisms: 1) postsynaptic MOR-mediated hyperpolarization of KF neurons that project to the ventrolateral medulla, 2) presynaptic MOR mediated inhibition of glutamate release from dorsolateral pontine terminals onto excitatory preBötC and rVRG neurons, and 3) postsynaptic MOR-mediated hyperpolarization of the preBötC and rVRG neurons that receive pontine glutamatergic input.
This manuscript describes in detail a useful method for dissecting the relationship between the dorsolateral pons and the rostral medulla, which will be useful for various researchers. It's also great to see how many different methods have been applied to improve the accuracy of the results.
1. Relationship between the dorsolateral pons and rostral ventrolateral medulla.
The method of this paper is a good paper to show a very precise relationship between the presence of opioid receptors and the dorsolateral pons and rostral ventrolateral medulla, and for opioid receptors, based on the expression of Oprm1, the use of genetically modified mice with anterograde or retrograde viruses with additional fluorescent colors showed both anterograde and retrograde projections, revealing a relationship between the dorsolateral pons and rostral ventrolateral medulla.
For example, to visualize dorsal pontine neurons expressing Oprm1, Oprm1Cre/Cre mice were crossed with Ai9tdTomato Cre reporter mice to generate Ai9tdT/+ oprm1Cre/+ mice (Oprm1Cre/tdT mice) expressing tdTomato on neurons that also express MOR at any point during development, and the retrograde virus encoding Cre-dependent expression of GFP (retrograde AAV-hSIN-DIO-eGFP was injected into the respiratory center of Oprm1Cre/+ mice and into the ventral respiratory neuron group, showing that KF neurons expressing Oprm1 project to the respiration-related nucleus of the ventrolateral medulla.
However, although the authors have also corrected it, the virus may spread to other places as well as where they thought it would be injected, and it is important to note that it is injected accordingly to mark the injection site with an anterograde virus encoding a different fluorescent color mCherry, and the extent of the injection is quantified, which is excellent as a control experiment.
In addition, the respiratory center seems to be related not only to preBötC but also to pFRG recently, so if the relation with it is described, it is important from the viewpoint of the effect on the respiratory center and the effect on the rhythm.
2. Electrophysiological approaches and useful methods for target neurons
Oprm1Cre/+ mice), the authors found abundant Oprm1 + projections in the preBötC region of the medulla oblongata (respiratory center) and sought to determine whether presynaptic opioid receptors inhibit glutamate release from KF terminals to excitatory preBötC and rVRG neurons, since KF neurons in the dorsolateral pons projecting to the ventrolateral medulla oblongata had been shown to be glutamatergic and to have opioid receptors. The authors injected a channelrhodopsin-2-encoding virus (AAV2-hSin-hChR2 (H134R) -EYFP-WPRE-PA) into the dorsolateral pontine KF of vglu2Cre / tdT mice and performed whole-cell voltage-clamp recordings from td tomato-expressing, excitatory vglu2-expressing preBötC and rVRG neurons, contained in acute brain slices. Moreover, both opioid-sensitive and opioid-insensitive KF neurons that project to preBötC and rVRG were visible and recorded using FluoSpheres which are much more visible in acute brain sections than retrograde tracers of viruses.
1) Optogenetic stimulation of the KF terminus was blocked by the AMPA-type glutamate receptor antagonist DNQX. In excitatory pre-BötC and rVRG neurons, the terminals from the dorsal pontine KF were activated by optogenetic stimulation, and the KF synapses to the medullary respiratory neurons were found to be monosynaptic because oEPSCs(optical stimulated EPSCs) were removed by TTX but were subsequently restored by the application of K-channel blocker 4AP. Thus, KF neurons have been shown to send monosynaptic glutamatergic projections to excitatory ventrolateral medullary neurons using terminal optogenetic stimulation and receptor and channel inhibitors.
2) To determine whether opioids inhibit glutamate release from KF terminals to medullary respiratory neurons, we recorded a pair of oEPSCs (50 ms stimulus interval) from excitatory preBötC and rVRG neurons and applied an endogenous opioid agonist, [Met5] enkephalin (ME), to the perfusion solution. ME is preBötC and rVRG neurons, indicating inhibition of glutamate release by presynaptic MOR PPR. Thus, presynaptic opioid receptors have been shown electrophysiologically to inhibit glutamate release from KF terminals to excitatory pre-BötC and rVRG neurons.
3) Whether excitatory pre-BötC or rVRG neurons themselves receiving opioid-sensitive glutamatergic synaptic inputs from KF are hyperpolarized by opioids can be determined by monitoring their retention currents.
4) Since FluoSpheres are much more visible in acute brain sections than retrograde tracers of viruses and do not spread to injection sites, they chose to record from retrogradely labeled KF neurons with FluoSpheres injected into preBötC or rVRG in wild-type mice, allowing us to label KF neurons regardless of Oprm1 expression status and determine the projection patterns of both Oprm1 + and Oprm1- neurons. Whole-cell voltage-clamp recordings from fluorescent KF neurons contained in acute brain slices show that the presence of ME-mediated outward current can identify KF neurons that express functional MORs and are opioid-sensitive compared to neurons that lack ME-mediated outward current (insensitive). This suggests that both opioid-sensitive and opioid-insensitive KF neurons project to preBötC and rVRG.
Although much has been written about the relationship between KF neurons and medulla oblongata neurons and their being glutaminergic neurons, detailed descriptions of the recorded neuronal firing patterns are lacking. You should describe what firing pattern the recorded neurons had. If we don't do that, we won't be able to tell whether it's a respiratory neuron or another tonic firing neuron, so I don't think we can discuss whether it's involved in the respiratory rhythm.
3. Compare the distribution of neurons
To examine the distribution of Oprm1 + and Oprm1- dorsolateral pontine neurons projecting to the ventrolateral medulla, we injected retrograde AAV-hSin-DIO-eGFP and retrograde AAV-hSin-mCherry into preBötC and rVRG of Oprm1Cre/+ mice and found a neuronal distribution in which Oprm1-expressing projection neurons expressed GFP and mCherry, but not Oprm1-expressing projection neurons expressed only mCherry.
In addition, rostral glutamatergic KF neurons express FoxP2, while MOR-expressing glutamatergic neurons in the lateral parabrachial region that project to the forebrain express the CGRP-encoding gene, Calca. In view of this, the authors performed immunohistochemistry for FoxP2 and CGRP on Oprm1 + KF neurons projecting to the ventrolateral medulla, and Oprm1 + medulla oblongata projecting KF neurons expressed FoxP2 but not CGRP. The expression of CGRP was not observed in rostral KF and medullary projection Oprm1 + neurons and neurites but was strong in lateral parabrachial neurons and their axonal fiber projections. Can you describe the relationship between CGRP and FoxP2 and recorded neurons?