bioRxiv preprint, 2024 · DOI: https://doi.org/10.1101/2024.04.12.589188 · Published: November 13, 2024
This study explores a new method to improve breathing by stimulating the nerves that control the diaphragm, the main muscle for breathing. The researchers used a technique called chemogenetics, which involves using special receptors that can be activated by specific drugs, to stimulate phrenic motor neurons. The study found that activating these receptors in the spinal cord increased the activity of the diaphragm and improved breathing in mice and rats. This approach may have potential for treating conditions where breathing is impaired, such as after a spinal cord injury. The researchers also found that targeting these receptors specifically to the phrenic motor neurons was more effective than non-specific expression in the mid-cervical spinal cord, suggesting that precise targeting is important for this approach.
This technology may enable application to clinical conditions associated with impaired diaphragm activation and hypoventilation, such as cervical spinal cord injury.
The intrapleural or diaphragmatic injection delivery routes might ultimately prove better for selective phrenic motoneuron targeting. Using different AAV serotypes or viruses with better retrograde movement could optimize the targeting of phrenic motoneurons.
Focal expression of an excitatory DREADD in phrenic motoneurons could be used to increase the excitability of these cells, thereby improving the efficacy of spared bulbospinal synaptic inputs which convey “inspiratory drive”.