Microglia modulate brainstem serotonergic expression following neonatal sustained hypoxia exposure: implications for

P M MacFarlane1, C A Mayer1, D G Litvin2

  • 1Department of Pediatrics, Rainbow Babies & Children's Hospital, Case Western Reserve University, Cleveland, OH, 44106, USA.

The Journal of Physiology
|December 15, 2015
PubMed

Insights

Neonatal sustained hypoxia exposure alters brainstem serotonin and microglia, impairing breathing responses and increasing mortality. A microglia inhibitor prevented these effects, suggesting a link to sudden infant death syndrome.

Area of Science:

  • Neuroscience
  • Developmental Biology
  • Respiratory Physiology

Background:

  • The second postnatal week is a critical developmental period for respiratory control.
  • Neonatal sustained hypoxia (SH) exposure during this period heightens vulnerability.
  • Previous work indicated SH alters brainstem neurochemistry, impacting ventilatory control.

Purpose of the Study:

  • To investigate if SH during the second postnatal week alters brainstem serotonin (5-HT) expression.
  • To determine if microglia activity mediates these SH-induced changes.
  • To assess if minocycline, a microglia inhibitor, can prevent SH-induced effects.

Main Methods:

  • Rats were exposed to sustained hypoxia (11% O2 for 5 days) during the second postnatal week.
  • Whole-body plethysmography assessed hypoxic ventilatory response (HVR).
  • Brainstem tissue (nucleus of the solitary tract and dorsal motor nucleus of the vagus) was analyzed for microglia and 5-HT immunoreactivity.

Main Results:

  • SH exposure attenuated HVR and increased mortality.
  • SH increased microglia numbers and decreased 5-HT immunoreactivity in the nTS and DMNV.
  • Minocycline treatment prevented the attenuated HVR, mortality, and neurochemical changes.

Conclusions:

  • SH during a critical developmental window induces brainstem serotonin abnormalities.
  • Microglia activation plays a key role in mediating the deleterious effects of SH.
  • These findings suggest a potential mechanism linking neonatal hypoxia, brainstem changes, and sudden infant death syndrome.