Abstract

The periaqueductal grey (PAG) is a nucleus within the midbrain, and evidence from animal models has identified its role in many homeostatic systems including respiration. Animal models have also demonstrated a columnar structure that subdivides the PAG into four columns on each side, and these subdivisions have different functions with regard to respiration. In this study we used ultra-high field functional MRI (7T) to image the brainstem and superior cortical areas at high resolution (1mm3voxels), aiming to identify activation within the columns of the PAG associated with respiratory control. Our results showed deactivation in the lateral and dorsomedial columns of the PAG corresponding with short (~10s) breath holds, along with cortical activations consistent with previous respiratory imaging studies. These results demonstrate the involvement of the lateral and dorsomedial PAG in the network of conscious respiratory control for the first time in humans. This study also reveals the opportunities of 7T functional MRI for non-invasively investigating human brainstem nuclei at high-resolutions.

Highlights

  • The study of respiratory control is largely focused on the nuclei of the respiratory rhythm generators in the medulla, whilst suprapontine control of respiration is less well understood

  • One of these deactivation clusters followed the lateral column on the right side of the periaqueductal grey (PAG) (12 voxels), and the second was located in the right caudal dorsolateral PAG (8 voxels)

  • The deactivation seen within the lPAG, in particular, follows a columnar structure that is consistent with previous work from animal models

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Summary

Introduction

The study of respiratory control is largely focused on the nuclei of the respiratory rhythm generators in the medulla, whilst suprapontine control of respiration is less well understood. The PAG has been proposed to be subdivided into four columns on each side; ventrolateral (vlPAG), lateral (lPAG), dorsolateral (dlPAG) and dorsomedial (dmPAG) (Bandler and Shipley, 1994; Dampney et al, 2013; Subramanian, 2012; Subramanian et al, 2008) Direct excitation of these columns in animals has revealed distinct respiratory functions, such as irregular breathing with the vlPAG, prolonged inspirations, expirations and vocalisations from the lPAG, active breathing and tachypnea from the dlPAG, and slow, deep breathing from the dmPAG (Subramanian, 2012; Subramanian et al, 2008).

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