Intermittent activation of large diameter phrenic afferents induces phrenic motor plasticity

Abstract

We recently showed that in anesthetized rats, 30 minutes of electrical stimulation applied to the diaphragm muscle induces phrenic afferent dependent plasticity characterized by a long-lasting increase in diaphragm electromyography amplitude. Our previous data also indicate that large diameter phrenic afferents may be most effective at eliciting plasticity. Here we directly test the hypothesis that intermittent activation of large diameter phrenic afferents induces phrenic motor plasticity. In urethane anesthetized and mechanically ventilated male Sprague-Dawley rats, we isolated the left and right phrenic nerves. We applied inspiratory-triggered electrical stimulation (biphasic; 40Hz; 160mA) to one phrenic nerve in a sustained (n= 5, 25 minutes) or intermittent (n=5; 5 X 5-minute episodes) pattern, and recorded contralateral motor output before, during, and for 60 minutes after stimulation. We used a narrow pulse width (0.1ms) to preferentially activate large diameter afferents. At 60 minutes, rats receiving sustained stimulation showed no difference in contralateral phrenic motor amplitude compared to time controls not receiving stimulation (n=5; P=0.1320). In contrast, rats receiving intermittent stimulation had an increase at 60 minutes compared to time controls (P=0.0005) and sustained stimulation (P=0.0024). This suggests that intermittent, but not sustained, phrenic nerve stimulation induces contralateral phrenic motor plasticity. To test the hypothesis that phrenic afferents are necessary for intermittent induced plasticity, separate animals received either a left, C3-C6 dorsal rhizotomy (n=3) or laminectomy (n=4) prior to intermittent stimulation. Laminectomy controls expressed a long-lasting increase in contralateral phrenic motor amplitude compared to time controls (n=5) at 60 minutes after stimulation (P=0.0112). Animals receiving a dorsal rhizotomy were not different than time controls at 60 minutes (P=0.4058), indicating phrenic afferents are necessary for the induction of plasticity. These data show for the first time that intermittent activation of large diameter phrenic afferents induces phrenic motor plasticity. A detailed understanding of afferent mediated plasticity will be beneficial in the development of therapeutic techniques utilizing electrical stimulation of the diaphragm muscle (i.e., diaphragm pacing). This work was supported by funding from the National Institute of Health, grant numbers: R00 HL143207-01 (KAS). The authors declare no competing financial interests. This is the full abstract presented at the American Physiology Summit 2023 meeting and is only available in HTML format. There are no additional versions or additional content available for this abstract. Physiology was not involved in the peer review process.