Intermittent Hypoxia during Gestation Disrupts Respiratory Rhythm and Neuroplasticity in Newborn Rat Brainstem‐spinal cord Preparations In Vitro

Abstract

Pregnant women with sleep‐disordered breathing experience intermittent hypoxia, especially during late pregnancy. To test whether intermittent hypoxia exposures during pregnancy (G‐IH; gestational intermittent hypoxia) alter breathing in newborn rats, pregnant rats were exposed to intermittent hypoxia (2 min 10.5% oxygen / 2 min normoxia for 8 h) from gestational day 10 to 21 (exposures completed prior to birth). Newborn rats (P0–P3) were anesthetized and their brainstem‐spinal cords isolated under in vitro conditions. Spontaneous respiratory motor bursts were recorded on cervical spinal roots (C4–C5). G‐IH preparations from P0–P1 rats had a lower baseline burst frequency (8.2 +/− 0.6 bursts/min; n=10) compared to normoxic controls (11.0 +/− 0.3 bursts/min; n=21). After 90 min, burst frequency decreased with time nearly 2× times greater in G‐IH preparations compared to controls. In most G‐IH preparations, there were frequent “pauses” in the rhythm, which resembled spontaneous apneas. With respect to respiratory neuroplasticity, dihydroxyflavone (DHF) application (5 micromolar, 9 min; TrkB receptor agonist) induced long‐lasting 19% increase in respiratory motor burst amplitude in control preparations (n=5) after 90 min. However, only 2/4 G‐IH preparations expressed a DHF‐dependent increase in motor burst amplitude. Also, episodic substance‐P application (100 nanomolar, 3 min on / 7 min wash ×3) induced a long‐lasting (60‐min) increase in respiratory burst frequency in control preparations. However, there was no substance‐P induced frequency plasticity in any G‐IH preparations (n=4). These data suggest that gestational intermittent hypoxia disrupts respiratory rhythm generation and reduces the capacity for expressing respiratory neuroplasticity in newborn rats.Support or Funding InformationNIH Grant: NS085226