The opioid buprenorphine differentially affects laryngeal and tracheal sensory receptors

Abstract

The current study aims to determine mechanisms of impaired airway protection following opioid administration. Experiments were performed on N=10 anesthetized male Sprague Dawley rats. Bipolar fine wire electromyogram (EMG) wires were implanted in various muscles to evaluate breathing and swallowing. Swallows were evoked by activation of laryngeal touch receptors, tracheal mechanoreceptors, and tracheobronchial c-fibers as follows: A) Light laryngeal touch with a Von Frey filament; B) Rapid inflation of a balloon in the proximal trachea; C) Stimulation of the carina with thin polyethylene tubing. Trials were performed before and after buprenorphine administration (0.01 mg/kg IV). 2-Way ANOVA detected an effect of drug [F(1,16)=40.6, p<0.0001] and stimulus [F(2,19)=4.2, p=0.03] on swallow frequency. Post hoc comparisons showed that after buprenorphine administration, laryngeal touch evoked significantly more swallows (10±4) than tracheal distension (1±1, p=0.03) or carina stimulation (1±3, p=0.04), suggesting that laryngeal sensation is critical for airway protection following opioid administration. This has implications for prevention of aspiration pneumonia in populations that have an increased risk of reduced laryngeal sensation and are commonly treated with opioids (e.g., post-surgical, critically ill, and/or head and neck cancer patients). Research reported in this abstract was supported by NIH grants NS110169, HL155721, HL163008, HD110951, NS097781, OT20D001983, the Craig H. Neilsen Foundation Pilot Research Grant 546714, Kentucky Spinal Cord and Head Injury Research Trust, and the Commonwealth of Kentucky Challenge for Excellence. This is the full abstract presented at the American Physiology Summit 2024 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.