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Disturbances of Breathing in Rett Syndrome: Results from Patients and Animal Models

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Integration in Respiratory Control

Part of the book series: Advances in Experimental Medicine and Biology ((AEMB,volume 605))

Rett syndrome (RTT) is a neurodevelopmental disorder caused by mutations in the X-linked gene MECP2 (Amir et al. 1999). MECP2 encodes the methyl-CpG binding protein 2 (MeCP2), which acts as a transcriptional repressor. The target genes regulated by MeCP2 are still subject to intensive research (Bienvenu and Chelly 2006). Besides mental retardation, most patients suffer from potentially life-threatening breathing arrhythmia during wakefulness (Kerr et al. 1997). Predominantly alternating periods of hyperventilation and apnoeas occur (Julu et al. 2001; Weese-Mayer et al. 2006). The availability of Mecp2 −/y knockout (KO) mice (Guy et al. an animal model for RTT, now allows more detailed studies of the respiratory dysfunction. Plethysmographic investigations revealed a RTT like respiratory disorder in KO mice in vivo (Viemari et al. 2005). We recently linked the respiratory disorder of KO in situ preparations to an impaired control of postinspiratory activity (Stettner et al. 2007). In this book chapter we compare the respiratory phenotype of KO in situ preparations with our preliminary results from polygraphic investigations in RTT patients with severe respiratory phenotype.

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References

  • Amir, R.E., Van den Veyver, I.B., Wan, M., Tran, C.Q., Francke, U. and Zoghbi, H.Y. (1999) Rett syndrome is caused by mutations in X-linked MECP2, encoding methyl-CpG-binding protein 2. Nat. Genet. 23, 185–188.

    Article  CAS  PubMed  Google Scholar 

  • Andersson, J.P., Liner, M.H., Fredsted, A. and Schagatay, E.K. (2004) Cardiovascular and respiratory responses to apneas with and without face immersion in exercising humans. J. Appl. Physiol. 96, 1005–1010.

    Article  PubMed  Google Scholar 

  • Bienvenu, T. and Chelly, J. (2006) Molecular genetics of Rett syndrome: when DNA methylation goes unrecognized. Nat. Rev. Genet. 7, 415–426.

    Article  CAS  PubMed  Google Scholar 

  • Dutschmann, M. and Herbert, H. (2006) The Kölliker-Fuse nucleus gates the postinspiratory phase of the respiratory cycle to control inspiratory off-switch and upper airway resistance in rat. Eur. J. Neurosci. 24, 1071–1084.

    Article  PubMed  Google Scholar 

  • Dutschmann, M. and Paton, J.F. (2002a) Inhibitory synaptic mechanisms regulating upper airway patency. Respir. Physiol. Neurobiol. 131, 57–63.

    Article  PubMed  Google Scholar 

  • Dutschmann, M. and Paton, J.F. (2002b) Influence of nasotrigeminal afferents on medullary respiratory neurones and upper airway patency in the rat. Pflugers Arch. 444, 227–235.

    Article  CAS  PubMed  Google Scholar 

  • Farley, G.R., Barlow, S.M. and Netsell, R. (1992) Factors influencing neural activity in parabrachial regions during cat vocalizations. Exp. Brain Res. 89, 341–351.

    CAS  PubMed  Google Scholar 

  • Ferrigno, M., Hickey, D.D., Liner, M.H. and Lundgren, C.E. (1986) Cardiac performance in humans during breath holding. J. Appl. Physiol. 60, 1871–1877.

    CAS  PubMed  Google Scholar 

  • Guy, J., Hendrich, B., Holmes, M., Martin, J.E. and Bird, A. (2001) A mouse Mecp2-null mutation causes neurological symptoms that mimic Rett syndrome. Nat. Genet. 27, 322–326.

    Article  CAS  PubMed  Google Scholar 

  • Julu, P.O., Kerr, A.M., Apartopoulos, F., Al-Rawas, S., Engerström, I.W., Engerström, L., Jamal, G.A. and Hansen, S. (2001) Characterisation of breathing and associated central autonomic dysfunction in the Rett disorder. Arch. Dis. Child. 85, 29–37.

    Article  CAS  PubMed  Google Scholar 

  • Kerr, A.M., Armstrong, D.D., Prescott, R.J., Doyle, D. and Kearney, D.L. (1997) Rett syndrome: analysis of deaths in the British survey. Eur. Child. Adolesc. Psychiatry 6 Suppl. 1, 71–74.

    PubMed  Google Scholar 

  • Richter, D.W. and Spyer, K.M. (1990) Cardiorespiratory control. In: A.D. Llowey and K.M. Spyer (Eds.), Central Regulation of Autonomic Functions. Oxford University Press, New York, pp. 189–207.

    Google Scholar 

  • Shiba, K., Satoh, I., Kobayashi, N. and Hayashi, F. (1999) Multifunctional laryngeal motoneurons: an intracellular study in the cat. J. Neurosci. 19, 2717–2727.

    CAS  PubMed  Google Scholar 

  • Stettner, G.M., Huppke, P., Brendel, C., Richter, D.W., Gartner, J., and Dutschmann, M. (2007) Breathing dysfunctions associated with impaired control of postinspiratory activity in Mecp2-/y knockout mice. J Physiol. 579, 863–876.

    Article  CAS  PubMed  Google Scholar 

  • Viemari, J.C., Roux, J.C., Tryba, A.K., Saywell, V., Burnet, H., Pena, F., Zanella, S., Bevengut, M., Barthelemy-Requin, M., Herzing, L.B., Moncla, A., Mancini, J., Ramirez, J.M., Villard, L. and Hilaire, G. (2005) Mecp2 deficiency disrupts norepinephrine and respiratory systems in mice. J. Neurosci. 25, 11521–11530.

    Article  CAS  PubMed  Google Scholar 

  • Weese-Mayer, D.E., Lieske, S.P., Boothby, C.M., Kenny, A.S., Bennett, H.L., Silvestri, J.M. and Ramirez, J.M. (2006) Autonomic nervous system dysregulation: breathing and heart rate perturbation during wakefulness in young girls with Rett syndrome. Pediatr. Res. 60, 443–449.

    Article  PubMed  Google Scholar 

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Stettner, G.M., Huppke, P., Gärtner, J., Richter, D.W., Dutschmann, M. (2008). Disturbances of Breathing in Rett Syndrome: Results from Patients and Animal Models. In: Poulin, M.J., Wilson, R.J.A. (eds) Integration in Respiratory Control. Advances in Experimental Medicine and Biology, vol 605. Springer, New York, NY. https://doi.org/10.1007/978-0-387-73693-8_88

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