Pre-Bötzinger complex

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AMPA receptor

Pre-Bötzinger complex (PreBötC) is a cluster of neurons located in the ventrolateral medulla of the brainstem. It is critically involved in generating the respiratory rhythm and is considered an essential component of the brain's respiratory network. The PreBötC is named after the Bötzinger complex, another region in the medulla involved in respiratory control, but it is located more caudally and has distinct functions.

Function[edit | edit source]

The primary role of the PreBötC is to generate the basic rhythm of breathing. It does this by producing rhythmic burst potentials that drive inspiratory muscle activity. Neurons within the PreBötC can generate these rhythms even when isolated in a slice preparation, indicating that the PreBötC contains intrinsic rhythmogenic properties. The activity of PreBötC neurons is modulated by various neurotransmitters and neuromodulators, reflecting the complex control of breathing by physiological and environmental changes.

Structure[edit | edit source]

The PreBötC is located in the ventrolateral part of the medulla oblongata, adjacent to the inferior olivary nucleus. It consists of a heterogeneous population of neurons, including both excitatory glutamatergic neurons and inhibitory GABAergic and glycinergic neurons. This diversity of neuron types allows for complex interactions that are necessary for the generation and modulation of the respiratory rhythm.

Development[edit | edit source]

The development of the PreBötC is a subject of ongoing research. It is known that the formation of the PreBötC involves the migration of neurons from different parts of the embryonic brainstem and is influenced by various genetic and environmental factors. The proper functioning of the PreBötC is crucial for survival at birth, as it is responsible for initiating and regulating the newborn's breathing.

Clinical Significance[edit | edit source]

Dysfunction of the PreBötC can lead to serious respiratory disorders. Conditions such as Congenital Central Hypoventilation Syndrome (CCHS) and sudden infant death syndrome (SIDS) have been linked to abnormalities in the PreBötC. Understanding the mechanisms of PreBötC function and dysfunction is therefore of great importance for developing treatments for these and other respiratory disorders.

Research[edit | edit source]

Research on the PreBötC involves a variety of techniques, including electrophysiological recordings, genetic manipulation, and imaging studies. These studies aim to elucidate the cellular and molecular mechanisms that underlie the generation and modulation of respiratory rhythms. Insights from this research not only advance our understanding of respiratory control but also have implications for understanding other rhythmically active networks in the brain.

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Contributors: Prab R. Tumpati, MD