Respiratory Physiology & Neurobiology 131 (2002) 101– 120 www.elsevier.com/locate/resphysiol High frequency oscillations in respiratory networks: functionally significant or phenomenological? Gregory D. Funk *, Marjorie A. Parkis Department of Physiology, Faculty of Medicine and Health Science, Uni6ersity of Auckland, Pri6ate Bag 92019, Auckland, New Zealand Accepted 9 April 2002 Abstract Inspiratory activities, whether recorded from medullary neurons, motoneurons or motor nerves, feature prominent oscillations in high (50–120 Hz) and medium (15–50 Hz) frequency ranges. These oscillations have been extensively characterized and are considered signatures of respiratory network activity. Their functional significance, however, if any, remains unknown. Here we review the literature describing the nature and origin of these oscillations as well as their modulation during development and by mechanoreceptive and chemoreceptive feedback, respiratory- and non-respiratory-related behaviors, temperature and anesthesia. We then consider the potential significance of these oscillations for respiratory network function by drawing on analyses of distributed motor and sensory networks of the cortex where current interest in oscillatory activity, and the synchronization of neural discharge that can result, is based on the increased efficacy with which synchronous inputs influence neuronal output, and the role that synchronous activity may play in information coding. We speculate that synchronized oscillations at the network level help coordinate activity in distributed rhythm and pattern generating systems and at the muscle level enhance force development. Data most strongly support that oscillatory synaptic inputs play an important role in controlling timing and pattern of action potential output. © 2002 Elsevier Science B.V. All rights reserved. Keywords: Control of breathing; High and medium frequency oscillations; Oscillation; Respiratory network; Pattern generation; Oscillatory networks; Rhythm generation 1. Introduction Synchronized oscillations in neuronal activity on the order of 10 – 150 Hz appear in many regions and systems of the brain (Gray, 1994). Traditionally, these oscillations were considered * Corresponding author. Tel.: +64-9-373-7599x6317; fax: +64-9-373-7499 E-mail address: g.funk@auckland.ac.nz (G.D. Funk). an epiphenomenon of network organization with little functional relevance. More recently, based on theoretical grounds and a growing body of empirical data (Konig and Engel, 1995; Engel et al., 1999), oscillations and the temporal synchrony that can develop from them are proposed to serve a variety of important functions. For example, oscillations may make neurons selectively sensitive to inputs arriving at specific times (Lampl and Yarom, 1993). In thalamo-cortical pathways, os- 1569-9048/02/$ - see front matter © 2002 Elsevier Science B.V. All rights reserved. PII: S 1 5 6 9 - 9 0 4 8 ( 0 2 ) 0 0 0 4 1 - 1 102 G.D. Funk, M.A. Parkis / Respiratory Physiology & Neurobiology 131 (2002) 101–120 cillations of different frequencies establish arousal and the various sleep states (Steriade, 1999). In cortico-motor regions, oscillations of approximately 40 Hz appear during attentive or exploratory behavior (Fetz et al., 2000), and in the hippocampus they are thought to be involved in forming memory (Fell et al., 2001). Within sensory systems, particularly the visual system, the potential for oscillations and neuronal synchronization to solve the ‘binding problem’ (i.e. ‘bind’ together neuronal arrays for the perception of correlated objects in an image) has also generated great interest (Gray, 1994; Engel et al., 1997, 1999; Lestienne, 1999). The possibility that the ‘binding problem’ also arises in motor systems and that short-term synchronization between neurons offers a solution to this problem has recently been reviewed (Farmer, 1998). One motor system featuring prominent oscillations, at frequencies much higher than the primary rhythm, is that controlling breathing (Cohen et al., 1997). Oscillations in the range of 20– 140 Hz are present in the activity of respiratory muscles, nerves and neurons in all mammals studied, including humans, dogs, pigs, cats, rabbits, rats, and mice. Yet, as in other systems, their function remains speculative. The observation that their removal appears to be associated with minimal effect on baseline respiratory rhythm (Richardson and Mitchell, 1982; Gootman and Cohen, 1983; Davies et al., 1986; Gootman et al., 1990; Bruce et al., 1991; Romaniuk and Bruce, 1991) has led many to consider them epiphenomenal. Here we provide a detailed review on the nature, origin, and factors affecting short time scale respiratory oscillations (see also Cohen et al., 1997). Then, based on recent work in sensory and motor systems, we speculate on the potential significance of these oscillations for respiratory network function, motoneuron (MN) activation and generation of muscle force. activity of the phrenic nerve and diaphragm in rabbits and dogs were synchronized on a much shorter time scale than that associated with primary respiratory rhythm. Prominent oscillations of 100 Hz, superimposed on the slower respiratory rhythm (0.5–1 Hz), were apparent under visual inspection, bilaterally synchronized and sensitive to changes in body temperature (Dittler and Garten, 1912). Thus, they were considered manifestations of central nervous system drive to respiratory muscles. The more precise quantification of nerve and diaphragmatic activities made possible with the introduction of the oscillograph (Gasser, 1928; Wyss, 1939, 1955) confirmed these findings and extended them to the vagus and phrenic nerves of rabbit and cat in the late 1930’s (Rijlant, 1937; Wyss, 1939). These oscillations became more apparent with increased inspiratory drive (Wyss, 1939), were independent of the basic inspiratory rhythm and were synchronized between different respiratory motor nerves (Rijlant, 1937). Short time scale oscillations in respiratory outflow received little further study until the 1970s when cross-correlation analyses between the activities of medullary respiratory neurons and phrenic nerve revealed that oscillations were synchronized on a msec time scale (Cohen et al., 1974), providing evidence for monosynaptic connections between brainstem inspiratory neurons and phrenic MNs. Cohen introduced the term ‘high frequency oscillation’, or HFO, to describe respiratory-related oscillations in the range of 50–120 Hz. An additional lower frequency, non-harmonic peak was later revealed via spectral analysis of phrenic and recurrent laryngeal (RL) nerve activities in decerebrate cats (Richardson and Mitchell, 1982) ( 37 Hz for the phrenic nerve and 54 Hz for the RL). Oscillations in this range were later dubbed ‘medium frequency oscillations’ or MFOs (Cohen et al., 1987b). 2. Medium and high frequency oscillations 2.2. Distinction between HFO and MFO 2.1. Early studies Spectral analysis reveals that HFOs (50–120 Hz) and MFOs (15–50 Hz) are present together in inspiratory activity in cats (Cohen et al., 1987b; In 1912, Dittler and Garten documented that G.D. Funk, M.A. Parkis / Respiratory Physiology & Neurobiology 131 (2002) 101–120 Bruce, 1988; Christakos et al., 1988, 1989; Webber, 1989; Sica and Gandhi, 1990; Christakos et al., 1991; Romaniuk and Bruce, 1991; Christakos et al., 1994; Masuda et al., 1995), rats (Kocsis and Gyimesi-Pelczer, 1997; Marchenko et al., 2000), rabbits (Bruce, 1988; Schmid and Bohmer, 1989b,a; Romaniuk and Bruce, 1991; Cairns and Road, 1998), pigs (Gootman et al., 1985; Cohen et al., 1987a; Sica et al., 1988a; Gootman et al., 1990; Sica et al., 1991; Steele et al., 1993), and humans (Ackerson and Bruce, 1983; Bruce and Goldman, 1983; Bruce and Ackerson, 1986; Smith and Denny, 1990). The frequency ranges where HFOs and MFOs occur vary widely between studies and species and are affected by a variety of factors including the 103 type and state of the preparation (i.e. intact, decerebrate, anesthetized, in vivo, in vitro), respiratory drive (hypercapnia, hypoxia), inspiratory phase, and temperature (Section 2.3.3). Therefore the criterion of frequency bandwidth alone is often insufficient to distinguish between the HFO and MFO. Instead, coherence between activities of diverse neuronal populations provides a better means for distinguishing between these two types of oscillations. In general, where two spectral peaks are found, those in the HFO range are typically coherent between different respiratory nerves and muscles, whereas those in the MFO range are not (Fig. 1, and see Section 2.3.1). Distinction between high and medium frequency oscillations is further confounded by de- Fig. 1. Power spectra and coherences for activities of three efferent inspiratory nerves in cat (phrenic, Phr; recurrent laryngeal, RL; and hypoglossal, Hyp) showing coherence between activities of different nerves in the HFO but not MFO bandwidths. Recordings were taken at 0.08 end-tidal CO2. Power spectra of activities during 560 msec window in 23 inspiratory cycles (analysis was based on cycles without lung inflation since autospectra of RL and Hyp activities often lacked clear peaks during inflation cycles). Coherences between the three pairs of activities are shown on the right. Peak coherence values (maximum possible value of 1.0) were 0.68, 0.49 and 0.48 respectively. Vertical dashed lines indicate MFO and HFO spectral peaks at 47 and 86 Hz respectively. Reproduced with permission (Cohen et al., 1987b). 104 G.D. Funk, M.A. Parkis / Respiratory Physiology & Neurobiology 131 (2002) 101–120 velopmental changes in respiratory network activity. In adults the dominant peak is in the HFO range (Cohen et al., 1997) (Fig. 1). In contrast, in neonatal mammals in vivo (Cohen et al., 1987a; Sica and Gandhi, 1990; Kocsis et al., 1999) and in vitro (Liu et al., 1990; Smith et al., 1990; Kato et al., 1996; Tarasiuk and Sica, 1997; Marchenko et al., 2000; Bou-Flores and Berger, 2001), the dominant peak is in the 20–50 Hz (MFO) range and shows coherence (Sica et al., 1988a,b, 1991; Steele et al., 1993; Tarasiuk and Sica, 1997)— but see (Kocsis et al., 1999). Studies showing that peak oscillation frequency increases with development (Suthers et al., 1977; Ackerson and Bruce, 1984; Bruce, 1986; Cohen et al., 1987a; Sica and Gandhi, 1990; Marchenko et al., 2000) suggest that centrally-generated oscillations whose frequency occupies the HFO range in adults occur at lower frequencies in immature animals. If so, coherent ‘MFOs’ in neonates may be analogous to HFOs in adults. The lability of these short time scale oscillations emphasizes the importance of defining them by criteria other than their frequency bandwidth. In this paper we regard MFOs showing coherence between different nerves as analogous to HFOs. 2.3. Characteristics of HFOs 2.3.1. Synchronization of acti6ities in respiratory neurons, ner6es and muscles It is important to emphasize that oscillation is not synonymous with synchronization. For example, presence of HFOs in the hypoglossal and phrenic nerves does not indicate that individual MNs in the two pools are discharging synchronously. Cross-correlation and coherence spectral analyses are required to determine the degree to which oscillatory activity is synchronized between respiratory neurons, nerves and muscles. A detailed discussion of the application of spectral and coherence analysis to various respiratory activities is provided elsewhere (Christakos et al., 1991). In brief, a prominent, narrow peak in the coherence spectrum indicates a high level of synchrony between the compared activities (Figs. 1 and 2). HFOs (and some MFOs) in the phrenic nerve (or C4/C5 spinal roots) are significantly correlated with HFOs in cranial nerves, including the facial (Kato et al., 1987), vagal (Wyss, 1955; Kato et al., 1987; Bruce, 1988; Smith and Denny, 1990; Romaniuk and Bruce, 1991), RL (Cohen et al., 1987b; Bruce, 1988; Christakos et al., 1988; Richardson, 1988; Sica et al., 1988a; Christakos et al., 1989; Huang et al., 1993; Steele et al., 1993; Christakos et al., 1994; Nakazawa et al., 2000), spinal accessory (Tarasiuk and Sica, 1997), and hypoglossal nerves (Cohen et al., 1987b; Kato et al., 1987; Sica et al., 1988b, 1991, 1992), as well as the first cervical nerve (Tarasiuk and Sica, 1997) and thoracic spinal nerves innervating accessory respiratory and intercostal muscles respectively (Davies et al., 1985; Tarasiuk and Sica, 1997; Vaughan and Kirkwood, 1997) (Fig. 1). There is corresponding synchronization of HFOs in activities of airway and accessory respiratory nerves such as the hypoglossal, facial, glossopharyngeal, and vagal nerves (Cohen et al., 1987b; Sica et al., 1988a; Kato et al., 1996) (Fig. 1). HFOs in respiratory nerves are also synchronized with HFOs in unit activities or membrane potentials of brainstem inspiratory neurons (Achard and Bucher, 1954; Cohen, 1973; Cohen et al., 1974; Mitchell and Herbert, 1974; Sieck and Harper, 1981; Feldman and Speck, 1983; Cohen and Feldman, 1984; Davies et al., 1985; Christakos et al., 1988; Hukuhara et al., 1988; Christakos et al., 1989; Sica and Gandhi, 1990; Huang et al., 1996; See et al., 1999), expiratory neurons (where spectra are based on membrane potential during inspiration) (Mitchell and Herbert, 1974; Sieck and Harper, 1981; Ballantyne et al., 1988; Anders et al., 1991; Huang et al., 1996; Cohen et al., 1997) and individual MNs. For example, 50% of phrenic and RL (Christakos et al., 1991, 1994) MNs have HFOs in their discharge and these are highly correlated with the HFOs in their respective nerves, indicating high correlation in discharge between MNs within the population (Fig. 2). Synchronization of oscillations in the medium frequency range is seldom seen between different respiratory nerves (Fig. 1), neurons or muscles in adults. However, significant, but weak, coherence G.D. Funk, M.A. Parkis / Respiratory Physiology & Neurobiology 131 (2002) 101–120 105 Fig. 2. Analyses of spectral properties of the phrenic nerve and an individual phrenic MN’s activity in cat showing: (i) HFO and MFO in autospectra of phrenic nerve (Phr) and phrenic Unit activities; (ii) dependence of spectral properties on time in the inspiratory phase, and; (iii) strong coherence between Unit-Phr nerve activity in the HFO range and weak (but significant) coherence in the MFO range. (A) Cycle-triggered histograms (CTH) of Phr and an early-onset phrenic MN (Unit). The windows used to distinguish early from late-inspiration for computation of the auto- and coherence-spectra in B are indicated by the vertical lines (I, first half of inspiration; II, second half of inspiration; I + II, entire inspiratory phase, gate of 600 msec duration). (B) Autospectra and coherence of Phr and Unit activities in different parts of the inspiratory phase. Computations were performed on activity in 32 inspiratory phases with lung inflation. Note strong HFO spectral and coherence peaks at 65 Hz in all portions of the inspiratory phase. In I +II, note 2 MFO peaks (arrowhead and arrow) in the Unit autospectrum. Smaller peak at 21 Hz corresponds to activity in the first half of inspiration (I, arrowhead); larger peak at 31 Hz corresponds to activity in second half of inspiration (II, arrow) and coincides in frequency with the main nerve MFO peak. For both unit MFO peaks, the frequency is very close to the highest discharge rate of the cell in the corresponding phase of inspiration (see CTH in A). MFO coherence is near zero in I and small but significant in II. Reproduced with permission (Christakos et al., 1991). is apparent in the MFO range when the activities of individual phrenic (Fig. 2) or RL MNs are compared with activities in their respective whole nerves (Richardson and Mitchell, 1982; Christakos et al., 1991, 1994). Thus, while there is little synchrony in the MFO range between the activities of MNs from different pools, small numbers of MNs within discrete pools discharge synchronously. 2.3.2. Effects of respiratory phase on HFOs and MFOs The amplitude, frequency and coherence of HFOs and MFOs all vary with the phase of the respiratory cycle. HFOs are predominantly associated with the inspiratory phase. However, they have also been noted in post-inspiratory activity (Schmid et al., 1990), and occasionally during the 106 G.D. Funk, M.A. Parkis / Respiratory Physiology & Neurobiology 131 (2002) 101–120 expiratory phase in recordings of RL nerve activity (Huang et al., 1993; Huang and Cohen, 2000). HFOs also vary between different portions of the inspiratory phase. With few exceptions (Webber, 1989; Sica et al., 1991; Steele et al., 1993), HFO (or coherent MFO) amplitude and coherence are highest in the first half of the inspiratory cycle, then decrease or disappear in late inspiration (Fig. 2) (Mitchell and Herbert, 1974; Bruce, 1986; Christakos et al., 1988; Richardson, 1988; Christakos et al., 1989; Schmid and Bohmer, 1989b; Schmid et al., 1990; Tarasiuk and Sica, 1997; Cairns and Road, 1998; Marchenko et al., 2000). MFOs generally either appear, or increase in amplitude, frequency (Webber, 1989; Christakos et al., 1991; Sica et al., 1991; Steele et al., 1993) and coherence (Christakos et al., 1991) during late inspiration (Fig. 2). 2.3.3. Factors affecting the strength, frequency and synchronization The influence on HFOs of many factors including chemical stimuli, mechanical stimuli, anesthetics, temperature, and descending drives for behaviors that compete with breathing have been extensively investigated. Three attributes of HFOs are modulated in response to these influences: amplitude; frequency; and the degree of synchrony (coherence) between the different components of the respiratory network. In general, HFOs become faster, more prominent and more tightly synchronized when respiratory drive increases, whether as a result of chemical stimuli, or voluntary increases in respiratory effort (Bruce and Ackerson, 1986). Factors that depress respiratory drive, such as anesthetics, reduce the amplitude of HFOs. 2.3.3.1. Chemical stimuli. Hypercapnia reliably reinforces the amplitude of the HFO (Wyss, 1939, 1955; Cohen, 1973; Richardson and Mitchell, 1982; Bruce and Ackerson, 1986; Cohen et al., 1987b; Kato et al., 1987; Bruce, 1988; Schmid and Bohmer, 1989a,b; Schmid et al., 1990; Bruce et al., 1991; Romaniuk and Bruce, 1991). It also increases HFO synchrony and frequency (Cohen, 1973; Kirkwood et al., 1982b; Richardson and Mitchell, 1982; Bruce and Ackerson, 1986; Cohen et al., 1987b; Kato et al., 1987; Bruce, 1988; Schmid et al., 1990; Bruce et al., 1991; Romaniuk and Bruce, 1991), but see (Richardson and Mitchell, 1982) where frequency did not change). Hypoxia also increases HFO amplitude and frequency (Bruce, 1988; Sica et al., 1988b; Sica and Gandhi, 1990; Steele et al., 1993). The effects of hypercapnia on MFOs are less well studied, and variable. Actions of hypercapnia on the phrenic MFO include no effect (Schmid and Bohmer, 1989b), enhancement with low level hypercapnia but loss of this effect with increased CO2 levels (Schmid et al., 1990), and restoration of MFO amplitude after its attenuation by anesthetic (Masuda et al., 1995). Hypercapnia has also been reported to increase the amplitude of the RL MFO (Cohen et al., 1987b). Hypoxia has no effect on the phrenic MFO in rabbit (Schmid and Bohmer, 1989b) but increased coherence between the activities of the phrenic-RL nerves in the medium frequency range in piglets (Steele et al., 1993). 2.3.3.2. Mechanorecepti6e feedback. The influence of pulmonary vagal afferent feedback on HFOs appears minimal. HFOs are routinely reported in vagotomized preparations, and HFOs in animals with and without intact vagi are not notably different (Bruce, 1986; Schmid and Bohmer, 1989b). In rabbits, withholding lung inflation during inspiration is without effect (Schmid and Bohmer, 1989b), while in decerebrate cats, it either has no effect (Cohen et al., 1987b) or alters the phase dependence of the HFO, keeping coherence high throughout inspiration (Christakos et al., 1989). Artifically-induced lung inflation, on the other hand, is associated with an increase in HFO frequency (Richardson, 1988), or loss of the HFO in the spectra of RL and hypoglossal, but not phrenic, nerve activities (Cohen et al., 1987b; Richardson, 1988), presumably reflecting graded inhibition of these activities by pulmonary afferent input (Sica et al., 1984, 1985). Tracheal occlusion enhances HFO (and MFO) amplitude (Schmid and Bohmer, 1989b; Cairns and Road, 1998), supporting the view that enhanced central drive strengthens HFOs. However, the degree to which this reflects increased mechanoreceptive G.D. Funk, M.A. Parkis / Respiratory Physiology & Neurobiology 131 (2002) 101–120 versus chemoreceptive feedback is unclear since in at least one of these cases, increases in alveolar CO2 secondary to occlusion were not controlled for (Cairns and Road, 1998). 2.3.3.3. Temperature. Raising or lowering central temperature produces parallel changes in the frequency and amplitude of HFOs without altering coherence. This is true whether the temperature is changed in the entire body (Dittler and Garten, 1912; Richardson and Mitchell, 1982), the isolated brainstem-spinal cord in vitro (Kato et al., 1996), or in small areas on the ventral medullary surface in whole animals (Bruce et al., 1991; Romaniuk and Bruce, 1991). The magnitude of the effect of temperature on HFO frequency in adult animals is 5 Hz/°C (Richardson and Mitchell, 1982) and possibly less in neonates (Kato et al., 1996). The observations that cooling limited regions of the medulla is sufficient to shift the HFO frequency and that the shift occurs without disruption of synchrony between widely distributed MN pools suggest that the effects of temperature are mediated through changes in the activity of medullary networks generating the HFO. 2.3.3.4. Anesthetics. Anesthetics reduce HFO amplitude and frequency. While barbiturates are especially potent (Cohen, 1973; Kirkwood et al., 1982b; Gootman and Cohen, 1983; Gootman et al., 1990), others including fluothane (Cohen, 1973), ketamine, chloralose, urethane (Richardson and Mitchell, 1982), sevoflurane, halothane (Masuda et al., 1995) and morphine (Kato, 1998) produce similar effects in a variety of species. Interesting variations from these findings are that Saffan in piglets is not depressant (Sica et al., 1988a; Gootman et al., 1990; Sica et al., 1991), and that while ketamine depresses or eliminates the HFO, it enhances MFOs in phrenic and RL nerves (Richardson and Mitchell, 1982). The depressive actions of anesthetics on oscillatory behavior could be brought about either through specific actions on target regions of the CNS (Gootman et al., 1990) or through generalized depression of synaptic activity. Distinction between these alternatives is difficult since most anesthetics are administered intravenously, in- 107 traperitoneally or via inhalation and have widespread actions. However, the fact that such similar responses are elicited by a wide variety of anesthetics that act in different ways on different brain regions suggests that a key effect underlying suppression of the HFO is generalized depression of synaptic activity. By extension, enhancing synaptic activity in the respiratory network, either through additional excitatory inputs or potentiation of synaptic transmission, may enhance the HFO. This is consistent with the potentiating effects on the HFO of chemical stimuli, voluntary hyperventilation (Bruce and Ackerson, 1986), temperature and 4-aminopyridine an A-type potassium channel blocker and respiratory stimulant that enhances synaptic transmission (Schmid et al., 1990). 2.3.3.5. In 6i6o 6ersus in 6itro. The peak frequency of respiratory oscillations recorded in vitro (Liu et al., 1990; Smith et al., 1990; Kato et al., 1996; Tarasiuk and Sica, 1997; Marchenko et al., 2000; Bou-Flores and Berger, 2001) is consistently lower than that observed in adults in vivo. This difference likely reflects that studies in vitro are performed at reduced temperature in neonatal tissue, since lowering temperature lowers the HFO frequency (Section 2.3.3.4), and HFOs in vivo occur at lower frequencies in neonates than adults (Section 2.2). Supporting this, the only report of HFOs in neonatal rats in vivo (Kocsis et al., 1999) indicates complete overlap with HFOs recorded in vitro (Liu et al., 1990; Smith et al., 1990; Tarasiuk and Sica, 1997; Marchenko et al., 2000; Bou-Flores and Berger, 2001), and the single measurement of HFOs in kittens in vitro (Kato et al., 1996) indicates overlap with HFOs recorded in kittens in vivo (Sica and Gandhi, 1990; Kocsis et al., 1999). 2.3.4. HFO: origin and underlying mechanism The high degree of coherence between HFOs recorded from widely dispersed medullary respiratory neurons, MNs, motor nerves and muscles (Section 2.3.1) is generally accepted as indicating that the HFO arises from a common source. Persistence of the HFO in midcollicular decerebrate preparations establishes its location within 108 G.D. Funk, M.A. Parkis / Respiratory Physiology & Neurobiology 131 (2002) 101–120 the brainstem-spinal cord. A pontine or spinal origin is unlikely. Lesions to the pontine pneumotaxic center and midpontine transection do not eliminate HFOs (Berger et al., 1978); oscillations showing coherence between multiple nerves persist in neonatal brainstem-spinal cord preparations that lack the pons (Liu et al., 1990; Smith et al., 1990; Kato et al., 1996; Tarasiuk and Sica, 1997; Bou-Flores and Berger, 2001); and very few pontine neurons exhibit respiratory HFOs (Cohen, 1973; Sieck and Harper, 1981; Hukuhara et al., 1988; Shaw et al., 1989). Spinal hemisection causes only a slight decrease in the bilateral coherence in the phrenic nerve HFO, whereas cervical transection at C3 removes most of the phrenic HFO (Bruce, 1986). The majority of data support that HFOs originate in the medulla. First, a large number of medullary respiratory neurons in the dorsal and ventral respiratory groups (Cohen, 1973; Sieck and Harper, 1981; Hukuhara et al., 1988; Shaw et al., 1989) display HFOs. Further, the HFO in many of these neurons correlates with the HFO in the phrenic nerve (Cohen, 1973; Mitchell and Herbert, 1974; See et al., 1999). These data, combined with disappearance of the HFO but not respiratory rhythm following electrical lesions in the region of the nucleus tractus solitarius, bilateral aspiration of all dorsomedial structures in the vicinity of obex (Richardson and Mitchell, 1982), or midsagittal section of the medulla (Rijlant, 1937; Davies et al., 1986; Romaniuk and Bruce, 1991), implicate regions in the vicinity of the dorsal respiratory group in HFO generation. A discrete versus distributed network, however, has not been established since changes in pattern associated with NTS lesion (Richardson and Mitchell, 1982) and damage to crossing fibers with midsagittal section (Davies et al., 1986; Romaniuk and Bruce, 1991) could have contributed to the disruption of the HFO (Cohen et al., 1997). The ability to separately disrupt the HFO but not the basic respiratory rhythm, by anesthetics (Richardson and Mitchell, 1982; Gootman and Cohen, 1983; Gootman et al., 1990), sagittal sectioning through the midline of the medulla (Rijlant, 1937; Davies et al., 1986; Romaniuk and Bruce, 1991), bilateral or unilateral cooling of the ventral medulla (Bruce et al., 1991), blockade of fast inhibitory transmission (Schmid and Bohmer, 1989a; Bou-Flores and Berger, 2001), or systemic application of MK801 (non-competitive NMDA receptor antagonist) (Sica et al., 1992), indicates that networks underlying these different rhythms are at least partially independent. These data do not support earlier hypotheses that the HFO arises from ‘reexcitant’ connections between medullary inspiratory neurons (Cohen, 1973), or that the central respiratory rhythm generator supplies both the HFO and the primary respiratory rhythm (Mitchell and Herbert, 1974). Completely independent networks generating respiratory rhythm and HFOs, however, is inconsistent with observations that HFOs do not occur in the absence of respiratory activity and that they occur specifically during inspiration. Thus, it appears most likely that the primary respiratory rhythm can be generated separately and that the HFO emerges through activation of additional circuit elements, including inhibitory circuits (Schmid and Bohmer, 1989a; Bou-Flores and Berger, 2001), within the dorsomedial medulla. 2.3.5. MFO: origin and underlying mechanism Like the HFO, the origin of MFOs is undetermined. However, there is general agreement that MFOs arise from interactions within MN pools. The observations that MFOs are rare in medullary inspiratory neurons, that when present they are not correlated between different respiratory nerves (Bruce, 1988; Christakos et al., 1988; Sica and Gandhi, 1990), and that the MFO bandwidth varies between different nerves, all suggest that MFOs are not medullary in origin, do not have a single common source, and are generated separately by each MN pool. MFOs may arise due to the activity of late recruited MNs (Webber, 1989) or augmenting inspiratory discharge patterns of individual MNs (Cohen, 1969). This latter possibility is consistent with the suggestion that the MFO reflects the action potential discharge of individual MNs (Christakos et al., 1991), which in turn is supported by the presence of the MFO, but not the HFO, in activity of all phrenic and RL MNs examined (Christakos et al., 1991, 1994), by the G.D. Funk, M.A. Parkis / Respiratory Physiology & Neurobiology 131 (2002) 101–120 observation in phrenic MNs and nerves that the main peak in the MFO corresponds closely to the peak firing rate in the MN (or the population), and by the fact that the MFO frequency in the nerve increases during inspiration in parallel with the augmenting discharge pattern of phrenic MNs (Fig. 2). The broad nature of the peak in the MFO spectrum is proposed to result from the large distribution of MN firing rates (Christakos et al., 1991). Confirmation that MFOs reflect MN discharge frequency should be obtainable by determining whether manipulations that alter MN discharge frequencies during inspiration cause parallel changes in MFOs. Essential for such tests is that firing frequency of individual MNs be directly measured during inspiration, not inferred from the magnitude of phrenic nerve output, since nerve output may increase without increases in the firing frequency of individual MNs, by increasing duration of MN firing or recruitment of more MNs. If MFOs do reflect the rhythmic, augmenting discharge of respective MN pools, then the real source of MFOs is the combination of factors that determine the firing frequency of a MN population during inspiration, including intrinsic membrane properties, the dynamic pattern of inspiratory synaptic inputs (Fig. 3), and the influence of modulatory inputs on both of these 109 (Berger, 2000; Rekling et al., 2000; Powers and Binder, 2001). Low-level coherence between MN and nerve activities in the MFO range (Christakos et al., 1991, 1994; Cohen et al., 1997) is also of importance because it indicates that small numbers of MNs in a nerve, and therefore motor units within a muscle, discharge synchronously. Implications of synchronous motor unit activation for development of muscle force are discussed later (Section 3.3). The mechanism underlying coherence in the MFO range is not known. Similar to the HFO, it may have a synaptic origin since oscillatory inputs markedly increase reliability of spike timing and facilitate synchronization (Konig and Engel, 1995; Konig et al., 1995; Maldonado et al., 2000). Blockade of electrical synapses facilitates, rather than inhibits, synchronization between MNs in newborns (Bou-Flores and Berger, 2001). Thus, if this coherence is synaptically driven, it must be through chemical synapses and have a source outside the MN pool, which would require revision of the view that MFOs originate separately within individual MN pools. One possible source is divergent output from premotor neurons to multiple MNs, as proposed to underlie broadpeak synchronization between intercostal MNs (Kirkwood et al., 1982a). Fig. 3. Inspiratory synaptic currents and potentials feature prominent oscillations. (A) Whole-cell voltage-clamp recording from a phrenic MN in the brainstem-spinal cord preparation of neonatal rat showing the high-frequency large amplitude components of the synaptic drive current indicative of synchronous synaptic input. (B) Power spectra showing frequency components of inspiratory synaptic current and potential of a phrenic MN. Power spectra are the average of individual spectra computed from 3 inspiratory bursts. Segments of drive potential without action potentials were analyzed to determine frequency components of the potential. There is a dominant 20 Hz frequency component in both the drive current and potential. Adapted with permission (Liu et al., 1990). 110 G.D. Funk, M.A. Parkis / Respiratory Physiology & Neurobiology 131 (2002) 101–120 2.3.6. Influence of other beha6iors on respiratory HFOs Respiratory muscles, MNs, and premotoneuronal networks subserve a variety of behaviors and reflexes (e.g. gasping, sighing, coughing, sneezing, vocalization, chewing, swallowing, vomiting). Of interest are how respiratory HFOs and MFOs are affected by other behaviors. Are they characteristic of all motor activities employing the respiratory musculature? Do multiple HFO generators exist with a specific generator for each behavior or are HFOs a unique signature of respiratory-related behaviors (e.g. eupnea, gasping, sighing) that disappear when non-respiratory demands are placed on the system? At present, characterization of oscillatory phenomena during behaviors other than breathing is minimal, but further analysis incorporating both mammals and non-mammalian vertebrates would be valuable for the potential insight it could provide into the origin and function of HFOs and MFOs in coordinating activities in distributed motor networks. 2.3.6.1. Gasping and apneusis. HFOs in phrenic nerve during apneusis are reduced in frequency relative to eupnea (Berger et al., 1978). In contrast, with transitions from eupnea to gasping, HFO frequency shifts from 80 Hz to 115– 120 Hz (Richardson, 1986; Tomori et al., 1995), though the degree of HFO synchronization between phrenic, RL or hypoglossal nerves changes little. Whether this frequency shift reflects activation of a novel HFO generator, inclusion of novel elements, or reconfiguration of the respiratory HFO generator is unclear. The possibility that it reflects hypoxia must also be considered since moderate hypoxia increases HFO frequency (Section 2.3.3). 2.3.6.2. Vocalization. Effects of vocalization on respiratory HFOs have been examined during speech and speech-like breathing in humans (Smith and Denny, 1990), and during fictive vocalization in cats (Nakazawa et al., 2000). Since vocalization entails deepened inspiratory effort prior to sound production, and factors enhancing inspiratory drive tend to enhance HFO activity, one might predict enhanced inspiratory HFO. However, during sound production, exhalation is sustained and the rhythm of breathing is disrupted, suggesting that HFOs might be disrupted as well. In humans, coherence between activities of right and left diaphragm in the HFO, but not the MFO, range falls significantly during speech. During fictive vocalization in cat, power and frequency of HFOs in phrenic and RL nerve activities increase in the inspiratory phase and a 50–70 Hz expiratory rhythm appears that is coherent between RL and superior laryngeal nerves (Nakazawa et al., 2000). 2.3.6.3. Vomiting. During vomiting, despite profound increases in phrenic nerve discharge, the HFO peak in the phrenic power spectra broadens and coherence between HFOs in right and left phrenic nerves drops significantly (Cohen et al., 1992). Since the network underlying vomiting does not overlap with that generating respiration, and respiratory muscles are activated in a completely different pattern during vomiting than eupnea, it is not surprising that the respiratory HFO is lost. Limited analysis of behaviors other than respiration support few definitive conclusions. Data indicate that the HFO is not a common feature of all activities employing the respiratory musculature. However, the factors selecting for or against development of HFOs in any particular motor act are not known. It is also not known whether the HFOs that are observed reflect activity of a single generator or whether each motor network generates its own HFO. It has recently been suggested that the respiratory-related behaviors of gasping, eupnea, and sighing come about through reconfiguration of the same basic medullary network rather than from three separate rhythm generators (Lieske et al., 2000). A similar hypothesis can be made for the networks underlying HFOs that characterize the respiratory-related behaviors of eupnea and gasping. The observation that overall coherence of activities in the various respiratory nerves persists with transitions from eupnea to gasping might support a common, reconfigured oscillator that acts to maintain spatiotemporal coordination of muscle groups G.D. Funk, M.A. Parkis / Respiratory Physiology & Neurobiology 131 (2002) 101–120 required for producing significant airflow. Analyses of HFOs during sighs, another respiration-related behavior, would help address this question, as would determining whether medullary lesions that disrupt the eupneic HFO also disrupts the HFOs associated with gasps and possibly sighs. 111 but that they increase the efficiency with which synaptic input is transformed into action potential output. (3) At the level of the respiratory muscles, we propose that oscillations may underlie synchronous activation of multiple motor units, and improve force transmission within the muscle by synchronously activating serially arranged motor units (or nearest neighbors). 3. Function: physiology or phenomenology? 3.1. Rhythm and pattern forming systems The HFO and MFO that characterize inspiratory activities are generally considered signatures of network organization with minimal functional significance because they are not essential for production of the basic rhythm of breathing. Until recently, similar views prevailed for oscillations in other neural systems. However, experimental and theoretical data are now emerging that challenge this view and support the possibility that synchronized oscillations have an important role in information processing within sensory-motor systems (Konig and Engel, 1995; Farmer, 1998; Engel et al., 1999). Renewed interest in neuronal oscillations derives largely from the fact that they appear to facilitate establishment of synchrony between neurons (Konig and Engel, 1995; Konig et al., 1995; Maldonado et al., 2000), that neurons are more efficiently activated by synchronized inputs (Bernander et al., 1994; Murthy and Fetz, 1994; Stevens and Zador, 1998) and the possibility that if neurons can function as coincidence detectors, then synchronous activity may provide an additional dimension for information coding within the CNS (Konig et al., 1996). Based largely on analyses of non-respiratory systems, we speculate on the potential significance of these oscillations for respiratory network activity at three levels of organization. (1) At the level of medullary rhythm and pattern forming networks, we ask whether oscillations might improve efficacy of network function by enhancing the spatiotemporal coordination between dispersed network elements controlling the various respiratory muscles that subserve a variety of respiratory and non-respiratory behaviors. (2) At the level of single neurons, particularly MNs, we propose that oscillations not only play an important role in determining precise timing of neuronal output, Neuronal synchronization and oscillations are common features of sensory networks (Konig and Engel, 1995). The possibility that these oscillations may help solve the binding problem has generated widespread interest (Singer, 2001). In essence binding problems arise because neurons, or subsets of neurons, can contribute to multiple sensory representations by being recruited into different neuronal assemblies. Active cells contributing to a given representation must be unambiguously identified as belonging together; i.e. they must be bound together. It is proposed that oscillatory firing patterns facilitate synchronization and that it is the synchrony between cells in distributed networks that ultimately solves the binding problem (q.v. Konig and Engel, 1995; Engel et al., 1999; Singer, 2001). Similar computational problems exist for motor systems, where the binding problem can be redefined as ‘the formation of associations between the distributed motor systems necessary for the spatiotemporal coordination of the activity of different muscles involved in the same motor task’ (Farmer, 1998). As in the sensory system, neurons in the motor cortex can contribute to the production of many different movements/behaviors by changing the populations with which they are co-active (Konig and Engel, 1995). The same holds for respiratory networks in the ventral medulla that contribute to the generation and modulation of multiple related behaviors and reflexes. For example, if one accepts the recent proposal that a common medullary network is reconfigured to produce eupnea, gasping, or sighing (Lieske et al., 2000), it follows that transition between different behaviors will require the rapid segregation of one assembly of medullary neurons 112 G.D. Funk, M.A. Parkis / Respiratory Physiology & Neurobiology 131 (2002) 101–120 and the binding together of another. Synchronized oscillations at different frequencies may provide a means for binding together the partially overlapping neuronal assemblies that form these different motor representations. The challenge, however, is to demonstrate that information is actually coded in the precise temporal correlations (indicated by zero or near-zero phase lags) between neuronal activities and that they are not simply a result of connectivity and common inputs. Within cortical systems, external stimuli, changes in state, or specific components of a behavior all shift temporal correlations between neurons (Castelo-Branco et al., 2000; Mima et al., 2001). These findings suggest that temporal associations are not fixed by anatomical substrate, but reflect a dynamic functional coupling (Konig and Engel, 1995) and support a role for synchrony. Demonstrations that the correlation of activity between cortical neurons changes systematically in relation to behavioral events, while the activity levels of the respective neurons remains unchanged, is even more significant, since these data suggest that the synchronization of activity between neurons is the important parameter (Vaadia et al., 1995). Similar evidence in respiratory networks is minimal. Cross-correlation studies applied to respiratory networks were traditionally designed to explore anatomical connectivity. As a result, they were performed under stable baseline conditions to eliminate variability rather than under conditions required to detect stimulus- or context-dependent changes in the temporal relationships between neuronal discharges. Such analyses reveal synchronization with near-zero phase lag between a significant percentage of neuronal and nerve activities (Cohen et al., 1997). Thus, precise correlations do exist between activities of different respiratory neurons. The possibility that temporal relationships between various respiratory neurons shift in stimulus- or context-dependent manner is suggested by shifts in the HFO that accompany increased chemical drive (Section 2.3.3) or transitions from eupnea to gasping (Section 2.3.6). More direct evidence supporting a role for synchrony in information processing within respiratory networks has recently come about through the application of multi-array recording technology and computational methods of analysis, including the ‘gravity method’ and pattern detection methods, by Lindsey et al. (q.v. Lindsey et al., 2000 and references therein). These procedures facilitate screening of large sets of data and have identified assemblies of neurons whose activities become transiently synchronized in specific phases of the respiratory cycle in response to afferent stimuli from baroreceptors, chemoreceptors, nociceptors and airway cough receptors. Of particular importance are the observations that raphe neurons with no respiratory modulation in their individual firing rates show phase-dependent impulse synchrony in response to specific afferent inputs and that transiently synchronized assemblies recur if stimuli are repeated. While the relationship between neuronal synchrony established through the gravity method and inspiratory HFOs remains unclear, these data suggest that synchrony itself can be an important coding parameter in respiratory networks. The biggest counterargument to the proposal that synchronized oscillations are important for the normal functioning of medullary networks (or MNs and muscles— see below) is that while the HFO increases or decreases in parallel with the overall strength of respiration, rhythmic inspiratory output persists in the absence of HFOs. This apparent lack of a critical role for oscillations, however, may simply reflect that our measurements of respiratory network activity (most commonly recordings of integrated phrenic nerve activity) are not sensitive enough to detect a deficit. For example, if oscillations increase efficiency of breathing by enhancing coordination between distributed MN pools controlling the respiratory muscles, a reduction in efficiency following loss of the HFO is unlikely to be detected in short term recordings of a single nerve. It may only become apparent by comparing activities of multiple nerves and muscles under conditions of high respiratory demand over the long term. To conclude, a role for correlated activity in information processing within cortical networks is gaining widespread support. A similar role in respiratory-related neuronal assemblies remains highly speculative, but is supported by common G.D. Funk, M.A. Parkis / Respiratory Physiology & Neurobiology 131 (2002) 101–120 features in the oscillatory activities of cortical and brainstem networks, including synchronization at frequencies in the gamma bandwidth (Konig and Engel, 1995; Cohen et al., 1997) and context- or phase-dependent synchrony between respiratory and non-respiratory modulated neurons of the brainstem (Lindsey et al., 2000). 3.2. Motoneuronal excitability We propose that respiratory HFOs (and MFOs) play an important role in controlling repetitive firing activity of MNs during breathing. This hypothesis is based on the observations that the influence of neurons on others is enhanced if they fire in synchrony (Bernander et al., 1994; Murthy and Fetz, 1994; Stevens and Zador, 1998), and that phrenic MNs receive synchronous inputs. Although we focus on phrenic MNs, general principles apply to other MNs and inspiratory neurons whose inputs feature prominent oscillations. Synchronous activity of inspiratory premotor neurons is supported by the presence of HFOs in the activity of DRG and rVRG and of 50% of individual phrenic MNs (Fig. 2) (Christakos et al., 1991), which are coherent with HFOs in whole phrenic nerve activity. It is also supported by the presence of HFOs in inspiratory synaptic inputs to phrenic MNs (Liu et al., 1990; Parkis et al., 1998), which are evident in their membrane potential trajectories and synaptic current profiles (Baumgarten et al., 1963; Liu et al., 1990; Funk et al., 1997; Parkis et al., 1999) as large peaks superimposed on a slower DC envelope (Fig. 3). How does the synchronous activity of premotor neurons and the resultant oscillations in current and membrane potential influence repetitive firing behavior of MNs? The output of any neuron results from an interaction between intrinsic membrane properties and synaptic inputs (Berger, 2000; Rekling et al., 2000; Powers and Binder, 2001). When synaptic current fluctuates, time- and activity-dependent changes in the state of ion channels alter synaptic current delivery to the soma. Action potential threshold also varies dynamically with membrane potential, decreasing as 113 the rate of depolarization increases (Schlue et al., 1974; Azouz and Gray, 2000). Activating neurons with oscillatory inputs (Volgushev et al., 1998), current transients simulating EPSCs (Stevens and Zador, 1998), random synaptic activity (Mainen and Sejnowski, 1995; Nowak et al., 1997; Tang et al., 1997) or afferent stimuli (Bennett and Wilson, 1998), demonstrates the importance for firing behavior and action potential timing of dynamic changes in membrane potential (Powers and Binder, 2001). The role of synchronized inputs and membrane potential oscillations in controlling activity during actual behaviors is largely unexplored (but see Brownstone et al., 1992). This reflects the difficulty of reproducing the dynamic patterns of synaptic input that characterize drive to MNs during behavior. To address this limitation, we have developed a software-based method for activating neurons with endogenous inspiratory synaptic current waveforms (Parkis et al., 2000). This method expands on earlier methods developed for cortical neurons (Nowak et al., 1997). It involves recording an inspiratory current waveform in voltage-clamp, storage of the waveform to disk, then subsequent re-injection of the waveform into the same neuron under current-clamp conditions. In this way neurons are not activated with simulated waveforms, but with somatic current waveforms generated in that neuron by the respiratory network. Preliminary data obtained using this technique indicate that it produces patterns of discharge virtually indistinguishable from spontaneous inputs (Fig. 4). In addition, both the variability in interspike interval (see Figs. 3 and 4 in Parkis et al., 1998) and reliability of action potential timing (Fig. 5) (Mainen and Sejnowski, 1995) within a burst appears to be higher in response to endogenous input waveforms. The implication is that dynamic features of the input waveform, presumably the oscillations (Liu et al., 1990; Parkis et al., 1998), play a dominant role in controlling the precise timing of MN discharge. It is therefore tempting to speculate that by controlling the firing frequency, oscillations may help prevent diaphragmatic fatigue and increase efficiency of diaphragmatic contraction by ensuring that muscle 114 G.D. Funk, M.A. Parkis / Respiratory Physiology & Neurobiology 131 (2002) 101–120 Fig. 4. Stimulation of a phrenic MN with an inspiratory synaptic current waveform that was generated endogenously in the MN by the respiratory network produces responses indistinguishable from ongoing spontaneous synaptic drive potentials. Top trace: current clamp recording showing the membrane potential response (VM) of a phrenic MN to an endogenously-generated synaptic current waveform (Iinj) injected in the time between two spontaneous inspiratory bursts. Note: endogenous bursts are coincident with bursts of activity in C1. Dashed lines represent 1.5 sec. Reproduced with permission (Parkis et al., 2000). fibers are activated at an optimal frequency. In this regard it is interesting that spectral peaks in the HFO of synaptic inputs to neonatal rat phrenic MNs (Liu et al., 1990; Parkis et al., 1998) match the fusion frequency of neonatal diaphragm (Martin-Caraballo et al., 2000). In addition to controlling action potential timing, we predict that endogenous inspiratory oscillations will increase input– output efficiency, providing greater output power in the form of action potentials for the same input power (Tang et al., 1997), since synchronized EPSCs will more readily elevate membrane potential above threshold. Moreover, since coincident inputs cause more rapid depolarization, and action potential threshold drops with rate of depolarization (Schlue et al., 1974), coincidence can ‘functionally’ amplify synaptic inputs (Azouz and Gray, 2000). Given that respiratory MNs remain continuously active from birth until death, potential energy savings are significant. In summary, we propose that the HFOs (and possibly coherent MFOs) play a dominant role in controlling repetitive firing behavior of MNs. They may prove important for efficient activation of MNs and their influence on precise timing of action potentials may prove important for efficient muscle activation and prevention of respiratory muscle fatigue. 3.3. Muscle function and force transmission We next consider the significance of synchronized MN output for muscle function and intramuscular force transmission. Knowledge of muscle microanatomy has increased rapidly over recent years, fueling renewed interest in the subject of intramuscular force delivery (Sheard, 2000; Monti et al., 2001; Sheard et al., in press). It is increasingly clear that pathways and mechanisms underlying transmission of tension from sarcomere to tendon are varied and complex. Two observations discussed in detail elsewhere (Sheard et al., in press) are of particular interest in relation to the functional significance of MN and motor unit synchrony. First, with the exception of primates, muscle fibers are typically short ensuring simultaneous activation of all sarcomeres along a fiber. A consequence of this for long muscles is that fibers do not consistently span the entire muscle from tendon to tendon but instead are arranged serially and must transmit tension to other fibers and the extracellular matrix. Second, even in muscles where fibers span the entire muscle, tension is not simply delivered axially from the sarcomere to the tendon. Some tension is delivered laterally away from the fiber of origin to the extracellular matrix and neighboring fibers. In both types of organization, force is delivered from G.D. Funk, M.A. Parkis / Respiratory Physiology & Neurobiology 131 (2002) 101–120 active to inactive fibers during submaximal contractions. During normal breathing as well as maximum inspiratory efforts, the diaphragm is submaximally activated (Hershenson et al., 1988). Thus, inactive fibers will increase elasticity of the tension delivery pathway. An important consequence of this anatomical organization is that the transmission of force by the motor unit varies dynamically with the activity patterns of its neighbors or serial partners (Sheard et al., in press). The problem for motor control is obvious: how to generate smooth, consistent gradations of force through recruitment of motor units whose compliance varies depending on activity patterns of neighboring fibers. Theoretically, this problem could be addressed by always synchronously recruiting a unit with the same set of neighbors (Sheard et al., in press). Fig. 5. Repeated injection of the same inspiratory synaptic current waveform elicits highly reproducible responses. (A) Current clamp recording showing the membrane potential response (VM, top trace) of a phrenic MN to three different injections of the same synaptic current (Iinj, bottom traces). (B) Plot of instantaneous firing frequency versus time for the responses of the current waveform shown in A. Reproduced with permission (Parkis et al., 2000). 115 Within the respiratory system, a mechanism for synchronous activation of anatomically coupled motor units (‘functional units’ as defined by Sheard et al. (in press) may exist in the HFO (and MFO). If these functional units exist, the ability of the muscle to generate fine gradations in muscle force will depend on the number of MNs/motor units that are coactive (i.e. the size of the functional unit). It is therefore important to emphasize that the presence of the HFO in 50% of phrenic MNs does not mean that all of these will discharge synchronously. Coincident discharge between only a percentage of MNs could account for the HFO peak in the coherence spectrum between unit and nerve activities (Richardson and Mitchell, 1982; Christakos et al., 1991). Significant but low-level coherence between the MFO in phrenic MN and nerve activities indicates that a much smaller number of MNs are synchronously active in this bandwidth. Thus, HFOs and MFOs may support functional units of different sizes. Whether functional units actually exist in the diaphragm is not known. Fiber arrangement is species dependent. In rat and rabbit (Gordon et al., 1989) all fibers span from rib cage to the central tendon, whereas in cat and dog (Gordon et al., 1989; Boriek et al., 1998), fiber arrangement is mixed with some in series and some in parallel. Glycogen depletion studies indicate that motor unit territories are highly delineated (Hammond et al., 1989), but the parameter of real interest, the spatial relationships between fibers of endogenously coactive motor units, is much more difficult to assess since it requires endogenous muscle activation rather than nerve stimulation. In the sternocleidomastoid muscle of guinea pig, a serially organized accessory respiratory muscle, slow fibers are surrounded entirely by fast fibers indicating that efficient coactivation of motor units is only likely during moderate to high level contractions when slow and fast fibers are both recruited (Young et al., 2000). From a functional perspective, the possibility that synchronous MN output enhances force production is supported by computational models demonstrating that muscle force increases in response to inputs with the same mean firing rate but increasing synchrony (Murthy and Fetz, 1994; 116 G.D. Funk, M.A. Parkis / Respiratory Physiology & Neurobiology 131 (2002) 101–120 Baker et al., 1999). It may also explain the finding that during the hold phase of a precision grip task, force remains constant or increases while discharge of 18% of corticomotor neurons actually decreases (Maier et al., 1993). Indeed, synchrony does appear in the latter stages of this behavior (Baker et al., 1999). As mentioned above, while force production may increase with synchronous activation of motor units, the ability to produce fine gradations in muscle force or smooth contractions will be compromised (Yao et al., 2000). Thus, the degree of synchronization between motor units may represent a balance between these competing requirements for fine control and efficient contraction. For example, in a precision grip task that requires fine motor control during the initial stages, synchronized oscillations between EEG and finger EMG activities only appear during the final hold phase (Baker et al., 1999). As the generation of respiratory airflow does not require fine motor control, but instead requires that muscle remain rhythmically active virtually uninterrupted throughout life, activation patterns may have evolved to favor efficiency. In this context it is interesting that the HFO is enhanced under conditions of increased ventilatory drive (Section 2.3.3). The increased synchronization may increase efficiency of muscle contraction. 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