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Publication : A descending pathway emanating from the periaqueductal gray mediates the development of cough-like hypersensitivity.

First Author  Chen Z Year  2022
Journal  iScience Volume  25
Issue  1 Pages  103641
PubMed ID  35028531 Mgi Jnum  J:343829
Mgi Id  MGI:6854194 Doi  10.1016/j.isci.2021.103641
Citation  Chen Z, et al. (2022) A descending pathway emanating from the periaqueductal gray mediates the development of cough-like hypersensitivity. iScience 25(1):103641
abstractText  Chronic cough is a common refractory symptom of various respiratory diseases. However, the neural mechanisms that modulate the cough sensitivity and mediate chronic cough remain elusive. Here, we report that GABAergic neurons in the lateral/ventrolateral periaqueductal gray (l/vlPAG) suppress cough processing via a descending pathway. We found that l/vlPAG neurons are activated by coughing-like behaviors and that tussive agent-evoked coughing-like behaviors are impaired after activation of l/vlPAG neurons. In addition, we showed that l/vlPAG neurons form inhibitory synapses with the nucleus of the solitary tract (NTS) neurons. The synaptic strength of these inhibitory projections is weaker in cough hypersensitivity model mice than in naive mice. Important, activation of l/vlPAG GABAergic neurons projecting to the NTS decreases coughing-like behaviors. In contrast, suppressing these neurons enhances cough sensitivity. These results support the notion that l/vlPAG GABAergic neurons play important roles in cough hypersensitivity and chronic cough through disinhibition of cough processing at the medullary level.
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