Abstract
Non-associative learning is a basic neuroadaptive behavior exhibited in almost all animal species and sensory modalities but its functions and mechanisms in the mammalian brain are poorly understood. Previous studies have identified two distinct forms of non-associative learning in the classic Hering–Breuer inflation reflex (HBIR) induced apnea in rats: NMDA receptor (NMDAR)-independent habituation in a primary vagal pathway and NMDAR-dependent desensitization in a secondary pontine pathway. Here, we show that abnormal non-associative learning of the HBIR may underlie the endophenotypic tachypnea in an animal model of Rett syndrome (RTT), an autism-spectrum disorder caused by mutations in the X-linked gene encoding methyl-CpG-binding protein 2 (MECP2). Mecp2+/− symptomatic mice on a mixed-strain background demonstrated significantly increased resting respiratory frequency with shortened expiration and normal inspiratory duration compared with asymptomatic mutants and wild-type controls, a phenotype that is characteristic of girls with RTT. Low-intensity electrical stimulation of the vagus nerve elicited fictive HBIR with time-dependent habituation in both Mecp2+/− and wild-type mice. However, time-dependent desensitization of the HBIR was evidenced only in wild-type controls and asymptomatic mutant mice but was absent or suppressed in Mecp2+/− symptomatic mice or in wild-type mice after blockade of NMDAR with dizocilpine. Remarkably, ∼50% of the Mecp2+/− mice developed these X-linked phenotypes despite somatic mosaicism. Such RTT-like respiratory endophenotypes in mixed-strain Mecp2+/− mice differed from those previously reported in Mecp2-/y mice on pure C57BL/6J background. These findings provide the first evidence indicating that impaired NMDAR-dependent desensitization of the HBIR may contribute to the endophenotypic tachypnea in RTT.
Introduction
Rett syndrome (RTT) is a neurological disorder most frequently caused by sporadic mutations in the X-linked gene encoding methyl-CpG-binding protein 2 (MeCP2; Amir et al., ), a transcriptional activator/repressor that regulates the expression of many genes (Chahrour et al., ). Homozygous mutation in females is rare (Karall et al., ), and hemizygous males (homozygous for a single X-chromosome) usually die shortly after birth except in variant cases (Villard, 2007). Heterozygous females are viable but show rapid developmental regression between ages 1–3 years (Hagberg et al., ).
Among the cardinal symptoms of RTT is a highly irregular respiratory rhythm particularly during daytime (Kerr et al., ; Hagberg et al., ; Julu et al., ). Recent studies in these patients reveal a predominantly hyperventilatory pattern with decreased expiratory duration (TE) and increased respiratory frequency; during wakefulness this is also punctuated by frequent episodes of breath-holding/obstructive apnea or Valsalva breathing against closed airways (Julu et al., ; Weese-Mayer et al., 2006, 2008). The breath-holding/obstructive apnea phenotype of RTT is often conflated in the clinical literature with central apnea, which has similar physiological effects but fundamentally distinct neural mechanisms (Lugaresi et al., ; Cirignotta et al., ; Southall et al., ; Kerr et al., , ; Marcus et al., ; Schluter et al., ; Rohdin et al., ; Stettner et al., ). The irregular breathing pattern in RTT is reproduced in several mutant mouse models to varying degrees but the corresponding respiratory phenotype varies significantly among different mouse strains (Bissonnette and Knopp, ; Ogier and Katz, ; Katz et al., ). In Mecp2tm1.1Jae null (hemizygous) mice on a mixed-strain background (Chen et al., ) the principal phenotype is tachypnea along with hyperventilation similar to human RTT patients (Ogier et al., ), whereas in Mecp2tm1.1Bird null or heterozygous mice on a pure C57BL/6J background (Guy et al., ) the principal phenotype is repetitive spontaneous central apnea (Viemari et al., 2005; Stettner et al., ; Abdala et al., ).
Remarkably, Mecp2tm1.1Bird null mice are reportedly highly prone to repetitive and prolonged central apneas particularly when vagal and dorsolateral pontine afferent pathways are activated to induce fictive Hering–Breuer inflation reflex (HBIR), a powerful apnea reflex in mammals (Stettner et al., ; Abdala et al., ). In rats, it has been shown that the HBIR apnea induced by abrupt lung inflation or low-intensity vagal stimulation is typically counteracted centrally by progressive habituation and desensitization, two distinct decrementing forms of non-associative learning (Poon et al., ; Siniaia et al., ; MacDonald et al., , ). Behaviorally, desensitization is distinguished from habituation by the manifestation of a memory trace (engram) of the adaptation effect in a secondary pathway post-stimulation independent from the primary stimulus (Figure 1A; Poon and Young, ; Poon and Schmid, ). Functionally, desensitization of the HBIR is abolished by lesion of the dorsolateral pontine pneumotaxic center or blockade of NMDA receptor (NMDAR) while the habituation component remains unaffected by these interventions, suggesting that habituation is ascribable to an NMDAR-independent primary afferent pathway that is directly activated by the vagal input, and desensitization to an indirect NMDAR-dependent pontine pathway that is driven by a latent secondary input (Poon et al., ; Siniaia et al., ; MacDonald et al., ). By contrast, the vagal-induced HBIR in the Mecp2tm1.1Bird null mice appeared to exhibit secondary sensitization (rather than desensitization), an incrementing (rather than decrementing) form of non-associative learning characterized by the manifestation of a memory trace of the sensitization effect in a secondary pathway post-stimulation (Figure 1B; Poon and Young, ; Poon and Schmid, ). Such secondary sensitization effect tended to exacerbate instead of mitigate the HBIR-induced apnea in the Mecp2tm1.1Bird null mice (Poon and Song, ).
Figure 1
Interestingly, wild-type mice with pure C57BL/6J background also demonstrate similar repetitive spontaneous central apneas (Han et al.,
Most previous studies were conducted on Mecp2-/y male mice for their phenotypic homogeneity and early manifestation of respiratory abnormalities (reviewed in Ogier and Katz,
Materials and Methods
Animal preparation
Heterozygous mice of the Mecp2tm1.1Jae strain (Chen et al.,
Electrophysiology
A phrenic nerve and both vagi at the cervical level were isolated from surrounding tissues and severed. The central cut-ends of the phrenic nerve and a vagus nerve were mounted onto bipolar platinum electrodes for recording or electrical stimulation. Phrenic discharges were amplified (CyberAmp 380, Axon Instruments, Union City) and sampled into a Dell PC with LabView (National Instruments, Austin, TX, USA) at a sampling rate of 10 kHz. The phrenic discharges were also integrated with a Paynter filter (time constant 15 ms) and sampled into the computer in a similar fashion. The vagus nerve was stimulated with square-wave pulses (pulse duration 0.1 ms) generated by a voltage pulse generator (A.M.P.I., Master 8) through a stimulus-isolation unit (A.M.P.I., ISO-Flex). The stimulation threshold for each animal was defined as the lowest stimulus current that produced a discernible reflex inhibition of phrenic activity over a 5-s interval. Stimulus pulses (80 Hz) with lowest currents possible (typically between 1.5–2× threshold, or roughly 10–70 μA) were applied repetitively to the vagus nerve for 1 min to evoke fictive HBIR and its resultant habituation and desensitization, as described previously (Siniaia et al.,
Pharmacology
Dizocilpine (MK-801, Sigma-Aldrich Co., St. Louis, MO, USA), which is a non-competitive NMDAR antagonist that can pass through the blood–brain barrier, was administered i.p. (1.5 mg/kg).
Data analyses
Inspiratory duration (TI), TE and respiratory frequency were measured for each respiratory cycle from the phrenic discharge. Inspiratory amplitude was measured as the peak of the integrated phrenic signal. Baseline values of these respiratory pattern variables were averaged over 1 min before vagal stimulation. The effects of HBIR were measured by the changes in TE and respiratory frequency in the first respiratory cycle upon abrupt low-intensity vagal stimulation compared with corresponding baseline values. Combined effects of habituation and desensitization of the HBIR were measured by the decreases in TE and respiratory frequency in the last 10 s of the 1-min vagal stimulation compared with those in the first respiratory cycle. The effect of desensitization of the HBIR was measured by the changes in TE and respiratory frequency in the first 5 s upon termination of vagal stimulation compared with corresponding baseline values.
Experiments and data analyses were performed blind to the animal genetic background except during final statistical analysis. Two-tailed Student's t-test (paired or unpaired where appropriate) was used to determine statistical significance (p < 0.05) of differences in respiratory pattern between animal genetic backgrounds and experimental conditions.
Results
Expiratory-shortening phenotype in Mecp2tm1.1Jae heterozygous mice
In contrast to the profound spontaneous apnea and periodic breathing in Mecp2tm1.1Bird mutant or wild-type mice (Viemari et al., 2005; Stettner et al.,
Figure 2

Baseline breathing patterns ofMecp2tm1.1Jaewild-type female mice before and after dizocilpine (MK-801) blockade of NMDARs (*p < 0.05, 2-tailed paired t-test), and of heterozygous asymptomatic and symptomatic mice (*p < 0.05, 2-tailed unpaired t-test). Data are means ± SD.
Pronounced habituation and desensitization of fictive HBIR in wild-type Mice
To test whether the reported sensitization of HBIR prolongation of TE in the Mecp2tm1.1Bird wild-type mice (Poon and Song,
Figure 3

Non-associative learning of HBIR inMecp2tm1.1Jaemice. Top two panels are integrated phrenic recordings in a representative animal. Bottom panels are group averaged data (means ± SD) for TE and respiratory frequency normalized with respect to corresponding baseline values, plotted at selected time points before, during, and after vagal stimulation. (A) Wild-type female mice before and after dizocilpine treatment. (B) Heterozygous asymptomatic and symptomatic female mice. Dizocilpine had no effect in symptomatic mice (p > 0.1, 2-tailed paired t-test).
Dizocilpine suppresses desensitization of fictive HBIR in wild-type mice
Next, we tested the effects of blockade of NMDARs by systemic administration of dizocilpine (MK-801). Fifteen minutes after systemic administration (1.5 mg/kg, i.p.) of this chemical in wild-type mice of the Mecp2tm1.1Jae strain, respiratory frequency was significantly decreased and TI was significantly increased (Figure 2), as previously reported in vagotomized rats and mice (Cassus-Soulanis et al.,
Absence of sensitization/desensitization of fictive HBIR in Mecp2tm1.1Jae heterozygous mice
To investigate whether the Mecp2 mutation demonstrated similar effects as dizocilpine, we applied the above low-intensity vagal stimulation protocol to Mecp2tm1.1Jae heterozygous mice. In heterozygous asymptomatic mutants the HBIR responses in TE and respiratory frequency (Figure 3B) were similar to those of their wild-type littermates (Figure 3A). In heterozygous symptomatic mutants characterized by decreased TE and increased respiratory frequency (Figure 2), low-intensity vagal stimulation also elicited immediate HBIR prolongation of TE and decrease of respiratory frequency. However, the ensuing time-dependent adaptations of TE and respiratory frequency were much weaker (p < 0.01, 2-tailed unpaired t-test) and never exceeded the corresponding baselines. Neither of these variables exhibited post-stimulation short-term memory such that responses within the first 5-s post-stimulation were indistinguishable from corresponding baseline values (p > 0.1), indicating that the adaptations are now ascribable solely to habituation without desensitization or sensitization (Figure 3B). These effects were similar before or after dizocilpine application (p > 0.1, Figure 3B) and resembled those resulting from dizocilpine in wild-type animals (Figure 3A).
Discussion
The foregoing results demonstrate that respiratory abnormalities are different in adult Mecp2tm1.1Jae symptomatic female mice (∼P100 of age) than previously reported in hemizygous male or heterozygous female mice of the Mecp2tm1.1Bird strain (P40 to 14 months of age). A salient respiratory symptom of the Mecp2tm1.1Jae heterozygous mutant mice was a shortening of TE and resultant increase in respiratory frequency, which is diametrically opposite to the repetitive spontaneous central apnea or prolongation of TE in the Mecp2tm1.1Bird null mice (Viemari et al., 2005; Stettner et al.,
Another important, albeit more subtle, respiratory endophenotype of the Mecp2tm1.1Jae heterozygous symptomatic mice was a degenerate non-associative learning characterized by a significant habituation of the HBIR but absent the NMDAR-dependent desensitization that is found in wild-type or asymptomatic female mice. None of these wild-type and heterozygous mutant mice evidenced the sensitization of HBIR seen in the Mecp2tm1.1Bird null and wild-type mice (Figure 1B). This suggests that secondary sensitization of the HBIR is specific to the Mecp2tm1.1Bird strain.
To put these findings in perspective, a current working model (Siniaia et al.,
Figure 4

Working models of non-associative learning of HBIR in: (A) In Mecp2tm1.1Jaewild-type mice, HBIR is moderated by NMDAR-dependent desensitization in the pontine pathway; (B) In Mecp2tm1.1Jaeheterozygous symptomatic mice, NMDAR-dependent pontine desensitization is impaired.
In the present study, use-dependent non-associative learning modulation of the HBIR was seen to be similar, and even stronger, in the wild-type mice compared to rats. Further, as has been observed in rats, administration of dizocilpine diminished the desensitization without affecting the habituation of HBIR in wild-type mice, indicating similar vagal-pontine neural organization of the HBIR and its non-associative learning in these species (Figure 4A). Accordingly, the absence of desensitization in the HBIR response presently found in the Mecp2tm1.1Jae heterozygous symptomatic mice suggests that the intrinsic NMDAR-dependent expiratory-promoting mechanism in the pneumotaxic center was impaired in these animals (Figure 4B). This is further supported by the lack of effect of dizocilpine in the symptomatic mice (Figure 3B). Such a correlation between Mecp2 mutation and disruption of NMDAR-dependent pontine desensitization provides a mechanistic explanation of the significant decrease in TE with no change in TI presently observed in the symptomatic mutant mice, as with RTT patients.
Given the general variability of phenotypes in X-linked genetic mutations such as in RTT due to somatic mosaicism, it is remarkable that Mecp2+/− mutants expressed the respiratory phenotypes with ∼50% probability. To understand this, it should be noted that X-chromosome inactivation takes place early in embryonic development before gastrulation, not in individual somatic cells. Type-specific neurons with lineage to the same post-gastrulation progenitor cell inherit the X-inactivation state of the progenitor cell that does not change throughout life (Dvash and Fan,
The present results corroborate the notion that the spontaneous apnea and prolonged HBIR-induced apnea previously reported in the Mecp2tm1.1Bird null mice are mediated by an over-expression of the intrinsic expiratory-promoting signal, as indicated by the pronounced pontine post-inspiratory activity in those animals (Stettner et al.,
To our knowledge, this is the first experimental demonstration of abnormal non-associative learning caused by a specific genetic mutation that is linked to a well-defined clinical phenotype of a congenital neurological disease. Although the cellular bases of non-associative learning paradigms such as habituation and sensitization have been extensively studied in invertebrate sensorimotor systems (Kandel,
In conclusion, we have shown that mutation in the Mecp2 gene may lead to disparate respiratory endophenotypes in the Mecp2tm1.1Jae and Mecp2tm1.1Bird mouse strains, indicating possible interaction of the Mecp2 gene with animal genetic background. Whereas the Mecp2tm1.1Bird male mice provide an excellent animal model of spontaneous central apnea and possibly obstructive apnea (Voituron et al., 2010), the present study confirmed that a clinically relevant RTT endophenotype – tachypnea with shortened TE – is more faithfully reproduced in Mecp2tm1.1Jae female mice. Importantly, the shortening of TE was found to correlate with the lack of NMDAR-dependent desensitization of the HBIR in these mixed-strain heterozygous mutants compared to wild-type mice, in sharp contrast to the abnormal prolongation of TE and secondary sensitization of the HBIR reported in the Mecp2tm1.1Bird null mice. These findings shed new light on the mechanisms of disordered breathing in RTT and corroborate a working model of non-associative learning in the mammalian brain. This non-associative learning perspective provides a new dimension for further investigation of the pathogenesis of breathing abnormalities in these mutant animals with impaired methylated DNA binding or those with DNA hypomethylation (Fan et al.,
Statements
Acknowledgments
We thank Drs. C. Beard, G. Fan and R. Jaenisch for useful discussions on the genetic aspect of the manuscript, Drs. C. Marcus and D. Weese-Mayer on the clinical aspect, and Dr. K. Strohl on the physiological aspect. We also thank Dr. R. Jaenisch for providing the mutant and wild-type animals used in this study. This work was supported by National Institutes of Health grants HL093225 (GS), HL067966, HL072849, HL079503, and RR028241 (CSP).
Conflict of interest
The author declares that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.
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Summary
Keywords
Rett syndrome, Mecp2, NMDA receptor, non-associative learning, habituation, sensitization, desensitization, X-chromosome inactivation
Citation
Song G, Tin C, Giacometti E and Poon C-S (2011) Habituation without NMDA Receptor-Dependent Desensitization of Hering–Breuer Apnea Reflex in a Mecp2+/− Mutant Mouse Model of Rett Syndrome. Front. Integr. Neurosci. 5:6. doi: 10.3389/fnint.2011.00006
Received
14 January 2011
Accepted
12 April 2011
Published
02 May 2011
Volume
5 - 2011
Edited by
John J. Foxe, Albert Einstein College of Medicine, USA
Reviewed by
Mathias Dutschmann, Universtiy of Leeds, UK; Lisa M. Monteggia, UT Southwestern Medical Center, USA
Copyright
© 2011 Song, Tin, Giacometti and Poon.
This is an open-access article subject to a non-exclusive license between the authors and Frontiers Media SA, which permits use, distribution and reproduction in other forums, provided the original authors and source are credited and other Frontiers conditions are complied with.
*Correspondence: Chi-Sang Poon, Harvard-MIT Division of Health Sciences and Technology, Massachusetts Institute of Technology, Bldg. E25-250, 77 Massachusetts Avenue, Cambridge, MA 02139, USA. e-mail: cpoon@mit.edu
Disclaimer
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.