TABLE 1.
Brain Region | Mu-Opioid Receptor | NMDA Receptor | GABAA Receptor |
---|---|---|---|
Carotid body | 12, 78 | 65 | 65, 167 |
Nucleus tractus solitarii | 30, 169 | 124 | |
Retrotrapezoid nucleus | 111 | 109 | 87, 155 |
Medullary raphe | 168 | 10 | 87 |
Forebrain | 105, 121, 125 | 93, 120 | 1, 60, 69, 119 |
Periaqueductal gray | 138 | ||
Parabrachial Nucleus/Kölliker-Fuse Complex | 3, 85, 103, 137, 160 | 40, 115 | 32, 35, 142 |
Pre-Bötzinger Complex | 3, 107, 112, 145, 160 | 25, 113 | 15, 27, 98 |
Premotor neurons | 57, 83, 149 | 80, 134 | 36, 100, 146, 148 |
Phrenic motoneurons | 68, 149 | 100 | 100 |
Numbers correspond to reference numbers. Bold: where available, we quote “clinically relevant studies,” i.e., in vivo studies that record respiratory neuronal or global respiratory output during systemic drug application and localized antagonist injection or receptor deletion. Italic: if such studies are not available, we present in vivo studies recording respiratory-related neurons or global output during localized application of the sedative agent or the respective receptor agonist or antagonist at clinically relevant or higher concentrations; alternatively, these are descriptive studies using fMRI or EEG activity in humans. Roman: if no in vivo studies are available, we present in vitro studies using localized application of the receptor agonist/antagonist or indirect evidence. Sedatives included are NMDA receptor antagonists (e.g., ketamine) and GABAA receptor agonists (e.g., Propofol and midazolam). Although clinically relevant opioid concentrations have been studied in vivo in many areas, this research still needs to be performed for clinically used sedatives.