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. 2020 Oct 14;35(6):391–404. doi: 10.1152/physiol.00015.2020

TABLE 1.

Studies of opioid and sedative effects in individual respiratory-related areas

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.