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. 2022 Jul 26;13:921470. doi: 10.3389/fphys.2022.921470

FIGURE 2.

FIGURE 2

Locations of lesions in animal models that do not (1–3) versus do (4) abolish the seizures of CNS-OT. Removing the forebrain (lesions 1 and 2) and bisecting the corpus callosum (lesion 3) do not abolish seizure genesis when breathing HBO2. A medullary pyramidal tractotomy does abolish seizure, however (lesion 4). Thus, the critical areas involved in seizure genesis must reside between lesions 2 and 4; that is, in the hind brain; i.e., brain stem plus cerebellum (light green shaded region). Nuclei postulated to function as “oxtox trigger nuclei” based on the early abnormal cardio-respiratory responses and nonconvulsive S/Sx that precede HBO2-seizures are indicated, including CO2-chemosensitive areas (golden yellow nuclei) and cranial nerve nuclei (blue nuclei). While neurons in CO2-chemosenitive areas are reported to be stimulated during exposure to hypercapnic acidosis, to date, only CO2-sensitive neurons in the cSC (green nuclei) are reported to be stimulated by exposure to hyperoxia and chemical oxidants in control O2. CO2-excited neurons in the other chemosensitive areas of the mCNS have not been studied yet to determine their sensitivity to increased oxygenation and cellular oxidation. The sagittal view presented is 0.40 mm lateral to midline in the rat brain, which was adapted from Figure 164 in the brain atlas of Paxinos and Watson (Paxinos and Watson 2007). The relative locations of cranial nerve nuclei III, IV, VI, VII, VIII and X and chemosensitive nuclei indicated come from sagittal views passing 0.18 through 2.4 mm lateral to midline (Figures 163–171 in the rat brain atlas). Recall that CN X is the dorsal motor nucleus of vagus, which with the nucleus tractus solitarius comprises the cSC. The purpose of the Figure 2 is to emphasize, based on lesion studies, the region of the mCNS that likely contains neurons involved in seizure genesis in CNS-OT; that is, the rostro-caudal distribution of nuclei postulated to function as “oxtox trigger nuclei”. Their locations presented here do not to accurately convey their true medial-to-lateral distributions. Abbreviations used: III, oculomotor nucleus; IV, trochlear nucleus; VI, abducens nucleus; VII, facial nucleus; VIII, vestibular-cochlear nuclei; ac, anterior commissure; APit, anterior pituitary; cc, corpus callosum; cSC, caudal Solitary Complex (= NTS and DMNV/CN X); Fast, fastigial nucleus of the cerebellum; HC, hippocampus; LC, locus coeruleus; LH, lateral hypothalamus; MR, medullary raphe; ox, optic chiasm; PBC, pre-Bötzinger Complex; RTN, retrotrapezoid nucleus; Thal, thalamus.