Vglut2-based glutamatergic signaling in central noradrenergic neurons is dispensable for normal breathing and chemosensory reflexes

Reviewer #1 (Public Review):

Summary: Chang et al. provide glutamate co-expression profiles in the central noradrenergic system and test the requirement of Vglut2-based glutamatergic release in respiratory and metabolic activity under physiologically relevant gas challenges. Their experiments show that conditional deletion of Vglut2 in NA neurons does not impact steady-state breathing or metabolic activity in room air, hypercapnia, or hypoxia. Their observations challenge the importance of glutamatergic signaling from Vglut2 expressing NA neurons in normal respiratory homeostasis in conscious adult mice.

Strengths: The comprehensive Vglut1, Vglut2, and Vglut3 co-expression profiles in the central noradrenergic system and the combined measurements of breathing and oxygen consumption are two major strengths of this study. Observations from these experiments provide previously undescribed insights into (1) expression patterns for subtypes of the vesicular glutamate transporter protein in the noradrenergic system and (2) the dispensable nature of Vglut2-dependent glutamate signaling from noradrenergic neurons to breathing responses to physiologically relevant gas challenges in adult conscious mice.

Weaknesses: Although the cellular expression profiles for the vesicular glutamate transporters are provided, the study fails to document that glutamatergic-based signaling originating from noradrenergic neurons is evident at the cellular level under normal, hypoxic, and/or hypercapnic conditions. This limits the reader's understanding of why conditional Vglut2 knockdown is dispensable for breathing under the conditions tested.

Reviewer #2 (Public Review):

The authors characterized the recombinase-based cumulative fate maps for vesicular glutamate transporters (Vglut1, Vglut2 and Vglut3) expression and compared those maps to their real-time expression profiles in central NA neurons by RNA in situ hybridization in adult mice. Authors have revealed a new and intriguing expression pattern for Vglut2, along with an entirely uncharted co-expression domain for Vglut3 within central noradrenergic neurons. Interestingly, and in contrast to previous studies, the authors demonstrated that glutamatergic signaling in central noradrenergic neurons does not exert any influence on breathing and metabolic control either under normoxic/normocapnic conditions or after chemoreflex stimulation. Also, they showed for the first-time the Vglut3-expressing NA population in C2/A2 nuclei. In addition, they were also able to demonstrate Vglut2 expression in anterior NA populations, such as LC neurons, by using more refined techniques, unlike previous studies.

A major strength of the study is the use of a set of techniques to investigate the participation of NA-based glutamatergic signaling in breathing and metabolic control. The authors provided a full characterization of the recombinase-based cumulative fate maps for Vglut transporters. They performed real-time mRNA expression of Vglut transporters in central NA neurons of adult mice. Further, they evaluated the effect of knocking down Vglut2 expression in NA neurons using a DBH-Cre; Vglut2cKO mice on breathing and control in unanesthetized mice. Finally, they injected the AAV virus containing Cre-dependent Td tomato into LC of v-Glut2 Cre mice to verify the VGlut2 expression in LC-NA neurons. A very positive aspect of the article is that the authors combined ventilation with metabolic measurements. This integration holds particular significance, especially when delving into the exploration of respiratory chemosensitivity. Furthermore, the sample size of the experiments is excellent.

Despite the clear strengths of the paper, some weaknesses exist. It is not clear in the manuscript if the experiments were performed in males and females and if the data were combined. I believe that the study would have benefited from a more comprehensive analysis exploring the sex specific differences. The reason I think this is particularly relevant is the developmental disorders mentioned by the authors, such as SIDS and Rett syndrome, which could potentially arise from disruptions in central noradrenergic (NA) function, exhibit varying degrees of sex predominance. Moreover, some of the noradrenergic cell groups are sexually dimorphic. For instance, female Wistar rats exhibit a larger LC size and more LC-NA neurons than male subjects (Pinos et al., 2001; Garcia-Falgueras et al., 2005). More recently, a detailed transcriptional profiling investigation has unveiled the identities of over 3,000 genes in the LC. This revelation has highlighted significant sexual dimorphisms, with more than 100 genes exhibiting differential expression within LC-NA neurons at the transcript level. Furthermore, this investigation has convincingly showcased that these distinct gene expression patterns have the capacity to elicit disparate behavioral responses between sexes (Mulvey et al., 2018). Therefore, the authors should compare the fate maps, Vglut transporters in males and females, at least considering LC-NA neurons. Even in the absence of identified sex differences, this information retains significant importance.

An important point well raised by the authors is that although suggestive, these experiments do not definitively rule out that NA-Vglut2 based glutamatergic signaling has a role in breathing control. Subsequent experiments will be necessary to validate this hypothesis.

An improvement could be made in terms of measuring body temperature. Opting for implanted sensors over rectal probes would circumvent the need to open the chamber, thereby preventing alterations in gas composition during respiratory measurements. Further, what happens to body temperature phenotype in these animals under different gas exposures? These data should be included in the Tables.

Is it plausible that another neurotransmitter within NA neurons might be released in higher amounts in DBH-Cre; Vglut2 cKO mice to compensate for the deficiency in glutamate and prevent changes in ventilation?

Continuing along the same line of inquiry is there a possibility that Vglut2 cKO from NA neurons not only eliminates glutamate release but also reduces NA release? A similar mechanism was previously found in VGLUT2 cKO from DA neurons in previous studies (Alsio et al., 2011; Fortin et al., 2012; Hnasko et al., 2010). Additionally, does glutamate play a role in the vesicular loading of NA? Therefore, could the lack of effect on breathing be explained by the lack of noradrenaline and not glutamate?

Reviewer #3 (Public Review):

Summary:

The authors, Y Chang and colleagues, have performed elegant studies in transgenic mouse models that were designed to examine glutamatergic transmission in noradrenergic neurons, with a focus on respiratory regulation. They generated 3 different transgenic lines, in which a red fluorophore was expressed in dopamine-B-hydroxylase (DBH; noradrenergic and adrenergic neurons) neurons that did not express a vesicular glutamate transporter (Vglut) and a green fluorophore in DBH neurons that did express one of either Vglut1, Vglut2 or Vglut3.

Further experiments generated a transgenic mouse with knockout of Vglut2 in DBH neurons. The authors used plethysmography to measure respiratory parameters in conscious, unrestrained mice in response to various challenges.

Strengths:

The distribution of the Vglut expression is broadly in agreement with other studies, but with the addition of some novel Vglut3 expression. Validation of the transgenic results, using in situ hybridization histochemistry to examine mRNA expression, revealed potential modulation of Vglut2 expression during phases of development. This dataset is comprehensive, well-presented and very useful.

In the physiological studies the authors observed that neither baseline respiratory parameters, nor respiratory responses to hypercapnea (5, 7, 10% CO2) or hypoxia (10% O2) were different between knockout mice and littermate controls. The studies are well-designed and comprehensive. They provide observations that are supportive of previous reports using similar methodology.

Weaknesses:

In relation to the expression of Vglut2, the authors conclude that modulation of expression occurs, such that in adulthood there are differences in expression patterns in some (nor)adrenergic cell groups. Altered sensitivity is provided as an explanation for different results between studies examining mRNA expression. These are likely explanations; however, the conclusion would really be definitive with inclusion of a conditional cre expressing mouse. Given the effort taken to generate this dataset, it seems to me that taking that extra step would be of value for the overall understanding of glutamatergic expression in these catecholaminergic neurons

The respiratory physiology is very convincing and provides clear support for the view that Vglut2 is not required for modulation of the respiratory parameters measured and the reflex responses tested. It is stated that this is surprising. However, comparison with the data from Abbott et al., Eur J Neurosci (2014) in which the same transgenic approach was used, shows that they also observed no change in baseline breathing frequency. Differences were observed with strong, coordinated optogenetic stimulation, but, as discussed in this manuscript, it is not clear what physiological function this is relevant to. It just shows that some C1 neurons can use glutamate as a signaling molecule. Further, Holloway et al., Eur J Neurosci (2015), using the same transgenic mouse approach, showed that the respiratory response to optogenetic activation of Phox2 expressing neurons is not altered in DBH-Vglut2 KO mice. The conclusion seems to be that some C1 neuron effects are reliant upon glutamatergic transmission (C1-DMV for example), and some not.

Further contrast is made in this manuscript to the work of Malheiros-Lima and colleagues (eLife 2020) who showed that the activation of abdominal expiratory nerve activity in response to peripheral chemoreceptor activation with cyanide was dependent upon C1 neurons and could be attenuated by blockade of glutamate receptors in the pFRG - i.e. the supposition that glutamate release from C1 neurons was responsible for the function. However, it is interesting to observe that diaphragm EMG responses to hypercapnia (10% CO2) or cyanide, and the expiratory activation to hypercapnia, were not affected by the glutamate receptor blockade. Thus, a very specific response is affected and one that was not measured in the current study.

These previous published observations are consistent with the current study which provides a more comprehensive analysis of the role of glutamatergic contributions respiratory physiology. A more nuanced discussion of the data and acknowledgement of the differences, which are not actually at odds, would improve the paper and place the information within a more comprehensive model.