Abstract
We recently established that the SOD1-G93A transgenic mouse is a suitable model for oral-stage dysphagia in amyotrophic lateral sclerosis (ALS). The purpose of the present study was to determine whether it could serve as a model for pharyngeal-stage dysphagia as well. Electrophysiological and histological experiments were conducted on end-stage SOD1-G93A transgenic mice (n = 9) and age-matched wild-type (WT) littermates (n = 12). Transgenic mice required a twofold higher stimulus frequency (40 Hz) applied to the superior laryngeal nerve (SLN) to evoke swallowing compared with WT controls (20 Hz); transgenic females required a significantly higher (P < 0.05) stimulus frequency applied to the SLN to evoke swallowing compared with transgenic males. Thus, both sexes demonstrated electrophysiological evidence of pharyngeal dysphagia but symptoms were more severe for females. Histological evidence of neurodegeneration (vacuoles) was identified throughout representative motor (nucleus ambiguus) and sensory (nucleus tractus solitarius) components of the pharyngeal stage of swallowing, suggesting that pharyngeal dysphagia in ALS may be attributed to both motor and sensory pathologies. Moreover, the results of this investigation suggest that sensory stimulation approaches may facilitate swallowing function in ALS.
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References
Hillel AD, Miller RM. Management of bulbar symptoms in amyotrophic lateral sclerosis. Adv Exp Med Biol. 1987;209:201–21.
Tayama N. Dysphagia in amyotrophic lateral sclerosis—the mechanism and managements. Rinsho Shinkeigaku. 1995;35:1557–9.
Higo R, Tayama N, Watanabe T, Nitou T. Videomanofluorometric study in amyotrophic lateral sclerosis. Laryngoscope. 2002;112:911–7. doi:10.1097/00005537-200205000-00024.
Kawai S, Tsukuda M, Mochimatsu I, Enomoto H, Kagesato Y, Hirose H, et al. A study of the early stage of dysphagia in amyotrophic lateral sclerosis. Dysphagia. 2003;18:1–8. doi:10.1007/s00455-002-0074-3.
Logemann JA. Evaluation and treatment of swallowing disorders. 2nd ed. Austin, TX: Pro-Ed; 1998.
Perlman AL, Schulze-Delrieu K. Deglutition and its disorders: anatomy, physiology, clinical diagnosis, and management. San Diego, CA: Singular Publishing Group; 1997.
Ertekin C, Aydogdu I, Yuceyar N, Kiylioglu N, Tarlaci S, Uludag B. Pathophysiological mechanisms of oropharyngeal dysphagia in amyotrophic lateral sclerosis. Brain. 2000;123(Pt 1):125–40. doi:10.1093/brain/123.1.125.
Ermilova IP, Ermilov VB, Levy M, Ho E, Pereira C, Beckman JS. Protection by dietary zinc in ALS mutant G93A SOD transgenic mice. Neurosci Lett. 2005;379:42–6. doi:10.1016/j.neulet.2004.12.045.
Gurney ME. Transgenic animal models of familial amyotrophic lateral sclerosis. J Neurol. 1997;244(Suppl 2):S15–20.
Gurney ME, Pu H, Chiu AY, Dal Canto MC, Polchow CY, Alexander DD, et al. Motor neuron degeneration in mice that express a human Cu, Zn superoxide dismutase mutation. Science. 1994;264:1772–5. doi:10.1126/science.8209258.
Miana-Mena FJ, Munoz MJ, Yague G, Mendez M, Moreno M, Ciriza J, et al. Optimal methods to characterize the G93A mouse model of ALS. Amyotroph Lateral Scler Other Motor Neuron Disord. 2005;6:55–62. doi:10.1080/17434470510045230.
Ralph GS, Radcliffe PA, Day DM, Carthy JM, Leroux MA, Lee DC, et al. Silencing mutant SOD1 using RNAi protects against neurodegeneration and extends survival in an ALS model. Nat Med. 2005;11:429–33. doi:10.1038/nm1205.
Raoul C, Abbas-Terki T, Bensadoun JC, Guillot S, Haase G, Szulc J, et al. Lentiviral-mediated silencing of SOD1 through RNA interference retards disease onset and progression in a mouse model of ALS. Nat Med. 2005;11:423–8. doi:10.1038/nm1207.
Sasaki S, Warita H, Abe K, Iwata M. Impairment of axonal transport in the axon hillock and the initial segment of anterior horn neurons in transgenic mice with a G93A mutant SOD1 gene. Acta Neuropathol. 2005;110:48–56. doi:10.1007/s00401-005-1021-9.
Zang DW, Yang Q, Wang HX, Egan G, Lopes EC, Cheema SS. Magnetic resonance imaging reveals neuronal degeneration in the brainstem of the superoxide dismutase 1 transgenic mouse model of amyotrophic lateral sclerosis. Eur J Neurosci. 2004;20:1745–51. doi:10.1111/j.1460-9568.2004.03648.x.
Lever TE, Gorsek A, Cox KT, O’Brien KF, Capra NF, Hough MS, et al. An animal model of oral dysphagia in amyotrophic lateral sclerosis. Dysphagia. 2009;24:000–000.
Perlman AL, editor. Disordered swallowing. San Diego, CA: Singular Publishing Group; 1994.
Baredes S. Surgical management of swallowing disorders. Otolaryngol Clin North Am. 1988;21:711–20.
Miller AJ. Deglutition. Physiol Rev. 1982;62:129–84.
Hiiemae KM, Palmer JB. Food transport and bolus formation during complete feeding sequences on foods of different initial consistency. Dysphagia. 1999;14:31–42. doi:10.1007/PL00009582.
Leder SB, Novella S, Patwa H. Use of fiberoptic endoscopic evaluation of swallowing (FEES) in patients with amyotrophic lateral sclerosis. Dysphagia. 2004;19:177–81. doi:10.1007/s00455-004-0009-2.
Ohkubo H. Dysphagia in amyotrophic lateral sclerosis—electromyographic and radiological investigations. Otol Fukuoka. 1980;26:44–78.
Hillel AD, Miller R. Bulbar amyotrophic lateral sclerosis: patterns of progression and clinical management. Head Neck. 1989;11:51–9. doi:10.1002/hed.2880110110.
Angenstein F, Niessen HG, Goldschmidt J, Vielhaber S, Ludolph AC, Scheich H. Age-dependent changes in MRI of motor brain stem nuclei in a mouse model of ALS. Neuroreport. 2004;15:2271–4. doi:10.1097/00001756-200410050-00026.
Mulder DW, Bushek W, Spring E, Karnes J, Dyck PJ. Motor neuron disease (ALS): evaluation of detection thresholds of cutaneous sensation. Neurology. 1983;33:1625–7.
Ben Hamida M, Letaief F, Hentati F, Ben Hamida C. Morphometric study of the sensory nerve in classical (or Charcot disease) and juvenile amyotrophic lateral sclerosis. J Neurol Sci. 1987;78:313–29. doi:10.1016/0022-510X(87)90045-1.
Kawamura Y, Dyck PJ, Shimono M, Okazaki H, Tateishi J, Doi H. Morphometric comparison of the vulnerability of peripheral motor and sensory neurons in amyotrophic lateral sclerosis. J Neuropathol Exp Neurol. 1981;40:667–75. doi:10.1097/00005072-198111000-00008.
Heads T, Pollock M, Robertson A, Sutherland WH, Allpress S. Sensory nerve pathology in amyotrophic lateral sclerosis. Acta Neuropathol. 1991;82:316–20. doi:10.1007/BF00308818.
Theys PA, Peeters E, Robberecht W. Evolution of motor and sensory deficits in amyotrophic lateral sclerosis estimated by neurophysiological techniques. J Neurol. 1999;246:438–42. doi:10.1007/s004150050379.
Shefner JM, Tyler HR, Krarup C. Abnormalities in the sensory action potential in patients with amyotrophic lateral sclerosis. Muscle Nerve. 1991;14:1242–6. doi:10.1002/mus.880141218.
Nolte J. The human brain: an introduction to its functional anatomy. 5th ed. St. Louis, MO: Mosby, Inc.; 2002.
Seikel JA, King DW, Drumright DG. Neuroanatomy. In: Seikel JA, King DW, Drumright DG, editors. Anatomy & physiology for speech, language, and hearing. 3rd ed. Clifton Park, NY: Thomson Delmar Learning; 2005. p. 495–620.
Corbin-Lewis K, Liss JM, Sciortino KL. Clinical anatomy & physiology of the swallow mechanism. Clifton Park, NY: Thomson Delmar; 2004.
Miller AJ. The neuroscientific principles of swallowing and dysphagia. San Diego, CA: Singular Publishing Group; 1999.
Jean A. Brain stem control of swallowing: neuronal network and cellular mechanisms. Physiol Rev. 2001;81:929–69.
Preston DC, Shapiro BE, Basic electromyography: analysis of motor unit action potentials. In: Electromyography and neuromuscular disorders: clinical-electrophysiologic correlations. Philadelphia: Elsevier; 2005, p. 215–29.
Thexton AJ, Crompton AW, German RZ. Electromyographic activity during the reflex pharyngeal swallow in the pig: Doty and Bosma (1956) revisited. J Appl Physiol. 2007;102:587–600. doi:10.1152/japplphysiol.00456.2006.
Doty RW, Bosma JF. An electromyographic analysis of reflex deglutition. J Neurophysiol. 1956;19:44–60.
Basmajian JV, Deluca CJ. Muscles alive: their functions revealed by electromyography. 5th ed. Baltimore: Williams & Wilkins; 1985.
Strand EA, Miller RM, Yorkston KM, Hillel AD. Management of oral-pharyngeal dysphagia symptoms in amyotrophic lateral sclerosis. Dysphagia. 1996;11:129–39. doi:10.1007/BF00417903.
The Jackson Laboratory, Genoty** Protocol for SOD; 2005. http://jaxmice.jax.org/pub-cgi/protocols/protocols.sh?objtype=protocol&protocol_id=523.
Sang Q, Goyal RK. Swallowing reflex and brain stem neurons activated by superior laryngeal nerve stimulation in the mouse. Am J Physiol Gastrointest Liver Physiol. 2001;280:G191–200.
Sinclair WJ. Role of the pharyngeal plexus in initiation of swallowing. Am J Physiol. 1971;221:1260–3.
Bieger D, Hockman CH. Suprabulbar modulation of reflex swallowing. Exp Neurol. 1976;52:311–24. doi:10.1016/0014-4886(76)90174-6.
Beyak MJ, Collman PI, Valdez DT, Xue S, Diamant NE. Superior laryngeal nerve stimulation in the cat: effect on oropharyngeal swallowing, oesophageal motility and lower oesophageal sphincter activity. Neurogastroenterol Motil. 1997;9:117–27. doi:10.1046/j.1365-2982.1997.d01-22.x.
Fenik V, Fenik P, Kubin L. A simple cuff electrode for nerve recording and stimulation in acute experiments on small animals. J Neurosci Methods. 2001;106:147–51. doi:10.1016/S0165-0270(01)00340-5.
Weerasuriya A, Bieger D, Hockman CH. Interaction between primary afferent nerves in the elicitation of reflex swallowing. Am J Physiol. 1980;239:R407–14.
Miller AJ. Characteristics of the swallowing reflex induced by peripheral nerve and brain stem stimulation. Exp Neurol. 1972;34:210–22. doi:10.1016/0014-4886(72)90168-9.
Makowska A, Panfil C, Ellrich J. Long-term potentiation of orofacial sensorimotor processing by noxious input from the semispinal neck muscle in mice. Cephalalgia. 2004;25:109–16.
Donnelly DF, Rigual R. Single-unit recordings of arterial chemoreceptors from mouse petrosal ganglia in vitro. J Appl Physiol. 2000;88:1489–95.
Ellrich J, Wesselak M. Electrophysiology of sensory and sensorimotor processing in mice under general anesthesia. Brain Res Brain Res Protoc. 2003;11:178–88. doi:10.1016/S1385-299X(03)00045-X.
Pachner AR, Kantor FS. Nerve stimulation test in murine experimental autoimmune myasthenia gravis. Ann Neurol. 1982;11:48–52. doi:10.1002/ana.410110109.
Preston DC, Shapiro BE, Basic electromyography: analysis of spontaneous activity. In: Electromyography and neuromuscular disorders: clinical-electrophysiologic correlations. 2nd ed. Philadelphia: Elsevier; 2005, p. 199–213.
Amirali A, Tsai G, Schrader N, Weisz D, Sanders I. Map** of brain stem neuronal circuitry active during swallowing. Ann Otol Rhinol Laryngol. 2001;110:502–13.
Gidda JS, Goyal RK. Swallow-evoked action potentials in vagal preganglionic efferents. J Neurophysiol. 1984;52:1169–80.
Doty RW. Influence of stimulus pattern on reflex deglutition. Am J Physiol. 1951;166:142–58.
Ertekin C, Aydogdu I. Neurophysiology of swallowing. Clin Neurophysiol. 2003;114:2226–44. doi:10.1016/S1388-2457(03)00237-2.
Fukushima S, Shingai T, Kitagawa J, Takahashi Y, Taguchi Y, Noda T, et al. Role of the pharyngeal branch of the vagus nerve in laryngeal elevation and UES pressure during swallowing in rabbits. Dysphagia. 2003;18:58–63. doi:10.1007/s00455-002-0082-3.
Kajii Y, Shingai T, Kitagawa J, Takahashi Y, Taguchi Y, Noda T, et al. Sour taste stimulation facilitates reflex swallowing from the pharynx and larynx in the rat. Physiol Behav. 2002;77:321–5. doi:10.1016/S0031-9384(02)00854-5.
Barkmeier JM, Bielamowicz S, Takeda N, Ludlow CL. Modulation of laryngeal responses to superior laryngeal nerve stimulation by volitional swallowing in awake humans. J Neurophysiol. 2000;83:1264–72.
Ambalavanar R, Tanaka Y, Selbie WS, Ludlow CL. Neuronal activation in the medulla oblongata during selective elicitation of the laryngeal adductor response. J Neurophysiol. 2004;92:2920–32. doi:10.1152/jn.00064.2004.
Haenggeli C, Kato AC. Differential vulnerability of cranial motoneurons in mouse models with motor neuron degeneration. Neurosci Lett. 2002;335:39–43. doi:10.1016/S0304-3940(02)01140-0.
Prophet EB, Mills R. AFIP laboratory methods in histotechnology. Washington, DC: Armed Forces Institute of Pathology; 1992.
Paxinos G, Franklin K. The mouse brain in stereotaxic coordinates. 2nd ed. Sydney, Australia: Academic Press; 2001.
Brash JC. Cunningham’s manual of practical anatomy. 12th ed. London: Oxford University Press; 1958.
Popesko P, Rajtova V, Horak J. A colour atlas of anatomy of small laboratory animals: rat, mouse, hamster. Bratislava, Slovakia: Wolfe Publishing Ltd.; 1992.
Forthofer RN, Lee ES, Hernandez M. Biostatistics: a guide to design, analysis, and discovery. 2nd ed. Burlington, MA: Elsevier; 2007.
Chi-Fishman G, Capra NF, McCall GN. Thermomechanical facilitation of swallowing evoked by electrical nerve stimulation in cats. Dysphagia. 1994;9:149–55. doi:10.1007/BF00341258.
Doty RW. Neural organization of deglutition. In: Doty RW, editor. The alimentary canal. Washington, DC: American Physiologic Society; 1968. p. 1861–902.
Kessler JP, Jean A. Identification of the medullary swallowing regions in the rat. Exp Brain Res. 1985;57:256–63. doi:10.1007/BF00236530.
Finsterer J, Erdorf M, Mamoli B, Fuglsang-Frederiksen A. Needle electromyography of bulbar muscles in patients with amyotrophic lateral sclerosis: evidence of subclinical involvement. Neurology. 1998;51:1417–22.
Wijesekera LC, Leigh PN. Amyotrophic lateral sclerosis. Orphanet J Rare Dis. 2009;4:3. doi:10.1186/1750-1172-4-3.
Preston DC, Shapiro BE, Amyotrophic lateral sclerosis and its variants. In: Electromyography and neuromuscular disorders: clinical-electrophysiologic correlations, 2nd ed. Philadelphia: Elsevier; 2005, p. 423–37.
Dal Canto MC, Gurney ME. Development of central nervous system pathology in a murine transgenic model of human amyotrophic lateral sclerosis. Am J Pathol. 1994;145:1271–9.
Dal Canto MC, Gurney ME. Neuropathological changes in two lines of mice carrying a transgene for mutant human Cu, Zn SOD, and in mice overexpressing wild type human SOD: a model of familial amyotrophic lateral sclerosis (FALS). Brain Res. 1995;676:25–40. doi:10.1016/0006-8993(95)00063-V.
Kong J, Xu Z. Massive mitochondrial degeneration in motor neurons triggers the onset of amyotrophic lateral sclerosis in mice expressing a mutant SOD1. J Neurosci. 1998;18:3241–50.
Wong PC, Marszalek J, Crawford TO, Xu Z, Hsieh ST, Griffin JW, et al. Increasing neurofilament subunit NF-M expression reduces axonal NF-H, inhibits radial growth, and results in neurofilamentous accumulation in motor neurons. J Cell Biol. 1995;130:1413–22. doi:10.1083/jcb.130.6.1413.
Acknowledgments
The authors gratefully acknowledge Elena Pak, Waseem Ahmed, Vladim Bobrovnikov, Mohamed Raafat, and Di Wu for their invaluable assistance with data collection. We also thank Drs. Richard Ray, Timothy A. Jones, Monica Carrion-Jones, and Edward Lieberman for their insightful comments and suggestions regarding our electrophysiological methods and data interpretation. We express our gratitude to Ms. Joani Zary and Dr. Hubert Burden for their expert guidance in histological methods. Our highest gratitude extends to the veterinary staff who kindly maintained the mouse colony for this study.
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Lever, T.E., Simon, E., Cox, K.T. et al. A Mouse Model of Pharyngeal Dysphagia in Amyotrophic Lateral Sclerosis. Dysphagia 25, 112–126 (2010). https://doi.org/10.1007/s00455-009-9232-1
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DOI: https://doi.org/10.1007/s00455-009-9232-1