| Introduction | 6 |
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| Preface | 7 |
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| Contributors | 9 |
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| Contents | 16 |
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| Abbreviations | 21 |
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| 1. Respiratory control disorders: from genes to patients and back | 28 |
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| 1.1 Introduction | 28 |
| 1.2 Effect of sleep on breathing | 29 |
| 1.3 Diagnostic approaches to the patient with suspected abnormalities in respiratory control | 30 |
| 1.4 Potential consequences of delayed diagnosis and treatment | 31 |
| 1.5 Where do we go from here? | 31 |
| 1.6 Conclusion | 32 |
| Acknowledgements | 32 |
| References | 33 |
| 2. Hereditary aspects of respiratory control in health and disease in humans | 36 |
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| 2.1 Introduction | 36 |
| 2.2 Inter-individual variation in human ventilatory control | 36 |
| 2.3 Population and species differences | 38 |
| 2.4 Familial clusters | 39 |
| 2.5 Genetics vs. environment | 43 |
| 2.6 Locus of hereditary effects | 43 |
| 2.7 Conclusion | 47 |
| References | 47 |
| 3. Phox2b and the homeostatic brain | 51 |
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| 3.1 Introduction | 51 |
| 3.2 Expression pattern of Phox2 genes | 51 |
| 3.3 Gross phenotype of mouse mutants for Phox2 genes | 56 |
| 3.4 Cellular functions of Phox2 genes | 59 |
| 3.5 Ancestry of the homeostatic brain | 64 |
| Conclusion | 64 |
| References | 64 |
| 4. Congenital central hypoventilation syndrome: from patients to gene discovery | 71 |
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| 4.1 Introduction | 71 |
| 4.2 Clinical presentation of CCHS | 72 |
| 4.3 Genetic mutations in CCHS | 76 |
| 4.4 Phenotype-genotype correlations | 77 |
| 4.5 Conclusion | 78 |
| References | 78 |
| 5. Structural and functional brain abnormalities in Congenital Central Hypoventilation Syndrome | 82 |
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| 5.1 Introduction | 82 |
| 5.2 Structural injury and functional deficits in CCHS | 83 |
| 5.3 Imaging findings | 84 |
| 5.4 Cardiovascular control deficits | 89 |
| 5.5 Potential mechanisms in injury | 90 |
| 5.6 Conclusion | 91 |
| Acknowledgements | 92 |
| References | 92 |
| 6. In vitro studies of PHOX2B gene mutations in congenital central hypoventilation syndrome | 96 |
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| 6.1 Introduction | 96 |
| 6.2 PHOX2B polyalanine expansions | 98 |
| 6.3 PHOX2B frameshift mutations | 102 |
| 6.4 Conclusion | 104 |
| References | 106 |
| 7. Sudden infant death syndrome: study of genes pertinent to cardiorespiratory and autonomic regulation | 109 |
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| 7.1 Introduction | 109 |
| 7.2 Cardiac channelopathy genes in SIDS | 110 |
| 7.3 Serotonergic system genes in SIDS | 112 |
| 7.4 Autonomic Nervous System (ANS) genes in SIDS | 115 |
| 7.5 Nicotine metabolizing genes in SIDS | 119 |
| 7.6 Clinical significance | 121 |
| 7.7 Conclusion and directions for future research on genetic factors in SIDS | 125 |
| References | 125 |
| 8. The genetic basis for obstructive sleep apnea: what role for variation in respiratory control? | 134 |
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| 8.1 Introduction | 134 |
| 8.2 OSA: Definition and health impact | 134 |
| 8.3 OSA: Evidence for a familial basis | 136 |
| 8.4 Genetic etiology-risk factors and their use as intermediate phenotypes | 138 |
| 8.5 Ventilatory control as an intermediate OSA risk factor | 139 |
| 8.6 Evidence for genetically determined ventilatory control abnormalities in familial OSA | 145 |
| 8.7 Candidate genes for OSA that may operate through ventilatory control | 146 |
| 8.8 Inferences from other conditions which involve ventilatory control deficits | 148 |
| 8.9 Studies from animals | 149 |
| 8.10 Pleiotropy | 149 |
| 8.11 Conclusion | 149 |
| Acknowledgements | 150 |
| References | 150 |
| 9. Apnea and irregular breathing in animal models: a physiogenomic approach | 159 |
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| 9.1 Introduction | 159 |
| 9.2 Measuring ventilatory behavior | 160 |
| 9.3 Defining apnea and ventilatory irregularity | 162 |
| 9.4 Models of apnea | 167 |
| 9.5 Model of recurrent apneas | 168 |
| 9.6 Conclusion | 170 |
| References | 170 |
| 10. Genetic determinants of respiratory phenotypes in mice | 174 |
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| 10.1 Introduction | 174 |
| 10.2 Experimental methods and design | 177 |
| 10.3 Observations and results | 179 |
| 10.4 Significance of genetic determinants | 184 |
| 10.5 Conclusion | 185 |
| References | 186 |
| 11. Genes and development of respiratory rhythm generation | 190 |
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| 11.1 Introduction | 190 |
| 11.2 Primordial embryonic rhythm in the neural tube | 192 |
| 11.3 Parafacial rhythm generators : induction requires Krox20 in r3 and Hoxa1 in r4 | 194 |
| 11.4 Onset of the respiratory rhythm generation | 196 |
| 11.5 Neurotrophic control of breathing | 199 |
| 11.6 Brainstem modulatory controls of breathing | 201 |
| 11.7 Conclusion | 202 |
| Acknowledgements | 203 |
| References | 203 |
| 12. Transcription factor control of central respiratory neuron development | 211 |
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| 12.1 Introduction | 211 |
| 12.2 Brainstem populations of neurons participating in central breathing control | 212 |
| 12.3 Mouse mutants of transcription factors governing development of respiratory neurons and breathing control | 215 |
| 12.4. Conclusion | 232 |
| References | 233 |
| 13. Lessons from mutant newborn mice with respiratory control deficits | 242 |
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| 13.1 In
|