M.D., Ph.D. Columbia Univ.
The main objective of this laboratory is to study the mechanism of cardiovascular integration in the medulla. Neurons in the rostral ventrolateral medulla (RVLM) are crucial for the integration of cardiovascular functions. Investigations from our laboratory have shown that, neurons in the dorsal medulla (DM) besides RVLM also contribute to the cardiovascular integration. The DM not only participates in the maintenance of systemic arterial pressure but also supports the cardiovascular responses including changes in blood flow of different vascular beds during the midbrain defense reactions. With the central theme of DM, we correlate functions of this important region with other cardiovascular-reactive areas in the brainstem to explore their interneuronal connections subserving for vasomotor tone regulation. Moreover, we have provided several lines of evidence indicating a correlation of vasomotor- and respiration-controlling mechanism around the caudal ventrolateral medulla, which may function as a bridge to couple sympathetic and respiratory nervous system. We have also identified other neurons in the cardiovascular-reactive areas that affect non-cardiovascular functions, including the gastrointestinal tract, urinary bladder, respiration and somatic spinal reflexes. The discovery of non-cardiovascular functions in the cardiovascular-reactive areas suggests that the medulla oblongata indeed holds multifarious integrating mechanisms, which are crucial for maintenance of homeostasis.