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Sieck, Gary

0000-0003-3040-9424

Mayo Clinic

Department of Physiology and Biomedical Engineering, Mayo Clinic, Rochester, Minnesota, United States.

Citations 122

Impact of upper cervical spinal cord hemisection on diaphragm neuromotor control
Kantor-Gerber, Maximilian J., Mantilla, Carlos B. , Sieck, Gary C. , Mantilla, Carlos B , Sieck, Gary , Khurram, Obaid U.

Journal of Neurophysiology | July 28, 2025 | Volume: 134 | Issue: 2 | Pages: 698-714

10.1152/jn.00279.2025 Get It

Neuromotor control of the diaphragm muscle (DIAm) after C 2 spinal hemisection (C 2 SH) is impacted differentially between ipsilateral and contralateral sides. We show neural drive to ipsilateral phrenic motor neurons decreases after C 2 SH, leading to a reduction in the number of DIAm motor units (MUs) recruited. Contralateral neural drive increases after C 2 SH, leading to an increase in the number of MU recruited. These results provide novel information about the impact of C 2 SH on DIAm neuromotor control.
Diaphragm muscle: a pump that can not fail
Sieck, Gary C. , Fogarty, Matthew J. , Sieck, Gary , Fogarty, Matthew J

Physiological Reviews | July 11, 2025 | Volume: 105 | Issue: 4 | Pages: 2589-2656

10.1152/physrev.00043.2024 Get It

In mammals, breathing requires an inspiratory pump to generate a negative intrathoracic pressure and thus pull air into the lungs for gas exchange. Exclusively in mammals, the diaphragm muscle (DIAm) is the major inspiratory pump, which separates the thoracic and abdominal cavities. With DIAm contraction, a negative intrathoracic and positive abdominal pressure are generated [i.e., transdiaphragmatic pressure (P di )]. During breathing, the DIAm is very active, with a duty cycle (time active vs. inactive) similar to that of the heart. Like the heart, this is a pump that cannot fail! Thus, in controlling breathing, the nervous system must activate DIAm to accomplish pump function while avoiding fatigue. The timing of DIAm activations must also be coordinated with activation of the upper airway muscles (the pipes) to avoid airway occlusion and aspiration and the intercostal and abdominal muscles to appropriately stiffen the body cavities. Similarly, neural control and coordination of the DIAm in nonventilatory behaviors (airway protection, swallowing, vocalization, and voiding) are equally complex, with coordinated activation of the DIAm and abdominal muscles. It is becoming increasingly clear that impaired nonventilatory functions underlie the pathophysiology of a variety of medical conditions. In this review, we will delve into the detailed mechanistic underpinnings of the neural control of the DIAm and the symphonic coordination of its activation during breathing and other behaviors. We will attempt to move the field from considering the DIAm only as an inspiratory pump, emphasizing neural control of airway, intercostal, and abdominal muscles that must be coordinated with DIAm activation.
Histamine is a molecular transducer of adaptation to endurance exercise training in humans
Sieck, Dylan C. , Kobak, Sydney H., Larson, Emily A. , Dreyer, Hans C. , Fogarty, Matthew J. , Sieck, Gary C. , Minson, Christopher T. , Halliwill, John R. , Sieck, Gary , Fogarty, Matthew J

Journal of Applied Physiology | May 15, 2025 | Volume: 138 | Issue: 6 | Pages: 1398-1410

10.1152/japplphysiol.00687.2024 Get It

Histamine appears to be intimately involved with skeletal muscle responses during and following exercise. Blocking histamine’s actions during endurance exercise training by taking common over-the-counter antihistamines resulted in diminished gains in fitness. These results indicate that exercise-induced histamine release is important in generating many of the positive adaptations to exercise training.
TNFα-mediated subcellular heterogeneity of succinate dehydrogenase activity in human airway smooth muscle cells
Bhat, Sanjana Mahadev , Creighton, Claire C., Sieck, Gary C. , Mahadev Bhat, Sanjana , Creighton, Claire Catherine, Sieck, Gary , Creighton, Claire

American Journal of Physiology-Lung Cellular and Molecular Physiology | April 23, 2025 | Volume: 328 | Issue: 6 | Pages: L792-L808

10.1152/ajplung.00396.2024 Get It

Mitochondria show context-specific heterogeneity in their morphometry. Previously, we reported that acute TNFα exposure increased O 2 consumption rate (OCR) and mitochondrial volume density, but decreased OCR per mitochondrion. TNFα also altered mitochondrial distribution and motility. To assess TNFα-mediated subcellular mitochondrial structural and functional heterogeneity, we used a confocal-based quantitative histochemical technique to determine the maximum velocity of succinate dehydrogenase reaction. Our findings highlight that mitochondria within cells exhibit functional heterogeneity, which is disrupted during inflammation.
Chloroquine Causes Aging-like Changes in Diaphragm Neuromuscular Junction Morphology in Mice
Gulbronson, Chloe I., Jahanian, Sepideh , Gransee, Heather M. , Sieck, Gary C. , Mantilla, Carlos B. , Gulbronson, Chloe I. , Sieck, Gary , Gransee, Heather M , Mantilla, Carlos B

Cells | March 7, 2025 | Volume: 14 | Issue: 6 | Pages: 390

10.3390/cells14060390 Get It

Autophagy impairments have been implicated in various aging conditions. Previous studies in cervical motor neurons show an age-dependent increase in the key autophagy proteins LC3 and p62, reflecting autophagy impairment and autophagosome accumulation. Chloroquine is commonly used to inhibit autophagy by preventing autophagosome–lysosome fusion and may thus emulate the effects of aging on the neuromuscular system. Indeed, acute chloroquine administration in old mice decreases maximal transdiaphragmatic pressure generation, consistent with aging effects. We hypothesized that chloroquine alters diaphragm muscle neuromuscular junction (NMJ) morphology and increases denervation. Adult male and female C57BL/6 × 129J mice between 5 and 8 months of age were used to examine diaphragm muscle NMJ morphology and denervation following daily intraperitoneal injections of chloroquine (10 mg/kg/d) or vehicle for 7 days. The motor end-plates and pre-synaptic terminals were fluorescently labeled with α-bungarotoxin and anti-synaptophysin, respectively. Confocal microscopy was used to assess pre- and post-synaptic morphology and denervation. At diaphragm NMJs, chloroquine treatment decreased pre-synaptic volume by 12% compared to the vehicle (p < 0.05), with no change in post-synaptic volume. Chloroquine treatment increased the proportion of partially denervated NMJs by 2.7-fold compared to vehicle treatment (p < 0.05). The morphological changes observed were similar to those previously reported in the diaphragm muscles of 18-month-old mice. These findings highlight the importance of autophagy in the maintenance of the structural properties at adult NMJs in vivo.
Chloroquine Affects Presynaptic Membrane Retrieval in Diaphragm Neuromuscular Junctions of Old Mice
Jahanian, Sepideh , Gulbronson, Chloe I. , Gransee, Heather M. , Millesi, Elena , Sieck, Gary C. , Mantilla, Carlos B. , Sieck, Gary , Gransee, Heather M , Mantilla, Carlos B

International Journal of Molecular Sciences | December 24, 2024 | Volume: 26 | Issue: 1 | Pages: 43

10.3390/ijms26010043 Get It

Aging disrupts multiple homeostatic processes, including autophagy, a cellular process for the recycling and degradation of defective cytoplasmic structures. Acute treatment with the autophagy inhibitor chloroquine blunts the maximal forces generated by the diaphragm muscle, but the mechanisms underlying neuromuscular dysfunction in old age remain poorly understood. We hypothesized that chloroquine treatment increases the presynaptic retention of the styryl dye FM 4-64 following high-frequency nerve stimulation, consistent with the accumulation of unprocessed bulk endosomes. Diaphragm-phrenic nerve preparations from 24-month-old male and female C57BL/6 × 129 J mice were incubated with FM 4-64 (5 µM) and either chloroquine (50 µM) or vehicle during 80 Hz phrenic nerve stimulation. Acute chloroquine treatment significantly decreased FM 4-64 intensity at diaphragm neuromuscular junctions following 80 Hz phrenic nerve stimulation, consistent with disrupted synaptic vesicle recycling. A similar reduction was evident in regions with the greatest FM 4-64 fluorescence intensity, which most likely surround synaptic vesicle release sites. In the absence of nerve stimulation, chloroquine treatment significantly increased FM 4-64 intensity at diaphragm neuromuscular junctions. These findings highlight the importance of autophagy in regulating presynaptic vesicle retrieval (including vesicle recycling and endosomal processing) and support the role of autophagy impairments in age-related neuromuscular dysfunction.
Inhibition of TrkB kinase activity impairs autophagy in cervical motor neurons of young but not old mice
Pareja‐Cajiao, Miguel , Jahanian, Sepideh , Sieck, Gary C. , Mantilla, Carlos B. , Gransee, Heather M , Sieck, Gary , Mantilla, Carlos B , Gransee, Heather M.

Experimental Physiology | November 22, 2024 | Volume: 110 | Issue: 1 | Pages: 166-178

10.1113/ep092095 Get It

Abstract Ageing‐related neuromuscular dysfunction is associated with reduced tropomyosin‐related kinase receptor subtype B (TrkB) signalling and accumulation of damaged cytoplasmic aggregates in motor neurons. Autophagy functions to remove these damaged aggregates, and we previously reported increased cervical motor neuron expression of LC3 and p62 in old age. We hypothesized that inhibition of TrkB kinase activity results in an increase in the relative expression of both LC3 and p62 in cervical motor neurons, consistent with impaired progression of autophagy. TrkB F616A mice, which possess a mutation that renders TrkB kinase activity susceptible to rapid inhibition by 1NMPP1, were treated at 6, 18 or 24 months of age with vehicle or 1NMPP1 for 7 days. Immunofluorescence intensity was measured to determine LC3 and p62 expression in choline acetyltransferase‐positive motor neurons in the cervical spinal cord. The effect of inhibiting TrkB kinase activity on progression of autophagy was age dependent. In 6‐month‐old mice, inhibiting TrkB kinase activity increased cervical motor neuron expression of LC3 by 11% ( P < 0.001) and p62 by 8% ( P = 0.019) compared with vehicle treatment. In 18‐ and 24‐month‐old mice, there was no effect of inhibiting TrkB kinase activity on motor neuron LC3 or p62 expression. We provide evidence that inhibition of TrkB signalling impairs progression of autophagy in motor neurons of young mice, similar to the response to ageing. Accordingly, a reduction of TrkB signalling in old age might contribute to neuromuscular dysfunction by impairing progression of autophagy in motor neurons.
Hypercapnia impacts neural drive and timing of diaphragm neuromotor control
Khurram, Obaid U. , Kantor-Gerber, Maximilian J., Mantilla, Carlos B. , Sieck, Gary C. , Sieck, Gary , Mantilla, Carlos B , Khurram, Obaid U

Journal of Neurophysiology | November 16, 2024 | Volume: 132 | Issue: 6 | Pages: 1966-1976

10.1152/jn.00466.2024 Get It

The neuromotor control of the diaphragm muscle (DIAm) in response to hypercapnia is not well understood. We show that both the number of motor units recruited and their discharge rates increase with hypercapnia, consistent with increased respiratory drive during hypercapnia. Potentially in response to this increased drive, the greatest effect of hypercapnia is on during the postinspiratory (descending) ramp of DIAm EMG activity, which shortens to facilitate higher respiratory rates.
Identification of eupneic breathing using machine learning
Khurram, Obaid U. , Mantilla, Carlos B. , Sieck, Gary C. , Sieck, Gary , Mantilla, Carlos B , Khurram, Obaid U

Journal of Neurophysiology | July 25, 2024 | Volume: 132 | Issue: 3 | Pages: 678-684

10.1152/jn.00230.2024 Get It

The heterogeneity of diaphragm muscle (DIAm) activity in awake animals reflects real motor behavior diversity but makes assessments of eupneic breathing challenging. The present article uses an unsupervised machine learning model to identify eupneic breathing amidst a deluge of different DIAm electromyography (EMG) burst patterns in awake rats. This technique offers a scalable and reliable tool that improves efficiency of DIAm EMG analysis and minimizes potential sources of bias.
Heterogeneous distribution of mitochondria and succinate dehydrogenase activity in human airway smooth muscle cells
Bhat, Sanjana Mahadev , Sieck, Gary C. , Mahadev Bhat, Sanjana , Sieck, Gary

FASEB BioAdvances | May 28, 2024 | Volume: 6 | Issue: 6 | Pages: 159-176

10.1096/fba.2024-00047 Get It

AbstractSuccinate dehydrogenase (SDH) is a key mitochondrial enzyme involved in the tricarboxylic acid cycle, where it facilitates the oxidation of succinate to fumarate, and is coupled to the reduction of ubiquinone in the electron transport chain as Complex II. Previously, we developed a confocal‐based quantitative histochemical technique to determine the maximum velocity of the SDH reaction (SDHmax) in single cells and observed that SDHmax corresponds with mitochondrial volume density. In addition, mitochondrial volume and motility varied within different compartments of human airway smooth muscle (hASM) cells. Therefore, we hypothesize that the SDH activity varies relative to the intracellular mitochondrial volume within hASM cells. Using 3D confocal imaging of labeled mitochondria and a concentric shell method for analysis, we quantified mitochondrial volume density, mitochondrial complexity index, and SDHmax relative to the distance from the nuclear membrane. The mitochondria within individual hASM cells were more filamentous in the immediate perinuclear region and were more fragmented in the distal parts of the cell. Within each shell, SDHmax also corresponded to mitochondrial volume density, where both peaked in the perinuclear region and decreased in more distal parts of the cell. Additionally, when normalized to mitochondrial volume, SDHmax was lower in the perinuclear region when compared to the distal parts of the cell. In summary, our results demonstrate that SDHmax measures differences in SDH activity within different cellular compartments. Importantly, our data indicate that mitochondria within individual cells are morphologically heterogeneous, and their distribution varies substantially within different cellular compartments, with distinct functional properties.