Important role of carotid afferents in control of breathing

The purpose of the present study was todetermine the effect on breathing in the awake state of carotid bodydenervation (CBD) over 1-2 wk after denervation. Studies werecompleted on adult goats repeatedly before and1) for 15 days after bilateral CBD (n = 8),2) for 7 days after unilateral CBD(n = 5), and3) for 15 days after sham CBD(n = 3). Absence of ventilatorystimulation when NaCN was injected directly into a common carotidartery confirmed CBD. There was a significant(P < 0.01) hypoventilation during the breathing of room air after unilateral and bilateral CBD. Themaximum Pa_CO2 increase (8 Torr forunilateral and 11 Torr for bilateral) occurred ~4 days afterCBD. This maximum was transient because by 7 (unilateral)to 15 (bilateral) days after CBD, Pa_CO2 was only 3-4 Torr above control.CO₂ sensitivity was attenuated from control by 60% on day 4 afterbilateral CBD and by 35% on day 4 after unilateral CBD. This attenuation was transient, because CO₂ sensitivity returned tocontrol temporally similar to the return ofPa_CO2 during the breathing of room air.During mild and moderate treadmill exercise 1-8 days afterbilateral CBD, Pa_CO2 was unchanged fromits elevated level at rest, but, 10-15 days after CBD,Pa_CO2 decreased slightly from restduring exercise. These data indicate that1) carotid afferents are animportant determinant of rest and exercise breathing and ventilatoryCO₂ sensitivity, and2) apparent plasticity within theventilatory control system eventually provides compensation for chronicloss of these afferents.

     

Differences between estimates and measured PaCO2 during rest and exercise in older subjects

Williams, J. S., and T. G. Babb. Differences betweenestimates and measured Pa_CO2 during restand exercise in older subjects. J. Appl.Physiol. 83(1): 312-316, 1997.ArterialPCO₂ (Pa_CO2) has been estimated duringexercise with good accuracy in younger individuals by using the Jonesequation(P_JCO₂)(J. Appl. Physiol. 47: 954-960,1979). The purpose of this project was to determine the utility ofestimating Pa_CO2 from end-tidal PCO₂(PET_CO2) orP_JCO₂at rest, ventilatory threshold (Th), and maximalexercise (Max) in older subjects. PET_CO2 was determined fromrespired gases simultaneously (MGA 1100) with arterial blood gases(radial arterial catheter) in 12 older and 11 younger subjects at restand during exercise. Mean differences were analyzed with pairedt-tests, and relationships between theestimated Pa_CO2 values and the actualvalues of Pa_CO2 were determined withcorrelation coefficients. In the older subjects, PET_CO2 was not significantlydifferent from Pa_CO2 at rest (1.2 ± 4.3 Torr), Th (0.4 ± 2.5), or Max(0.8 ± 2.7), and the two were significantly(P < 0.05) correlated atth (r = 0.84) andMax (r = 0.87) but not atrest (r = 0.47).P_JCO₂was similar to Pa_CO2 at rest (1.0 ± 3.9) and th (1.3 ± 2.3) but significantly lower at Max (3.0 ± 2.6), and the two weresignificantly correlated at th(r = 0.86) and Max(r = 0.80) but not at rest (r = 0.54).PET_CO2 was significantlyhigher than Pa_CO2 during exercise in theyounger subjects but similar to Pa_CO2 at rest.P_JCO₂was similar to Pa_CO2 at rest andth but significantly lower at Max in youngersubjects. In conclusion, our data demonstrate thatPa_CO2 during exercise is betterestimated by PET_CO2 than byP_JCO₂in older subjects, contrary to what is observed in younger subjects.This appears to be related to the finding thatPET_CO2 does not exceedPa_CO2 during exercise in older subjects,as occurs in the younger subjects. However,Pa_CO2 at rest is best estimated byP_JCO₂in both younger and older subjects.

     

Apneic threshold for CO2 in the anesthetized rat: fundamental properties under steady-state conditions

Experiments were performed to measure the apneicthreshold for CO₂ and itsfundamental properties in anesthetized rats under steady-stateconditions. Breathing was detected from diaphragmatic electromyogramactivity. Mechanical hyperventilation resulted in apnea once arterialPCO₂(Pa_CO2) had fallen farenough. Apnea was not a reflex response to lung inflationbecause it did not occur immediately, was not prevented by vagotomy,and was reversed by raising Pa_CO2without changing mechanical hyperventilation. The apneic threshold wasmeasured by hyperventilating rats mechanically withO₂ until apnea had occurred andthen raising Pa_CO2 at constant hyperventilation until breathing reappeared. The meanPa_CO2 level of the apneic threshold in42 rats was 32.8 ± 0.4 Torr. The level of thethreshold did not depend on the volume at which the lungs wereinflated. The level of the threshold, under steady-state conditions,was the same when approached from hypocapnia as from eupnea. The levelof the threshold could be raised by 9 Torr by chronic elevation of theeupneic Pa_CO2 level by 18 Torr.

     

Chronic hormone replacement therapy alters thermoregulatory and vasomotor function in postmenopausal women

Brooks, E. M., A. L. Morgan, J. M. Pierzga, S. L. Wladkowski, J. T. O'Gorman, J. A. Derr, and W. L. Kenney. Chronic hormone replacement therapy alters thermoregulatory and vasomotor function in postmenopausal women. J. Appl.Physiol. 83(2): 477-484, 1997.This investigationexamined effects of chronic (2 yr) hormone replacement therapy (HRT),both estrogen replacement therapy (ERT) and estrogen plus progesteronetherapy (E+P), on core temperature and skin blood flow responses ofpostmenopausal women. Twenty-five postmenopausal women [9 not onHRT (NO), 8 on ERT, 8 on E+P] exercised on a cycle ergometer for1 h at an ambient temperature of 36°C. Cutaneous vascularconductance (CVC) was monitored by laser-Doppler flowmetry, and forearmvascular conductance (FVC) was measured by using venous occlusionplethysmography. Iontophoresis of bretylium tosylate was performedbefore exercise to block local vasoconstrictor (VC) activity at oneskin site on the forearm. Rectal temperature (T_re) was ~0.5°C lower forthe ERT group (P < 0.01) comparedwith E+P and NO groups at rest and throughout exercise. FVC: mean body temperature (T_b) and CVC:T_b curves were shifted~0.5°C leftward for the ERT group(P < 0.0001). Baseline CVC wassignificantly higher in the ERT group(P < 0.05), but there was nointeraction between bretylium treatment and groups once exercise wasinitiated. These results suggest that1) chronic ERT likely acts centrally to decrease T_re,2) ERT lowers theT_re at which heat-loss effector mechanisms are initiated, primarily by actions on active cutaneous vasodilation, and 3) addition ofexogenous progestins in HRT effectively blocks these effects.

     

Heat acclimation, aerobic fitness, and hydration effects on tolerance during uncompensable heat stress

The purpose ofthe present study was to determine the separate and combined effects ofaerobic fitness, short-term heat acclimation, and hypohydration ontolerance during light exercise while wearing nuclear, biological, andchemical protective clothing in the heat (40°C, 30% relativehumidity). Men who were moderately fit [(MF); <50ml · kg¹ · min¹maximal O₂ consumption;n = 7] and highly fit[(HF); >55ml · kg¹ · min¹maximal O₂ consumption;n = 8] were tested while theywere euhydrated or hypohydrated by ~2.5% of body mass throughexercise and fluid restriction the day preceding the trials. Tests wereconducted before and after 2 wk of daily heat acclimation (1-htreadmill exercise at 40°C, 30% relative humidity, while wearingthe nuclear, biological, and chemical protective clothing). Heatacclimation increased sweat rate and decreased skin temperature andrectal temperature (T_re) in HF subjects but had no effecton tolerance time (TT). MF subjects increased sweat rate but did notalter heart rate, Tre, or TT. In both MF and HF groups, hypohydration significantly increased T_re and heart rate and decreasedthe respiratory exchange ratio and the TT regardless of acclimationstate. Overall, the rate of rise of skin temperature was less, whileT_re, the rate of rise of T_re, and the TTwere greater in HF than in MF subjects. It was concluded thatexercise-heat tolerance in this uncompensable heat-stress environmentis not influenced by short-term heat acclimation but is significantlyimproved by long-term aerobic fitness.

     

Exertional fatigue, sleep loss, and negative energy balance increase susceptibility to hypothermia

The purpose ofthis study was to determine how chronic exertional fatigue and sleepdeprivation coupled with negative energy balance affectthermoregulation during cold exposure. Eight men wearing only shortsand socks sat quietly during 4-h cold air exposure (10°C)immediately after (<2 h, A) they completed 61 days of strenuousmilitary training (energy expenditure ~4,150 kcal/day, energy intake~3,300 kcal/day, sleep ~4 h/day) and again after short (48 h, SR)and long (109 days, LR) recovery. Body weight decreased 7.4 kg frombefore training to A, then increased 6.4 kg by SR, with an additional6.4 kg increase by LR. Body fat averaged 12% during A and SR andincreased to 21% during LR. Rectal temperature(T_re) was lower before andduring cold air exposure for A than for SR and LR.T_re declined during cold exposurein A and SR but not LR. Mean weighted skin temperature(_sk)during cold exposure was higher in A and SR than in LR. Metabolic rate increased during all cold exposures, but it was lower during A and LRthan SR. The mean body temperature (0.67 T_re + 0.33 _sk) threshold for increasing metabolism was lower during A than SR and LR.Thus chronic exertional fatigue and sleep loss, combined withunderfeeding, reduced tissue insulation and blunted metabolic heatproduction, which compromised maintenance of body temperature. A shortperiod of rest, sleep, and refeeding restored the thermogenic responseto cold, but thermal balance in the cold remained compromised untilafter several weeks of recovery when tissue insulation had beenrestored.

     

Posthemorrhagic antipyresis: what stage of fever genesis is affected?

Romanovsky, Andrej A., and Yelena K. Karman.Posthemorrhagic antipyresis: what stage of fever genesis isaffected? J. Appl. Physiol. 83(2):359-365, 1997.It has been shown that hemorrhage leads to adecreased thermal responsiveness to lipopolysaccharide (LPS). The aimof this study was to clarify what stage of fever genesis[production of endogenous pyrogens such as interleukin-1 (IL-1),increase of the prostaglandin E₂(PGE₂) concentration in braintissue, activation of cold-defense effectors] is deficient inposthemorrhagic antipyresis. In adult rabbits, we evaluated the effectof acute hemorrhage (15 ml/kg) on the rectal temperature (T_re) responses to LPS fromSalmonella typhi (200 ng/kg iv),ethanol-purified preparation of homologous IL-1 (1 ml from 3.5 × 10⁷ cells, 1.5 ml/kg iv), andPGE₂ (1 µg,intracisternal injection). The effect of hemorrhage onT_re was also studied in afebrilerabbits, both at thermoneutrality (23°C) and during ramp cooling(to 7°C). The hemorrhage strongly attenuated the biphasicLPS-induced fever (a T_re rise of0.4 ± 0.1 instead of 1.2 ± 0.2°C at the time of the secondpeak), the monophasic T_re responseto IL-1 (by ~0.5°C for over 1-5 h postinjection), and thePGE₂-induced hyperthermia (0.4 ± 0.1 vs. 0.9 ± 0.1°C, maxima). In afebrileanimals, the hemorrhage neither affectedT_re at thermoneutrality norchanged the T_re response to coldexposure. The data suggest that neither insufficiency of cold-defenseeffectors nor lack of endogenous mediators of fever (IL-1,PGE₂) can be the only or eventhe major cause of posthemorrhagic antipyresis. Wespeculate that fever genesis is altered at a stage occurring after theintrabrain PGE₂ level is increasedbut before thermoeffectors are activated.

     

Thermal and metabolic responses to cold-water immersion at knee, hip, and shoulder levels

Lee, Dae T., Michael M. Toner, William D. McArdle, IoannisS. Vrabas, and Kent B. Pandolf. Thermal and metabolic responses tocold-water immersion at knee, hip, and shoulder levels.J. Appl. Physiol. 82(5):1523-1530, 1997.To examine the effect of cold-water immersion atdifferent depths on thermal and metabolic responses, eight men (25 yrold, 16% body fat) attempted 12 tests: immersed to the knee (K), hip(H), and shoulder (Sh) in 15 and 25°C water during both rest (R) orleg cycling [35% peak oxygen uptake; (E)] for up to 135 min. At 15°C, rectal (T_re)and esophageal temperatures(T_es) between R and E were notdifferent in Sh and H groups (P > 0.05), whereas both in K group were higher during E than R(P < 0.05). At 25°C,T_re was higher(P < 0.05) during E than R at alldepths, whereas T_es during E washigher than during R in H and K groups.T_re remained at control levels inK-E at 15°C, K-E at 25°C, and in H-E groups at 25°C,whereas T_es remained unchanged inK-E at 15°C, in K-R at 15°C, and in all 25°C conditions (P > 0.05). During R and E, themagnitude of T_re change wasgreater (P < 0.05) than themagnitude of T_es change in Sh andH groups, whereas it was not different in the K group(P > 0.05). Total heat flow wasprogressive with water depth. During R at 15 and 25°C, heatproduction was not increased in K and H groups from control level(P > 0.05) but it did increase in Shgroup (P < 0.05). The increase inheat production during E compared with R was smaller(P < 0.05) in Sh (121 ± 7 W/m² at 15°C and 97 ± 6 W/m² at 25°C) than in H (156 ± 6 and 126 ± 5 W/m²,respectively) and K groups (155 ± 4 and 165 ± 6 W/m², respectively). These datasuggest that T_re andT_es respond differently duringpartial cold-water immersion. In addition, water levels above knee in15°C and above hip in 25°C cause depression of internal temperatures mainly due to insufficient heat production offsetting heatloss even during light exercise.

     

Effect of continuous negative-pressure breathing on skin blood flow during exercise in a hot environment

To assessthe impact of continuous negative-pressure breathing (CNPB) on theregulation of skin blood flow, we measured forearm blood flow (FBF) byvenous-occlusion plethysmography and laser-Doppler flow (LDF) at theanterior chest during exercise in a hot environment (ambienttemperature = 30°C, relative humidity = ~30%). Seven malesubjects exercised in the upright position at an intensity of 60% peakoxygen consumption rate for 40 min with and without CNPB after 20 minof exercise. The esophageal temperature(T_es) in both conditionsincreased to 38.1°C by the end of exercise, without any significantdifferences between the two trials. Mean arterial pressure (MAP)increased by ~15 mmHg by 8 min of exercise, without any significantdifference between the two trials before CNPB. However, CNPB reducedMAP by ~10 mmHg after 24 min of exercise (P < 0.05). The increasein FBF and LDF in the control condition leveled off after 18 min ofexercise above a T_es of37.7°C, whereas in the CNPB trial the increase continued, with arise in T_es despite the decreasein MAP. These results suggest that CNPB enhances vasodilation of skinabove a T_es of ~38°C bystretching intrathoracic baroreceptors such as cardiopulmonarybaroreceptors.

     

Ice slurry ingestion before and during exercise inhibit the increase in core and deep-forehead temperatures in the second half of the exercise in a hot environment

Many studies have reported that pre-exercise ice slurry ingestion improves exercise performance; however, it may increase the risk of developing heat stroke. Some studies have suggested that pre-exercise ice slurry ingestion accelerates the core temperature increase that occurs during exercise. Therefore, this study aimed to investigate whether the ingestion of ice slurry before and during exercise can inhibit this acceleration. Moreover, we measured the deep-forehead temperature (T_{deep head}) to determine whether ice slurry ingestion before and during exercise can maintain this reduction in brain temperature. Eleven male participants at room temperature (24 °C, 50% relative humidity [RH]) ingested 7.5 g/kg of ice slurry or a thermoneutral sports drink within 30 min. They then exercised for approximately 60 min at 50% of the maximal oxygen uptake in a hot environment (34 °C, 50% RH) while ingesting 1.25 g/kg of ice slurry or a thermoneutral sports drink every 10 min. Rectal temperature (T_re), T_{deep head}, forehead skin temperature, mean skin temperature, heart rate, nude body mass, and urine specific gravity were measured as physiological indices. The rating of perceived exertion, thermal sensation, and thermal comfort were measured at 5-min intervals throughout the experiment. The T_re and T_{deep head} during the second half of the exercise session were significantly reduced after ingestion of the ice slurry before and during exercise (p < 0.05). In addition, the rate of increase in T_re and T_{deep head} slowed during the second half of the exercise session after the ingestion of the ice slurry before and during exercise (p < 0.05). These results indicate that the increases in T_re and T_{deep head}, reflecting brain temperature in the second half of the exercise session, were significantly inhibited by ice slurry ingestion before and during exercise.     

Periodic breathing induced on demand in awake newborn lamb

Canet, Emmanuel, Jean-Paul Praud, and Michel A. Bureau.Periodic breathing induced on demand in awake newborn lamb. J. Appl. Physiol. 82(2): 607-612, 1997.Spontaneous periodic breathing, although a common feature infullterm and preterm human infants, is scarce in other newborn mammals.The aim of this study was to induce periodic breathing in lambs. Four10-day-old and two <48-h-old awake lambs were instrumented withjugular catheters connected to an extracorporeal membrane lung aimed atcontrolling arterial PCO₂(Pa_CO2). ArterialPO₂(Pa_O2) was set and maintained at thedesired level by changing inspiredO₂ fraction and providingO₂ through a small catheter intothe "apneic" lung. At a criticalPa_O2/Pa_CO2combination, the four 10-day-old lambs exhibited periodic breathingthat could be initiated, terminated, and reinitiated on demand. In the2-day-old lambs with low chemoreceptor gain, periodic breathing washardly seen, regardless of the trials done to find the criticalPO₂/PCO₂combination. We conclude that periodic breathing can be induced inlambs and depends on criticalPa_O2/Pa_CO2combinations and maturity of the chemoreceptors.

     

Blood-gas measurements adjusted for temperature at three sites during incremental exercise in the horse

Rectal temperature(T_re) is often used to adjustmeasurements of blood gases, but these adjusted measurements may notapproximate temperatures during intense exercise at main sites of gasexchange: muscle and lung. To evaluate differences in blood gasesbetween sites, temperatures (T) were measured with thermocouples in the rectum (re), in mixed venous blood (), ingluteal muscle (mu), and on the skin (sk) in seven Arabian horses asthey underwent an incremental exercise test on a treadmill. Bloodsamples were drawn from the carotid artery and pulmonary artery (mixedvenous) 30 s before each increase in speed and during recovery. Blood gases and pH were measured at 37°C, and all variables were adjusted to T_re,, andT_mu. Adjusted variables duringexercise and recovery were significantly different from each other atthe three sites. Linear and polynomial equations described the timecourse of venous temperature and fromT_re andT_sk during exercise and fromT_sk during recovery.Interpretation of changes in muscle metabolism and gas exchanges basedon blood-gas measurements is improved if they are adjustedappropriately to T_mu or, which may be predicted fromT_sk in addition toT_re during strenuous exercise andfrom T_sk during recovery.

     

Respiratory effort sensation during exercise with induced expiratory-flow limitation in healthy humans

Kayser, Bengt, Pawel Sliwinski, Sheng Yan, Mirek Tobiasz,and Peter T. Macklem. Respiratory effort sensation during exercisewith induced expiratory-flow limitation in healthy humans. J. Appl. Physiol. 83(3): 936-947, 1997.Nine healthy subjects (age 31 ± 4 yr) exercised with andwithout expiratory-flow limitation (maximal flow ~1 l/s). Wemonitored flow, end-tidal PCO₂, esophageal (Pes) and gastric pressures, changes in end-expiratory lungvolume, and perception (sensation) of difficulty in breathing. Subjectscycled at increasing intensity (+25 W/30 s) until symptom limitation.During the flow-limited run, exercise performance was limited in allsubjects by maximum sensation. Sensation was equally determined byinspiratory and expiratory pressure changes. In both runs, 90% of thevariance in sensation could be explained by the Pes swings (differencebetween peak inspiratory and peak expiratory Pes). End-tidalPCO₂ did not explain any variance insensation in the control run and added only 3% to the explained variance in the flow-limited run. We conclude that in healthy subjects,during normal as well as expiratory flow-limited exercise, the pleuralpressure generation of the expiratory muscles is equally related to theperception of difficulty in breathing as that of the inspiratorymuscles.

     

Dehydration markedly impairs cardiovascular function in hyperthermic endurance athletes during exercise

González-Alonso, José, RicardoMora-Rodríguez, Paul R. Below, and Edward F. Coyle.Dehydration markedly impairs cardiovascular function inhyperthermic endurance athletes during exercise. J. Appl. Physiol. 82(4): 1229-1236, 1997.Weidentified the cardiovascular stress encountered by superimposingdehydration on hyperthermia during exercise in the heat and themechanisms contributing to the dehydration-mediated stroke volume (SV)reduction. Fifteen endurance-trained cyclists [maximalO₂ consumption(O_{2 max}) = 4.5 l/min] exercised in the heat for 100-120 min and either became dehydrated by 4% body weight or remained euhydrated by drinkingfluids. Measurements were made after they continued exercise at 71%O_{2 max} for 30 minwhile 1) euhydrated with anesophageal temperature (T_es) of38.1-38.3°C (control); 2)euhydrated and hyperthermic (39.3°C);3) dehydrated and hyperthermic withskin temperature (T_sk) of34°C; 4) dehydrated withT_es of 38.1°C and T_sk of 21°C; and5) condition4 followed by restored blood volume. Compared withcontrol, hyperthermia (1°C T_esincrease) and dehydration (4% body weight loss) each separatelylowered SV 7-8% (11 ± 3 ml/beat;P < 0.05) and increased heart ratesufficiently to prevent significant declines in cardiac output.However, when dehydration was superimposed on hyperthermia, thereductions in SV were significantly (P < 0.05) greater (26 ± 3 ml/beat), and cardiac output declined 13% (2.8 ± 0.3 l/min). Furthermore, mean arterialpressure declined 5 ± 2%, and systemic vascular resistanceincreased 10 ± 3% (both P < 0.05). When hyperthermia wasprevented, all of the decline in SV with dehydration was due to reducedblood volume (~200 ml). These results demonstrate that thesuperimposition of dehydration on hyperthermia during exercise in theheat causes an inability to maintain cardiac output and blood pressurethat makes the dehydrated athlete less able to cope with hyperthermia.

     

A relationship between heat loss and sleepiness: effects of postural change and melatonin administration

Kräuchi, Kurt, Christian Cajochen, and AnnaWirz-Justice. A relationship between heat loss and sleepiness:effects of postural change and melatonin administration.J. Appl. Physiol. 83(1): 134-139, 1997.Both the pineal hormone melatonin (Mel) and postural changeshave thermoregulatory sequelae. The purpose of the study was toevaluate their relationship to subjective sleepiness. Eight healthyyoung men were investigated under the unmasking conditions of aconstant routine protocol. Heart rate, rectal temperature(T_re), skin temperatures (foot,T_fo; and stomach), and subjectivesleepiness ratings were continuously recorded from 1000 to 1700. Mel (5 mg po) was administered at 1300, a time when Mel should not phaseshift the circadian system. Both the postural change at1000 from upright to a supine position (lying down in bed) and Meladministration at 1300 reduced T_reand increased T_fo in parallel withincreased sleepiness. These findings suggest that under comfortableambient temperature conditions, heat loss via the distal skin regions(e.g., feet) is a key mechanism for induction of sleepiness as corebody temperature declines.

     

Rectal and esophageal temperatures during upper- and lower-body exercise

This study investigated the question: is core temperature measurement influenced by whether exercise involves predominantly upper- or lower-body musculature? Healthy men were allocated to three groups: treadmill ergometry (T) n=4, cycle ergometry (C) n=6 and arm crank ergometry (AC) n=5. Subjects underwent an incremental exercise test to exhaustion on an exercise-specific ergometer to determine maximum/peak oxygen consumption (V˙O_2max). One week later subjects exercised for 36 min on the same ergometer at approximately 65% V˙O_2max while temperatures at the rectum (T _re) and esophagus (T _es) were simultaneously measured. The V˙O_2max (l · min⁻¹) for groups T [4.76 (0.50)] and C [4.35 (0.30)] was significantly higher than that for the AC group [2.61 (0.24)]. At rest, T _re was significantly higher than T _es in all groups (P<0.05). At the end of submaximal exercise in the C group, T _re [38.32 (0.11)°C] was significantly higher than T _es [38.02 (0.12)°C, P<0.05]. No significant differences between T _re and T _es at the end of exercise were noted for AC and T groups. The temperature difference (T _diff) between T _re and T _es was dissimilar at rest in the three groups; however, by the end of exercise T _diff was approximately 0.2°C for each of the groups, suggesting that at the end of steady-state exercise T _re can validly be used to estimate core temperature. Accepted: 3 November 1997     

Breath ethane as a marker of reactive oxygen species during manipulation of diet and oxygen tension in rats

Breath ethane, O₂consumption, and CO₂ productionwere analyzed in 24-mo-old female Fischer 344 rats that had been fedcontinuously ad libitum (AL) or restricted 30% of AL level (DR) dietssince 6 wk of age. Rats were placed in a glass chamber that was first flushed with air, then with a gas mixture containing 12%O₂. After equilibration, a sampleof the outflow was collected in gas sampling bags for subsequentanalyses of ethane and CO₂. TheO₂ andCO₂ levels were also directlymonitored in the outflow of the chamber. O₂ consumption andCO₂ production increased for DRrats. Hypoxia decreased O₂consumption and CO₂ production forthe AL-fed and DR rats. These changes reflect changes in metabolic ratedue to diet and PO₂. A significantdecrease in ethane generation was found in DR rats compared with AL-fedrats. Under normoxic conditions, breath ethane decreased from 2.20 to1.61 pmol ethane/ml CO₂. Duringhypoxia the levels of ethane generation increased, resulting in aDR-associated decrease in ethane from 2.60 to 1.90 pmol ethane/mlCO₂. These results support thehypothesis that DR reduces the level of oxidative stress.     

Ventilatory response to exercise in subjects breathing CO2 or HeO2

Babb, T. G. Ventilatory response to exercise insubjects breathing CO₂ orHeO₂.J. Appl. Physiol. 82(3): 746-754, 1997.To investigate the effects of mechanical ventilatory limitationon the ventilatory response to exercise, eight older subjects with normal lung function were studied. Each subject performed graded cycleergometry to exhaustion once while breathing room air; once whilebreathing 3% CO₂-21%O₂-balanceN₂; and once while breathing HeO₂ (79% He and 21%O₂). Minute ventilation(E) and respiratory mechanics weremeasured continuously during each 1-min increment in work rate (10 or20 W). Data were analyzed at rest, at ventilatory threshold (VTh),and at maximal exercise. When the subjects were breathing 3%CO₂, there was an increase(P < 0.001) inE at rest and at VTh but not duringmaximal exercise. When the subjects were breathingHeO₂,E was increased(P < 0.05) only during maximalexercise (24 ± 11%). The ventilatory response to exercise belowVTh was greater only when the subjects were breathing 3% CO₂(P < 0.05). Above VTh, theventilatory response when the subjects were breathingHeO₂ was greater than whenbreathing 3% CO₂(P < 0.01). Flow limitation, aspercent of tidal volume, during maximal exercise was greater(P < 0.01) when the subjects werebreathing CO₂ (22 ± 12%) thanwhen breathing room air (12 ± 9%) or when breathingHeO₂ (10 ± 7%)(n = 7). End-expiratory lung volumeduring maximal exercise was lower when the subjects were breathingHeO₂ than when breathing room airor when breathing CO₂(P < 0.01). These data indicate thatolder subjects have little reserve for accommodating an increase inventilatory demand and suggest that mechanical ventilatory constraintsinfluence both the magnitude of Eduring maximal exercise and the regulation ofE and respiratory mechanics duringheavy-to-maximal exercise.

     

Effects of inhaled CO2 and added dead space on idiopathic central sleep apnea

Xie, Ailiang, Fiona Rankin, Ruth Rutherford, and T. DouglasBradley. Effects of inhaledCO₂ and added dead space on idiopathic central sleep apnea. J. Appl.Physiol. 82(3): 918-926, 1997.We hypothesizedthat reductions in arterial PCO₂ (Pa_CO2) below the apnea threshold play akey role in the pathogenesis of idiopathic central sleep apnea syndrome(ICSAS). If so, we reasoned that raisingPa_CO2 would abolish apneas in thesepatients. Accordingly, patients with ICSAS were studied overnight onfour occasions during which the fraction of end-tidalCO₂ and transcutaneous PCO₂ were measured: during room airbreathing (N1), alternating room airand CO₂ breathing(N2),CO₂ breathing all night(N3), and addition of dead space viaa face mask all night (N4).Central apneas were invariably preceded by reductions infraction of end-tidal CO₂. Bothadministration of a CO₂-enrichedgas mixture and addition of dead space induced 1- to 3-Torr increasesin transcutaneous PCO₂, whichvirtually eliminated apneas and hypopneas; they decreased from43.7 ± 7.3 apneas and hypopneas/h onN1 to 5.8 ± 0.9 apneas andhypopneas/h during N3(P < 0.005), from 43.8 ± 6.9 apneas and hypopneas/h during room air breathing to 5.9 ± 2.5 apneas and hypopneas/h of sleep duringCO₂ inhalation during N2 (P < 0.01), and to 11.6% of the room air level while the patients werebreathing through added dead space duringN4 (P < 0.005). Because raisingPa_CO2 through two different meansvirtually eliminated central sleep apneas, we conclude that centralapneas during sleep in ICSA are due to reductions inPa_CO2 below the apnea threshold.

     

Laryngeal-receptor responses to phasic CO2 in anesthetized cats

We compared the effects ofCO₂ applied continuously andduring expiration on laryngeal-receptor activity in paralyzed,artificially ventilated and nonparalyzed, spontaneously breathing catsby using an isolated larynx, artificially ventilated to approximate anormal respiratory cycle. The majority of quiescent negative-pressure and all cold receptors were excited by 5 and 9%CO₂ applied both continuously andduring expiration. In general, quiescent positive-pressure, tonicnegative-pressure, and tonic positive-pressure receptors were inhibitedby 5 and 9% CO₂ appliedcontinuously and during expiration. There were no significantdifferences between responses to 5 and 9%CO₂ or to continuous and expiredCO₂ or between paralyzed andnonparalyzed preparations. In conclusion, laryngeal receptors respondto changes in CO₂ concentrationoccurring during a normal respiratory cycle. Because laryngeal-receptorstimulation exerts reflex effects on ventilation and upper airwaymuscle activity, these results suggest that airwayCO₂ plays a role in reflexregulation of breathing and upper airway patency.