The role of the carotid chemoreceptors in the control of breathing during exercise.
Abstract: Our objective was to gain insight into the role of the carotid chemoreceptors (CC) in the exercise hyperpnea. Humans and ponies were studied at rest and during submaximal exercise breathing room air. In healthy humans, alveolar ventilation (VA) was tightly matched to CO2 production (CO2) resulting in PaCO2 deviating during exercise less than 1-2 mm Hg from rest. In contrast, ponies' VA increased proportionately more than VCO2 during exercise resulting in a workload dependent hypocapnia. Attenuating CC activity through hyperoxia had no effect on exercise PaCO2 of humans but hyperoxia accentuated the exercise hypocapnia of ponies. Similarly, CC denervation accentuated the exercise hypocapnia of ponies. Healthy humans were also studied while external airway resistance was increased, which, while breathing room air, resulted in a workload dependent hypercapnia, and this hypercapnia was accentuated by hyperoxia. Finally, a majority of asthmatic humans studied were hypercapnic during exercise while breathing room air and the hypercapnia was accentuated by hyperoxia. We conclude that the CC do not provide a primary drive for the exercise hyperpnea but they "fine tune" VA to minimize disruptions of arterial blood gases. In healthy humans, attenuating CC activity has no effect on PaCO2 because the primary VA drive is closely matched to VCO2.
Publication Date: 1994-03-01 PubMed ID: 8183097
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- Journal Article
- Research Support
- U.S. Gov't
- Non-P.H.S.
- Research Support
- U.S. Gov't
- P.H.S.
- Review
Summary
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The research paper investigates how carotid chemoreceptors (CC), sensors in the body that regulate breathing in response to chemical changes in the blood, contribute to changes in breathing during exercise in both humans and ponies. The study concludes that while CCs do not primarily drive these changes, they fine-tune breathing during exercise to minimize disruptions to blood gas levels.
Experimentation & Methods
- The researchers conducted their study on both humans and ponies, studying them at rest and while performing submaximal exercise. Submaximal exercises are those that are performed at a consistent, moderate intensity, rather than at the maximum effort.
- They observed the subjects breathing room air, and measured alveolar ventilation (VA), which is the amount of air exchanged between the lungs and the atmosphere per minute, and carbon dioxide production (CO2), which is the amount of carbon dioxide produced by the body.
- The study also included the use of hyperoxia, a condition of excess oxygen, to lessen the activity of the CC, and see how this inhibition impacted breathing during exercise.
- For some human subjects, the researchers increased external airway resistance, which is any obstruction in the respiratory tract that compromises air flow, to see how the body would react during exercise.
- The study also involved observing asthmatic human subjects during exercise to explore the interaction between CC and asthma conditions on exercise-induced breath changes. Asthma often leads to increased airway resistance.
Key findings
- For healthy humans, the researchers found that the rate of VA was closely matched to the rate of CO2 production during exercise, ensuring that the levels of carbon dioxide in arterial blood changed only very slightly.
- For ponies, however, the rate of VA increased more than the rate of CO2 production during exercise, leading to “hypocapnia”, a condition where there’s too little carbon dioxide in the blood.
- Inhibiting CC activity via hyperoxia didn’t affect the carbon dioxide levels in exercising humans. Yet, it worsened hypocapnia in ponies, indicating a significant role of CC in their respiration regulation during exercise.
- External airway resistance led to “hypercapnia”, or excessive carbon dioxide in the blood, during exercise in humans. This hypercapnia was accentuated by hyperoxia.
- In the majority of asthmatic humans studied, hypercapnia was observed during exercise, and this hypercapnia was further intensified when the levels of oxygen were increased.
- The researchers concluded that while the CC does not primarily drive the changes in breathing during exercise, they do perform a crucial role of ‘fine-tuning’ to minimize blood gas fluctuations.
Cite This Article
APA
Forster HV, Pan LG.
(1994).
The role of the carotid chemoreceptors in the control of breathing during exercise.
Med Sci Sports Exerc, 26(3), 328-336.
Publication
Researcher Affiliations
- Department of Physiology, Medical College of Wisconsin, Milwaukee.
MeSH Terms
- Animals
- Carbon Dioxide / metabolism
- Carotid Body / physiology
- Chemoreceptor Cells / physiology
- Exercise / physiology
- Heart Rate
- Horses / physiology
- Humans
- Oxygen Consumption
- Respiration / physiology
Grant Funding
- 25739 / PHS HHS
Citations
This article has been cited 5 times.- Jeppesen TD, Madsen KL, Poulsen NS, Løkken N, Vissing J. Exercise Testing, Physical Training and Fatigue in Patients with Mitochondrial Myopathy Related to mtDNA Mutations.. J Clin Med 2021 Apr 20;10(8).
- Sacramento JF, Chew DJ, Melo BF, Donegá M, Dopson W, Guarino MP, Robinson A, Prieto-Lloret J, Patel S, Holinski BJ, Ramnarain N, Pikov V, Famm K, Conde SV. Bioelectronic modulation of carotid sinus nerve activity in the rat: a potential therapeutic approach for type 2 diabetes.. Diabetologia 2018 Mar;61(3):700-710.
- Tellez HF, Morrison SA, Neyt X, Mairesse O, Piacentini MF, Macdonald-Nethercott E, Pangerc A, Dolenc-Groselj L, Eiken O, Pattyn N, Mekjavic IB, Meeusen R. Exercise during Short-Term and Long-Term Continuous Exposure to Hypoxia Exacerbates Sleep-Related Periodic Breathing.. Sleep 2016 Apr 1;39(4):773-83.
- Kumar P, Prabhakar NR. Peripheral chemoreceptors: function and plasticity of the carotid body.. Compr Physiol 2012 Jan;2(1):141-219.
- Steinacker JM, Halder A, Liu Y, Thomas A, Stauch M. Hypoxic ventilatory response during rest and exercise after a Himalayan expedition.. Eur J Appl Physiol Occup Physiol 1996;73(3-4):202-9.
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