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J Physiol Volume 586, Number 17, 4327-4338, September 1, 2008 DOI: 10.1113/jphysiol.2008.157073
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INTEGRATIVE

Interaction between the ventilatory and cerebrovascular responses to hypo- and hypercapnia at rest and during exercise

Shigehiko Ogoh1, Naoyuki Hayashi2, Masashi Inagaki3, Philip N. Ainslie4 and Tadayoshi Miyamoto3,5

1 Department of Integrative Physiology, University of North Texas Health Science Center, Fort Worth, TX, USA
2 Institute of Health Science, Kyushu University, Hakata, Japan
3 Department of Cardiovascular Dynamics, National Cardiovascular Center Research Institute, Osaka, Japan
4 Department of Physiology, University of Otago, Dunedin, New Zealand
5 Morinomiya University of Medical Sciences, Osaka, Japan

Cerebrovascular reactivity to changes in the partial pressure of arterial carbon dioxide (Pa,CO2) via limiting changes in brain [H+] modulates ventilatory control. It remains unclear, however, how exercise-induced alterations in respiratory chemoreflex might influence cerebral blood flow (CBF), in particular the cerebrovascular reactivity to CO2. The respiratory chemoreflex system controlling ventilation consists of two subsystems: the central controller (controlling element), and peripheral plant (controlled element). In order to examine the effect of exercise-induced alterations in ventilatory chemoreflex on cerebrovascular CO2 reactivity, these two subsystems of the respiratory chemoreflex system and cerebral CO2 reactivity were evaluated (n = 7) by the administration of CO2 as well as by voluntary hypo- and hyperventilation at rest and during steady-state exercise. During exercise, in the central controller, the regression line for the Pa,CO2–minute ventilation Formula relation shifted to higher Formula and Pa,CO2 with no change in gain (P = 0.84). The functional curve of the peripheral plant also reset rightward and upward during exercise. However, from rest to exercise, gain of the peripheral plant decreased, especially during the hypercapnic condition (–4.1 ± 0.8 to –2.0 ± 0.2 mmHg l–1 min–1, P = 0.01). Therefore, under hypercapnia, total respiratory loop gain was markedly reduced during exercise (–8.0 ± 2.3 to –3.5 ± 1.0 U, P = 0.02). In contrast, cerebrovascular CO2 reactivity at each condition, especially to hypercapnia, was increased during exercise (2.4 ± 0.2 to 2.8 ± 0.2% mmHg–1, P = 0.03). These findings indicate that, despite an attenuated chemoreflex system controlling ventilation, elevations in cerebrovascular reactivity might help maintain CO2 homeostasis in the brain during exercise.

(Received 17 May 2008; accepted after revision 10 July 2008; first published online 17 July 2008)
Corresponding author S. Ogoh: Department of Integrative Physiology, University of North Texas Health Science Center, 3500 Camp Bowie Boulevard, Fort Worth, TX 76107, USA.  Email: sogoh{at}hsc.unt.edu







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