|
|
||||||||
Journal of Applied Physiology, Vol 67, Issue 5 2095-2100, Copyright © 1989 by American Physiological Society
ARTICLES |
V. K. Somers, A. L. Mark, D. C. Zavala and F. M. Abboud
Department of Medicine, University of Iowa, Iowa City 55242.
The sympathetic response to hypoxia depends on the interaction between chemoreceptor stimulation (CRS) and the associated hyperventilation. We studied this interaction by measuring sympathetic nerve activity (SNA) to muscle in 13 normal subjects, while breathing room air, 14% O2, 10% O2, and 10% O2 with added CO2 to maintain isocapnia. Minute ventilation (VE) and blood pressure (BP) increased significantly more during isocapnic hypoxia (IHO) than hypocapnic hypoxia (HHO). In contrast, SNA increased more during HHO [40 +/- 10% (SE)] than during IHO (25 +/- 19%, P less than 0.05). To determine the reason for the lesser increase in SNA with IHO, 11 subjects underwent voluntary apnea during HHO and IHO. Apnea potentiated the SNA responses to IHO more than to HHO. SNA responses to IHO were 17 +/- 7% during breathing and 173 +/- 47% during apnea whereas SNA responses to HHO were 35 +/- 8% during breathing and 126 +/- 28% during apnea. During ventilation, the sympathoexcitation of IHO (compared with HHO) is suppressed, possibly for two reasons: 1) because of the inhibitory influence of activation of pulmonary afferents as a result of a greater increase in VE, and 2) because of the inhibitory influence of baroreceptor activation due to a greater rise in BP. Thus in humans, the ventilatory response to chemoreceptor stimulation predominates and restrains the sympathetic response. The SNA response to chemoreceptor stimulation represents the net effect of the excitatory influence of the chemoreflex and the inhibitory influence of pulmonary afferents and baroreceptor afferents.
This article has been cited by other articles:
![]() |
V. K. Somers, D. P. White, R. Amin, W. T. Abraham, F. Costa, A. Culebras, S. Daniels, J. S. Floras, C. E. Hunt, L. J. Olson, et al. Sleep Apnea and Cardiovascular Disease: An American Heart Association/American College of Cardiology Foundation Scientific Statement From the American Heart Association Council for High Blood Pressure Research Professional Education Committee, Council on Clinical Cardiology, Stroke Council, and Council on Cardiovascular Nursing In Collaboration With the National Heart, Lung, and Blood Institute National Center on Sleep Disorders Research (National Institutes of Health) Circulation, September 2, 2008; 118(10): 1080 - 1111. [Full Text] [PDF] |
||||
![]() |
V. K. Somers, D. P. White, R. Amin, W. T. Abraham, F. Costa, A. Culebras, S. Daniels, J. S. Floras, C. E. Hunt, L. J. Olson, et al. Sleep Apnea and Cardiovascular Disease: An American Heart Association/American College of Cardiology Foundation Scientific Statement From the American Heart Association Council for High Blood Pressure Research Professional Education Committee, Council on Clinical Cardiology, Stroke Council, and Council on Cardiovascular Nursing In Collaboration With the National Heart, Lung, and Blood Institute National Center on Sleep Disorders Research (National Institutes of Health) J. Am. Coll. Cardiol., August 19, 2008; 52(8): 686 - 717. [Full Text] [PDF] |
||||
![]() |
F. Lopez-Jimenez, F. H. Sert Kuniyoshi, A. Gami, and V. K. Somers Obstructive Sleep Apnea: Implications for Cardiac and Vascular Disease Chest, March 1, 2008; 133(3): 793 - 804. [Full Text] [PDF] |
||||
![]() |
B. W. Wilkins, T. L. Pike, E. A. Martin, T. B. Curry, M. L. Ceridon, and M. J. Joyner Exercise intensity-dependent contribution of {beta}-adrenergic receptor-mediated vasodilatation in hypoxic humans J. Physiol., February 15, 2008; 586(4): 1195 - 1205. [Abstract] [Full Text] [PDF] |
||||
![]() |
M. Gujic, C. Dreyfuss, J.-F. Argacha, S. Beloka, D. Adamopoulos, O. Xhaet, A. Pathak, and P. van de Borne Effects of enoximone on peripheral and central chemoreflex responses in humans Am J Physiol Heart Circ Physiol, January 1, 2008; 294(1): H322 - H329. [Abstract] [Full Text] [PDF] |
||||
![]() |
M. Gujic, D. Laude, A. Houssiere, S. Beloka, J.-F. Argacha, D. Adamopoulos, O. Xhaet, J.-L. Elghozi, and P. van de Borne Differential effects of metaboreceptor and chemoreceptor activation on sympathetic and cardiac baroreflex control following exercise in hypoxia in human J. Physiol., November 15, 2007; 585(1): 165 - 174. [Abstract] [Full Text] [PDF] |
||||
![]() |
R. Tamisier, B. E. Hunt, G. S. Gilmartin, M. Curley, A. Anand, and J. W. Weiss Hemodynamics and muscle sympathetic nerve activity after 8 h of sustained hypoxia in healthy humans Am J Physiol Heart Circ Physiol, November 1, 2007; 293(5): H3027 - H3035. [Abstract] [Full Text] [PDF] |
||||
![]() |
C. Johnson, S. Hudson, and J. Marshall Responses evoked in single sympathetic nerve fibres of the rat tail artery by systemic hypoxia are dependent on core temperature J. Physiol., October 1, 2007; 584(1): 221 - 233. [Abstract] [Full Text] [PDF] |
||||
![]() |
G. H. Simmons, J. M. Manson, and J. R. Halliwill Mild central chemoreflex activation does not alter arterial baroreflex function in healthy humans J. Physiol., September 15, 2007; 583(3): 1155 - 1163. [Abstract] [Full Text] [PDF] |
||||
![]() |
A. Di Vanna, A. M. F. W. Braga, M. C. Laterza, L. M. Ueno, M. U. P. B. Rondon, A. C. P. Barretto, H. R. Middlekauff, and C. E. Negrao Blunted muscle vasodilatation during chemoreceptor stimulation in patients with heart failure Am J Physiol Heart Circ Physiol, July 1, 2007; 293(1): H846 - H852. [Abstract] [Full Text] [PDF] |
||||
![]() |
H. D. Schultz, Y. L. Li, and Y. Ding Arterial Chemoreceptors and Sympathetic Nerve Activity: Implications for Hypertension and Heart Failure Hypertension, July 1, 2007; 50(1): 6 - 13. [Full Text] [PDF] |
||||
![]() |
V. A. Imadojemu, Z. Mawji, A. Kunselman, K. S. Gray, C. S. Hogeman, and U. A. Leuenberger Sympathetic Chemoreflex Responses in Obstructive Sleep Apnea and Effects of Continuous Positive Airway Pressure Therapy Chest, May 1, 2007; 131(5): 1406 - 1413. [Abstract] [Full Text] [PDF] |
||||
![]() |
Y.-H. Du and A. F. Chen A "love triangle" elicited by electrochemistry: complex interactions among cardiac sympathetic afferent, chemo-, and baroreflexes J Appl Physiol, January 1, 2007; 102(1): 9 - 10. [Full Text] [PDF] |
||||
![]() |
S. Mahamed and G. S. Mitchell Sleep Apnoea & Hypertension: Physiological bases for a causal relation: Is there a link between intermittent hypoxia-induced respiratory plasticity and obstructive sleep apnoea? Exp Physiol, January 1, 2007; 92(1): 27 - 37. [Abstract] [Full Text] [PDF] |
||||
![]() |
M. L. Smith and C. F. Pacchia Sleep Apnoea & Hypertension: Physiological bases for a causal relation: Sleep apnoea and hypertension: role of chemoreflexes in humans Exp Physiol, January 1, 2007; 92(1): 45 - 50. [Abstract] [Full Text] [PDF] |
||||
![]() |
B. W. Wilkins, W. G. Schrage, Z. Liu, K. C. Hancock, and M. J. Joyner Systemic hypoxia and vasoconstrictor responsiveness in exercising human muscle J Appl Physiol, November 1, 2006; 101(5): 1343 - 1350. [Abstract] [Full Text] [PDF] |
||||
![]() |
K. Usui, J. D. Parker, G. E. Newton, J. S. Floras, C. M. Ryan, and T. D. Bradley Left Ventricular Structural Adaptations to Obstructive Sleep Apnea in Dilated Cardiomyopathy Am. J. Respir. Crit. Care Med., May 15, 2006; 173(10): 1170 - 1175. [Abstract] [Full Text] [PDF] |
||||
![]() |
K. Narkiewicz, P. van de Borne, N. Montano, D. Hering, T. Kara, and V. K. Somers Sympathetic Neural Outflow and Chemoreflex Sensitivity Are Related to Spontaneous Breathing Rate in Normal Men Hypertension, January 1, 2006; 47(1): 51 - 55. [Abstract] [Full Text] [PDF] |
||||
![]() |
N. Iiyori, M. Shirahata, and C. P. O'Donnell Genetic background affects cardiovascular responses to obstructive and simulated apnea Physiol Genomics, December 14, 2005; 24(1): 65 - 72. [Abstract] [Full Text] [PDF] |
||||
![]() |
N. M. Punjabi and V. Y. Polotsky Disorders of glucose metabolism in sleep apnea J Appl Physiol, November 1, 2005; 99(5): 1998 - 2007. [Abstract] [Full Text] [PDF] |
||||
![]() |
S. Andreas, S. D. Anker, P. D. Scanlon, and V. K. Somers Neurohumoral Activation as a Link to Systemic Manifestations of Chronic Lung Disease Chest, November 1, 2005; 128(5): 3618 - 3624. [Abstract] [Full Text] [PDF] |
||||
![]() |
K. Gugleta, S. Orgul, P. Hasler, and J. Flammer Circulatory Response to Blood Gas Perturbations in Vasospasm Invest. Ophthalmol. Vis. Sci., September 1, 2005; 46(9): 3288 - 3294. [Abstract] [Full Text] [PDF] |
||||
![]() |
M. J. Cutler, N. M. Swift, D. M. Keller, W. L. Wasmund, J. R. Burk, and M. L. Smith Periods of intermittent hypoxic apnea can alter chemoreflex control of sympathetic nerve activity in humans Am J Physiol Heart Circ Physiol, November 1, 2004; 287(5): H2054 - H2060. [Abstract] [Full Text] [PDF] |
||||
![]() |
N. Muenter Swift, M. J. Cutler, P. J. Fadel, W. L. Wasmund, S. Ogoh, D. M. Keller, P. B. Raven, and M. L. Smith Carotid baroreflex function during and following voluntary apnea in humans Am J Physiol Heart Circ Physiol, December 1, 2003; 285(6): H2411 - H2419. [Abstract] [Full Text] [PDF] |
||||
![]() |
A. P. Blaber, T. Hartley, and P. J. Pretorius Effect of acute exposure to 3,660 m altitude on orthostatic responses and tolerance J Appl Physiol, August 1, 2003; 95(2): 591 - 601. [Abstract] [Full Text] [PDF] |
||||
![]() |
R. Kanagala, N. S. Murali, P. A. Friedman, N. M. Ammash, B. J. Gersh, K. V. Ballman, A. S. M. Shamsuzzaman, and V. K. Somers Obstructive Sleep Apnea and the Recurrence of Atrial Fibrillation Circulation, May 27, 2003; 107(20): 2589 - 2594. [Abstract] [Full Text] [PDF] |
||||
![]() |
S. Andreas, C. Bingeli, P. Mohacsi, T. F. Luscher, and G. Noll Nasal Oxygen and Muscle Sympathetic Nerve Activity in Heart Failure Chest, February 1, 2003; 123(2): 366 - 371. [Abstract] [Full Text] [PDF] |
||||
![]() |
L. Bernardi, M. Hilz, B. Stemper, C. Passino, G. Welsch, and F. B. Axelrod Respiratory and Cerebrovascular Responses to Hypoxia and Hypercapnia in Familial Dysautonomia Am. J. Respir. Crit. Care Med., January 15, 2003; 167(2): 141 - 149. [Abstract] [Full Text] [PDF] |
||||
![]() |
C. P. O'Donnell, L. Allan, P. Atkinson, and A. R. Schwartz The Effect of Upper Airway Obstruction and Arousal on Peripheral Arterial Tonometry in Obstructive Sleep Apnea Am. J. Respir. Crit. Care Med., October 1, 2002; 166(7): 965 - 971. [Abstract] [Full Text] |
||||
![]() |
J. R. Halliwill and C. T. Minson Effect of hypoxia on arterial baroreflex control of heart rate and muscle sympathetic nerve activity in humans J Appl Physiol, September 1, 2002; 93(3): 857 - 864. [Abstract] [Full Text] [PDF] |
||||
![]() |
J. A. Soares Barreto-Filho, F. M. Consolim-Colombo, H. Ferreira Lopes, C. R. Martins Sobrinho, G. M. Guerra-Riccio, and E. M. Krieger Dysregulation of Peripheral and Central Chemoreflex Responses in Chagas' Heart Disease Patients Without Heart Failure Circulation, October 9, 2001; 104(15): 1792 - 1798. [Abstract] [Full Text] [PDF] |
||||
![]() |
J. K. Shoemaker, D. D. O'Leary, and R. L. Hughson PETCO2 inversely affects MSNA response to orthostatic stress Am J Physiol Heart Circ Physiol, September 1, 2001; 281(3): H1040 - H1046. [Abstract] [Full Text] [PDF] |
||||
![]() |
P. Van De Borne, N. Montano, K. Narkiewicz, J. P. Degaute, A. Malliani, M. Pagani, and V. K. Somers Importance of ventilation in modulating interaction between sympathetic drive and cardiovascular variability Am J Physiol Heart Circ Physiol, February 1, 2001; 280(2): H722 - H729. [Abstract] [Full Text] [PDF] |
||||
![]() |
A. Xie, J. B. Skatrud, D. C. Crabtree, D. S. Puleo, B. M. Goodman, and B. J. Morgan Neurocirculatory consequences of intermittent asphyxia in humans J Appl Physiol, October 1, 2000; 89(4): 1333 - 1339. [Abstract] [Full Text] [PDF] |
||||
![]() |
P. Van de Borne, S. Mezzetti, N. Montano, K. Narkiewicz, J. P. Degaute, and V. K. Somers Hyperventilation alters arterial baroreflex control of heart rate and muscle sympathetic nerve activity Am J Physiol Heart Circ Physiol, August 1, 2000; 279(2): H536 - H541. [Abstract] [Full Text] [PDF] |
||||
![]() |
E. C. Fletcher, G. Bao, and R. Li Renin Activity and Blood Pressure in Response to Chronic Episodic Hypoxia Hypertension, August 1, 1999; 34(2): 309 - 314. [Abstract] [Full Text] [PDF] |
||||
![]() |
K. Narkiewicz, C. A. Pesek, P. J. H. van de Borne, M. Kato, and V. K. Somers Enhanced Sympathetic and Ventilatory Responses to Central Chemoreflex Activation in Heart Failure Circulation, July 20, 1999; 100(3): 262 - 267. [Abstract] [Full Text] [PDF] |
||||
![]() |
K. Narkiewicz, M. Kato, C. A. Pesek, and V. K. Somers Human Obesity Is Characterized by a Selective Potentiation of Central Chemoreflex Sensitivity Hypertension, May 1, 1999; 33(5): 1153 - 1158. [Abstract] [Full Text] [PDF] |
||||
![]() |
H. Duplain, L. Vollenweider, A. Delabays, P. Nicod, P. Bartsch, and U. Scherrer Augmented Sympathetic Activation During Short-Term Hypoxia and High-Altitude Exposure in Subjects Susceptible to High-Altitude Pulmonary Edema Circulation, April 6, 1999; 99(13): 1713 - 1718. [Abstract] [Full Text] [PDF] |
||||
![]() |
S.-Y. Sun, W. Wang, I. H. Zucker, and H. D. Schultz Enhanced peripheral chemoreflex function in conscious rabbits with pacing-induced heart failure J Appl Physiol, April 1, 1999; 86(4): 1264 - 1272. [Abstract] [Full Text] [PDF] |
||||
![]() |
K. Narkiewicz, P. J. H. van de Borne, C. A. Pesek, M. E. Dyken, N. Montano, and V. K. Somers Selective Potentiation of Peripheral Chemoreflex Sensitivity in Obstructive Sleep Apnea Circulation, March 9, 1999; 99(9): 1183 - 1189. [Abstract] [Full Text] [PDF] |
||||
![]() |
K. Narkiewicz, P. J. H. van de Borne, R. L. Cooley, M. E. Dyken, and V. K. Somers Sympathetic Activity in Obese Subjects With and Without Obstructive Sleep Apnea Circulation, August 25, 1998; 98(8): 772 - 776. [Abstract] [Full Text] [PDF] |
||||
![]() |
P. van de Borne, R. Oren, and V. K. Somers Dopamine Depresses Minute Ventilation in Patients With Heart Failure Circulation, July 14, 1998; 98(2): 126 - 131. [Abstract] [Full Text] [PDF] |
||||
![]() |
A. E. Bharucha, V. Novak, M. Camilleri, A. R. Zinsmeister, R. B. Hanson, and P. A. Low alpha 2-Adrenergic modulation of colonic tone during hyperventilation Am J Physiol Gastrointest Liver Physiol, November 1, 1997; 273(5): G1135 - G1140. [Abstract] [Full Text] [PDF] |
||||
![]() |
L. Chen and S. M. Scharf Comparative hemodynamic effects of periodic obstructive and simulated central apneas in sedated pigs J Appl Physiol, August 1, 1997; 83(2): 485 - 494. [Abstract] [Full Text] [PDF] |
||||
![]() |
G. Bao, N. Metreveli, R. Li, A. Taylor, and E. C. Fletcher Blood pressure response to chronic episodic hypoxia: role of the sympathetic nervous system J Appl Physiol, July 1, 1997; 83(1): 95 - 101. [Abstract] [Full Text] [PDF] |
||||
![]() |
P. van de Borne, A. L. Mark, N. Montano, D. Mion, and V. K. Somers Effects of Alcohol on Sympathetic Activity, Hemodynamics, and Chemoreflex Sensitivity Hypertension, June 1, 1997; 29(6): 1278 - 1283. [Abstract] [Full Text] |
||||
![]() |
P. van de Borne, R. Oren, E. A. Anderson, A. L. Mark, and V. K. Somers Tonic Chemoreflex Activation Does Not Contribute to Elevated Muscle Sympathetic Nerve Activity in Heart Failure Circulation, September 15, 1996; 94(6): 1325 - 1328. [Abstract] [Full Text] |
||||
| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
| Visit Other APS Journals Online |