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Departments of Physiology, Anesthesiology, and Chest Medicine, School of Medicine, Chiba University, and Department of Physical Therapy, International University of Health and Welfare, Ohdawara 324, Japan
Received 5 December 1995; accepted in final form 13 May 1996.
Honda, Y., H. Tani, A. Masuda, T. Kobayashi, T. Nishino, H. Kimura, S. Masuyama, and T. Kuriyama. Effect of prior
O2 breathing on ventilatory
response to sustained isocapnic hypoxia in adult humans.
J. Appl. Physiol. 81(4):
1627-1632, 1996.
Sixteen healthy volunteers breathed 100%
O2 or room air for 10 min in random order, then their ventilatory response to sustained normocapnic hypoxia (80% arterial O2
saturation, as measured with a pulse oximeter) was studied for 20 min.
In addition, to detect agents possibly responsible for the respiratory
changes, blood plasma of 10 of the 16 subjects was chemically analyzed.
1) Preliminary O2 breathing uniformly and
substantially augmented hypoxic ventilatory responses.
2) However, the profile of
ventilatory response in terms of relative magnitude, i.e., biphasic
hypoxic ventilatory depression, remained nearly unchanged.
3) Augmented ventilatory increment
by prior O2 breathing was
significantly correlated with increment in the plasma glutamine level.
We conclude that preliminary O2
administration enhances hypoxic ventilatory response without affecting
the biphasic response pattern and speculate that the excitatory amino
acid neurotransmitter glutamate, possibly derived from augmented
glutamine, may, at least in part, play a role in this ventilatory
enhancement.
normocapnia; mild hypoxia; glutamine-glutamate system
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