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Vol. 84, Issue 2, 676-682, February 1998
1 Pulmonary and Critical Care
Unit,
Oelberg, David A., Allison B. Evans, Mirko I. Hrovat, Paul
P. Pappagianopoulos, Samuel Patz, and David M. Systrom. Skeletal muscle chemoreflex and pHi in
exercise ventilatory control. J. Appl.
Physiol. 84(2): 676-682, 1998.
To determine
whether skeletal muscle hydrogen ion mediates ventilatory drive in
humans during exercise, 12 healthy subjects performed three bouts of
isotonic submaximal quadriceps exercise on each of 2 days in a 1.5-T
magnet for 31P-magnetic resonance
spectroscopy
(31P-MRS). Bilateral
lower extremity positive pressure cuffs were inflated to 45 Torr during
exercise (BLPPex) or recovery
(BLPPrec) in a randomized order
to accentuate a muscle chemoreflex. Simultaneous measurements were made
of breath-by-breath expired gases and minute ventilation, arterialized
venous blood, and by 31P-MRS of
the vastus medialis, acquired from the average of 12 radio-frequency
pulses at a repetition time of 2.5 s. With
BLPPex, end-exercise minute
ventilation was higher (53.3 ± 3.8 vs. 37.3 ± 2.2 l/min;
P < 0.0001), arterialized
PCO2 lower (33 ± 1 vs. 36 ± 1 Torr; P = 0.0009), and quadriceps
intracellular pH (pHi) more acid (6.44 ± 0.07 vs. 6.62 ± 0.07; P = 0.004), compared with
BLPPrec. Blood
lactate was modestly increased with
BLPPex but without a change in
arterialized pH. For each subject, pHi was linearly related
to minute ventilation during exercise but not to arterialized pH. These
data suggest that skeletal muscle hydrogen ion contributes to the
exercise ventilatory response.
ventilation; lactic acid; magnetic resonance spectroscopy; intracellular pH
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