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J Appl Physiol (January 16, 2004). doi:10.1152/japplphysiol.00977.2003
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Submitted on September 10, 2003
Accepted on January 7, 2004

Effects of 5 consecutive nocturnal hypoxic exposures on the cerebrovascular responses to acute hypoxia and hypercapnia in humans

Jon C Kolb1, Philip N Ainslie2, Kojiro Ide2, and Marc J Poulin3*

1 Faculty of Kinesiology, University of Calgary, Calgary, Alberta, Canada
2 Department of Physiology & Biophysics, University of Calgary, Calgary, Alberta, Canada
3 Department of Physiology & Biophysics, University of Calgary, Calgary, Alberta, Canada; Department of Clinical Neurosciences, University of Calgary, Calgary, Alberta, Canada; Faculty of Kinesiology, University of Calgary, Calgary, Alberta, Canada

* To whom correspondence should be addressed. E-mail: poulin{at}ucalgary.ca.

The effects of discontinuous hypoxia on cerebrovascular regulation in humans are unknown. We hypothesized that five nocturnal hypoxic exposures (8 hrs day-1) at a simulated altitude of 4300m (FIO2 =~ 13.8%) would elicit cerebrovascular responses that are similar to those that have been reported during chronic altitude exposures. Twelve male subjects (26.6 ± 4.1 (SD) yrs) volunteered for this study. The technique of end-tidal forcing was used to examine cerebral blood flow (CBF) and regional cerebral oxygen saturation (SrO2) responses to acute variations in O2 and CO2 twice prior to, immediately after, and 5 days following the overnight hypoxic exposures. Transcranial Doppler ultrasound was used to assess CBF, and near infrared spectroscopy was used to assess SrO2. Throughout the nocturnal hypoxic exposures, end-tidal PCO2 decreased (P < 0.001) while arterial oxygen saturation increased (P < 0.001) compared with overnight normoxic control measurements. Symptoms associated with altitude illness were significantly greater than control values on the 1st night (P < 0.001) and 2nd night (P < 0.01) of nocturnal hypoxia. Immediately following the nocturnal hypoxic intervention, the sensitivity of CBF to acute variations in O2 and CO2 increased 116% (P < 0.01) and 33% (P < 0.05), respectively, when compared with control values. SrO2 was highly correlated with SaO2 (R2 = 0.94 ± 0.04). These results show that discontinuous hypoxia elicits increases in the sensitivity of CBF to acute vartiations in O2 and CO2 which are similar to those observed during chronic hypoxia.




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