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1 Penn State University, college of Medicine
2 Penn State University, College of Medicine
* To whom correspondence should be addressed. E-mail: phaouzi{at}hmc.psu.edu.
As breathing frequency (f) is imperceptibly increased during a volitionally paced respiratory rhythm imposed by an auditory signal, tidal volume (VT) decreases such that minute ventilation (V'E) rises according to f induced dead space ventilation changes (18). As a result, significant change in alveolar ventilation and PCO2 are prevented as f varies. The present study was performed to determine what regulatory properties are retained by the respiratory control system wherein the spontaneous automatic rhythmic activity is replaced by a volitionally paced rhythm. Six volunteers were asked to trigger each breath cycle upon hearing a brief auditory signal. The time interval between subsequent auditory signals was imperceptibly changed for 10-15 minutes, during 1- air breathing (condition 1), 2- the addition of a 300 ml instrumental dead space (condition 2), 3- an increase in the inspired level of CO2 (condition 3), and 4- light exercise (condition 4). We found that as f was slowly increased the elaborated VT decreased in accordance to the background level of CO2 and metabolic rate. Indeed, for any given breath duration, VT was shifted upward in condition 2 vs. 1, while the slope of VT changes according to the volitionally rhythm was much steeper in conditions 3 and 4 vs. 1. The resulting changes in V'offset any f-induced changes in dead space ventilation in all conditions. We conclude that there is an inherent, fundamental mechanism, which elaborates VT based upon f when imposed by the pre-motor cortex in humans. The chemoreflex and exercise drive to breath interact with this cortically mediated rhythm maintaining alveolar rather than minute ventilation constant as f changes. The implications of our findings are discussed in the context of our current understanding of the central generation of breathing rhythm.
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