Effect of chemoreceptor stimulation and inhibition on total pulmonary resistance in humans during NREM sleep

J Appl Physiol (1985). 1994 Apr;76(4):1682-92. doi: 10.1152/jappl.1994.76.4.1682.

Abstract

We investigated the effect of chemoreceptor stimulation and inhibition on total pulmonary resistance (RL) during non-rapid-eye-movement (NREM) sleep in healthy subjects. Chemoreceptor stimulation was accomplished with brief isocapnic hypoxia (n = 8). Minute ventilation increased to 150% of room air control. RL at peak inspiratory flow decreased to 66% of room air control. Resistive pressure-inspiratory flow plots demonstrated lower resistive pressures for a given inspiratory flow. Chemoreceptor inhibition was accomplished by abruptly terminating brief hypocapnic hypoxia with 100% O2 (n = 7). Minute ventilation decreased to 63% of room air control. RL calculated at peak inspiratory or fixed flow did not change significantly, and pressure-flow plots at nadir ventilation showed no systematic change from room air control. We conclude that 1) hypoxic chemoreceptor stimulation is associated with decreased RL and enhancement of pressure-flow relationships, suggesting increased upper airway caliber; 2) upper airway patency is not compromised during periods of low ventilatory drive in normal subjects; and 3) upper airway dilating muscles and thoracic pump muscles are optionally coordinated with increased and decreased ventilatory drive.

Publication types

  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, Non-P.H.S.
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Adult
  • Airway Resistance / drug effects*
  • Bronchi / physiopathology
  • Carbon Dioxide / blood
  • Chemoreceptor Cells / drug effects
  • Chemoreceptor Cells / physiology*
  • Electroencephalography
  • Electromyography
  • Humans
  • Hypocapnia / physiopathology
  • Hypoxia / physiopathology
  • Polysomnography
  • Respiratory Function Tests
  • Respiratory Mechanics / physiology
  • Respiratory Muscles / physiology
  • Sleep / physiology*
  • Snoring / physiopathology

Substances

  • Carbon Dioxide