Skip to main content
The Journal of Physiology logoLink to The Journal of Physiology
. 1991;440:17–33. doi: 10.1113/jphysiol.1991.sp018693

The influence of induced hypocapnia and sleep on the endogenous respiratory rhythm in humans.

A K Datta 1, S A Shea 1, R L Horner 1, A Guz 1
PMCID: PMC1180137  PMID: 1804960

Abstract

1. Ventilation has been studied during hypocapnia produced by passive mechanical ventilation in ten normal human subjects. 2. During wakefulness, disconnection of the ventilator led to inconsistent apnoea of only brief duration. During sleep, at a similar degree of hypocapnia, disconnection of the ventilator led more consistently to apnoea which was also of much longer duration; the deeper the sleep stage, the longer the apnoea. 3. The resumption of breathing during sleep could precede or follow arousal or be unaccompanied by arousal; in the absence of prior arousal, the evidence suggests that a starting end-tidal CO2 pressure (PET, CO2) less than 41 mmHg could result in an apnoea during sleep stages I and II. 4. Subjects did not report any common sensation which led them to breathe following an apnoea whilst awake. 5. Prior hyperoxia in one subject prolonged the apnoea duration in both slow-wave sleep and rapid eye movement sleep. 6. The results are interpreted as showing that even during light sleep, the maintenance of the respiratory rhythm is critically dependent on the arterial CO2 and O2 tensions. During wakefulness, other behavioural drives, which may not reach consciousness, supervene.

Full text

PDF
17

Images in this article

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Bainton C. R., Mitchell R. A. Posthyperventilation apnea in awake man. J Appl Physiol. 1966 Mar;21(2):411–415. doi: 10.1152/jappl.1966.21.2.411. [DOI] [PubMed] [Google Scholar]
  2. Boothby W. M. Absence of apnoea after forced breathing. J Physiol. 1912 Dec 9;45(5):328–337. doi: 10.1113/jphysiol.1912.sp001555. [DOI] [PMC free article] [PubMed] [Google Scholar]
  3. Douglas C. G., Haldane J. S. The causes of periodic or Cheyne-Stokes breathing. J Physiol. 1909 Jun 15;38(5):401–419. doi: 10.1113/jphysiol.1909.sp001314. [DOI] [PMC free article] [PubMed] [Google Scholar]
  4. Eldridge F. L. Central neural respiratory stimulatory effect of active respiration. J Appl Physiol. 1974 Nov;37(5):723–735. doi: 10.1152/jappl.1974.37.5.723. [DOI] [PubMed] [Google Scholar]
  5. Eldridge F. L. Posthyperventilation breathing: different effects of active and passive hyperventilation. J Appl Physiol. 1973 Apr;34(4):422–430. doi: 10.1152/jappl.1973.34.4.422. [DOI] [PubMed] [Google Scholar]
  6. FINK B. R. Influence of cerebral activity in wakefulness on regulation of breathing. J Appl Physiol. 1961 Jan;16:15–20. doi: 10.1152/jappl.1961.16.1.15. [DOI] [PubMed] [Google Scholar]
  7. Gothe B., Altose M. D., Goldman M. D., Cherniack N. S. Effect of quiet sleep on resting and CO2-stimulated breathing in humans. J Appl Physiol Respir Environ Exerc Physiol. 1981 Apr;50(4):724–730. doi: 10.1152/jappl.1981.50.4.724. [DOI] [PubMed] [Google Scholar]
  8. Gothe B., Goldman M. D., Cherniack N. S., Mantey P. Effect of progressive hypoxia on breathing during sleep. Am Rev Respir Dis. 1982 Jul;126(1):97–102. doi: 10.1164/arrd.1982.126.1.97. [DOI] [PubMed] [Google Scholar]
  9. HONDA Y., NATSUI T., HASUMURA N., NAKAMURA K. THRESHOLD PCO2 FOR RESPIRATORY SYSTEM IN ACUTE HYPOXIA OF DOGS. J Appl Physiol. 1963 Nov;18:1053–1056. doi: 10.1152/jappl.1963.18.6.1053. [DOI] [PubMed] [Google Scholar]
  10. Haldane J. S., Priestley J. G. The regulation of the lung-ventilation. J Physiol. 1905 May 9;32(3-4):225–266. doi: 10.1113/jphysiol.1905.sp001081. [DOI] [PMC free article] [PubMed] [Google Scholar]
  11. Head H. On the Regulation of Respiration: Part II. Theoretical. J Physiol. 1889 May;10(4):279–290. doi: 10.1113/jphysiol.1889.sp000304. [DOI] [PMC free article] [PubMed] [Google Scholar]
  12. Henke K. G., Arias A., Skatrud J. B., Dempsey J. A. Inhibition of inspiratory muscle activity during sleep. Chemical and nonchemical influences. Am Rev Respir Dis. 1988 Jul;138(1):8–15. doi: 10.1164/ajrccm/138.1.8. [DOI] [PubMed] [Google Scholar]
  13. Jennett S., Ashbridge K., North J. B. Post-hyperventilation apnoea in patients with brain damage. J Neurol Neurosurg Psychiatry. 1974 Mar;37(3):288–296. doi: 10.1136/jnnp.37.3.288. [DOI] [PMC free article] [PubMed] [Google Scholar]
  14. Mangin P., Krieger J., Kurtz D. Apnea following hyperventilation in man. J Neurol Sci. 1982 Nov-Dec;57(1):67–82. doi: 10.1016/0022-510x(82)90111-3. [DOI] [PubMed] [Google Scholar]
  15. Mills J. N. Hyperpnoea induced by forced breathing. J Physiol. 1946 Sep 18;105(2):95–116. [PMC free article] [PubMed] [Google Scholar]
  16. Phillipson E. A., Sullivan C. E. Arousal: the forgotten response to respiratory stimuli. Am Rev Respir Dis. 1978 Nov;118(5):807–809. doi: 10.1164/arrd.1978.118.5.807. [DOI] [PubMed] [Google Scholar]
  17. Skatrud J. B., Dempsey J. A. Interaction of sleep state and chemical stimuli in sustaining rhythmic ventilation. J Appl Physiol Respir Environ Exerc Physiol. 1983 Sep;55(3):813–822. doi: 10.1152/jappl.1983.55.3.813. [DOI] [PubMed] [Google Scholar]

Articles from The Journal of Physiology are provided here courtesy of The Physiological Society

RESOURCES