Abstract
This chapter develops static and dynamic models of the chemoreflex control of breathing based on experimental measurements. A graphical concept model of the steady state based on current physiology is built up first, which demonstrates key concepts in the control of breathing such as loop gain and its clinical partner \({\text{ CO}}_{2}\) reserve. The Stewart approach to modeling acid-base is used to convert this static model to handle the effects of acid-base changes on respiratory control. Finally, this static model of the chemoreflex control system is incorporated into a dynamic simulation of the control of breathing and acid-base balance using a graphical programming language. The dynamic model demonstrates the instabilities observed during sleep at altitude and the effects of changes in cerebrovascular reactivity on loop gain and stability that are a part of the sleep apnoea syndrome. Hence this chapter will also draw connections to the chapter by Bruce (Chap. 7).
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References
Ainslie, P., Cotter, J.D., Dawson. A., Fan, J.L., Lucas, R.A.I., Lucas, S.J.E., Peebles, K.N., Bilson, K., Swart, M., Thomas, K.N., Burgess, K.R.: Influence of cerebral blood flow on central sleep apnea at high altitude. In: International Hypoxia Conference, Lake Louise, Canada 2009
Ainslie, P.N., Duffin, J.: Integration of cerebrovascular CO2 reactivity and chemoreflex control of breathing: mechanisms of regulation, measurement, and interpretation. Am J Physiol Regul Integr Comp Physiol. 296, R1473–R1495 (2009)
Berkenbosch, A., Bovill, J.G., Dahan, A., DeGoede, J., Olievier, I.C.: The ventilatory CO2 sensitivities from Read’s rebreathing method and the steady-state method are not equal in man. J. Physiol. 411, 367–377 (1989)
Blain, G.M., Smith, C.A., Henderson, K.S., Dempsey, J.A.: Contribution of the carotid body chemoreceptors to eupneic ventilation in the intact, unanesthetized dog. J Appl Physiol. 106, 1564–1573 (2009)
Cunningham, D.J.C.: Review lecture: Studies on arterial chemoreceptors in man. J. Physiol. 384, 1–26 (1987)
Cunningham, D.J.C.: Studies on arterial chemoreceptors in man. J. Physiol. 384, 1–26 (1987)
Dahan, A., Nieuwenhuijs, D., Teppema, L.: Plasticity of central chemoreceptors: Effect of bilateral carotid body resection on central CO2 sensitivity. PLoS Med. 4(7), e239 (2007)
Duffin, J.: Role of acid-base balance in the chemoreflex control of breathing. J. Appl. Physiol. 99(6), 2255–2265 (2005)
Duffin, J., Mahamed, S.: Adaptation in the respiratory control system. Can. J. Physiol. Pharmacol. 81(8), 765–773 (2003)
Duffin, J., McAvoy, G.V.: The peripheral-chemoreceptor threshold to carbon dioxide in man. J. Physiol. 406, 15–26 (1988)
Duffin, J., Mohan, R.M., Vasiliou, P., Stephenson, R., Mahamed, S.: A Model of the chemoreflex control of breathing in humans: Model parameters measurement. Respir. Physiol. 120, 13–26 (2000)
Fencl, V., Leith, D.E.: Stewart’s quantitative acid-base chemistry: Applications in biology and medicine. Respir. Physiol. 91, 1–16 (1993)
Fink, B.R.: Influence of cerebral activity in wakefulness on regulation of breathing. J. Appl. Physiol. 16, 15–20 (1961)
Guyenet, P.G., Bayliss, D.A., Mulkey, D.K., Stornetta, R.L., Moreira, T.S., Takakura, A.T.: The retrotrapezoid nucleus and central chemoreception. Adv. Exp. Med. Biol, 605, 327–332 (2008)
Horn, E.M., Waldrop, T.G.: Suprapontine control of respiration. Respir. Physiol. 114(3), 201–211 (1998)
Ide, K., Eliasziw, M., Poulin, M.J.: Relationship between middle cerebral artery blood velocity and end-tidal PCO2 in the hypocapnic-hypercapnic range in humans. J Appl Physiol. 95, 129–137 (2003)
Irsigler, G.B., Stafford, M.J., Severinghaus, J.W.: Relationship of CSFpH, O 2, and CO 2 responses in metabolic acidosis and alkalosis in humans. J. Appl. Physiol. 48(2), 355–361 (1980)
Iturriaga, R., Varas, R., Alcayaga, J.: Electrical and pharmacological properties of petrosal ganglion neurons that innervate the carotid body. Respir. Physiol. Neurobiol. 157(1), 130–139 (2007)
Jensen, D., Duffin, J., Lam, Y.-M., Webb, K.A., Simpson, J.A., Davies, G.A.L., Wolfe, L.A., O’Donnell, D.E.: Physiological mechanisms of hyperventilation during human pregnancy. Respir. Physiol. Neurobiol. 161(1), 76–86 (2008)
Jounieaux, V., Parreira, V.F., Aubert, G., Dury, M., Delguste, P., Rodenstein, D.O.: Effects of hypocapnic hyperventilation on the response to hypoxia in normal subjects receiving intermittent positive-pressure ventilation. Chest 121(4), 1141–1148 (2002)
Khoo, M.C.K.: Determinants of ventilatory instability and variability. Respir. Physiol. 122 (2-3), 167–182 (2000)
Kumar, P.: Sensing hypoxia in the carotid body: from stimulus to response. Essays Biochem. 43, 43–60 (2007)
Mahamed, S., Hanly, P.J., Gabor, J., Beecroft, J., Duffin, J.: Overnight changes of chemoreflex control in obstructive sleep apnoea patients. Respir. Physiol. Neurobiol. 146(2-3), 279–290 (2005)
Mateika, J.H., Omran, Q., Rowley, J.A., Zhou, X.S., Diamond, M.P., Badr, M.S.: Treatment with leuprolide acetate decreases the threshold of the ventilatory response to carbon dioxide in healthy males. J. Physiol. 561(Pt 2), 637–646 (2004)
Mohan, R., Duffin, J.: The effect of hypoxia on the ventilatory response to carbon dioxide in man. Respir. Physiol. 108(2), 101–115 (1997)
Mohan, R.M., Amara, C.E., Cunningham, D.A., Duffin, J.: Measuring the central-chemoreflex sensitivity in man: rebreathing and steady-state methods compared. Respir. Physiol. 115(1), 23–33 (1999)
Nattie, E.E., Li, A.: Central chemoreception is a complex system function that involves multiple brainstem sites. J. Appl. Physiol. (2008)
Orem, J.: The nature of the wakefulness stimulus for breathing. Prog. Clin. Biol. Res. 345, 23–30; discussion 31 (1990)
Orem, J., Lovering, A.T., Dunin-Barkowski, W., Vidruk, E.H.: Tonic activity in the respiratory system in wakefulness, NREM and REM sleep. Sleep 25(5), 488–496 (2002)
Orem, J., Trotter, R.H.: Behavioral control of breathing. News Physiol. Sci. 9, 228–232 (1994)
Phillipson, E.A., McClean, P.A., Sullivan, C.E., Zamel, N.: Interaction of metabolic and behavioral respiratory control during hypercapnia and speech. Am. Rev. Respir. Dis. 117, 903–909 (1978)
Rapanos, T., Duffin, J.: The ventilatory response to hypoxia below the carbon dioxide threshold. Can. J. Appl. Physiol. 22(1), 23–36 (1997)
Read, D.J.C.: A clinical method for assessing the ventilatory response to CO 2. Australas. Ann. Med. 16, 20–32 (1967)
Reivich, M.: Arterial Pco2 and Cerebral Hemodynamics. Am. J. Physiol. 206, 25–35 (1964)
Shea, S.A.: Behavioural and arousal-related influences on breathing in humans. Exp. Physiol. 81(1), 1–26 (1996)
Somogyi, R.B., Preiss, D., Vesely, A., Fisher, J.A., Duffin, J.: Changes in respiratory control after 5 days at altitude. Respir. Physiol. Neurobiol. 145(1), 41–52 (2005)
St. Croix, C.M., Cunningham, D.A., Paterson, D.H.: Nature of the interaction between central and peripheral chemoreceptor drives in human subjects. Can. J. Physiol. Pharmacol. 74(6), 640–646 (1996)
Stewart, P.A.: Modern quantitative acid-base chemistry. Can. J. Physiol. Pharmacol. 61, 1444–1461 (1983)
Torrance, R.W.: Prolegomena. Chemoreception upstream of transmitters. In: Zapata (ed.) Frontiers in Arterial Chemoreception, vol. 410, pp. 13–38. Plenum, New York (1996)
Watson, P.D.: Modeling the effects of proteins on pH in plasma. J. Appl. Physiol. 86(4), 1421–1427 (1999)
Xie, A., Skatrud, J.B., Barczi, S.R., Reichmuth, K., Morgan, B.J., Mont, S., Dempsey, J.A.: Influence of cerebral blood flow on breathing stability. J. Appl. Physiol. 106(3), 850–856 (2009)
Xie, A., Skatrud, J.B., Morgan, B., Chenuel, B., Khayat, R., Reichmuth, K., Lin, J., Dempsey, J.A.: Influence of cerebrovascular function on the hypercapnic ventilatory response in healthy humans. J. Physiol. (Lond.) 577(1), 319–329 (2006)
Younes, M., Ostrowski, M., Atkar, R., Laprairie, J., Siemens, A., Hanly, P.: Mechanisms of breathing instability in patients with obstructive sleep apnea. J. Appl. Physiol. 103(6), 1929–1941 (2007). doi: 10.1152/japplphysiol.00561.2007
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Duffin, J. (2013). Model Validation and Control Issues in the Respiratory System. In: Batzel, J., Bachar, M., Kappel, F. (eds) Mathematical Modeling and Validation in Physiology. Lecture Notes in Mathematics(), vol 2064. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-32882-4_8
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