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Published ahead of print on September 7, 2006, doi:10.1164/rccm.200606-842OC

Am. J. Respir. Crit. Care Med., Volume 175, Number 1, January 2007, 62-68

A more recent version of this article appeared on January 1, 2007
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Submitted on June 23, 2006
Accepted on September 6, 2006

Antioxidants Increase the Ventilatory Response to Hyperoxic Hypercapnia

Spyros Zakynthinos1*, Paraskevi Katsaounou1, Maria-Helena Karatza1, Charis Roussos1, and Theodoros Vassilakopoulos1

1 Department of Critical Care and Pulmonary Services, Evangelismos Hospital, University of Athens Medical School, Athens, Greece

* To whom correspondence should be addressed. E-mail: szakynthinos{at}yahoo.com.

Rationale: The mechanisms by which chemoreceptors process carbon dioxide stimuli are poorly understood. Recent in vitro studies suggest a role of reactive oxygen species in central carbon dioxide chemoreception. Objectives: We tested the hypothesis that antioxidant treatment modulates the ventilatory response to carbon dioxide in healthy humans either during unloaded breathing or after strenuous resistive breathing. Methods: In the first experiment of this randomized, double-blind, placebo-controlled study, 14 healthy males completed hyperoxic carbon dioxide rebreathing, received either antioxidants (vitamins E, A and C for two months, allopurinol, and N-acetylcysteine) (n=7) or placebo (n=7), and repeated rebreathing three months later. In the second experiment, 18 healthy males completed a series of rebreathing tests before and after strenuous resistive breathing. Subjects repeated the same protocol three months later after had received antioxidants (n = 9) or placebo (n = 9). Main Results: Following antioxidants, the sensitivity of the ventilatory (minute ventilation) response to carbon dioxide increased (mean [±SEM], 3.2±0.5 vs. 1.7±0.4 L/min/mmHg, p<0.001). Antioxidants also increased the sensitivity to carbon dioxide before and at 5, 30 and 120 minutes following resistive breathing (p=0.01). This effect was entirely due to increased tidal volume. Antioxidants did not influence the breathing pattern during resting breathing or the rapid shallow breathing response to carbon dioxide at 5 minutes following resistive breathing. Conclusions: Antioxidants by augmenting the tidal volume increase the sensitivity of the ventilatory response to carbon dioxide either during unloaded breathing or after resistive breathing.


Key words: control of breathing, reactive oxygen species, central chemoreception




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