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Videomorphometric Analysis of Hypoxic Pulmonary Vasoconstriction of Intra-pulmonary Arteries Using Murine Precision Cut Lung Slices
Published on: January 14, 2014
Peripheral chemoreceptor responsiveness and hypoxic pulmonary vasoconstriction in humans
Tyler J Albert1, Erik R Swenson
11 Division of Pulmonary and Critical Care Medicine, University of Washington Medical Center , Seattle, Washington.
Individuals with a stronger peripheral chemoreceptor response to hypoxia exhibit reduced hypoxic pulmonary vasoconstriction (HPV). This suggests that heightened hypoxic ventilatory responsiveness (HVR) may be protective against excessive HPV in healthy subjects.
Area of Science:
- Cardiovascular Physiology
- Respiratory Physiology
- Neuroscience
Background:
- Animal studies indicate central nervous system (CNS) modulation of hypoxic pulmonary vasoconstriction (HPV).
- Human studies on CNS influence on HPV are lacking due to invasive methods.
- Peripheral chemoreceptors are hypothesized to modulate HPV in humans.
Purpose of the Study:
- To investigate the relationship between peripheral chemoreceptor sensitivity and HPV in humans.
- To test the hypothesis that higher hypoxic ventilatory responsiveness (HVR) is associated with lower HPV.
Main Methods:
- 15 healthy participants (men and women) were studied.
- Normobaric poikilocapnic hypoxic ventilatory response (HVR) was measured.
- Pulmonary artery systolic pressure (PASP) was measured via echocardiography under varying fractions of inspired oxygen (FIo2) to assess HPV at a common oxygen saturation (SPo2) of 85%.
Main Results:
- A wide range of HVR was observed, consistent with previous data.
- HPV was assessed at a common SPo2 of 85%.
- A significant inverse correlation was found between HVR and HPV (p=0.006, R²=0.38).
Conclusions:
- High HVR and high HPV are risk factors for high altitude pulmonary edema (HAPE).
- This study demonstrates an inverse correlation between HVR and HPV in healthy subjects.
- Increased peripheral chemoreceptor response to hypoxia limits HPV in humans.
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