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Physiological Control of Respiration01:23

Physiological Control of Respiration

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Introduction
Breathing, a seemingly passive process, is regulated by the respiratory center in the brainstem. This center coordinates the involuntary control of respirations, which means it occurs without conscious effort, ensuring a smooth and uninterrupted pattern.
Regulation of Ventilation
The body maintains ventilation by monitoring levels of carbon dioxide (CO2), oxygen (O2), and hydrogen ion concentration (pH) in the arterial blood. Among these factors, the level of CO2 plays a crucial...
2.1K
Other Factors Affecting Respiration Centers01:17

Other Factors Affecting Respiration Centers

892
Breathing is primarily an involuntary activity regulated by the brainstem respiratory centers. However, it can also be consciously controlled, allowing us to hold our breath or take deeper breaths when needed. This voluntary control is facilitated by the cerebral motor cortex, which bypasses the medullary centers to stimulate the respiratory muscles directly.
However, the ability to hold one's breath voluntarily is not limitless. When the CO2 concentration in the blood reaches a critical...
892
Chemical Factors Affecting Respiration Centers01:31

Chemical Factors Affecting Respiration Centers

1.1K
Chemical factors such as changing CO2, O2, and H+ levels in arterial blood play a critical role in influencing respiration depth and rates. These variations are detected by chemoreceptors—specialized sensors located in two primary body areas. Central chemoreceptors are found throughout the brain stem, including the ventrolateral medulla, while peripheral chemoreceptors are located in the aortic arch and carotid arteries.
CO2 has a potent influence on respiration and is strictly regulated....
1.1K
Sleep-Wake Cycles01:24

Sleep-Wake Cycles

1.4K
Sleep is an essential physiological process vital to maintaining overall well-being. The reticular activating system (RAS), a network of neurons in the brainstem, regulates wakefulness and sleep. While it may seem passive, sleep consists of distinct cycles, each with its unique characteristics and functions. Two key sleep phases are non-rapid eye movement (NREM) and  rapid eye movement (REM).
NREM Sleep
NREM sleep comprises four progressive stages that seamlessly merge:
1.4K
Alterations in Respiration II01:30

Alterations in Respiration II

892
There are numerous types of normal and abnormal respiration. Based on ventilatory movements, breathing patterns are classified as regular, deep, or shallow. Examples include Biot's breathing, Cheyne-Stokes respiration, Kussmaul's breathing, hyperventilation, and hypoventilation. Each pattern is clinically significant and aids in evaluating patients.
In Biot's breathing, the respiratory rate and depth are irregular, alternating between periods of deep gasping and apnea. Common causes...
892
Hyperpnea and Hyperventilation01:25

Hyperpnea and Hyperventilation

1.1K
Hyperventilation refers to a higher-than-normal rate and depth of breathing, often associated with anxiety attacks. This excessive breathing surpasses the body's need to expel CO2, leading to a condition known as hypocapnia - an unusually low level of carbon dioxide in the blood. Hypocapnia can constrict cerebral blood vessels, reducing blood flow to the brain, which may result in dizziness or fainting. Early signs include tingling and muscle spasms in the hands and face, caused by falling...
1.1K

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Related Experiment Video

Updated: Jul 15, 2025

A Model to Simulate Clinically Relevant Hypoxia in Humans
09:54

A Model to Simulate Clinically Relevant Hypoxia in Humans

Published on: December 22, 2016

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Rethinking O2, CO2 and breathing during wakefulness and sleep.

Jerome A Dempsey1, Travis D Gibbons2

  • 1University of Wisconsin-Madison, Madison, Wisconsin, USA.

The Journal of Physiology
|September 26, 2023
PubMed
Summary

Chemoreceptors significantly influence breathing. Research shows extra-carotid body (CB) sites affect ventilation and that CB input boosts CO2 sensitivity, impacting breathing drives and sleep apnea.

Keywords:
extra‐carotid chemoreceptor O2 sensingobstructive sleep apnoeaperipheral‐central chemoreceptor interdependence

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Area of Science:

  • Cardiorespiratory physiology
  • Neuroscience
  • Sleep Medicine

Background:

  • Chemoreceptors, particularly carotid bodies (CB), are crucial for cardiorespiratory control.
  • Existing research highlights their role in hypoxic and CO2 responses.
  • Recent studies explore their broader influence on breathing regulation.

Purpose of the Study:

  • To investigate extra-CB chemoreceptor influences on ventilation.
  • To quantify the contribution of tonic CB input to central CO2 sensitivity.
  • To elucidate the role of CO2 chemoreception and neural drive in obstructive sleep apnea (OSA).

Main Methods:

  • Utilized isolated, extracorporeally perfused CB preparations in unanesthetized animals.
  • Employed isolated or denervated CB preparations in awake humans and animals.
  • Analyzed respiratory instability and neural drive in OSA patients.

Main Results:

  • Extra-CB hypoxemia accounts for 40-50% of the ventilatory response to hypoxia.
  • Extra-CB sites (medulla, kidney, spinal cord) contribute to O2-driven ventilation.
  • Tonic CB activity contributes 35-40% to eupneic breathing drive.
  • Reduced neural drive and CO2 sensitivity are linked to OSA pathogenesis.

Conclusions:

  • Non-CB peripheral chemoreceptors significantly modulate ventilation.
  • CB input plays a substantial role in maintaining normal breathing.
  • Impaired CO2 chemoreception and reduced neural drive are implicated in OSA.