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Published on: November 19, 2015
Neural mechanisms of respiratory interoception
Pei-Ying Sarah Chan1, Lu-Yuan Lee2, Paul W Davenport3
1Department of Occupational Therapy, College of Medicine, Chang Gung University, Taoyuan, Taiwan; Department of Psychiatry, Chang Gung Memorial Hospital at Linkou, Taoyuan, Taiwan.
Respiratory interoception, the body's sense of breathing, involves complex neural pathways. Understanding these pathways helps explain sensations like breathlessness and the urge to cough or swallow.
Area of Science:
- Neuroscience
- Physiology
- Respiratory Medicine
Background:
- Respiratory interoception involves somatic and visceral sensations from afferent input and respiratory motor drive.
- It mediates multiple respiratory modalities, including breathlessness and dyspnea.
- This system is complex, with afferents projecting to discriminative and affective centers for behavioral assessment.
Purpose of the Study:
- To summarize brain areas mediating cortical and subcortical respiratory sensory pathways.
- To develop a model of an integrated respiratory neural network for respiratory interoception.
Main Methods:
- Review and synthesis of studies on brain areas involved in respiratory sensory pathways.
- Development of a conceptual model for respiratory interoception.
Main Results:
- Respiratory interoception integrates multi-afferent input for interpreting sensations like the urge-to-breathe, urge-to-cough, and urge-to-swallow.
- These sensations involve gated attention, detection, and discrimination, leading to cognitive decisions and behavioral compensation.
- A model of an integrated respiratory neural network was proposed.
Conclusions:
- Respiratory interoception is a complex neural system essential for interpreting breathing sensations.
- The proposed model integrates various afferent inputs and neural pathways.
- Further research can build upon this model to understand respiratory control and related disorders.
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