He. Greenberg et al., EFFECT OF CHRONIC RESISTIVE LOADING ON VENTILATORY CONTROL IN A RAT MODEL, American journal of respiratory and critical care medicine, 152(2), 1995, pp. 666-676
Citations number
23
Categorie Soggetti
Emergency Medicine & Critical Care","Respiratory System
Acute resistive loading of the airway has been shown to activate the e
ndogenous opioid system, with subsequent depression of ventilation. Th
e present investigation was designed to assess the effect of chronic a
irway loading on ventilation and CO2 sensitivity, and to determine whe
ther the endogenous opioid system contributes to long-term modulation
of ventilatory control in this setting. A Row-resistive ventilatory lo
ad was imposed in 2-mo-old rats by surgical implantation of a circumfe
rential tracheal band that approximately tripled tracheal resistance.
Respiration and CO2 ensitivity were serially and noninvasively assesse
d by barometric plethysmography over a period of 21 wk. Ventilatory ou
tput was assessed as minute inspiratory effort, which was defined as t
he product of plethysmograph signal amplitude, inspiratory time, and r
espiratory tate (RR). CO2 ensitivity was calculated as the percent cha
nge in minute inspiratory effort from room air to CO2 exposure. The ef
fect of naloxone administration on these parameters was also determine
d. Arterial blood gases demonstrated hypercapnia with maintenance of n
ormoxia in loaded rats; these findings persisted for the duration of t
he study. Two days after surgery, rats with tracheal obstruction demon
strated a lower RR than controls during room air breathing and during
CO2 stimulation. CO2 sensitivity was significantly depressed in obstru
cted anials at this time. Escape from suppression of RR and CO2 sensit
ivity was evident by 14 to 21 d after obstruction; however, suppressio
n of these parameters reappeared and was maintained from 56 to 147 d a
fter obstruction. Naloxone augmented minute inspiratory effort during
CO2 stimulation at 2 d after obstruction but not thereafter; naloxone
had no effect in control rats. These data indicate that chronic airway
loading suppresses RR and CO2 sensitivity in a triphasic manner. The
early suppression is partially reversible by naloxone; late-appearing
suppression is unaffected by naloxone and is presumably mediated by me
chanisms that do not involve endogenous opioids.