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Query: UMLS:C0242706 (hyperoxia)
 5,219 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

Congenital central hypoventilation syndrome (CCHS) patients exhibit respiratory deficits to ventilatory challenges, diminished breathing drive during sleep, and reduction of respiratory-related heart rate variation, but at least partially preserved peripheral chemoreception. We hypothesized that integration of afferent activity with respiratory motor output is deficient in CCHS, rather than chemoreceptor failure, and that examination of trends in heart and breathing rates and variabilities following ventilatory challenges may clarify the deficient mechanisms. Twelve children with CCHS and 12 age- and gender-matched control cases were subjected to hyperoxic hypercapnic, poikylocapnic hypoxic, and hyperoxic challenges while supine. Heart and respiratory rates and variabilities during 60-s baseline and 120-s challenge periods were assessed. Hypoxia and hypercapnia enhanced breathing rate in control subjects; in CCHS cases, the rise differed during hypercapnia and did not occur to hypoxia. Hyperoxia showed initial transient patterns in breathing rate that differed between groups. A heart rate increase to hypoxia and late decline to hyperoxia were muted in CCHS patients. In hypercapnia, heart rate followed similar rising patterns in both groups. Overall CCHS heart rate variability was lower in baseline and challenge periods, principally due to diminished respiratory-related variation, especially during hypercapnia. No heart rate variability group differences emerged in hypoxia, and only a late increase for CCHS cases developed in hyperoxia. The findings indicate retention of aspects of chemoreceptor sensitivity in CCHS cases. The heart rate alterations to ventilatory challenges suggest specific compensatory responses of a slower nature remain intact in CCHS, whereas other rapidly changing components are deficient.
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PMID:Temporal trends of cardiac and respiratory responses to ventilatory challenges in congenital central hypoventilation syndrome. 1502 46

Congenital Central Hypoventilation Syndrome (CCHS) patients show partial retention of peripheral chemoreception despite impaired ventilatory responses to CO2 and hypoxia. The condition allows examination of central responses to hyperoxia, which minimizes afferent traffic from peripheral chemoreceptors. We used functional magnetic resonance imaging to assess blood oxygen level-dependent signals over the brain during a baseline and subsequent 2-min hyperoxia (100% O2) period in 14 CCHS and 15 control subjects. After partitioning gray matter and correcting for global effects, the images were analyzed using volume-of-interest time trends followed by repeated-measures ANOVA and conventional cluster analyses. Respiratory rates initially (first 20 s) fell in CCHS, but rose in control subjects; CCHS heart rate increased in the first minute, and then decreased in the second minute, as in controls, but with muted rise and extent of decline. Multiple sites within the cerebellum, midbrain, and pons responded similarly to the challenge in both groups. Response patterns differed early in the right amygdala, paralleling initial respiratory pattern deficits, and late in the right insula, concomitant with cardiac rate differences. Signals also differed between groups in the medial and anterior cingulate, hippocampus, head of caudate, and lentiform nuclei, as well as pontine and midbrain structures and regions within the superior temporal and inferior frontal cortical gyri. The findings emphasize that structures that can alter respiratory timing, such as the amygdala, and modulate sympathetic outflow, such as the right insula, are deficient in CCHS. Medullary and pontine areas targeted by PHOX2B expression are also affected.
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PMID:FMRI responses to hyperoxia in congenital central hypoventilation syndrome. 1571 51

The oxygen supply to the retina in man and most mammals is derived from both the retinal and choroidal circulations. However, some mammals have only a partially vascularized retina, and some have a completely avascular retina. Here we contrast the retinal oxygen levels during systemic hyperoxia in a fully vascularized retina (rat), a partially vascularized retina (rabbit), and an avascular retina (guinea pig). Oxygen sensitive microelectrodes were used to measure the intraretinal oxygen distribution in anaesthetized rats, rabbits and guinea pigs during air breathing and 100% oxygen ventilation. In the vascularized rat retina the increase in oxygen tension in the choroid, reflected the increase in systemic oxygen levels during hyperoxic ventilation. However, the rise in oxygen levels in the inner retina was muted. In the avascular region of the partially vascularized rabbit retina, the increase in choroidal oxygen tension resulted in a large increase in oxygen tension across the full thickness of the retina. In the avascular retina of the guinea pig, very little change in choroidal or retinal oxygen tension was seen during systemic hyperoxia. Remarkably different responses to systemic hyperoxia are evident in the rat, rabbit, and guinea pig, three conventional laboratory animals that are commonly used in ophthalmic research. Neither the regulatory mechanisms responsible for the increase in oxygen consumption in the rat retina, or the stability of the choroidal oxygen tension in the guinea pig during systemic hyperoxia are currently understood. A better understanding of oxygen regulation in the mammalian retina could open up new avenues for improving the oxygen environment in the human retina in a range of ischaemic retinal diseases that account for the majority of blindness in the developed world.
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PMID:Regulation of Oxygen Tension in the Mammalian Retina During Systemic Hyperoxia Is Species Dependent. 3017 52