MadSci Network: Medicine |
When you breathe in, the oxygen (O2) in the air seeps into the blood circulating just below the surface of your lungs. That blood is then circulated around your body to reach all its cells (which depend on oxygen, amongst other things, to stay alive). At the same time, you are breathing out carbon dioxide (CO2, produced by the body's cells during normal metabolism). If you don't breathe fast enough, your body's cells continue to absorb oxygen from the blood, but they do so faster than you are taking it in - so the level of O2 in your blood decreases. Because you are not breathing out enough CO2 either, its levels increase, forming carbonic acid (H2CO3) in the blood. The part of the brainstem known as the medulla contains the brain's respiratory centre, which is in charge of the (entirely automatic) process of breathing. A nearby part of the medulla, and small bundles of cells just off the carotid artery and aorta (known as the carotid and aortic bodies, respectively) contain chemoreceptors, which are specialised cells that are programmed to signal the brain when local chemical conditions change. Peripheral chemoreceptors in the carotid and aortic bodies detect the increase in acidity (i.e. lower pH) caused by higher levels of CO2 (and reduced O2) when you are not breathing fast enough. They then transmit signals to the medulla's respiratory centre which instruct it to increase the rate at which you breathe until you have taken in enough oxygen for O2/CO2 levels to return to normal. The resulting resulting increase in pH is also signalled by the chemoreceptors). The neural mechanisms are better understood for the carotid bodies, which are easier to study because of their anatomical location, than for the aortic bodies. Carotid bodies transmit their neural signal via the carotid sinus and glossopharyngeal nerves to the respiratory centre in the medulla. The frequency at which the nerves fire increases exponentially as blood levels of O2 fall and/or levels of CO2 rise. Incidentally, the system is much more sensitive to changes in CO2 levels than to changes in the amount of O2 in the blood (this stems from experiments where levels of one are held at a constant level while the other is varied). Central chemoceptors in the medulla which influence breathing rates do not respond directly to O2/CO2 levels, but actually reflect the concentration of hydrogen ions (H+). The medulla, like the rest of the brain, is surrounded by cerebrospinal fluid (CSF), which is protected from most of the (potentially harmful) substances in the bloodstream by a membrane called the 'blood-CSF barrier'. However, one of the substances that can get through the blood-CSF barrier is CO2. It diffuses across the barrier, and is hydrated to form carbonic acid (H2CO3), which then dissociates into hydrogen ions H+ and bicarbonate (HCO3-). So, the higher the blood CO2 level, the higher the CSF concentration of H+. This leads to the H+ sensitive chemoceptors in the medulla firing more often, and is detected by the respiratory centre as a signal to speed up the rate of breathing and so bring down the concentration of CO2. Of course if you are breathing too fast instead of too slowly, the whole process occurs in reverse to lower the levels of blood O2 and raise levels of CO2 until the blood's pH is within normal limits. The respiratory centre detects that the right levels have been reached when an appropriate number of nerve impulses is received from the chemoreceptors within a given period of time. I hope this helps to answer your question. For more detail (and diagrams!) try the following books (more recent editions are probably available but not sure if the page numbers will still be the same): A.J. Vander, J.H. Sherman and D.S. Luciano: Human Physiology, 4th edition - especially the chapter on respiration, in particular pages 410-414. W.F. Ganong: Review of Human Physiology, 12th Edition. See page 552 for more detailed explanation of innervation of carotid/aortic bodies; M.J.T.FitzGerald: Neuroanatomy, Basic and Applied. Pp 263-265. This one has pictures based on electron micrographs showing what is happening in the carotid body at a cellular level.
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