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ATP accelerates respiration of mitochondria from rat lung and suppresses their release of hydrogen peroxide.

Lung mitochondria were isolated by differential centrifugation from pentobarbital-anesthetized male rats. One to three millimolar Mg2+-ATP increased the consumption of oxygen of lung mitochondria oxidizing 10 mM succinate > fourfold (P < 0.01) whereas ATP increased the respiration of liver mitochondria by < 35%. ATP also hyperpolarized partially uncoupled lung mitochondria in the presence of the mitochondria-specific antagonist, oligomycin. However, only 20% of the ATPase activity in the lung mitochondria was blocked by oligomycin compared to a blockade of 91% for liver mitochondria. We investigated the effect of reducing the non-mitochondrial ATPase activity in the lung preparation. A purer suspension of lung mitochondria from a Percoll gradient was inhibited 95% by oligomycin. The volume fraction identified as mitochondria by electron microscopy in this suspension (73.6+/- 3.5%) did not differ from that for liver mitochondria (69.1+/- 4.9%). ATP reduced the mean area of the mitochondrial profiles in this Percoll fraction by 15% (P <0.01) and increased its state 3 respiration with succinate as substrate by 1.5-fold (P < 0.01) with no change in the state 4 respiration measured after carboxyatractyloside. Hence, ATP increased the respiratory control ratio (state 3/state 4, P <0.01). In contrast, state 3 respiration with the complex 1-selective substrates, glutamate and malate, did not change with addition of ATP. The acceleration of respiration by ATP was accompanied by decreased production of H2O2. Thus ATP-dependent processes that increase respiration appear to improve lung mitochondrial function while minimizing the release of reactive oxygen species.

Adenosine Diphosphate↗

Respiration characteristics in subjects diagnosed as having nasal obstruction.

The purpose of this study was to determine the respective oral and nasal contributions to total respiration in patients scheduled for surgical corrections of nasal obstruction. The effect of anterior nares expansion and/or nasal decongestant administration on the nasal component of breathing was also examined in these patients. Although variability among subjects was demonstrated in the ratio of nasal respiration to total respiration, 25% of the "nasally-obstructed" patients were 100% nasal breathers and no patient had a nasal component less than 18% of total respiration. Great variability existed among the patients in their response to nares expansion and/or decongestant administration. Collectively, they demonstrated no significant mean increase in nasal respiration with nares expansion alone. The patients demonstrated an increase with administration of the decongestant and with decongestant combined with nares expansion. The latter condition resulted in an increase that was greater than with decongestant alone. The implication of this study is that the traditional diagnostic terms "mouth breathing" or "nasal obstruction" are not useful. They do not describe the type, location, or severity of an obstruction or the relative contribution of the nose and mouth to respiration. Many patients who experience symptoms or have signs of nasal obstruction can functionally compensate to maintain 100% nasal breathing.

Adult↗

Synchronization of respiration.

In order to study synchronization of respiration, three different videofragments were presented to 21 normal subjects. Each fragment showed a 'therapeutic interview' specially performed for this purpose, with a 'patient' breathing in a particular way. The respiration of model 1 was deep, slow and clearly audible, the pattern of model 2 was rapid, superficial and slightly audible and that of model 3 was normal and hardly perceptible. The fragments were presented in three different sequences and each sequence was followed by seven subjects. Respiration amplitude (Vt), respiration irregularity (SD of Vt), respiration frequency (RF) and frequency of skin conductance responses (SCRF) were measured. Changes in mean values of these variables were demonstrated during the fragments; an increase in RF was the most pronounced and reliable change. These 'overall' physiological changes did not support the synchronization hypothesis, nor were they at variance with it: they seemed to be effects of attention. A detailed (cycle by cycle) analysis did reveal a synchronization effect in fragment 1. The number of cycles in the subject which were in rhythm with the model's respiration was significantly larger than could have been expected by chance. The effect of synchronization, however, was small and transient as it did not affect the mean RF and Vt of fragment 1.

Adult↗

Improvement of exercise capacity with treatment of Cheyne-Stokes respiration in patients with congestive heart failure.

OBJECTIVES: The aim of this study was to determine the impact of nasal nocturnal oxygen therapy on respiration, sleep, exercise capacity, cognitive function and daytime symptoms in patients with congestive heart failure and Cheyne-Stokes respiration. BACKGROUND: Cheyne-Stokes respiration is common in patients with congestive heart failure and is associated with significant nocturnal oxygen desaturation and sleep disruption with arousals. Oxygen desaturations and arousals cause an increase in pulmonary artery pressure and sympathoneural activity and therefore may reduce exercise capacity. Oxygen is an effective treatment of Cheyne-Stokes respiration and should improve exercise capacity in these patients. METHODS: The study was designed as a randomized crossover, double-blind, placebo-controlled trial: 22 patients were assigned to 1 week each of nocturnal oxygen and room air. After each week, polysomnography, maximal bicycle exercise with expiratory gas analysis and trail-making test were performed, and a health assessment chart was completed. RESULTS: Nocturnal oxygen significantly reduced the duration of Cheyne-Stokes respiration (162 +/- 142 vs. 88 +/- 105 min [mean +/- SD]; p < 0.005). Sleep improved as evidenced by less stage 1 sleep and fewer arousals (20 +/- 13 vs. 15 +/- 9/h total sleep time; p < 0.05) as well as more stage 2 and slow-wave sleep; nocturnal oxygen saturation also improved. Peak oxygen consumption during exercise testing increased after oxygen treatment (835 +/- 395 vs. 960 +/- 389 ml/min; p < 0.05). Cognitive function evaluated by the trail-making test improved, but daytime symptoms in the health assessment chart did not improve significantly. CONCLUSIONS: Successful treatment of Cheyne-Stokes respiration with nocturnal nasal oxygen improves not only sleep, but also exercise tolerance and cognitive function in patients with congestive heart failure.

Adult↗

Amphibian respiration and olfaction and their relationships: from Robert Townson (1794) to the present.

The present review examines the developments in the elucidation of the mechanisms of amphibian respiration and olfaction. Research in these two areas has largely proceeded along independent lines, despite the fact that ventilation of the nasobuccopharyngeal cavity is a basic element in both functions. The English naturalist Robert Townson demonstrated, in the 1790s, that amphibians, contrary to general belief, ventilated the lungs by a pressure-pump mechanism. Frogs and other amphibians respire by alternatively dilating and contracting the buccopharyngeal cavity. During dilatation, with the mouth and glottis closed, air is sucked in through the open nostrils to fill the cavity. During contraction of the throat, with nostrils closed and glottis open, the air in the buccopharyngeal cavity is pressed into the lungs. During expiration, the glottis and nostrils open and air is expelled from the lungs 'by their own contraction from a state of distention'. Herholdt (1801), a Danish army surgeon, independently described the buccal pressure-pump mechanism in frogs, his experiments being confirmed by the commissioners of the Société Philomatique in Paris. Haro (1842) reintroduced a suction mechanism for amphibian respiration, which Panizza (1845) refuted: excision of the tympanic membranes prevented lung inflation, the air in the buccopharyngeal cavity leaving through the tympanum holes. Closure of the holes with the fingers restored lung inflation. The importance of cutaneous respiration in frogs and other amphibians was discovered by Spallanzani (1803), who found that frogs might survive excision of the lungs and that the amounts of exhaled carbon dioxide were small compared with those eliminated through the skin. Edwards (1824) confirmed and extended Spallanzani's findings, and Regnault & Reiset (1849) attempted to establish the relative importance of skin and lungs as respiratory organs in frogs. The problem was solved by Krogh (1904a) who measured respiration through the skin and lungs separately and simultaneously. Krogh (1904a) confirmed that carbon dioxide was chiefly eliminated through the skin, correlated with its high diffusion rate in water and tissue, whereas the pattern of oxygen uptake varied seasonally, the pulmonary uptake being lower than the cutaneous during autumn and winter, but substantially higher during the breeding period. Dolk & Postma (1927) confirmed this respiratory pattern. More recently, Hutchison and coworkers have examined the relative role of pulmonary and cutaneous gas exchange in a large number of amphibians, equipped with head masks for the separate measurement of the lung respiration in normally ventilating animals (Vinegar & Hutchison, 1965; Guimond & Hutchison, 1968; Hutchison, Whitford & Kohl, 1968; Whitford & Hutchison, 1963, 1965, 1966). As early as 1758, Rösel von Rosenhof suggested that the lungs of frogs in water functioned as hydrostatic organs that permitted the animal to float at the surface or rest on the bottom of the pond. The suggestion was inspired by observations made in the second half of the seventeenth century by members of the Royal Academy of Sciences in Paris. The French anatomists demonstrated that a tortoise, presumably the European freshwater turtle Emys orbicularis, could regulate its buoyancy by changing the volume of the lungs, to descend passively or ascend in the water. The hydrostatic function of the lungs has been repeatedly rediscovered, by Emery (1869) in the frog, by Marcacci (1895) in frogs, toads and salamanders, by Whipple (1906b) in a newt, by Willem (1920, 1931) in frogs and Xenopus laevis, by Speer 1942) in several anurans and urodeles, and finally by de Jongh (1972) in Xenopus laevis. In the second half of the nineteenth century a number of important papers appeared which confirmed and extended Townson's (1794) and Panizza's (1845) analysis of the normal respiratory movements in frogs. (ABSTRACT TRUNCATED)

Amphibians↗

Association between estrus cycle-related changes in respiration and estrus cycle-related aggression in outbred female Wistar rats.

Premenstrual dysphoric disorder is characterized by irritability surfacing during the luteal phase of the menstrual cycle, and disappearing shortly after the onset of menstruation. Although the cardinal symptoms of premenstrual dysphoria are different from those of panic disorder, the two conditions share a number of traits indicating that they both may be associated with abnormalities in the regulation of respiration. Both subjects with panic disorder and subjects with premenstrual dysphoria are hence reported to display enhanced respiratory variability, and to experience anxiety when exposed to CO(2). In the present study, the possible influence of the estrus cycle on respiratory parameters in outbred female rats of the Wistar strain was investigated. Before being tested with respect to respiration, the rats were subdivided into two groups: those displaying estrus cycle-related variation in aggression, as evaluated using the resident intruder paradigm, and those not showing aggression throughout the cycle. Whereas the former group was found to display higher respiratory rate during the diestrus phase than during the proestrus/estrus phase, no cycle-related variation in respiration was observed in animals not showing cycle-related variation in aggression. The results support previous studies indicating that the estrus cycle exerts an influence on respiration, and suggest that rats prone to cycle-related aggression are more sensitive also to the influence of hormonal cyclicity on respiration. The possible bearing of these findings for the aberration in respiration displayed by subjects with premenstrual dysphoria is discussed.

Aggression↗

Senescence-associated changes in respiration and oxidative phosphorylation in primary human fibroblasts.

Limitation of lifespan in replicative senescence is related to oxidative stress, which is probably both the cause and consequence of impaired mitochondrial respiratory function. The respiration of senescent human diploid fibroblasts was analysed by high-resolution respirometry. To rule out cell-cycle effects, proliferating and growth-arrested young fibroblasts were used as controls. Uncoupled respiration, as normalized to citrate synthase activity, remained unchanged, reflecting a constant capacity of the respiratory chain. Oligomycin-inhibited respiration, however, was significantly increased in mitochondria of senescent cells, indicating a lower coupling of electron transport with phosphorylation. In contrast, growth-arrested young fibroblasts exhibited a higher coupling state compared with proliferating controls. In intact cells, partial uncoupling may lead to either decreased oxidative ATP production or a compensatory increase in routine respiration. To distinguish between these alternatives, we subtracted oligomycin-inhibited respiration from routine respiration, which allowed us to determine the part of respiratory activity coupled with ATP production. Despite substantial differences in the respiratory control ratio, ranging from 4 to 11 in the different experimental groups, a fixed proportion of respiratory capacity was maintained for coupled oxidative phosphorylation in all the experimental groups. This finding indicates that the senescent cells fully compensate for increased proton leakage by enhanced electron-transport activity in the routine state. These results provide a new insight into age-associated defects in mitochondrial function and compensatory mechanisms in intact cells.

Aging↗

Psychological problems associated with the wearing of industrial respirators: a review.

This review has dealt with the psychological problems associated with the use of industrial respirators. The need for men and women to wear various self contained breathing apparatus (SCBA) while working in hostile environments such as toxic and oxygen deficient atmospheres is well documented. Extensive research has been carried out in an attempt to improve the design of respirators, and major advances have resulted in the manufacture of SCBA that insure health, safety, and performance. Indeed, recent research reveals that performance decrements associated with the wearing of respirators are due entirely to pak weight; that is, breathing resistance no longer appears to be a significant problem in most cases. Despite the fact that major advances have taken place in the design of respirators, it is still widely recognized that "psychological" problems continue to exist. Unfortunately, very little research has been directed toward an understanding of the "person" component of the respirator-person interface; that is, research has focused on respirator variables with little attention paid to person variables. While it has been proposed that certain "types" of individuals be eliminated from work tasks requiring the wearing of SCBA, there has not been a concise diagnostic statement presented to enable such a screening approach to be adopted.

Anxiety↗

Effects of respirators under heat/work conditions.

Physiological responses and perceived strain of five unacclimatized male subjects were studied. The subjects were exposed to heat during an exercise task and were evaluated while wearing half and full facepiece, cartridge-type, air-purifying respirators, and without a respirator. The exercise consisted of walking on a treadmill for a period of 1 hour in a controlled environmental chamber at each of two different energy expenditure levels (200 and 400 Kcal/hr) (approximately equal to 58 and 116 Watts) and two different heat exposures (air temperatures of 25 degrees C and 43.3 degrees C). The results indicated that wearing a full facepiece respirator imposed significant physiological strain added to that caused by the heat and workloads used in the study. Five of the six physiological measures show this increased physiological strain: heart rate; minute ventilation; oxygen consumption; energy expenditure; and oral temperature. There was no detectable effect on sweat rate. Although subjective ratings indicated more discomfort with increasing physiological strain, the observed correlations between such measures were low (Tb less than .60). The net consequence of the significant effects indicates that workers' tolerance to moderate or higher levels of work under hot conditions while wearing a respirator is reduced. The reduction is more pronounced when wearing a full mask than when wearing a half mask. Changes in respirator design which minimize respiratory dead space are suggested to alleviate this problem. Otherwise, prevention of excessive physiological strain from respirator use when working at moderate or higher levels at hot job sites could necessitate more rest breaks or limiting work time under such conditions.

Adult↗

Respiration and intensity dependence of photosynthesis in Chlorella.

1. Respiration changes as a result of illumination. 2. In the absence of glucose or other supply of substrate, respiration decays in the dark showing at least two types-a fast decay in a few minutes and a slow decay lasting hours. 3. Respiratory response to illumination is delayed. 4. Intermittent illumination (in the absence of glucose, etc.) produces a periodic variation in respiration with a delay or phase lag. 5. Periodic variation of respiration may produce a higher average value in the dark than in the light due to the lag and depending upon the period of intermittent illumination. 6. Based upon average respiration values our data confirm the Kok effect. 7. Interpolated values of respiration, however, result in photosynthetic rates which are linearly dependent upon intensity of illumination. 8. Thus the quantum efficiency is found to be independent of intensity, over the wide range of intensities investigated.

Cell Respiration↗

Respiration response curve analysis of heart rate variability.

A noninvasive study was conducted on intact awake humans to characterize the dynamic response of the heart to the vagus during slow-, comfortable-, and fast-paced respiration (8, 12, and 18 breaths/min), under both sitting and standing conditions. The respiration response curve (RRC) of respiration-associated vagal effects on the heart was estimated, and characteristics of entrainment and frequency dependence on respiration were demonstrated. It was shown that the degree of entrainment and magnitude of phase resetting decrease with increase of pacing rate from 8 to 18 breaths/min. Further, the RRC was examined by overlapping equivalent phase shifts in different respiration cycles. This examination of the RRC can help us not only to find the common pattern underlying the RRC during different respiration cycles but also to perceive its variation related to degree of entrainment.

Electrocardiography↗

Mitochondrial efficiency in rat skeletal muscle: influence of respiration rate, substrate and muscle type.

AIM: To investigate the hypothesis that mitochondrial efficiency (i.e. P/O ratio) is higher in type I than in type II fibres during submaximal rates of respiration. METHODS: Mitochondria were isolated from rat soleus and extensor digitorum longus (EDL) muscles, representing type I and type II fibres, respectively. Mitochondrial efficiency (P/O ratio) was determined with pyruvate (Pyr) or palmitoyl-l-carnitine (PC) during submaximal (constant rate of adenosine diphosphate infusion) and maximal (V(max), state 3) rates of respiration and fitted to monoexponential functions. RESULTS: There was no difference in V(max) between PC and Pyr in soleus but in EDL V(max) with PC was only 58% of that with Pyr. The activity of 3-hydroxyacyl-CoA dehydrogenase was threefold higher in soleus than in EDL. P/O ratio at V(max) was 8-9% lower with PC [2.33 +/- 0.02 (soleus) and 2.30 +/- 0.02 (EDL)] than with Pyr [2.52 +/- 0.03 (soleus) and 2.54 +/- 0.03 (EDL)] but not different between the two muscles (P > 0.05). P/O ratio was low at low rates of respiration and increased exponentially when the rate of respiration increased. The asymptotes of the curves were similar to P/O ratio at V(max). P/O ratio at submaximal respirations was not different between soleus and EDL neither with Pyr nor with PC. CONCLUSION: Mitochondrial efficiency, as determined in vitro, was not significantly different in the two fibre types neither at V(max) nor at submaximal rates of respiration. The low V(max) for PC oxidation in EDL may relate to low activity of beta-oxidation.

Adenosine Diphosphate↗

The ars detoxification system is advantageous but not required for As(V) respiration by the genetically tractable Shewanella species strain ANA-3.

Arsenate [As(V); HAsO(4)(2-)] respiration by bacteria is poorly understood at the molecular level largely due to a paucity of genetically tractable organisms with this metabolic capability. We report here the isolation of a new As(V)-respiring strain (ANA-3) that is phylogenetically related to members of the genus Shewanella and that also provides a useful model system with which to explore the molecular basis of As(V) respiration. This gram-negative strain stoichiometrically couples the oxidation of lactate to acetate with the reduction of As(V) to arsenite [As(III); HAsO(2)]. The generation time and lactate molar growth yield (Y(lactate)) are 2.8 h and 10.0 g of cells mol of lactate(-1), respectively, when it is grown anaerobically on lactate and As(V). ANA-3 uses a wide variety of terminal electron acceptors, including oxygen, soluble ferric iron, oxides of iron and manganese, nitrate, fumarate, the humic acid functional analog 2,6-anthraquinone disulfonate, and thiosulfate. ANA-3 also reduces As(V) to As(III) in the presence of oxygen and resists high concentrations of As(III) (up to 10 mM) when grown under either aerobic or anaerobic conditions. ANA-3 possesses an ars operon (arsDABC) that allows it to resist high levels of As(III); this operon also confers resistance to the As-sensitive strains Shewanella oneidensis MR-1 and Escherichia coli AW3110. When the gene encoding the As(III) efflux pump, arsB, is inactivated in ANA-3 by a polar mutation that also eliminates the expression of arsC, which encodes an As(V) reductase, the resulting As(III)-sensitive strain still respires As(V); however, the generation time and the Y(lactate) value are two- and threefold lower, respectively, than those of the wild type. These results suggest that ArsB and ArsC may be useful for As(V)-respiring bacteria in environments where As concentrations are high, but that neither is required for respiration.

Arsenates↗

Hemodynamics, cerebral circulation, and oxygen saturation in Cheyne-Stokes respiration.

Because cardiovascular disorders and stroke may induce Cheyne-Stokes respiration, our purpose was to study the interaction among cerebral activity, cerebral circulation, blood pressure, and blood gases during Cheyne-Stokes respiration. Ten patients with heart failure or a previous stroke were investigated during Cheyne-Stokes respiration with recordings of daytime polysomnography, cerebral blood flow velocity, intra-arterial blood pressure, and intra-arterial oxygen saturation with and without oxygen administration. There were simultaneous changes in wakefulness, cerebral blood flow velocity, and respiration with accompanying changes in blood pressure and heart rate approximately 10 s later. Cerebral blood flow velocity, blood pressure, and heart rate had a minimum occurrence in apnea and a maximum occurrence during hyperpnea. The apnea-induced oxygen desaturations were diminished during oxygen administration, but the hemodynamic alterations persisted. Oxygen desaturations were more severe and occurred earlier according to intra-arterial measurements than with finger oximetry. It is not possible to explain Cheyne-Stokes respiration by alterations in blood gases and circulatory time alone. Cheyne-Stokes respiration may be characterized as a state of phase-linked cyclic changes in cerebral, respiratory, and cardiovascular functions probably generated by variations in central nervous activity.

Aged↗

Influence of Cheyne-Stokes respiration on ventricular response to atrial fibrillation in heart failure.

In subjects with sinus rhythm, respiration has a profound effect on heart rate variability (HRV) at high frequencies (HF). Because this HF respiratory arrhythmia is lost in atrial fibrillation (AF), it has been assumed that respiration does not influence the ventricular response. However, previous investigations have not considered the possibility that respiration might influence HRV at lower frequencies. We hypothesized that Cheyne-Stokes respiration with central sleep apnea (CSR-CSA) would entrain HRV at very low frequency (VLF) in AF by modulating atrioventricular (AV) nodal refractory period and concealed conduction. Power spectral analysis of R-wave-to-R-wave (R-R) intervals and respiration during sleep were performed in 13 subjects with AF and CSR-CSA. As anticipated, no modulation of HRV was detected at HF during regular breathing. In contrast, VLF HRV was entrained by CSR-CSA [coherence between respiration and HRV of 0.69 (SD 0.22) at VLF during CSR-CSA vs. 0.20 (SD 0.19) at HF during regular breathing, P < 0.001]. Comparison of R-R intervals during CSR-CSA demonstrated a shorter AV node refractory period during hyperpnea than apnea [minimum R-R of 684 (SD 126) vs. 735 ms (SD 147), P < 0.001] and a lesser degree of concealed conduction [scatter of 178 (SD 56) vs. 246 ms (SD 72), P = 0.001]. We conclude that CSR-CSA entrains the ventricular response to AF, even in the absence of HF respiratory arrhythmia, by inducing rhythmic oscillations in AV node refractoriness and the degree of concealed conduction that may be a function of autonomic modulation of the AV node.

Aged↗

Effects of swallowing on the pattern of continuous respiration in human adults.

Swallowing must interact with respiration so that a swallow causes minimal or no disturbance of continual respiration. In order to study the coordinate control of swallowing and respiration, we investigated the effects of spontaneous and water-induced swallows on the pattern of ongoing respiration in 8 adult human subjects. Swallows were identified by submental electromyograms and visual observation of the characteristic laryngeal movements. Both spontaneous and water-induced swallows occurred during all phases of the respiratory cycle, but approximately 80% of swallows occurred during the expiratory phase. No essential difference between spontaneous and water-induced swallows in the effects of the swallowing on respiration was observed. A swallow coinciding with the expiratory phase prolonged the duration of the same expiration that had been interrupted, whereas a swallow coinciding with the inspiratory phase interrupted the inspiration immediately and was followed by a short expiratory duration. There was a positive correlation between the time from the onset of the expiration to the onset of the swallowing and the duration of the expiration interrupted by the swallowing, indicating that the later the onset of the swallowing takes place, the more is the expiration prolonged. The duration of respiratory cycle in the breaths immediately following the swallow was not affected by the swallow, but there was a considerable increase in the tidal volume of the postswallowing breaths. These results suggest that the changes in respiratory pattern induced by the act of swallowing may depend on some mechanism that regulates the coordination of respiration and swallowing.

Adult↗

Cheyne-Stokes respiration in patients hospitalised for heart failure.

BACKGROUND: Previous studies showing a strong relationship between Cheyne-Stokes respiration and the severity of left ventricular systolic dysfunction have usually been done in selected patient populations with lower age and a higher proportion of males than the "typical" in-hospital patient with heart failure. The purpose of the present study was test the strength of this relationship in unselected patients admitted to hospital due to decompensated chronic heart failure. METHODS: We evaluated 191 patients (32% women), mean age 73 years, ready for discharge from the heart failure unit in the University Hospital of Malmo, Sweden. The patients underwent echocardiography for determination of left ventricular ejection fraction and left ventricular inner diastolic diameter. A respiratory investigation during sleep was performed the last night before discharge. RESULTS: We found that 66% of the patients had Cheyne-Stokes respiration more than 10% of the total recording time. Only 7 (3.6%) of the patients had predominantly obstructive apnoeas. There was a significant but very weak relationship between left ventricular ejection fraction and left ventricular inner diastolic diameter on one hand and Cheyne-Stokes respiration on the other. Age was a stronger determinant of Cheyne-Stokes respiration than any of the cardiac or other clinical variables. CONCLUSION: Although presence of Cheyne-Stokes respiration indicates left ventricular dysfunction, its severity seems only weakly related to the severity of heart failure. Age was found to be a stronger determinant, which may reflect the underlying age-dependency found also in healthy subjects. Due to age restrictions or other selection criteria, the importance of age may have been underestimated in many previous studies on factors associated with Cheyne-Stokes respiration.

Age Distribution↗

Inhibition of cellular respiration by endogenously produced carbon monoxide.

Endogenously produced nitric oxide (NO) interacts with mitochondrial cytochrome c oxidase, leading to inhibition of cellular respiration. This interaction has been shown to have important physiological and pathophysiological consequences. Exogenous carbon monoxide (CO) is also known to inhibit cytochrome c oxidase in vitro; however, it is not clear whether endogenously produced CO can inhibit cellular respiration and, if so, what the significance of this might be. In this study, we show that exogenous CO inhibits respiration in a moderate but persistent manner in HEK293 cells under ambient (21%) oxygen concentrations (K(i) = 1.44 microM). This effect of CO was increased (K(i) = 0.35 microM) by incubation in hypoxic conditions (1% oxygen). Endogenous CO, generated by HEK293 cells transfected with the inducible isoform of haem oxygenase (haem oxygenase-1; HO-1), also inhibited cellular respiration moderately (by 12%) and this was accompanied by inhibition (23%) of cytochrome c oxidase activity. When the cells were incubated in hypoxic conditions during HO-1 induction, the inhibitory effect of CO on cell respiration was markedly increased to 70%. Furthermore, endogenously produced CO was found to be responsible for the respiratory inhibition that occurs in RAW264.7 cells activated in hypoxic conditions with lipopolysaccharide and interferon-gamma, in the presence of N-(iminoethyl)-L-ornithine to prevent the synthesis of NO. Our results indicate that CO contributes significantly to the respiratory inhibition in activated cells, particularly under hypoxic conditions. Inhibition of cell respiration by endogenous CO through its interaction with cytochrome c oxidase might have an important role in inflammatory and hypoxic conditions.

Animals↗