Acute hyperglycemia does not affect central respiratory chemoreflex responsiveness to CO2 in healthy humans

Respir Physiol Neurobiol. 2022 Feb:296:103803. doi: 10.1016/j.resp.2021.103803. Epub 2021 Oct 12.

Abstract

The central respiratory chemoreceptor complex (CCRC) is comprised of brainstem neurons and surrounding interoceptors, which collectively increase ventilation in response to elevated brainstem tissue CO2/[H+] (i.e., central chemoreflex; CCR). The extent that the CCRC detects/responds to other metabolically related chemostimuli is unknown. We aimed to test the effects of acute oral glucose ingestion on CCR reactivity in heathy human participants (n = 38). We instrumented participants with a pneumotachometer (minute ventilation) and a gas sample line connected to a dual gas analyzer (pressure of end-tidal CO2). Following a baseline (BL) period and capillary blood [glucose] (BG) sample, fasted (F) participants underwent a modified hyperoxic rebreathing test to assess CCR reactivity. Participants then consumed a 75 g standard glucose beverage (glucose loaded; GL). Following 30-min, they underwent a second BL, BG sample and hyperoxic rebreathing test. BG and metabolic rate were higher in GL, confirming the metabolic stimulus. However, the ventilatory recruitment threshold and the CCR responses were unchanged between F and GL states.

Keywords: Acute hyperglycemia; Central chemoreceptors; Central respiratory chemoreflex; Hypercapnia; Hyperoxia; Peripheral chemoreceptors.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Acute Disease
  • Adult
  • Brain Stem / metabolism*
  • Carbon Dioxide / metabolism*
  • Chemoreceptor Cells / metabolism*
  • Female
  • Humans
  • Hypercapnia / metabolism*
  • Hyperglycemia / metabolism*
  • Interoception / physiology*
  • Male
  • Reflex / physiology*
  • Respiration*
  • Young Adult

Substances

  • Carbon Dioxide