Humoral control
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Humoral control refers to those factors in the body fluids that influence ventilation like CO2, O2 and H+ .
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Their concentrations in the blood affect alveolar ventilation in several ways:
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Carbon dioxide increase causes alveolar ventilation to increase; its decrease causes alveolar ventilation to decrease.
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H+ increase causes alveolar ventilation to increase; its decrease causes alveolar ventilation to decrease.
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Oxygen decrease causes alveolar ventila tion to increase; its increase causes alveolar ventilation to decrease.
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The respiratory system functions to bring in O2 and eliminate CO2 from the body. This function is assisted by specialized receptors called chemoreceptors that monitor the levels of CO2, O2 and H+, and then send such information to the respiratory center.
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These chemoreceptors are located in several locations. There are central chemoreceptors found in the medulla oblongata that respond to changes in cerebrospinal fluid H+ and PCO2. Because of the much greater diffusibility of carbon dioxide, as compared with H+, it is distributed more quickly from the blood to the interstitial fluid of the medulla and to the cerebrospinal fluid than hydrogen ions.
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The H+ concentration of the interstitial fluid of the brain stem is the deciding stimulus for respiratory drive. The influence of CO2 is exerted by its conversion to H+ through the hydration reaction.
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Peripheral chemoreceptors include the aortic bodies and carotid bodies whose removal eliminates a respiratory response to hypoxia.
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The aortic bodies are a cluster of chemoreceptors in the aortic arch; the carotid bodies are oval nodules in the wall of the left and right common carotid arteries, where they bifurcate into the internal and external carotid arteries.
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Axons from the chemoreceptors in the aortic bodies are part of the vagus nerve (cranial nerve X), whereas those of the carotid bodies project in the glossopharyngeal nerves (cranial nerve IX).
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The levels of CO2 and H+ are highly correlated.
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Throughout the body, CO2 is quickly converted to carbonic acid catalyzed by the enzyme carbonic anhydrase. Carbonic acid dissociates into HC03- and H+. Therefore, increase in PCO2 lead to increases in H+ while decreases in CO2 lead to decreases in H+. As a result, has a large affect on respiration, whereas P O2 affects respiration only if its levels change substantially.
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Increases in arterial blood CO2, called hypercapnia, cause an increase in H+. This has a particularly large effect on central chemoreceptors since there is little protein within the cerebrospinal fluid to buffer the H+. Activation of the central chemoreceptors causes increased respiration rate, possibly causing hyperventilation. Conversely, low arterial blood CO2, called hypocapnia, inhibits respiration. Large drops in arterial PO2 increase ventilation by stimulating peripheral chemoreceptors.
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Last modified: Monday, 26 December 2011, 10:08 AM