Neuro and chemical control of breathing Flashcards

(38 cards)

1
Q

Describe the involuntary and voluntary input of neural input in breathing

A

Tidal breathing- involuntary

IRV, ERV, breathing frequency- voluntary

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2
Q

What maintains ventilatory homeostasis?

A

Chemo-receptive inputs monitor plasma and cerebral spinal fluid composition

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3
Q

Where are the respiratory centres of the brain?

A

Brain stem under hypathalamus ; pons and medulla

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4
Q

What are the two centres of the control centres in the brains tem called?

A

Pons respiratory center

Medulla respiratory centre

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5
Q

What centres are within the pons respiratory?

A

Pneumotaxic center

Apneustic center

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6
Q

What centres are within the medulla respiratory?

A

Pre-Botzinger complex
Dorsal respiratory complex
Ventral respiratory complex

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7
Q

What groups do inspratory group require?

A

Dorsal and ventral respirator group

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8
Q

What groups do expiratory group require?

A

Mainly from Pre-botzinger complex in ventral respirator group

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9
Q

Describe the dorsal respiratory group (DRG)

A
  • Inspiratory control
  • Located within the nucleus tracts solitaires and is dorsal to VRG
  • Site of sensory info input
  • Site of central chemoreceptor input
  • Some premotor neurons
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10
Q

Describe the ventral respiratory group (VRG) and what 3 regions it spans within the medulla

A

Rostral - Expiration control (Botzzinger complex)
Intermediate- Inspiration control mediated through Pre-botzinger complex - thought to be site of respiratory pattern generator
Caudal- Expiration control

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11
Q

Describe the innervation of the respiratory muscles-nerves

A

Hypoglossal nerve
Laryageal
Carotid sinus- Peripheral chemoreceptor feedback

Vagus nerve- Breathing frequency and volume

Intercostal nerve- Respiratory muscles

Phrenic nerve- Diaphragm inspiration control

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12
Q

Why are expiratory muscles passive during quiet breathing?

A

Elastic recoil pressure is sufficient

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13
Q

What muscles are required during forced expiration?

A

Abdominal wall

Internal intercostals

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14
Q

What is a respiratory rhythm generator?

A

A network of interneurons that produce a predictable and repetitive motor pattern. In the case of breathing, inspiratory neurons must be activated before expiratory neurons

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15
Q

What are properties of RRG?

A
  • Always active even in the absence of concious input (endogenous cyclical oscillation)
  • Transmit in an orderly sequence to respiratory muscles
  • Respond to inputs from other parts of the brain (eg limbic system-emotions as well as sensory afferents(eg pulmonary stretch receptors, peripheral chemoreceptors))
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16
Q

What are the three recognised phases of breathing?

A

Inspiration
Post-inspiration
Late expiration

17
Q

What are the 6 types of neuronal discharge released from phases of breathing?
I (inspiration)
E (expiration)

A
Pre-I
Early-I
I
Late-I
Early-I
E
18
Q

What happens in Phase 1?

A

Neurons inhibit expiratory neural circuit

Expiratory muscles relax

19
Q

What happens during Early-I?

A

Early-I neurons inhibit output from entire RRG

Refractory period. No breathing movements

20
Q

What happens during I?

A

Neurons ramp fire. As frequency increases so more I neurons contribute. Activate motorneuron circuit to inspiratory muscles and inhibit E and Pre-I neural circuits
Inspiratory muscles contract as intensity of I firing increases Exp muscles relaxed

21
Q

What happens during Late-I?

A

Neurons feedback to suppress I neuronal firing when at peak intensity. May involve stretch receptor input (eg from vagus)
Inspiratory muscles relax and lung begins to deflate due to elastic recoil

22
Q

What happens during Early-E?

A

Neurons repress all I and E neuronal firing. Creates refractory period at peak inhalation
Inspiratory muscles relax and lung begins to deflate by elastic recoil

23
Q

What happens during E?

A

Neurons ramp fire. Activate motoneuron circuit to expiratory muscles. Major point of conscious inout into breathing (eg during exercise)
Expiratory muscles contract as e firing intensity increases Insp muscles relaxed

24
Q

What nerve innervtaes diaphragm?

A

Phrenic nerve

25
What happens if there is an increase in tidal volume?
Breathing frequency remains same | Stronger diaphragm contraction and deeper breathing
26
What is involved in the regualtion of involuntary breathing?
Controller which recieves sensors that turn into effectors
27
What are central chemoreceptors?
Monotor pCO2 in cerebral spinal fluid
28
What are peripheral chemoreceptors?
``` Carotid body (blood) Neuroepithelial bodies (airways) ```
29
Where are central chemoreceptors located and what is their contribution to normal control of breathing?
Medulla (surface) | 80%
30
Where are peripheral chemoreceptors located and what is their contribution to normal breathing?
Arterial vasculature and airway | 20%
31
How is CO2 carried in blood?
HCO3 bicarbonate
32
What are very sensitive to changing pCO2? | And what makes the response even steeper?
Central chemoreceptors | Hypoxia allows for a bigger change in Ve per pACO2-brings cells closer to firing threshold
33
What does hyperventilation do to pACO2? Explain a shallow water blackout
Drives it down Then O2 is consumed during breath hold dive Low central chemoreceptor sensitivity (caused by breath-holding training) fails to trigger breathing response in time to prevent severe hypoaemia This causes a loss of consciousness and drowning
34
Peripheral chemoreceptors are located where?
Carotid body- carotid sinus | Aortic body- aortic arch
35
What is a peripheral chemoreceptor's primary response to?
Hypoxia Also hypercapnia and acidosis
36
Is the response to hypoxia linear?
No - driven by low low partial pressure of O2
37
Describe the basics of the cellular mechanism of chemoreception
O2 DECREASE, pH DECREASE, CO2 INCREASE-Causes depolarisation of O2 or pH sensor This causes an opening of voltage gated calcium channels where Ca2+ enters the cell There is then a release of neurotransmitters into the glossopharyngeal nerve and into the brain stem or either DRG or RRG Brain stem- Hypoxic ventilatory response DRG RRG- Hypoxic pulmonary vasoconstrictor response (rise in pulmonary artery pressure)
38
What channels regulate chemoreceptor membrane potential?
K+ channels