Respiratory influences on sympathetic vasomotor outflow in humans
Abstract
We have attempted to synthesize findings dealing with four types of respiratory system influences on sympathetic outflow in the human. First, a powerful lung volume-dependent modulation of muscle sympathetic nerve activity (MSNA) occurs within each respiratory cycle showing late-inspiratory inhibition and late-expiratory excitation. Secondly, in the intact human, neither reductions in spontaneous respiratory motor output nor voluntary near-maximum increases in central respiratory motor output and inspiratory effort, per sec, influence MSNA modulation within a breath, MSNA total activity or limb vascular conductance. Thirdly, carotid chemoreceptor stimuli markedly increase total MSNA; but most of the MSNA response to chemoreceptor activation appears to be mediated independently of increased central respiratory motor output. Fourthly, repeated fatiguing contractions of the diaphragm or expiratory muscles in the human show a metaboreflex mediated time-dependent increase in MSNA and reduced vascular conductance and blood flow in the resting limb. Recent evidence suggests that these respiratory influences contribute significantly to sympathetic vasomotor outflow and to the distribution of systemic vascular conductances and blood flow in the exercising human.
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Studies in healthy subjects suggest that high levels of respiratory muscle work may result in a sympathetically mediated metaboreflex which causes redistribution of blood flow from the locomotor muscles to the respiratory muscles.
“Studies in healthy subjects suggest that high levels of respiratory muscle work may result in a sympathetically mediated metaboreflex which causes redistribution of blood flow from the locomotor muscles to the respiratory muscles.70–72”
From Pathogenesis of hyperinflation in chronic obstructive pulmonary disease (2014) · cites this paper as [72]
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- Authors
- Dempsey, J. A., Sheel, A. W., St. Croix, C. M., & Morgan, B. J.
- Affiliations
- University of Wisconsin–Madison (US)
- University of British Columbia (CA)
- Corresponding author
- Dempsey, Jerome A
- Venue
- Respiratory Physiology & Neurobiology
- Publisher
- Elsevier BV
- Published
- 2002-03
- Volume
- 130
- Issue
- 1
- Pages
- 3-20
- ISSN
- 1569-9048 (ISSN-L)
- OpenAlex
- W1977351645
- Cited by
- 162
- References
- 90
- Citations by year
- 2026: 4 · 2025: 6 · 2024: 8 · 2023: 6 · 2022: 8 · 2021: 5 · 2020: 6 · 2019: 12 · 2018: 4 · 2017: 11 · 2016: 6 · 2015: 4 · 2014: 12 · 2013: 8 · 2012: 5
- FWCI
- 0.83
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Respiratory Physiology & Neurobiology (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institutes of Health (5r29hl057401-04)
- National Heart, Lung, and Blood Institute (HL 15469, HL 57401)
- Topics
- Health Sciences › Medicine › Complementary and alternative medicine › Cardiovascular and exercise physiology
- Life Sciences › Neuroscience › Endocrine and Autonomic Systems › Neuroscience of respiration and sleep
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Heart Rate Variability and Autonomic Control
- Keywords
- muscle sympathetic nerve activity, carotid chemoreceptors, muscle metaboreflex, diaphragm fatigue, limb blood flow, inspiratory effort
- MeSH terms
- Feedback, Humans, Respiratory Physiological Phenomena, Sympathetic Nervous System, Vasoconstriction, Vasomotor System, Exercise
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Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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