J Appl Physiol Articles in PresS. Published on August 16, 2002 as DOI 10.1152/japplphysiol.01108.2001 JAP 1108-2001.R2 1 Ventilation-perfusion inequality during normoxic and hypoxic exercise in the emu P.M. Schmittb,+, F.L. Powella,b, and S.R. Hopkinsa* a Department of Medicine, University of California San Diego, 9500 Gilman Drive, 0623A, La Jolla, CA 92093-0623 b White Mountain Research Station, University of California San Diego, 9500 Gilman Dr. 0689, La Jolla, CA 92093-0689 Susan R. Hopkins, M.D., Ph.D. Department of Medicine University of California, San Diego 9500 Gilman Drive, 0623A La Jolla, CA 92093-0623 Tel: (858) 534-2680 Fax: (858) 534-4812 Email: [email protected] + Current Address: Department of Internal Medicine University of California, Davis One Shields Avenue Davis, CA 95616-8636 Copyright 2002 by the American Physiological Society. Downloaded from http://jap.physiology.org/ by 10.220.33.3 on June 15, 2017 *Corresponding Author: JAP 1108-2001.R2 2 Abstract: Many avian species exhibit an extraordinary ability to exercise under hypoxic condition compared to mammals and more efficient pulmonary oxygen transport has been hypothesized to contribute to this avian advantage. We studied 6 Emus (Dromaius novaehollandaie, 4-6 months old, 2540 kg) at rest and during treadmill exercise in normoxia (N) and hypoxia (H; FIO2≈0.13). The multiple . . inert gas elimination technique (MIGET) was used to measure V/Q distribution of the lung and calculate . . cardiac output ( Q T ) and parabronchial ventilation ( VP ). In both N and H, exercise increased PaO2 and . . decreased PaCO2, reflecting hyperventilation, while pH remained unchanged. The V/Q distribution was . unimodal with a log standard deviation of Q distribution = 0.60±0.06 at rest, this did not change conditions. CO2 elimination was enhanced by hypoxia and exercise but O2 exchange was not affected by exercise in normoxia or hypoxia. The stability of ventilation-perfusion matching under conditions of hypoxia and exercise may be advantageous for birds flying at altitude. Keywords: Inert gases, comparative gas exchange, altitude, birds. Downloaded from http://jap.physiology.org/ by 10.220.33.3 on June 15, 2017 significantly with either exercise or hypoxia. Intrapulmonary shunt was <1% of the cardiac output in all JAP 1108-2001.R2 3 Introduction Birds are known for their extreme tolerance to hypoxia, and the ability to cope with high oxygen demands in hypoxia. For example, Barheaded geese use energetically expensive flapping flight to migrate at altitudes that would render an unacclimatized human unconscious (26). In hummingbirds, hovering flight results in the highest mass specific oxygen uptake in an exercising vertebrate, and this can be maintained up to simulated altitudes of 6 km (1). One of the most obvious differences in oxygen transport between birds and mammal is the unique structure of their respiratory systems (17). The confer an advantage for birds over mammals during exercise at altitude (16, 25). For instance, the crosscurrent model of gas exchange for avian lungs predicts a negative expired-arterial PO2 difference, while the best that can be achieved in mammals is zero. The quantitative role of cross-current gas exchange in explaining the abilities of birds at altitude is not clear, however. For example, in extreme hypoxia, the advantage of cross-current gas exchange, compared to alveolar gas exchange, is predicted to decrease (25). However, at an altitude equivalent to the summit of Mount Everest, cross-current exchange is still predicted to provide an advantage over alveolar exchange equivalent to descending 700m (25). Experiments on birds exercising in normoxia show that gas exchange is similar to mammals (reviewed by ref. 17). The only studies on birds exercising in hypoxia that have measured all of the necessary data to calculate O2 exchange efficiency, were done on Barheaded geese and Pekin ducks running on a treadmill (6,14). However, maximal O2 consumption was . not reached by these flying birds during running exercise, and the measured VO2 increased 1.5 to 3 fold, i.e. much less than the levels expected during flapping flight to reach high altitudes. Another limitation of previous studies is the inability to distinguish between the different physiological factors that prevent gas exchange from operating at ideal levels. The main factors are . . ventilation-perfusion (V/Q) heterogeneity and diffusion limitation. Distinguishing between these factors is complicated because ventilation-perfusion heterogeneity can affect gas exchange "as if" there were a Downloaded from http://jap.physiology.org/ by 10.220.33.3 on June 15, 2017 structure-function relationship of the avian respiratory system has been modeled and is hypothesized to JAP 1108-2001.R2 4 . . diffusion limitation. However, the consequences of V/Q heterogeneity and diffusion limitation are not necessarily the same under different conditions, (e.g. hypoxia and normoxia), so one cannot extrapolate from experimental measurements to other interesting situations in nature. Therefore, this study was designed to quantify O2 exchange and ventilation-perfusion heterogeneity in birds exercising in normoxia and hypoxia. We chose emus because running is their normal mode of locomotion. Running emus are capable of obtaining O2 consumption rates (corrected for body mass) that are equivalent to flying birds and are significantly greater than rates measured during We hypothesized that the avian lung would show improved efficiency of gas exchange during hypoxia exercise compared to mammals. Methods This study was approved by the Animal Subjects committee of the University of California, San Diego. Starting at 2 weeks of age, eleven Emus, were trained to run on a treadmill (Jager, Model#8203410H3N, Jaeger Hoechberg, Germany) wearing a light weight plastic mask constructed in our laboratory. Six of the emus of either gender, aged 4-6 months, who were the best runners were selected for further study (weights = 32 ± 5kg, range 25-40 kg). Surgical preparation. Surgical anesthesia was induced with Diazepam (0.1 mg • kg-1 i.m.) followed by Isoflurane 4-5% in 100% oxygen. The birds were intubated and their necks were wrapped lightly with an elastic (Ace) bandage to prevent inflation of the tracheal air sac. This air sac is used for vocalization and acts as increased anatomical deadspace if allowed to inflate. Anesthesia was maintained with 2-3% isoflurane. Under sterile conditions, catheters were placed in the carotid artery (PE 90), the left jugular vein at the upper third of the neck (7Fr, 24 cm) and a wing vein (PE90). The catheter sites were cleaned and catheters were flushed with heparin (1,000 IU/ml) and filled with a PVP-Heparin-Saline Downloaded from http://jap.physiology.org/ by 10.220.33.3 on June 15, 2017 running in birds that normally fly, e.g. water fowl (2). Furthermore, their large body size permits multiple . . blood samples required for the multiple inert gas elimination technique for measuring V/Q heterogeneity. JAP 1108-2001.R2 5 solution (0.5 ml 5000 IU Heparin, 9.5 ml Saline, 0.3g PVP) to maintain patency. Animals were allowed to recover at least 24 hours before study. Protocol. On the day of the experiment, a triple lumen Swan Ganz catheter with thermistor (size #7 F) was inserted into the lumen of the jugular cannula, advanced via the external jugular vein and into the right ventricle, and when possible into the pulmonary artery, using direct pressure monitoring. This catheter was used for sampling of pulmonary mixed venous blood and measurement of blood temperature. The experiments took place in a temperature-controlled ventilated room (21-23˚C). Data were collected after at least 20 minutes of rest and after 5 minutes of exercise in normoxia and normobaric hypoxia (FIO2 (determined during previous training sessions). Each set of measurements included sampling of pulmonary mixed venous blood, arterial blood and mixed expired gases for the multiple inert gas analyses, blood gases, cardiac output calculations and metabolic rate measurements. After normoxic measurements, hypoxic measurements at rest and during exercise were made at a simulated altitude of 3,300-4,000m by adding nitrogen to a tent surrounding the treadmill to lower the FIO2 to 0.13-0.14. FIO2 and FICO2 were monitored continuously using a mass Spectrometer (Perkin-Elmer, MGA1100, Pomona CA). Small amounts of nitrogen were added during the hypoxic study to maintain a constant FIO2. Because of logistical constraints, it was necessary to study hypoxia last, so the order of FIO2 was not randomized. Ventilation, and metabolic measurements. A custom-made facemask (without valves) was strapped to the animals head and room air was drawn through the mask at a rate of 80 L/min at rest and ~160 L/min during exercise using a vacuum. This bias flow rate was determined to be sufficient to collect all expired gas by testing for CO2 leak using the mass spectrometer probe placed at the back of the animal’s mask. Room air was drawn around the animal’s face and mixed with the expired gas in a small light weight, heated respiratory tubing (Hans Rudolph 10.5mm OD, Kansas, City, MO) leading into a heated mixing chamber. Total flow (i.e. bias and expired gas) was measured using a pneumotachometer (Fleisch #3) and integrated to obtain volume. Gas temperature and relative humidity were measured in the gas stream adjacent to the pneumotach. The expired concentrations of O2 and CO2 were measured Downloaded from http://jap.physiology.org/ by 10.220.33.3 on June 15, 2017 = 0.13-0.14) at sea level. Running speed was increased to the maximum the bird could sustain, JAP 1108-2001.R2 6 with the mass spectrometer during each inert gas sample collection period, and oxygen consumption and carbon dioxide production were calculated. Multiple inert gas measurements. The multiple inert gas elimination technique (MIGET) was applied in the usual manner (19, 20, 29). The inert gas solution was prepared in 5% dextrose (7) and infused for approximately 20 minutes prior to collection of the resting samples, and during the course of the study at a rate in ml/min of approximately 10% of the bias flow rate in l •min-1 (for example an infusion rate of 8 ml/min was matched to a bias flow of 80 L/min). This infusion rate provides excellent signal-to noise ratio for all six inert gases at all exercise levels. systemic arterial blood were obtained in gas-tight syringes at rest and during exercise in normoxia and hypoxia for measurement of the steady state concentrations of the six inert gases (SF6, ethane, cyclopropane, enflurane, ether and acetone) using a gas chromatography (Hewlett-Packard 5890A, Wilmington, DE) (29). Solubility, retention (R, equal to the ratio of arterial to mixed venous partial pressure) and excretions (E, equal to the ratio of mixed expired to mixed venous partial pressure) for the inert gases were determined, corrected for body temperature, and ventilation-perfusion distributions were . . . calculated using assuming a cross current lung model (19). The second moment of the Q vs. V/Q . . . distribution, exclusive of intrapulmonary shunt (logSDQ. ), and the second moment of the V vs. V/Q . distribution, exclusive of dead space (logSDV ) were used as indicators of the degree of ventilation. . . . perfusion heterogeneity, i.e. the greater the logSDQ or the logSDV , the greater the V/Q heterogeneity. The residual sum of squares (RSS) was used as an indicator of the adequacy of fit of the data to the cross current model of the lung (19). There was excessive loss of acetone in the expired gas samples, likely due to difficulty in heating the mask with high bias flows while it was on the animal. Therefore we report data derived from 5 gases . . only. The effect of the elimination of acetone from the analysis is a decrease in the resolution of V/Q . . distributions at V/Q >10. Without acetone the next most soluble gas, ether, allows the distinction of lung . . units with approximately V/Q < 10 from dead space, which results in a dead space similar to . physiological dead space determined from CO2 measurements (20). Hence, parabronchial ventilation (V Downloaded from http://jap.physiology.org/ by 10.220.33.3 on June 15, 2017 Quadruplicate 15 ml samples of mixed expired gas and duplicate 4 ml samples of pulmonary and JAP 1108-2001.R2 7 P, analgous to alveolar ventilation in mammals) was estimated as the product of (1-VD/VT) and the bias . . . flow rate and VP includes any lung units with V/Q <10. To predict excretions without the effect of dilution by deadspace gas (i.e. end-parabronchial values, analogous to alveolar values in mammals) we used the equation: E*gas = Egas/Eether Hemodynamic measurements. Cardiac output was calculated from the mixed venous, arterial blood and mixed expired inert gas concentrations using the Fick principle of mass balance. Statistical Analyses. Data are presented as means ± SEM. Repeated measures analysis of and during normoxia and hypoxia. Significance was accepted at p<0.05, two-tailed. Results For technical reasons, metabolic and respiratory parameters, as well as venous blood gas samples . . and consequently calculated cardiac output and V/Q distributions were not obtained in all birds under all conditions. The numbers of measurements obtained under different conditions are given in Tables 1 and 2. Metabolic and cardiorespiratory data. Metabolic, ventilatory and hemodynamic data are . . presented in Table 1. During normoxia, the emus ran between 1.4 and 2.0 m• sec-1and both VO2 and VCO2 . increased over 5 fold. Hypoxia did not significantly affect VCO2 during rest although it tended to be higher, consistent with the increased restlessness we observed in the emus during hypoxia. Both running . speed (1.04 m/sec) and VCO2 tended to be lower in hypoxia than in normoxia but this was not significant. Cardiac output increased significantly between rest and exercise, and between normoxia and hypoxia, but there was no significant interaction between oxygen level and exercise. Both heart rate and increases in calculated stroke volume contributed to increases in cardiac output. Blood gases. Arterial and mixed-venous blood gases are reported in Table 2. Exercise in normoxia decreased PaCO2 , increased pHa, and increased PaO2 . Increased O2 extraction in tissues during exercise decreased mixed venous PO2 but this was not statistically significant. At rest, hypoxia caused Downloaded from http://jap.physiology.org/ by 10.220.33.3 on June 15, 2017 variance (ANOVA) was used to statistically test changes in the dependent variables from rest, to exercise, JAP 1108-2001.R2 8 hyperventilation, as indicated by decreased PaCO2 (p=0.08). Exercise in hypoxia further increased hyperventilation (i.e. decreased PaCO2 ) but, arterial and venous pH were not increased in hypoxic exercise, suggesting a metabolic acidosis during hypoxia. Hematocrit decreased with successive blood sampling during the protocol, but these changes were not significant. Ventilation-perfusion data. Table 3 gives the average blood-gas partition coefficients for the six . . inert gases used to measure ventilation-perfusion (V/Q ) distributions; they are similar to those in other . . species. Indices of V/Q distributions determined from the MIGET are given in Table 4. The goodness of . . fit of measured retention and excretion data to those predicted for the V/Q distributions can be judged by only 20% of the time if the appropriate model of gas exchange is used (e.g. cross-current model in a bird and alveolar model in a mammal, cf. (19). The RSS decreases if fewer gases are used in the analysis. Using only 5 gases to analyze the emu data (see Methods), RSS was >5 in 74% of the cases with an alveolar model. However, RSS with a cross-current model was <2 in 100% of the data sets. Therefore, . . inert gas elimination in the emu behaves according to a cross-current, but not an alveolar model and V/Q distributions were determined from the MIGET data using a cross-current model. . . Figure 1 shows representative V/Q distributions for an emu under the four conditions studied. . . The distributions are centered near the overall VP / Q (Table 4) and the mean of the distributions shifts to . . . . a higher V/Q value during exercise (p<0.05) and hypoxia (p = 0.07). V/Q heterogeneity, as measured by . . the log-standard deviation of the Q distributions (logSDQ ) did not change with exercise or hypoxia and shunt was less than 1% of cardiac output under all conditions (Table 4). . . Parabronchial ventilation (VP ), analogous to alveolar ventilation (VA ) in mammals, can be estimated from MIGET data as the difference between total measured ventilation and dead space . . . ventilation predicted from the calculated V/Q distribution. In this case, VP equals the difference between . . . . the total bias flow and the highest V/Q compartment we were able to distinguish, i.e. V/Q > 10 (see . . Methods). VP calculated in this way is consistent with the changes observed in PaCO2 and VCO2 (Tables 1 . and 2). In normoxia, VP increased from 2.9 ± 0.2 L/min at rest to 20.4 ± 1.7 L/min during exercise. In . hypoxia, VP increased to 4.0 ± 0.7 L/min at rest and was 19.8 ± 2.0 L/min in exercise. The similar levels Downloaded from http://jap.physiology.org/ by 10.220.33.3 on June 15, 2017 the residual sum of squares (RSS). When six gases are used in the MIGET, RSS is expected to be >5 JAP 1108-2001.R2 9 . of VP in exercise during normoxia and hypoxia result in a decreased PaCO2 during hypoxic exercise . because the emus were not running as fast and VCO2 was lower (see above). . . Changes in the overall effective parabronchial ventilation-perfusion ratio (VP/Q , Table 4) . . . paralleled the changes in VP . In normoxia, VP/Q increased from 0.48 ± 0.04 at rest to 1.66 ± 0.16 in . . exercise, and in hypoxia VP/Q increased from 0.56 ± 0.04 to 1.39 ± 0.02 in exercise. There was a significant effect of exercise and an interaction between exercise and hypoxia, but the effect of hypoxia alone was not significant. Figure 2 shows average retention-excretion differences (R-E) for gases with different partition the MIGET analysis (including instrument and physiological dead space) so the R-E* values plotted correspond to the difference between arterial and end-parabronchial tensions. R-E* provides an index of . . the effects of V/Q heterogeneity on gas exchange, similar to the effects of heterogeneity on the alveolararterial PO2 difference in mammals. In mammals, minimum (or ideal) value for R-E*, or the alveolararterial PO2 difference, is 0. However, R-E* can assume negative values and end-expired PO2 can exceed arterial PO2 in birds because of cross-current gas exchange. . . In normoxia, exercise reduces the effects of V/Q heterogeneity on gas exchange, as evidenced by R-E* becoming more negative for the measured data points (Fig 2. A and B, solid dots) and the values . . predicted for the best-fit V/Q distributions (Fig. 2 A and B, dashed curves). Ideal R-E* values predicted . . for a homogeneous cross-current lung with the overall measured VP/Q ratio (Fig. 3 solid curves) are less than measured heterogeneous values for most gases. Hence, the decrease in total area between the ideal and measured R-E* curves with exercise in normoxia (Fig. 2A vs. B) means that gas exchange performance is improved by exercise in normoxia. The effects of exercise during hypoxia (Fig. 2 panel C vs. D) are smaller than the effects of exercise in normoxia. This is mainly because hypoxia at rest improves gas exchange performance (Fig. 2A vs. C), while the effects of heterogeneity during exercise are similar during normoxia and hypoxia (Fig. 2 B vs. D). Discussion Downloaded from http://jap.physiology.org/ by 10.220.33.3 on June 15, 2017 coefficients under the four test conditions. Excretion values are corrected for deadspace determined by JAP 1108-2001.R2 10 During exercise, many mammals, including humans, experience reduced efficiency of pulmonary oxygen transport, as evidenced by an increase in the alveolar arterial difference (AaDO2) for oxygen, and in some, a reduction in PaO2 (3). The mechanism of the increased AaDO2 is related to both ventilation-perfusion inequality and pulmonary diffusion limitation of oxygen transport. There are clearcut species differences in the relative contribution of these two factors. For example, the horse experiences very little increase in ventilation perfusion inequality but the extent of pulmonary diffusion limitation for oxygen combined with mechanical constraint of ventilation is sufficient to cause marked arterial hypoxemia (24). Pigs on the other hand, experience an increase in ventilation-perfusion inequality inequality and pulmonary diffusion limitation although the relative contributions of each to the AaDO2 varies between individuals and with aerobic capacity (11). In many species, both pulmonary diffusion limitation for oxygen and increased ventilation-perfusion inequality are worsened by hypoxia and hypoxic exercise (10). In contrast, ventilation-perfusion heterogeneity in emus did not increase with exercise, or hypoxia. . . Table 5 summarizes available data on V/Q distribution in birds, reptiles and mammals including humans. . . During normoxic exercise, as previously discussed, many mammals demonstrate an increase in V/Q . heterogeneity with exercise, evidenced by an increase in the logSDQ . The mechanism of the increased . . V/Q heterogeneity during exercise is unknown, but does not appear to be related to the structure of the mammalian lung per se since it is observed to only a minimal extent in the horse, and is present to a similar degree in humans and reptiles. Various mechanisms of the increase in ventilation-perfusion inequality have been proposed including: (1) a reduced common deadspace-to-tidal volume ratio and therefore reduced admixture of the . . expired air, unmasking existing V/Q heterogeneity present at rest (27), (2) non-uniform pulmonary vasoconstriction and increased pulmonary artery pressure (4), (3) interstitial edema (22,23) or (4) ventilatory time constant inequality (27). None of these mechanisms have been investigated in exercising birds, however the rather non-elastic structure of the avian lung may reduce the importance of those mechanisms relying on pressure changes in the pulmonary tissue/microenvironment. In addition changes Downloaded from http://jap.physiology.org/ by 10.220.33.3 on June 15, 2017 with exercise, but no appreciable diffusion limitation (12). Humans experience both ventilation-perfusion JAP 1108-2001.R2 11 in the admixture of expired air as suggested above may be less important in birds since the deadspacetidal volume ratio is relatively high in birds. The fact that race horses show minimal increases in ventilation-perfusion heterogeneity with hypoxic exercise demonstrates that not all alveolar lungs are equally susceptible to such limitations. Hence, it remains to be determined if all avian lungs are as immune to such limitations as the emus we studied, to provide evidence for interstitial pulmonary edema as a possible mechanism. It should be noted that the levels of exercise sustained by the animals in this study is less than animals in the wild. Thus caution should be used when interpreting these results. Inert gas exchange in normoxic and hypoxic exercise. In emus, we found smooth unimodal (normoxic, not exercising) geese (20). The reasons for the differences between these two species of birds are unknown, but may reflect differences between awake and anesthetized birds or species differences. . . Also, we had limited ability to detect a high V/Q mode as described for anesthetized geese because we only used five gases in our analysis, with ether being the most soluble. As discussed in the Methods, this . . limits our ability to distinguish differences between V/Q ratios > 10. Intrapulmonary shunting was minimal under all conditions as reported for geese (20) . . The amount of V/Q heterogeneity measured in our emus under all conditions was similar to that . measured for just the main mode in anesthetized geese, which had a logSDQ = 0.56 (20). However, . despite a constant logSDQ in all of the measurement conditions, the mean blood flow was directed to units . . with higher V/Q ratio during exercise in both normoxia (0.32±0.04 vs. 1.21±0.0) and hypoxia (0.35±0.06 vs. 0.98±0.06). This is because ventilation increases to a greater extent than the corresponding increases . . in perfusion, so the overall V/Q ratio is increased. The effect of ventilation-perfusion heterogeneity on a gas depends on the gas solubility and can . . . vary with a change in the overall VP/Q despite a constant logSDQ (28). For example, exercise in normoxia increases the efficiency of exchange for a gas with partition coefficient =1 because R-E* decreases is more negative, Fig. 2A vs 3II). This approach permits insights into efficiency of CO2 and O2 gas exchange but only if the dissociation curves are linear. This is approximated for CO2 and O2 in Downloaded from http://jap.physiology.org/ by 10.220.33.3 on June 15, 2017 distributions of ventilation and perfusion and no significant change in the amount of heterogeneity under . . different conditions. In contrast, a bimodal V/Q distribution has been described for anesthetized JAP 1108-2001.R2 12 hypoxia, but not for O2 in normoxia. Using partition coefficients of 0.6 and 6.0 for O2 and CO2 respectively (28), Fig 2, predicts no significant change in effects of ventilation-perfusion on O2 with exercise in hypoxia and a small decrease in the effects on CO2 . This is consistent with no change in PaO2 and a small decrease in PaCO2 in exercise versus rest in hypoxia (Table 2). Limitations of the study. During normoxia, the emus ran between 1.4 and 2.0 m/sec. This speed is lower than the maximal speeds reported for emus running in the wild (14 m/sec. ref. 15) or achieved by emus in other studies (21). There was a small decrement in running speed due to surgery and anesthesia but it cannot account for all of the differences seen between our animals and those in the wild. Running suggest that our captive bred birds were simply not trained well enough to run faster. Before starting these experiments, we were advised by other investigators that emus were difficult to handle and that they would only run on a treadmill reliably when running in a flock. This was impossible on our small treadmill. Also, one of us had prior experience with emus suggesting they would be difficult to train. On the other hand, data had been obtained from this species during treadmill exercise, albeit with difficulty (8). We decided the preparation was worth pursuing when we had success in running young emus on our treadmill. However, as they grew and became large enough to study, they became difficult to handle, difficult to keep on the treadmill even during rest, and we were not able to make them run faster. Our emus may have had reduced aerobic capacity from their captive life style also. Our emus showed a respiratory exchange ration R of 0.93 during normoxic exercise and 0.96 during hypoxic exercise. It has been our experience in exercising a variety of animals that it is difficult to exercise animals at an intensity resulting in R > 1. Conclusion: In emus, hypoxia and running exercise increased the overall ventilation-perfusion ratio of the lung, while ventilation-perfusion heterogeneity remained unchanged. This behavior may provide an advantage for birds exercising in hypoxia compared to mammals. Increased metabolic needs with exercise were met by increased cardiac output and ventilation, resulting in significantly decreased PaCO2 in normoxia as well as in hypoxia. The combined effect of the increased overall ventilation- Downloaded from http://jap.physiology.org/ by 10.220.33.3 on June 15, 2017 speed in two birds decreased from 1.81 to 1.67 m/sec and from1.94 to 1.67 m/sec after surgery. We JAP 1108-2001.R2 13 perfusion ratio and no increase in heterogeneity resulted in improved CO2 exchange in hypoxia and exercise, while O2 exchange was not affected by exercise in normoxia or hypoxia. Downloaded from http://jap.physiology.org/ by 10.220.33.3 on June 15, 2017 JAP 1108-2001.R2 14 Acknowledgements: The authors thank Donna Allsopp, Nathalie Garcia, Lennard Gonzales and Andrew Altman for their skillful assistance with the bird training and handling; and Mark Olfert, Nick Busan, Jeff Struthers and Eric Falor for technical support. Supported by DFG, NIH HL17731, NIH MO1 RR00827 and the University of California White Mountain Research Station. Downloaded from http://jap.physiology.org/ by 10.220.33.3 on June 15, 2017 JAP 1108-2001.R2 15 References 1. 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Measurement of continuous distributions of ventilation-perfusion in non-alveolar lungs. Respir Physiol 48: 219-232, 1982a. 20. Powell, FL and Wagner, PD. Ventilation-perfusion inequality in avian lungs. Respir Physiol 48: 233241, 1982b. Downloaded from http://jap.physiology.org/ by 10.220.33.3 on June 15, 2017 13. Hopkins, SR, Wang, T, and Hicks, JW. The effect of altering pulmonary blood flow on pulmonary JAP 1108-2001.R2 17 21. Roberts, TJ, Kram, R, Weyand, PG, and Taylor, CR. Energetics of bipedal running. J exp Biol 201: 2745-2751, 1998. 22. Schaffartzik, W, Arcos, JP, Tsukimoto, K, Mathieu-Costello, O, and Wagner, PD. Pulmonary interstitial edema in the pig after heavy exercise. J Appl Physiol 75: 2535-2540, 1993. 23. Schaffartzik, W, Poole, DC, Derion, T, Tsukimoto, K, Hogan, MC, Arcos, JP, Bebout, DE, and Wagner, PD. VA/Q distributions during heavy exercise and recovery in humans: implications for pulmonary edema. J Appl Physiol 72: 1657-1667, 1992. 24. Seaman, J, Erickson, BK, Kubo, K, Hiraga, A, Kai, M, Yamaya, Y, and Wagner, PD. Exercise 1995. 25. Shams, H and Scheid, P. Efficiency of parabronchial gas exchange in deep hypoxia: measurements in the resting duck. Respir Physiol 77: 135-146, 1989. 26. Swan, LW. Goose of the Himalayas. Natural History 79: 68-75, 1970. 27. Tsukimoto, K, Arcos, JP, Schaffartzik, W, Wagner, PD, and West, JB. Effect of common dead space on VA/Q distribution in the dog. J Appl Physiol 68: 2488-2493, 1990. 28. Wagner, PD. Susceptibility of different gases to ventilation-perfusion inequality. J Appl Physiol 46: 372-386, 1979. 29. Wagner, PD, Naumann, PF, and Laravuso, RB. Simultaneous measurements of eight foreign gases in blood by gas chromatography. J Appl Physiol 36: 600-605, 1974. Downloaded from http://jap.physiology.org/ by 10.220.33.3 on June 15, 2017 induced ventilation/perfusion inequality in the horse. Equine Veterinary Journal 27: 104-109, JAP 1108-2001.R2 18 Figure legends Fig. 1. Fractional ventilation (filled symbols) and blood flow (open symbols) versus ventilation-perfusion ratio in a representative emu at (A) normoxic rest (B), normoxic exercise (C) and hypoxic rest and (D) . exercise. LogSDQ log standard deviation of the blood flow distribution. Fig. 2. The retention-excretion (R-E*) difference, representing arterial-end parabronchial partial pressure and best-fit predictions occur because of experimental error. Downloaded from http://jap.physiology.org/ by 10.220.33.3 on June 15, 2017 of inert gases as a function of partition coefficient. R-E* for the fine measured inert gases are filled . . symbols, (±S.E.M.); dashed curve = R-E* predicted for V/Q distribution; solid curve = R-E* predicted . . for homogeneous lung with same overall VP/Q ratio. Small differences between the average data points JAP 1108-2001.R2 19 Table 1. Effects of exercise and hypoxia on metabolic and cardiopulmonary variables in the emu. 1 Normoxic Exercise (n=6) Hypoxic Rest (n=5) Hypoxic Exercise (n=4) 0.2083±0.0003 0 4.4±0.3 3.5±0.3 0.78±0.02 2.9±0.2 19.87±0.03 5.8±0.6 98±5 0.2067±0.0010 1.67±0.09 18.2±1.2 17.1±1.4 0.93±0.04 20.4±1.7 26.48±1.62 12.7±0.2 167±7 0.1320±0.0026 0 5.5±1.2 4.2±0.8 0.79±0.03 4.0±0.7 19.79±1.47 8.2±0.4 112±9 0.1373±0.0021 1.04±0.07 17.2 16.1±4.7 0.96±0.08 19.8±2.0 24.78±1.65 15.5±1.4 177±16 P < 0.01 rest vs. exercise, 2P < 0.01 normoxia vs. hypoxia. (n = number of measurements) Downloaded from http://jap.physiology.org/ by 10.220.33.3 on June 15, 2017 FIO2 Running speed (m/sec) . 1 V . O2 (ml/(kg • min)) 1 VCO2 (ml/(kg • min)) R. V.P (L/min) . V.P/VO2 Q (L/min)1,2 Heart rate (beats/min)1 Normoxic Rest (n=6) JAP 1108-2001.R2 20 Table 2. Effects of exercise and hypoxia on blood gases and pH in the emu. PIO2 (torr) PaO2 (torr ) 2 Pv-O2 (torr ) 2 PaCO2 (torr ) 1 Pv-CO2 (torr ) 2 pHa pHv– Hematocrit (%) Normoxic Exercise (n=6) 144.2±0.4 100.8±4.1 50.6±6.8 24.7±2.2 33.2±2.7 7.51±0.04 7.45±0.03 31.5±1.7 Hypoxic Rest (n=5) 90.5±1.1 58.5±4.7 43.0±1.8 25.7±2.4 30.8±1.2 7.49±0.04 7.45±0.03 29.7±1.3 Hypoxic Exercise (n=4) 96.2±1.5 61.9±3.8 32.2±0.2 22.8±1.3 28.4±0.7 7.51±0.04 7.44±0.05 27.7±1.9 P < 0.05 rest vs. exercise, 2P < 0.05 normoxia vs. hypoxia, 3P < 0.05 interaction between exercise and hypoxia. (n = number of birds except n=2 for mixed-venous blood in hypoxic exercise) Downloaded from http://jap.physiology.org/ by 10.220.33.3 on June 15, 2017 1 Normoxic Rest (n=6) 144.5±0.5 96.6±4.8 60.1±2.1 31.5±1.6 35.0±0.9 7.44±0.02 7.42±0.02 33.6±2.1 JAP 1108-2001.R2 21 Table 3. Blood gas partition coefficients of inert gases in emus (n=6). Sulfur hexafluoride Ethane Cyclopropane Enflurane Diethyl ether Acetone 0.00267±0.00021 0.064±0.004 0.34±0.02 1.18±0.11 11.1±0.4 295±22 Downloaded from http://jap.physiology.org/ by 10.220.33.3 on June 15, 2017 JAP 1108-2001.R2 22 Table 4. Inert gas data at rest and during exercise in normoxia and hypoxia. . Q. distribution, mean . Q distribution, logSD Q . V . distribution, mean . V. distribution logSDV . 1,3 VP/Q . Intrapulmonary shunt (%Q) Normoxic Rest (n=6) 0.32±0.04 0.60±0.06 0.59±0.08 1.17±0.17 0.48±0.04 0.63±0.12 Normoxic Exercise (n=6) 1.21±0.03 0.68±0.06 1.98±0.18 0.93±0.26 1.66±0.16 0.52±0.16 Hypoxic Rest (n=5) 0.35±0.06 0.63±0.07 0.66±0.68 0.77±0.18 0.56±0.04 0.96±0.41 Hypoxic Exercise (n=4) 0.98±0.06 0.62±0.03 1.53±0.17 0.63±0.07 1.39±0.02 0.49±0.06 1 Downloaded from http://jap.physiology.org/ by 10.220.33.3 on June 15, 2017 P < 0.05 rest vs. exercise, 2P < 0.05 normoxia vs. hypoxia, 3P < 0.05 interaction between exercise and hypoxia. (n = number of birds) JAP 1108-2001.R2 23 . Table 5. Ventilation-Perfusion heterogeneity (logSDQ) in mammals, reptiles and birds during exercise and hypoxia. Means ± s.e.m. Normoxic exercise Hypoxic rest Hypoxic exercise Mammals Dog (a) Horse 1a (b) Pig 1a (c) Human (d) Aerobic Athletes 1a (e) 0.33±0.01 0.42±0.04 0.45±0.03 0.54±0.04 0.39±0.02 0.69±0.04 0.54±0.05 0.67±0.02 0.30±0.01 0.37±0.02 0.48±0.05 0.62±0.9 Reptiles Alligator (f) Turtle (g) Savannah Monitor Lizard 1b (h) Tegu Lizard (i) 0.47±0.06 0.79±0.19 0.39±0.06 0.94±0.59 0.63±0.07 0.62±0.03 0.78±0.05 Birds Geese (j) Emu, this study 1 0.56±0.30 0.60±0.06 0.68±0.06 P < 0.05 rest vs. exercise, 2P < 0.05 normoxia vs. hypoxia, 3P < 0.05 interaction between exercise and hypoxia. References (a) (27) (b) (24) (c) (12) (d) (5) (e) (11) (f) (18) (g) (13) (h) (10) (i) (9) (j) (20) Downloaded from http://jap.physiology.org/ by 10.220.33.3 on June 15, 2017 Normoxic rest JAP 1108-2001.R2 24 Figure 1 Downloaded from http://jap.physiology.org/ by 10.220.33.3 on June 15, 2017 JAP 1108-2001.R2 25 Figure 2 Downloaded from http://jap.physiology.org/ by 10.220.33.3 on June 15, 2017
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