The influence of carbon dioxide on brain activity and metabolism in conscious humans

J Cereb Blood Flow Metab. 2011 Jan;31(1):58-67. doi: 10.1038/jcbfm.2010.153. Epub 2010 Sep 15.

Abstract

A better understanding of carbon dioxide (CO(2)) effect on brain activity may have a profound impact on clinical studies using CO(2) manipulation to assess cerebrovascular reserve and on the use of hypercapnia as a means to calibrate functional magnetic resonance imaging (fMRI) signal. This study investigates how an increase in blood CO(2), via inhalation of 5% CO(2), may alter brain activity in humans. Dynamic measurement of brain metabolism revealed that mild hypercapnia resulted in a suppression of cerebral metabolic rate of oxygen (CMRO(2)) by 13.4% ± 2.3% (N=14) and, furthermore, the CMRO(2) change was proportional to the subject's end-tidal CO(2) (Et-CO(2)) change. When using functional connectivity MRI (fcMRI) to assess the changes in resting-state neural activity, it was found that hypercapnia resulted in a reduction in all fcMRI indices assessed including cluster volume, cross-correlation coefficient, and amplitude of the fcMRI signal in the default-mode network (DMN). The extent of the reduction was more pronounced than similar indices obtained in visual-evoked fMRI, suggesting a selective suppression effect on resting-state neural activity. Scalp electroencephalogram (EEG) studies comparing hypercapnia with normocapnia conditions showed a relative increase in low frequency power in the EEG spectra, suggesting that the brain is entering a low arousal state on CO(2) inhalation.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Adult
  • Brain / drug effects*
  • Brain Chemistry / drug effects*
  • Carbon Dioxide / pharmacology*
  • Cerebrovascular Circulation / drug effects
  • Consciousness
  • Dose-Response Relationship, Drug
  • Electroencephalography / drug effects
  • Electrophysiological Phenomena
  • Female
  • Heart Rate / physiology
  • Humans
  • Hypercapnia / metabolism
  • Magnetic Resonance Imaging
  • Male
  • Oxygen Consumption / drug effects
  • Respiratory Rate / drug effects
  • Young Adult

Substances

  • Carbon Dioxide