Muscle afferent activation causes ventilatory and cardiovascular responses during concurrent hypercapnia in humans

Respiratory and cardiovascular responses to muscle mechanoreflex (passive calf stretch) and metaboreflex activation (local circulatory occlusion) were examined during inhalation of a hypercapnic gas mixture in four trials. These controlled for the effects of central command, metabolite sensitization of muscle afferents and hypercapnia-induced elevation of central respiratory drive. In an isokinetic dynamometer, with circulation through the right leg occluded by inflation of a thigh cuff, 13 participants either rested (control trial; CON) or plantarflexed their ankle at 50% maximal force for 1.5 min (voluntary exercise trial; EX). Thereafter, circulatory occlusion was maintained and the calf passively stretched before return to the resting position. Both trials were performed while breathing air, as well as while breathing a normoxic, hypercapnic (5% CO2) gas mixture (CO2 trial and CO2+EX trial). Hypercapnic gas inhalation increased baseline minute ventilation ((V)over dot), heart rate and mean arterial pressure (+27.67 +/- 1.74 l min(-1), +7 +/- 0.85 beats min(-1) and +13 +/- 3.41 mmHg, respectively; means +/- SEM) above control values (9.78 +/- 0.86 l min(-1), 62 +/- 2.3 beats min(-1) and 88 +/- 2.6 mmHg, respectively). Voluntary exercise further increased these variables from baseline during both trials (P < 0.05). During the continued circulatory occlusion after voluntary exercise, mean arterial pressure remained significantly elevated (P < 0.05). Minute ventilation returned to baseline during circulatory occlusion following exercise in the EX trial, but in the CO2+EX trial the (V)over dot remained elevated at end-exercise levels during this period (+7.12 +/- 1.13 l min(-1)). Passive stretch caused further increases in (V)over dot during CO2+EX and CO2 trials but not in CON and EX. These results indicate that in the absence of central command, either muscle metaboreflex and/or mechanoreflex activation stimulates ventilation during concurrent hypercapnia.