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1 Department of Medical Physics and Bioengineering and 2 Department of Obstetrics, University College London, London WC1E 6JA, United Kingdom
Oxidation changes of the
copper A (CuA) center of cytochrome oxidase in the brain
were measured during brief anoxic swings at both normocapnia and
hypercapnia (arterial PCO2
55 mmHg). Hypercapnia increased total hemoglobin from 37.5 ± 9.1 to 50.8 ± 12.9 µmol/l (means ± SD; n = 7), increased mean cerebral
saturation (SmcO2) from 65 ± 4 to 77 ± 3%, and oxidized CuA by 0.43 ± 0.23 µmol/l.
During the onset of anoxia, there were no significant changes in
the CuA oxidation state until SmcO2 had
fallen to 43 ± 5 and 21 ± 6% at normocapnia and
hypercapnia, respectively, and the maximum reduction during anoxia was
not significantly different at hypercapnia (1.49 ± 0.40 µmol/l)
compared with normocapnia (1.53 ± 0.44 µmol/l). Residuals of
the least squares fitting algorithm used to convert near-infrared
spectra to concentrations are presented and shown to be small compared
with the component of attenuation attributed to the CuA
signal. From these observations, we conclude that there is minimal
interference between the hemoglobin and CuA signals in this
model, the CuA oxidation state is independent of cerebral
oxygenation at normoxia, and the oxidation after hypercapnia is not the
result of increased cerebral oxygenation.
near-infrared spectroscopy; cytochrome oxidase; hypercapnia
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