title: Dependence on NIRS source-detector spacing of cytochrome c oxidase response to hypoxia and hypercapnia in the adult brain.
abstract: Transcranial near-infrared spectroscopy (NIRS) provides an assessment of cerebral oxygen metabolism by monitoring concentration changes in oxidised cytochrome c oxidase Δ[oxCCO]. We investigated the response of Δ[oxCCO] to global changes in cerebral oxygen delivery at different source-detector separations in 16 healthy adults. Hypoxaemia was induced by delivery of a hypoxic inspired gas mix and hypercapnia by addition of 6 % CO2 to the inspired gases. A hybrid optical spectrometer was used to measure frontal cortex light absorption and scattering at discrete wavelengths and broadband light attenuation at 20, 25, 30 and 35 mm. Without optical scattering changes, a decrease in cerebral oxygen delivery, resulting from the reduction in arterial oxygen saturation during hypoxia, led to a decrease in Δ[oxCCO]. In contrast, Δ[oxCCO] increased when cerebral oxygen delivery increased due to increased cerebral blood flow during hypercapnia. In both cases the magnitude of the Δ[oxCCO] response increased from the detectors proximal (measuring superficial tissue layers) to the detectors distal (measuring deep tissue layers) to the broadband light source. We conclude that the Δ[oxCCO] response to hypoxia and hypercapnia appears to be dependent on penetration depth, possibly reflecting differences between the intra- and extracerebral tissue concentration of cytochrome c oxidase.
authors.affiliation: Department of Medical Physics and Bioengineering, University College London, London, UK. ckolyva@medphys.ucl.ac.uk.
authors.forename: Christina
authors.initials: C
authors.lastname: Kolyva
authors.affiliation: Neurocritical Care Unit, University College Hospitals, London, UK.
authors.forename: Arnab
authors.initials: A
authors.lastname: Ghosh
authors.affiliation: Department of Medical Physics and Bioengineering, University College London, London, UK.
authors.forename: Ilias
authors.initials: I
authors.lastname: Tachtsidis
authors.affiliation: Neurocritical Care Unit, University College Hospitals, London, UK.
authors.forename: David
authors.initials: D
authors.lastname: Highton
authors.affiliation: Neurocritical Care Unit, University College Hospitals, London, UK.
authors.forename: Martin
authors.initials: M
authors.lastname: Smith
authors.affiliation: Department of Medical Physics and Bioengineering, University College London, London, UK.
authors.forename: Clare E
authors.initials: CE
authors.lastname: Elwell
mesh_terms: D000328:Adult; D002245:Carbon Dioxide / Q000378:metabolism; D002560:Cerebrovascular Circulation / Q000502:physiology; D054022:Cerebrum / Q000098:blood supply / Q000201:enzymology / Q000378:metabolism*; D003576:Electron Transport Complex IV / Q000378:metabolism*; D005260:Female; D006801:Humans; D006935:Hypercapnia / Q000201:enzymology / Q000378:metabolism*; D000860:Hypoxia / Q000201:enzymology / Q000378:metabolism*; D008297:Male; D010100:Oxygen / Q000378:metabolism; D019265:Spectroscopy, Near-Infrared / Q000379:methods; D055815:Young Adult
chemical_list: D002245:Carbon Dioxide; D003576:Electron Transport Complex IV; D010100:Oxygen