Positive feedback facilitation of external intercostal and phrenic inspiratory activity by pulmonary stretch receptors

Abstract
Both in lightly pentobarbitaone anesthetized and decerebrate cats increments in lung volume (V) during inspiration caused facilitation of inspiratory activity both in phrenic (Phr) and external intercostal (EI) motoneurons. This effect had low volume threshold, well below eupneic tidal volumes. It was readily reduced or abolished by small additional doses of pentobarbitone. This facilitatory effect appeared with considerably greater magnitude in EI than in Phr. The response magnitude was linearly related to the corresponding increments in V but not to increments in airflow (.ovrhdot.V). Sustained elevation of V at zero .ovrhdot.V caused sustained facilitation of EI and Phr. This positive feedback facilitation which was similarly obtained in spontaneously breathing and paralyzed cats occurred continuously with great regularity in every breath. It was abolished by bilateral vagotomy but could then be elicited by electrical stimulation of the central end of the vagus nerve at the same threshold strengths required to elicit a just detectable shortening of inspiratory duration. The slowly adapting pulmonary stretch receptors are responsible for this positive feedback facilitation prior to the negative feedback effect on the inspiratory off-switch elicited by the same receptors. Clear distinctions are described between the reflex characteristics of this low-threshold volume dependent facilitatory reflex and the high-threshold transient excitatory reflex effects provoked by large and rapid inflations.