Key result
Acute hypoxia triggers greater oxygenation changes in the left frontal pole versus the right.
Why the study?
It remained unknown whether there are hemispheric differences in NIRS-determined prefrontal cortex hemodynamic responses and oxygenation changes secondary to hypoxia.
Does acute hypoxia elicit prefrontal oxygenation asymmetry in young men?
Observational (n=15)
Does acute hypoxia elicit prefrontal oxygenation asymmetry in young men?
Acute hypoxia induces prefrontal oxygenation asymmetry in young adults, with greater changes in oxygenation indices over the left frontal pole compared to the right.
Acute hypoxia may induce left-dominant prefrontal oxygenation asymmetry in young men; hypothesis-generating and requires validation before any clinical or monitoring implications.
SignificanceCerebrovascular reactivity can be evaluated by prefrontal cortex (PFC) hemodynamic responses and oxygenation changes secondary to hypoxia using near-infrared spectroscopy (NIRS). However, whether there are hemispheric differences in these NIRS-determined PFC hemodynamic responses and oxygenation changes remains unknown.AimThis study was performed to determine whether there are differences in the PFC hemodynamic responses and oxygenation changes secondary to hypoxia between the left and right frontal poles (FPL and FPR, respectively).ApproachFifteen young men participated in the study. During conduction of an isocapnic hypoxia protocol with a 10-min hypoxic phase at partial pressure of end-tidal oxygen (PETO2) of 45 Torr, hemodynamic and oxygenation indices comprising oxygenated hemoglobin (oxy-Hb), deoxygenated Hb (deoxy-Hb), total Hb (total-Hb), and tissue oxygen saturation (StO2) over FPL and FPR were measured by NIRS. The heart rate (HR) was evaluated by electrocardiography.ResultsIn response to hypoxia, the HR increased, oxy-Hb decreased, deoxy-Hb increased, total-Hb increased above baseline, and StO2 decreased. There was no difference in the change in total-Hb between FPL and FPR. However, there were greater changes in oxy-Hb, deoxy-Hb, and StO2 over FPL than over FPR, indicating that PFC oxygenation asymmetry occurs in response to hypoxia. Moreover, the change in total-Hb over FPL was associated with the increase in HR.ConclusionsNIRS-determined hemodynamic responses and oxygenation changes secondary to hypoxia might not simply reflect the direct effect of hypoxia on cerebral vessels. Although there is no hemispheric difference in the PFC hemodynamic responses to hypoxia as in total-Hb, PFC oxygenation asymmetry occurs in young adults.
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Kojiro Ide (2023) conducted an observational in Healthy (n=15). Isocapnic hypoxia protocol vs. Right frontal pole (FPR) was evaluated on Differences in prefrontal cortex hemodynamic responses and oxygenation changes between the left and right frontal poles. Acute hypoxia elicited greater changes in oxygenated hemoglobin, deoxygenated hemoglobin, and tissue oxygen saturation over the left frontal pole compared to the right in young men.
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