We studied the effect of the
antioxidants (AOX)
ascorbic acid (2 g, I.V.) and
alpha-tocopherol (200 mg, P.O.) on the depressant effect of subanaesthetic doses of
halothane (0.11 % end-tidal concentration) on the acute isocapnic hypoxic ventilatory response (AHR), i.e. the ventilatory response upon inhalation of a
hypoxic gas mixture for 3 min (leading to a haemoglobin saturation of 82 +/- 1.8 %) in healthy male volunteers. In the first set of protocols, two groups of eight subjects each underwent a control hypoxic study, a
halothane hypoxic study and finally a
halothane hypoxic study after pretreatment with AOX (study 1) or placebo (study 2).
Halothane reduced the AHR by more than 50 %, from 0.79 +/- 0.31 to 0.36 +/- 0.14 l min(-1) %(-1) in study 1 and from 0.79 +/- 0.40 to 0.36 +/- 0.19 l min(-1) %(-1) in study 2, P < 0.01 for both. Pretreatment with AOX prevented this depressant effect of
halothane in the subjects of study 1 (AHR returning to 0.77 +/- 0.32 l min(-1) %(-1), n.s. from control), whereas placebo (study 2) had no effect (AHR remaining depressed at 0.36 +/- 0.27 l min(-1) %(-1), P < 0.01 from control). In a second set of protocols, two separate groups of eight subjects each underwent a control hypoxic study, a
sham halothane hypoxic study and finally a
sham halothane hypoxic study after pretreatment with AOX (study 3) or placebo (study 4). In studies 3 and 4,
sham halothane did not modify the control hypoxic response, nor did AOX (study 3) or placebo (study 4). The 95 % confidence intervals for the ratio of hypoxic sensitivities, (AOX +
halothane) :
halothane in study 1 and (AOX -
sham halothane) :
sham halothane in study 3, were [1.7, 2.6] and [1.0, 1.2], respectively. Because the
antioxidants prevented the reduction of the acute hypoxic response by
halothane, we suggest that this depressant effect may be caused by reactive species produced by a reductive metabolism of
halothane during
hypoxia or that a change in redox state of carotid body cells by the
antioxidants prevented or changed the binding of
halothane to its effect site. Our findings may also suggest that reactive species have an inhibiting effect on the acute hypoxic ventilatory response.