Is respiratory control sensitive to small changes in arterial PO2 or in arterial PCO2?

Yes, respiratory control is sensitive to small changes in both arterial PO2 (partial pressure of oxygen) and arterial PCO2 (partial pressure of carbon dioxide). The regulation of respiration is mainly driven by the need to maintain appropriate levels of these gases in the blood, as they play critical roles in oxygen delivery to tissues and the removal of carbon dioxide, a waste product of cellular metabolism.

To understand how respiratory control works, let's break it down:

1. Arterial PO2 (Oxygen Sensing):
- Oxygen sensing primarily occurs in specialized cells called peripheral chemoreceptors, located in the carotid bodies (near the carotid arteries) and the aortic bodies (near the aorta).
- When arterial PO2 decreases, it triggers a response in these chemoreceptors, leading to increased stimulation of the respiratory centers in the brain.
- The respiratory centers then send signals to increase the rate and depth of breathing, aiming to bring in more oxygen and improve its delivery to tissues.

2. Arterial PCO2 (Carbon Dioxide Sensing):
- Carbon dioxide sensing primarily occurs in chemoreceptors located in the brainstem, known as central chemoreceptors.
- These chemoreceptors are sensitive to changes in arterial PCO2 (which is directly related to blood carbon dioxide levels).
- When arterial PCO2 increases, it stimulates the central chemoreceptors and triggers an increase in the rate and depth of breathing.
- The goal is to eliminate excess carbon dioxide by increasing airflow and facilitating its removal from the body.

It's important to note that the control of respiration is a complex process influenced by several other factors, such as arterial pH (acidity), exercise, and certain diseases. However, both arterial PO2 and PCO2 are crucial regulators of respiration, and even small deviations from their optimal levels can prompt adaptive respiratory responses.

In summary, respiratory control is indeed sensitive to small changes in arterial PO2 and arterial PCO2, as the body constantly strives to maintain the appropriate balance of oxygen and carbon dioxide for normal physiological functioning.