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Breathing dynamics in health and disease: how consciousness shape respiratory patterns

Description du projet

Expliquer la dynamique de la respiration

Comment la conscience conditionne-t-elle la respiration? Quels sont les mécanismes neuronaux régissant le contrôle conscient de la respiration? La dynamique de la respiration peut-elle indiquer une conscience éveillée? La respiration est un des mécanismes physiologiques les plus cruciaux, qui peut paraître simple dans la mesure où elle se fait le plus souvent de manière inconsciente. Pourtant, sa dynamique sous-jacente demeure encore inexpliquée. Pour tenter de faire la lumière sur les questions fondamentales qui entourent la régulation de la respiration, le projet ConscBreathDynamics, financé par l’UE, propose une étude transversale et longitudinale de la manière dont la conscience détermine les schémas respiratoires. En combinant les neurosciences fondamentales et cliniques, l’électrophysiologie, la neuro-imagerie et les outils informatiques, la recherche se concentrera sur la respiration dans le contexte de différents types de troubles de la conscience afin d’expliquer la dynamique respiratoire de base.

Objectif

Breathing is perhaps the most vital physiological function, and it is occurring mainly unconsciously. Yet, despite the deceptive simplicity of breathing, it is an intricate behaviour influence by conscious top-down control and vigilance state. How consciousness shape breathing? What are the neural mechanisms underlying conscious control of breathing? Can breathing dynamics indicate on conscious awareness? We aim to address these questions by employing basic and clinical neuroscience approaches in combination with electrophysiology, neuroimaging and advanced computational tools. Disorders of consciousness (DOC) including vegetative state (VS)/unresponsive wakefulness syndrome (UWS) and minimally conscious state (MCS) offer a unique model to investigate the relationship between consciousness and breathing, by providing a rare opportunity for cross-sectional and longitudinal tracking of breathing dynamics during recovery of consciousness. In the proposed research, we first aim to characterize the interaction between breathing and consciousness state. To do this we will record continues respiration during 24-hour from healthy individuals and DOC patients. Next, we intend to elucidate the neural mechanism underlying conscious regulation of breathing, by recording electroencephalogram (EEG) and functional resonance magnetic imaging (fMRI) activity during a multimodal (olfaction, audition and vision) paradigm designed to consciously and unconsciously trigger respiratory change. Last, we plan to investigate whether breathing dynamics can be used as a diagnostic and potentially prognostic tool to detect awareness in DOC patients, by developing an automated respiratory-based classifier differentiating between UWS and MCS patients. The significance of this study is two-fold; addressing fundamental questions in breathing regulation, and utilizing the interplay between basic physiological function and consciousness to better human condition.

Coordinateur

INSTITUT DU CERVEAU ET DE LA MOELLE EPINIERE
Contribution nette de l'UE
€ 168 477,04
Adresse
BOULEVARD DE L'HOPITAL 47
75013 Paris
France

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Région
Ile-de-France Ile-de-France Paris
Type d’activité
Research Organisations
Liens
Coût total
€ 196 707,84