Cancer and Tissue Oxygenation - How Should We Breathe For Maximum Oxygenation?

Appearance, development and metastasis of tumoursfor every mm Hg decrease in CO2 pressure. When
are based on tissue hypoxia. They are cries of thepeople have 20 mmHg CO2 in their blood (half of the
organism for more oxygen. Is it possible that ourofficial norm), they have about 40% less blood
abnormal breathing can influence the internal breathingsupply to the brain in comparison with normal
(gas exchange) and oxygenation of all body cells,conditions.
tumours included? How?Since hyperventilation is an important part of our
Normal breathing is light, easy, invisible (no chest or"fight-or-flight" response, during hyperventilation the
belly movements) and inaudible (no panting, noblood is generally diverted from vital organs to large
wheezing, no sighing, no yawning, no sneezing, noskeletal muscles. Studies found decreased perfusion
coughing, no deep inhalations or exhalations). Theof the heart (Okazaki et al, 1991), brain (discussed
mouth is closed.above), liver (Hughes et al, 1979; Okazaki, 1989),
How to measure oxygenation?kidneys (Okazaki, 1989), and colon (Gilmour et al,
Use the breath-holding time test. Sit down and rest1980). Typically, the blood flow to vital organs is
for 5-7 minutes. Completely relax all your muscles,directly proportional to arterial CO2 values.
including the breathing muscles. This relaxationStudies on oxygenation of various tissues during
produces natural spontaneous exhalation (breathinghyperventilation
out). Hold your nose at the end of this exhalation andOther western studies confirmed that
count your BHT (breath holding time) or CP (controlhyperventilation compromises oxygenation of vital
pause) in seconds. Keep the nose pinched until youorgans, like liver and kidneys (Hughes et al, 1979;
experience the first desire to breathe. This desire isOkazaki et al, 1989), and heart (Okazaki et al, 1991)
involuntary and manifested either in swallowing(e.g., Hughes et al, 1979; Hashimoto et al, 1989;
movements in the throat or in the push of theOkazaki et al, 1991).
diaphragm. (Your body warns you, "Enough!"). If youWhat is the possible chain of events for cancer
release the fingers at this instant, you can resumedevelopment?
your previous breathing (in the same way as youHere is a scientific hypothesis for further
were breathing just before you started to hold yourinvestigation. Chronic hyperventilation washes out
breath).CO2 from each cell of the human organism. Since
It is possible to extend the breath holding evenCO2 is a dilator of small blood vessels, low CO2
more, getting about twice long a time than the CP.concentrations lead to the constrictions of arterioles
This is called the maximum pause. However,causing problems with blood and oxygen delivery. In
afterwards, your breathing would be out of control.addition, low CO2 values cause inability of red blood
You are likely to gulp for air through your mouthcells to efficiently release whatever little oxygen they
taking several deep inhalations. This makes yourbring (the suppressed Bohr effect). The final
subsequent breathing heavier and worse. Extendedoutcome is hypoxia in the tissues, including vital
breath holds can even cause certain health problems.organs. Since all vital organs are going to suffer from
Sick people breathe about 2-4 times more air thanhypoxia, malignant cells can thrive in tissues and parts
the medical norm, but they have short breath holdingof the body which are most compromised (the
time or CP. What do we see? The more yougenetic component of cancer). Excessive toxic load
breathe, the shorter the CP and less oxygen isdue to smoking, dietary toxins and poisons, radiation,
provided for the cells!and other causes, can intensify hypoxic effects in
When we breathe heavier, we loose more CO2.certain parts of organs of the organism (the
There are two direct CO2 effects: - The Bohrenvironmental component of cancer). Further growth
effect; - Vasodilation-vasoconstriction effect.of the tumour and its metastasis are also controlled
What is the Bohr effect? As we know, oxygen isby the same factors, where tissue hypoxia plays the
transported in blood by hemoglobin cells. How docentral role.
these red blood cells know where to release moreIt would not be a surprise that cancer patients
oxygen and where less is needed? Or why do theybreathe about 2-4 times more air than the medical
unload more oxygen in those places where it is morenorm. As a result their tissue oxygenation is below
required? The hemoglobin cells sense higherthe norm, while the breath holding time is short.
concentrations of CO2 (end product of energyProfessional studies of Russian doctors revealed that
production) and release oxygen in such places. Thewhen the breathing holding time or the CP is below
effect strongly depends on the absolute CO2 values20 s, even for some minutes or hours, the Krebb
in the blood and the lungs.cycle (also called citric acid cycle) is reversed and
If CO2 concentration is low, O2 cells are stuck to thetissue hypoxia, anaerobic metabolism, and fatigue are
red blood cells. Hence, CO2 deficiency leads tothe immediate results. The practice of Russian
hypoxia or low oxygenation of the body cells (thedoctors, as well as western breathing teachers, show
suppressed Bohr effect). The more we breathe atthat most people have their shortest breath holding
rest, the less the oxygenation of our cells in vitaltimes during early morning hours (usually 4-7 a.m.).
organs, like brain, heart, liver, kidneys, etc.Hence, if a person's CP drops below 20 s, cancer
Hemoglobin cells in normal blood are about 98-99%progresses and the tumour grows.
saturated with O2. When we hyperventilate thisReferences for part 2
number is slightly larger, but without CO2, thisGilmour DG, Douglas IH, Aitkenhead AR, Hothersall
oxygen is tightly bound with red blood cells andAP, Horton PW, Ledingham IM, Colon blood flow in
cannot get unloaded into the tissues. Hence, now wethe dog: effects of changes in arterial carbon dioxide
know one of the causes why heavy breathingtension, Cardiovasc Res 1980 Jan; 14(1): 11-20.
reduces tissue oxygenation of all vital organs.Hashimoto K, Okazaki K, Okutsu Y, The effects of
Vasodilation-vasoconstriction effecthypocapnia and hypercapnia on tissue surface PO2 in
CO2 is a dilator of blood vessels (arteries andhemorrhaged dogs [Article in Japanese], Masui 1989
arterioles). Arteries and arterioles have their own tinyOct; 38(10): 1271-1274.
muscles that can constrict or dilate depending onHughes RL, Mathie RT, Fitch W, Campbell D, Liver
CO2 concentrations.blood flow and oxygen consumption during
When the CO2 level is low, total resistance becomeshypocapnia and IPPV in the greyhound, J Appl Physiol.
greater and vital organs (like the brain, heart, kidneys,1979 Aug; 47(2): 290-295.
liver, stomach, spleen, colon, etc.) get less blood dueLitchfield PM, A brief overview of the chemistry of
to the constriction of small blood vessels. Asrespiration and the breathing heart wave, California
physiological studies found, blood flow to theseBiofeedback, 2003 Spring, 19(1).
organs is proportional to blood CO2 concentrations.McArdle WD, Katch FI, Katch VL, Essentials of
According to the Handbook of Physiology (Santiagoexercise physiology (2-nd edition); Lippincott, Williams
& Edelman, 1986), cerebral blood flow decreases 2%and Wilkins, London 2000.