Oxygen Metabolism-induced Stress Response Underlies Heart–brain Interaction Governing Human Consciousness-breaking and Attention

 Xiao-Juan Xue1 • Rui Su2 • Ze-Feng Li1 • Xiao-Ou Bu2 • Peng Dang2 • Si-Fang Yu1 • Zhi-Xin Wang2 • Dong-Mei Chen2 • Tong-Ao Zeng2 • Ming Liu1,2 • Hai-Lin Ma2 • De-Long Zhang1,
1 Key Laboratory of Brain, Cognition and Education Sciences, Ministry of Education, China; School of Psychology, Center for Studies of Psychological Application, and Guangdong Key Laboratory of Mental Health and Cognitive Science, South China Normal University, Guangzhou 510631, China 
2 Plateau Brain Science Research Center, South China Normal University/Tibet University, Lhasa 850012, China
 
Abstract
Neuroscientists have emphasized visceral influences on consciousness and attention, but the potential neurophysiological pathways remain under exploration. Here, we found two neurophysiological pathways of heartbrain interaction based on the relationship between oxygen-transport by red blood cells (RBCs) and consciousness/ attention. To this end, we collected a dataset based on the routine physical examination, the breaking continuous flash suppression (b-CFS) paradigm, and an attention network test (ANT) in 140 immigrants under the hypoxic Tibetan environment. We combined electroencephalography and multilevel mediation analysis to investigate the relationship between RBC properties and consciousness/attention. The results showed that RBC function, via two independent neurophysiological pathways, not only triggered interoceptive re-representations in the insula and awareness connected to orienting attention but also induced an immune response corresponding to consciousness and executive control. Importantly, consciousness played a fundamental role in executive function which might be associated with the level of perceived stress. These results indicated the important role of oxygen-transport in heart-brain interactions, in which the related stress response affected consciousness and executive control. The findings provide new insights into the neurophysiological schema of heartbrain interactions.
 
Keywords
Heart–brain interaction; Breaking continuous flash suppression; Executive attention; Stress response