“…Central and peripheral chemoreceptor influences on breathing are traditionally modeled as additive for simplicity although many extant data in human subjects and animal models suggest the possibility of not only additive (Clement et al, 1992, 1995; Heeringa et al, 1979; Mohan and Duffin, 1997; StCroix et al, 1996; Swanson and Bellville, 1974; van Beek et al, 1983) but also hyperadditive (Adams et al, 1978; Cunningham et al, 1986; da Silva et al, 2011; Honda et al, 1981; Loeschcke et al, 1963; Robbins, 1988; Roberts et al, 1995; Tenney and Brooks, 1966; Teppema et al, 2010) or even hypoadditive interaction (Adams and Severns, 1982; Berger et al, 1978; Cragg and Drysdale, 1983; Eldridge et al, 1981; Gesell et al, 1940; Giese et al, 1978; Ou et al, 1976; Smith et al, 1984). A major confound on this issue is that hypercapnia and hypoxia are often used as physiological stimuli to activate the central and peripheral (carotid) chemoreflex loops, respectively, whereas hypercapnia may stimulate both and hence its effect is nonspecific.…”