BBC Science Focus

You may be about to breathe through your bum, and one day it could save your life

Japanese scientists have discovered that some mammals can breathe through their anuses, opening a back door for a new type of treatment for patients with respirator­y failure

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For many animals, respiratio­n involves breathing in oxygen and breathing out carbon dioxide via lungs or gills. However, there are several exceptions.

.oaches catfish and orb Yeaving spiders can breathe

through their guts when the supply of oxygen in their environmen­t gets scarce.

Now, researcher­s at Tokyo Medical and Dental University (TMDU) have shown that oxygen can be delivered into the bloodstrea­ms of mice, rats and pigs via their anuses. The technique, known as enteral ventilatio­n, or EVA, could one day be used to help human patients with severe respirator­y conditions.

“The rectum has a mesh of fine blood vessels Lust

beneath the surface of its lining, which means that drugs administer­ed through the anus are readily

absorbed into the bloodstrea­m q said first author 4yo

Okabe. “This made us wonder whether oxygen could also be delivered into the bloodstrea­m in the same way. We used experiment­al models of respirator­y failure in mice, pigs and rats to try out two methods: delivering oxygen into the rectum in gas form and

infusing an oZygen rich liSuid via the same route q The researcher­s deprived the animals of oxygen and then administer­ed oxygen enemas, either in gas form

or via perƃuoroca­rbons 2(%s 2(%s are liSuids that

can absorb large amounts of oxygen and carbon dioxide and are often used as a blood substitute or to assist the ventilatio­n of premature babies.

In both cases, oxygen in the animals’ blood increased, enabling them to survive for longer periods. The team also found elevated oxygenatio­n in the cells.

“Patients in respirator­y distress can have their oxygen supply supported by this method to reduce the negative effects of oxygen deprivatio­n while the underlying

condition is being treated q said co author 2rof Takanori

Takebe. “Enteral ventilatio­n showed great promise in

our asphyZia like eZperiment­al model The neZt steps

will be to test safety of the EVA approach with more profound mechanisti­c understand­ing by which it works; and to establish effectiven­ess in humans in a clinical setting.”

“Drugs administer­ed through the anus are readily absorbed into the bloodstrea­m”

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