Page last updated: 2024-11-06

carbogen

Description Research Excerpts Clinical Trials Roles Classes Pathways Study Profile Bioassays Related Drugs Related Conditions Protein Interactions Research Growth Market Indicators

Description

Carbogen is a gas mixture consisting primarily of carbon dioxide (CO2) and oxygen (O2), typically in a ratio of 5% CO2 and 95% O2. It is synthesized by mixing pure oxygen with a controlled amount of carbon dioxide. Carbogen is used in medical settings for various purposes, including:

* **Stimulating breathing:** Carbogen's high CO2 concentration triggers the body's respiratory drive, making it useful for treating hypoventilation, which is a condition characterized by abnormally slow or shallow breathing.
* **Improving oxygen delivery:** Carbogen's increased oxygen content can help deliver more oxygen to the tissues, particularly in individuals with respiratory problems or those experiencing low blood oxygen levels.
* **Treating altitude sickness:** Carbogen has been used to alleviate symptoms of altitude sickness by stimulating breathing and improving oxygenation.

Carbogen is studied extensively for its potential therapeutic applications, including:

* **Treatment of respiratory disorders:** Carbogen is being investigated for its effectiveness in treating conditions like chronic obstructive pulmonary disease (COPD), asthma, and sleep apnea.
* **Enhancing performance in athletes:** Some athletes have used carbogen as a performance enhancer, as it can potentially increase oxygen uptake and endurance.
* **Neuroprotective effects:** Research suggests that carbogen might have neuroprotective properties, potentially reducing brain damage in cases of stroke or traumatic brain injury.

It is important to note that carbogen is a medical gas and should only be administered under the supervision of qualified healthcare professionals. The administration of carbogen carries potential risks, including:

* **Hypercapnia:** High CO2 levels in the blood can lead to respiratory acidosis, a condition characterized by an imbalance in blood pH.
* **Increased blood pressure:** Carbogen can temporarily increase blood pressure, which may be problematic for individuals with hypertension.
* **Possible neurological side effects:** Carbogen has been associated with neurological side effects, such as headaches, dizziness, and confusion, in some cases.

Further research is ongoing to explore the full potential of carbogen as a therapeutic agent and to optimize its use in medical settings.'

carbogen: mixture of 95% O2 & 5% CO2 [Medical Subject Headings (MeSH), National Library of Medicine, extracted Dec-2023]

Cross-References

ID SourceID
PubMed CID62690
MeSH IDM0058211

Synonyms (12)

Synonym
carbogen
un1014
8063-77-2
compressed gas, oxidizing, n.o.s.
unii-fjq44kpa4j
carbon dioxide, mixt. with oxygen
fjq44kpa4j ,
oxygen carbon dioxide
UBAZGMLMVVQSCD-UHFFFAOYSA-N
C124502000
compressed gas oxidizing, n.o.s.
oxygen, carbon dioxide

Research Excerpts

Overview

Carbogen therapy is a promising treatment aimed at improving retinal oxygenation and subsequent vision.

ExcerptReferenceRelevance
"Carbogen therapy is a promising treatment aimed at improving retinal oxygenation and subsequent vision. "( Carbogen in the management of a central retinal artery occlusion.
Fowler, SB, 2012
)
3.26

Effects

ExcerptReferenceRelevance
"Carbogen has long been under investigation as an adjuvant to radiotherapy of tumors. "( Modified oxygen mask to induce target levels of hyperoxia and hypercarbia during radiotherapy: a more effective alternative to carbogen.
Azami, T; Fisher, J; Milosevic, M; Nayot, D; Prisman, E; Slessarev, M, 2007
)
1.99

Treatment

Carbogen treatment was able to decrease the number of tumors responding to tirapazamine but was not able to eradicate the vascular dysfunction completely. Carbogen-treated chinchilla sustained cochlear sensory cell damage ranging between 1.1 percent and 1.5 percent.

ExcerptReferenceRelevance
"Carbogen treatment was able to decrease the number of tumors responding to tirapazamine but was not able to eradicate the vascular dysfunction completely."( Exploring vascular dysfunction caused by tirapazamine.
Baker, JH; Huxham, LA; Kyle, AH; McNicol, KL; Minchinton, AI, 2008
)
1.07
"Carbogen-treated chinchilla sustained cochlear sensory cell damage ranging between 1.1 percent and 1.5 percent, whereas non-Carbogen-treated, noise-exposed chinchilla were found to have between 1.6 percent and 4.6 percent sensory cell damage."( Effects of prestimulatory carbogen inhalation on noise-induced temporary threshold shifts in humans and chinchilla.
Deka, RC; Lipscomb, DM; Shambaugh, GE; Witter, HL, 1980
)
1.28
"Carbogen treatment resulted in a decrease of the number of perfused blood vessels from 66% to 55% in one of the two tumour lines. "( Vascular architecture and microenvironmental parameters in human squamous cell carcinoma xenografts: effects of carbogen and nicotinamide.
Bussink, J; Hodgkiss, RJ; Kaanders, JH; Marres, HA; Peters, JP; Rijken, PF; van der Kogel, AJ, 1999
)
1.96
"Carbogen treatments 5-60 min in duration produced similar enhancements of tumor radiosensitivity in Fluosol-treated animals."( Reactions of tumors and normal tissues in mice to irradiation in the presence and absence of a perfluorochemical emulsion.
Irvin, CG; Mate, TP; Nierenburg, M; Rockwell, S, 1986
)
0.99
"Carbogen pretreatments ranging from 5 to 60 min in duration all had similar effects on tumor radiosensitivity."( Effect of a perfluorochemical emulsion on the radiation response of BA1112 rhabdomyosarcomas.
Fischer, JJ; Martin, DF; Porter, EA; Rockwell, S, 1987
)
0.99

Toxicity

ExcerptReferenceRelevance
" Etoposide was much more toxic to normally oxygenated cells."( Effect of oxygen on the cytotoxicity and antitumor activity of etoposide.
Holden, SA; Rose, CM; Teicher, BA, 1985
)
0.27
" It is our conclusion that radiotherapy combined with carbogen and nicotinamide is a safe treatment with manageable side effects."( Radiotherapy with carbogen breathing and nicotinamide in head and neck cancer: feasibility and toxicity.
Kaanders, JH; Marres, HA; Pop, LA; van Daal, WA; van der Kogel, AJ; van der Maazen, RW, 1995
)
0.87
" This is the first report of non-invasive monitoring of toxic 5-FU metabolites in normal human tissues."( Issues of normal tissue toxicity in patient and animal studies--effect of carbogen breathing in rats after 5-fluorouracil treatment.
Griffiths, JR; Howe, FA; Lofts, F; McIntyre, DJ; McSheehy, PM; Nicholson, G; Noordhuis, P; Peters, GJ; Price, NM; Rodrigues, LM; Smid, K; Stubbs, M; Wadsworth, P, 2001
)
0.54

Pharmacokinetics

Uptake and metabolism of 5FU in both tumour models with or without host carbogen breathing was studied non-invasively using fluorine-19 magnetic resonance spectroscopy. Plasma samples from Buffalo rats were used to construct a NONMEM pharmacokinetic model.

ExcerptReferenceRelevance
"Full pharmacokinetic profiles of nicotinamide concentrations in plasma were analyzed repeatedly in 15 patients to determine the inter- and intra-patient variability in peak plasma concentrations and the optimum times for administering nicotinamide as a radiosensitizer."( Pharmacokinetics of nicotinamide in cancer patients treated with accelerated radiotherapy: the experience of the Co-operative Group of Radiotherapy of the European Organization for Research and Treatment of Cancer.
Bernier, J; Bieri, S; Bolla, M; Denekamp, J; Dennis, MF; Hagen, F; Kocagöncü, O; Rojas, A; Stratford, MR, 1998
)
0.3
" The peak plasma concentration was achieved at 1 h in only 54% of the pharmacokinetic profiles, but at this time 92% of the profiles had already exceeded the target concentration of 700 nmol/ml, the level required in the mouse for tumour radiosensitization."( Pharmacokinetics of nicotinamide in cancer patients treated with accelerated radiotherapy: the experience of the Co-operative Group of Radiotherapy of the European Organization for Research and Treatment of Cancer.
Bernier, J; Bieri, S; Bolla, M; Denekamp, J; Dennis, MF; Hagen, F; Kocagöncü, O; Rojas, A; Stratford, MR, 1998
)
0.3
" Uptake and metabolism of 5FU in both tumour models with or without host carbogen breathing was studied non-invasively using fluorine-19 magnetic resonance spectroscopy ((19)F-MRS), while plasma samples from Buffalo rats were used to construct a NONMEM pharmacokinetic model."( Investigations in vivo of the effects of carbogen breathing on 5-fluorouracil pharmacokinetics and physiology of solid rodent tumours.
Griffiths, JR; Judson, IR; Leach, MO; McSheehy, PM; Peters, GJ; Port, RE; Robinson, SP; Rodrigues, LM; Stubbs, M; van der Borns, K, 2005
)
0.83
" The pharmacokinetic analysis showed that carbogen increased the rate of tumour uptake of 5FU from the plasma but also increased the rate of removal."( Investigations in vivo of the effects of carbogen breathing on 5-fluorouracil pharmacokinetics and physiology of solid rodent tumours.
Griffiths, JR; Judson, IR; Leach, MO; McSheehy, PM; Peters, GJ; Port, RE; Robinson, SP; Rodrigues, LM; Stubbs, M; van der Borns, K, 2005
)
0.86
" 19F magnetic resonance spectroscopy can be used in vivo to measure 5FU's half-life and metabolism to cytotoxic fluoronucleotides."( Can localised (19)F magnetic resonance spectroscopy pharmacokinetics of 5FU in colorectal metastases predict clinical response?
Griffiths, JR; Howe, FA; Ladroue, C; Lofts, F; McIntyre, DJ; Stubbs, M, 2011
)
0.37
" The 5FU half-life was measured in each subject, and averaged spectra were examined for the presence of fluoronucleotides."( Can localised (19)F magnetic resonance spectroscopy pharmacokinetics of 5FU in colorectal metastases predict clinical response?
Griffiths, JR; Howe, FA; Ladroue, C; Lofts, F; McIntyre, DJ; Stubbs, M, 2011
)
0.37

Compound-Compound Interactions

Carbogen inhalation increased the antitumor effect when combined with middle and high dose rate irradiation, and yielded enhancement ratios of 1.5 degrees C.

ExcerptReferenceRelevance
" In experimental models carbogen breathing and nicotinamide have been shown to act against hypoxia by different mechanisms and both modalities were tested in 16 patients with supratentorial malignant gliomas in combination with a conventional radiotherapy scheme (50 Gy in 25 daily fractions)."( Conventional radiotherapy combined with carbogen breathing and nicotinamide for malignant gliomas.
de Koster, A; Grotenhuis, JA; Kaanders, JH; Keyser, A; Prick, MJ; Thijssen, HO; van der Kogel, AJ; van der Maazen, RW; Wesseling, P, 1995
)
0.87
" The purpose in this paper is to investigate the possibility of selective radiosensitization of tumors by reduced dose rate irradiation in combination with carbogen inhalation."( Middle dose rate irradiation in combination with carbogen inhalation selectively and more markedly increases the responses of SCCVII tumors.
Akaboshi, M; Akuta, K; Masunaga, S; Ono, K, 1994
)
0.74
"0 Gy/min) in combination with carbogen inhalation."( Middle dose rate irradiation in combination with carbogen inhalation selectively and more markedly increases the responses of SCCVII tumors.
Akaboshi, M; Akuta, K; Masunaga, S; Ono, K, 1994
)
0.83
" It was concluded that mild hyperthermia in combination with carbogen breathing is potentially useful to reoxygenate radioresistant hypoxic cells and improve the radiotherapy of human tumors."( Mild temperature hyperthermia combined with carbogen breathing increases tumor partial pressure of oxygen (pO2) and radiosensitivity.
Barrios, B; Griffin, RJ; Okajima, K; Song, CW, 1996
)
0.8
"5 degrees C, alone and in combination with carbogen breathing dramatically improves the oxygenation of these murine tumors and that the tumor type influences the duration of changes in oxygenation induced by mild-temperature hyperthermia."( Tumor oxygenation after mild-temperature hyperthermia in combination with carbogen breathing: dependence on heat dose and tumor type.
Griffin, RJ; Iwata, K; Okajima, K; Shakil, A; Song, CW, 1998
)
0.79
"15 when radiation was combined with carbogen and/or nicotinamide."( Fractionated irradiation combined with carbogen breathing and nicotinamide of two human glioblastomas grafted in nude mice.
Buchegger, F; Coucke, PA; Mirimanoff, RO; Sun, LQ, 2001
)
0.85
" A next group of 87 patients received 60 mg/kg nicotinamide in combination with domperidone."( Pharmacology and toxicity of nicotinamide combined with domperidone during fractionated radiotherapy.
Bussink, J; Folkes, LK; Kaanders, JH; Stratford, MR; van der Kogel, AJ, 2002
)
0.31
" If nicotinamide was given in combination with domperidone, 86% of the patients continued the nicotinamide medication until the end of the treatment period."( Pharmacology and toxicity of nicotinamide combined with domperidone during fractionated radiotherapy.
Bussink, J; Folkes, LK; Kaanders, JH; Stratford, MR; van der Kogel, AJ, 2002
)
0.31
"To analyze the clinical efficiency and study the possible mechanism of the carbogen combined with drugs in the treatment of sudden deafness."( [Carbogen combined with drugs in the treatment of sudden deafness].
Ni, Y; Zhao, X, 2004
)
1.46
"Fifty-two patients with sudden deafness were divided into two groups: Twenty-six cases received carbogen (5% CO2 - 95% O2) combined with drug therapeutics of a course of intravenous administration of dexamethasone, vitaminB, low molecular dextran, salviae miltiorrhizae, and intake vitaminC, vitaminE, et al and the other 26 cases received the drugs only."( [Carbogen combined with drugs in the treatment of sudden deafness].
Ni, Y; Zhao, X, 2004
)
1.45
"Between November 1996 and November 2002, 101 patients with previously untreated T2 to T4 squamous cell carcinomas of the oropharynx, larynx, and hypopharynx were entered onto a prospective trial and randomized to receive definitive hyperfractionated RT alone or combined with carbogen breathing."( Radiotherapy alone or combined with carbogen breathing for squamous cell carcinoma of the head and neck: a prospective, randomized trial.
Amdur, RJ; Mendenhall, NP; Mendenhall, WM; Morris, CG; Siemann, DW, 2005
)
0.78
"To assess the feasibility of carbogen breathing combined with radical radiotherapy in patients with advanced head and neck cancer who are unfit to receive concomitant chemotherapy."( Carbogen breathing combined with radical radiotherapy in advanced head and neck cancer patients with severe co-morbidities.
Allal, AS; Vees, H, 2006
)
2.07
"Twenty patients (median age 66 years) with advanced squamous cell carcinoma of the head and neck were treated with either concomitant boost radiotherapy (75%) or mono-fractionated radiotherapy (25%) combined with carbogen breathing."( Carbogen breathing combined with radical radiotherapy in advanced head and neck cancer patients with severe co-morbidities.
Allal, AS; Vees, H, 2006
)
1.96

Dosage Studied

ExcerptRelevanceReference
" just prior to the injection of melphalan (10 mg/kg), cyclophosphamide (150 mg/kg) or BCNU (50 mg/kg), the greatest tumor growth delays were obtained with dosage levels between 4 g and 12 g of the perfluorochemical perfluorooctyl bromide/kg."( A new concentrated perfluorochemical emulsion and carbogen breathing as an adjuvant to treatment with antitumor alkylating agents.
Ara, G; Ha, CS; Herman, TS; Holden, SA; Northey, D; Teicher, BA, 1992
)
0.54
") was administered just prior to an alkylating agent, the combination treatment produced significantly more tumor cell killing across the dosage range of each alkylating agent tested compared with the alkylating agent alone."( Modulation of alkylating agents by etanidazole and Fluosol-DA/carbogen in the FSaIIC fibrosarcoma and EMT6 mammary carcinoma.
Bubley, G; Coleman, CN; Eder, JP; Frei, E; Herman, TS; Holden, SA; Tanaka, J; Teicher, BA, 1991
)
0.52
"5-20 Gy; the change in the radiation dose-response curve was consistent with a reduction in the hypoxic fraction."( Reactions of tumors and normal tissues in mice to irradiation in the presence and absence of a perfluorochemical emulsion.
Irvin, CG; Mate, TP; Nierenburg, M; Rockwell, S, 1986
)
0.27
" Throughout the melphalan dosage range examined there is approximately 1 log greater tumor cell kill observed with the addition of Fluosol-DA and carbogen breathing compared to the drug treatment alone."( Approaches to defining the mechanism of enhancement by Fluosol-DA 20% with carbogen of melphalan antitumor activity.
Holden, SA; Jacobs, JL; Teicher, BA, 1987
)
0.7
" Bioenergetic status was assessed by 31P MRS using a SISCO 7 Tesla magnet, oxygen measurements were done by a polarographic electrode and the hypoxic fraction was determined from direct analysis of the radiation dose-response data."( Relationship between tumour oxygenation, bioenergetic status and radiobiological hypoxia in an experimental model.
Grau, C; Horsman, MR; Jörgensen, HS; Nordsmark, M; Overgaard, J, 1995
)
0.29
" Meta-analysis was neither possible nor considered appropriate due to the differences in the type of vasodilators used, dosage and duration of treatment."( Vasodilators and vasoactive substances for idiopathic sudden sensorineural hearing loss.
Agarwal, L; Pothier, DD, 2009
)
0.35
" Moreover, there were differences in the type, dosage and duration of vasodilator used in each study."( Vasodilators and vasoactive substances for idiopathic sudden sensorineural hearing loss.
Agarwal, L; Pothier, DD, 2009
)
0.35
[information is derived through text-mining from research data collected from National Library of Medicine (NLM), extracted Dec-2023]

Research

Studies (449)

TimeframeStudies, This Drug (%)All Drugs %
pre-199060 (13.36)18.7374
1990's170 (37.86)18.2507
2000's134 (29.84)29.6817
2010's74 (16.48)24.3611
2020's11 (2.45)2.80
[information is prepared from research data collected from National Library of Medicine (NLM), extracted Dec-2023]

Market Indicators

Research Demand Index: 60.32

According to the monthly volume, diversity, and competition of internet searches for this compound, as well the volume and growth of publications, there is estimated to be very strong demand-to-supply ratio for research on this compound.

MetricThis Compound (vs All)
Research Demand Index60.32 (24.57)
Research Supply Index6.28 (2.92)
Research Growth Index4.70 (4.65)
Search Engine Demand Index102.28 (26.88)
Search Engine Supply Index2.01 (0.95)

This Compound (60.32)

All Compounds (24.57)

Study Types

Publication TypeThis drug (%)All Drugs (%)
Trials51 (10.60%)5.53%
Reviews16 (3.33%)6.00%
Case Studies10 (2.08%)4.05%
Observational0 (0.00%)0.25%
Other404 (83.99%)84.16%
[information is prepared from research data collected from National Library of Medicine (NLM), extracted Dec-2023]