The lung’s influence on our emotional well-being, beyond its primary role in respiration, remains a compelling scientific mystery. Here, we put forth a unique perspective: emotional coordination and regulation are actively influenced by the bioelectric rhythms between respiratory and cardiac activities. Current models emphasize the cognitive basis of emotions, but we posit that dysfunctional breathing patterns can directly drive and amplify emotional experiences. Research suggests that persistent anxiety states are linked to instable, shallow, and irregular breathing. Key neurotransmitters involved in emotional regulation are also found within the lungs and heart, further supporting a direct physiological link as an extension of the limbic system. We believe that the brainstem’s cardio-respiratory center, through continuous engagement, fluctuates limbic and other brain regions, creating a cardio-respiratory-cortical-limbic network. This network, supported by bioelectric rhythms, plays a pivotal role in generating and amplifying emotions; synchronized rhythms give rise to distinct experiences such as anxiety or joy. Chronic abnormal breathing patterns, evident in emotional disorders, play a pivotal role in perpetuating negative emotional states. We propose a potential therapeutic intervention: 6 slow, deep breaths per minute could disrupt negative emotional patterns. This perspective offers a new understanding on emotional coordination and the potential for respiration-focused therapies for stress and anxiety disorders.
KeywordsAnxietyDepressionChronic Abnormal BreathingBioelectric OscillationsLung-Emotion ConnectionNeurotransmitters in LungsCardio-Respiratory-Cortical-Limbic NetworkTherapeutic Potential of Controlled Breathing
Abdou, A. M., Higashiguchi, S., Horie, K., Kim, M., Hatta, H., & Yokogoshi, H. (2006). Relaxation and Immunity Enhancement Effects of γ ‐Aminobutyric Acid (GABA) Administration in Humans. BioFactors , 26, 201-208. https://doi.org/10.1002/biof.5520260305
Arias-López, J. A., Williams, C., Raghvani, R., Aghajani, M., Baez, S., Belzung, C. et al. (2020). The Neuroscience of Sadness: A Multidisciplinary Synthesis and Collaborative Review. Neuroscience & Biobehavioral Reviews, 111, 199-228. https://doi.org/10.1016/j.neubiorev.2020.01.006
Ashhad, S., Kam, K., Del Negro, C. A., & Feldman, J. L. (2022). Breathing Rhythm and Pattern and Their Influence on Emotion. Annual Review of Neuroscience, 45, 223-247. https://doi.org/10.1146/annurev-neuro-090121-014424
Balban, M. Y., Neri, E., Kogon, M. M., Weed, L., Nouriani, B., Jo, B. et al. (2023). Brief Structured Respiration Practices Enhance Mood and Reduce Physiological Arousal. Cell Reports Medicine, 4, Article ID: 100895. https://doi.org/10.1016/j.xcrm.2022.100895
Bonham, A. C. (1995). Neurotransmitters in the CNS Control of Breathing. Respiration Physiology, 101, 219-230. https://doi.org/10.1016/0034-5687(95)00045-f
Boyadzhieva, A., & Kayhan, E. (2021). Keeping the Breath in Mind: Respiration, Neural Oscillations, and the Free Energy Principle. Frontiers in Neuroscience, 15, Article ID: 647579. https://doi.org/10.3389/fnins.2021.647579
Breit, S., Kupferberg, A., Rogler, G., & Hasler, G. (2018). Vagus Nerve as Modulator of the Brain-Gut Axis in Psychiatric and Inflammatory Disorders. Frontiers in Psychiatry, 9, Article No. 44. https://doi.org/10.3389/fpsyt.2018.00044
Brinkman, J. E. (2023, June 5). Physiology, Respiratory Drive . StatPearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK482414/
British Heart Foundation (n.d.). Is the Heart Conn ected to the Brain . https://www.bhf.org.uk/informationsupport/heart-matters-magazine/research/is-the-heart-connected-to-the-brain
Buchanan, T. L., & Janelle, C. M. (2022). Emotions and Ensuing Motor Performance Are Altered by Regulating Breathing Frequency: Implications for Emotion Regulation and Sport Performance. Frontiers in Psychology, 13, Article ID: 963711. https://doi.org/10.3389/fpsyg.2022.963711
Campanelli, S., Lopes Tort, A., & Lobão-Soares, B. (2020). Pranayamas and Their Neurophysiological Effects. International Journal of Yoga, 13, 183-192. https://doi.org/10.4103/ijoy.ijoy_91_19
Dick, T. E., Shannon, R., Lindsey, B. G., Nuding, S. C., Segers, L. S., Baekey, D. M. et al. (2008). Pontine Respiratory‐Modulated Activity before and after Vagotomy in Decerebrate Cats. The Journal of Physiology, 586, 4265-4282. https://doi.org/10.1113/jphysiol.2008.152108
Dobrakowski, P., Blaszkiewicz, M., & Skalski, S. (2020). Changes in the Electrical Activity of the Brain in the Alpha and Theta Bands during Prayer and Meditation. International Journal of Environmental Research and Public Health, 17, Article No. 9567. https://doi.org/10.3390/ijerph17249567
Fincham, G. W., Strauss, C., Montero-Marin, J., & Cavanagh, K. (2023). Effect of Breathwork on Stress and Mental Health: A Meta-Analysis of Randomised-Controlled Trials. Scientific Reports, 13, Article No. 432. https://doi.org/10.1038/s41598-022-27247-y
Folschweiller, S., & Sauer, J. (2021). Respiration-Driven Brain Oscillations in Emotional Cognition. Frontiers in Neural Circuits, 15, Article ID: 761812. https://doi.org/10.3389/fncir.2021.761812
Friedman, B. H. (2009). Feelings and the Body: The Jamesian Perspective on Autonomic Specificity of Emotion. Biological Psychology , 84, 383-393.
Gao, J., Sun, R., Leung, H. K., Roberts, A., Wu, B. W. Y., Tsang, E. W. et al. (2023). Increased Neurocardiological Interplay after Mindfulness Meditation: A Brain Oscillation-Based Approach. Frontiers in Human Neuroscience, 17, Article ID: 1008490. https://doi.org/10.3389/fnhum.2023.1008490
Gu, X., Karp, P. H., Brody, S. L., Pierce, R. A., Welsh, M. J., Holtzman, M. J. et al. (2014). Chemosensory Functions for Pulmonary Neuroendocrine Cells. American Journal of Respiratory Cell and Molecular Biology, 50, 637-646. https://doi.org/10.1165/rcmb.2013-0199oc
Guyenet, P. G. (2014). Regulation of Breathing and Autonomic Outflows by Chemoreceptors. Comprehensive Physiology, 4, 1511-1562. https://doi.org/10.1002/cphy.c140004.
Haddad, M. (2023, July 20). Physiology, Lung . StatPearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK545177/
Haji, A. (2008). Respiratory Neurotransmitters and Neuromodulators. In M. D. Binder, N. Hirokawa, & U. Windhorst (Eds.), Encyclopedia of Neuroscience (pp. 3467-3470). Springer. https://doi.org/10.1007/978-3-540-29678-2_5076
Harris, M. P. (2021). Bioelectric Signaling as a Unique Regulator of Development and Regeneration. Development, 148, dev180794. https://doi.org/10.1242/dev.180794
Heck, D. H., Correia, B. L., Fox, M. B., Liu, Y., Allen, M., & Varga, S. (2022). Recent Insights into Respiratory Modulation of Brain Activity Offer New Perspectives on Cognition and Emotion. Biological Psychology, 170, Article ID: 108316. https://doi.org/10.1016/j.biopsycho.2022.108316
Izard, C. E. (2009). Emotion Theory and Research: Highlights, Unanswered Questions, and Emerging Issues. Annual Review of Psychology, 60, 1-25. https://doi.org/10.1146/annurev.psych.60.110707.163539
Jerath, R., & Beveridge, C. (2018). Novel Bioelectric Mechanisms and Functional Significance of Peripheral and Central Entrainment by Respiration. World Journal of Neuroscience, 8, 480-500. https://doi.org/10.4236/wjns.2018.84038
Jerath, R., & Beveridge, C. (2020). Respiratory Rhythm, Autonomic Modulation, and the Spectrum of Emotions: The Future of Emotion Recognition and Modulation. Frontiers in Psychology, 11, Article No. 1980. https://doi.org/10.3389/fpsyg.2020.01980
Jerath, R., & Crawford, M. W. (2015). How Does the Body Affect the Mind? Role of Cardiorespiratory Coherence in the Spectrum of Emotions. Advances in Mind-Body Medi cine, 29, 4.
Jerath, R., Beveridge, C., & Jensen, M. (2019). On the Hierarchical Organization of Oscillatory Assemblies: Layered Superimposition and a Global Bioelectric Framework. Frontiers in Human Neuroscience, 13, Article No. 426. https://doi.org/10.3389/fnhum.2019.00426
Kim, D., Lee, K., Kim, J., Whang, M., & Kang, S. W. (2013). Dynamic Correlations between Heart and Brain Rhythm during Autogenic Meditation. Frontiers in Human Neuroscience, 7, Article No. 414. https://doi.org/10.3389/fnhum.2013.00414
Kuo, C. S., Darmanis, S., Diaz de Arce, A., Liu, Y., Almanzar, N., Wu, T. T. et al. (2022). Neuroendocrinology of the Lung Revealed by Single-Cell RNA Sequencing. eLife , 11, e78216. https://doi.org/10.7554/elife.78216
Law, C. S. H., & Leung, L. S. (2018). Long-Term Potentiation and Excitability in the Hippocampus Are Modulated Differently by Θ Rhythm. eNeuro , 5, ENEURO.0236-18.2018. https://doi.org/10.1523/eneuro.0236-18.2018
Lee, Y., Ryu, Y., Jung, W., Kim, J., Lee, T., & Chae, Y. (2017). Understanding Mind‐Body Interaction from the Perspective of East Asian Medicine. Evidence-Based Complementary and Alternative Medicine, 2017, Article ID: 7618419. https://doi.org/10.1155/2017/7618419
Leung, L. S., & Law, C. S. H. (2020). Phasic Modulation of Hippocampal Synaptic Plasticity by Theta Rhythm. Behavioral Neuroscience, 134, 595-612. https://doi.org/10.1037/bne0000354
Lisman, J. (2015). The Challenge of Understanding the Brain: Where We Stand in 2015. Neuron, 86, 864-882. https://doi.org/10.1016/j.neuron.2015.03.032
Maric, V., Ramanathan, D., & Mishra, J. (2020). Respiratory Regulation & Interactions with Neuro-Cognitive Circuitry. Neuroscience & Biobehavioral Reviews, 112, 95-106. https://doi.org/10.1016/j.neubiorev.2020.02.001
Martinek, R., Ladrova, M., Sidikova, M., Jaros, R., Behbehani, K., Kahankova, R. et al. (2021). Advanced Bioelectrical Signal Processing Methods: Past, Present and Future Approach—Part I: Cardiac Signals. Sensors, 21, Article No. 5186. https://doi.org/10.3390/s21155186
Noble, D. J., & Hochman, S. (2019). Hypothesis: Pulmonary Afferent Activity Patterns during Slow, Deep Breathing Contribute to the Neural Induction of Physiological Relaxation. Frontiers in Physiology, 10, Article No. 1176. https://doi.org/10.3389/fphys.2019.01176
Ojeda Valencia, G., Gregg, N. M., Huang, H., Lundstrom, B. N., Brinkmann, B. H., Pal Attia, T. et al. (2023). Signatures of Electrical Stimulation Driven Network Interactions in the Human Limbic System. The Journal of Neuroscience, 43, 6697-6711. https://doi.org/10.1523/jneurosci.2201-22.2023
Oku, Y. (2022). Temporal Variations in the Pattern of Breathing: Techniques, Sources, and Applications to Translational Sciences. The Journal of Physiological Sciences, 72, Article No. 22. https://doi.org/10.1186/s12576-022-00847-z
Owens, M. T., & Tanner, K. D. (2017). Teaching as Brain Changing: Exploring Connections between Neuroscience and Innovative Teaching. CBE—Life Sciences Education, 16, fe2. https://doi.org/10.1187/cbe.17-01-0005
Pace-Schott, E. F., Amole, M. C., Aue, T., Balconi, M., Bylsma, L. M., Critchley, H. et al. (2019). Physiological Feelings. Neuroscience & Biobehavioral Reviews, 103, 267-304. https://doi.org/10.1016/j.neubiorev.2019.05.002
Rolls, E. T. (2019). The Cingulate Cortex and Limbic Systems for Action, Emotion, and Memory. In Handbook of Clinical Neurology (pp. 23-37). Elsevier. https://doi.org/10.1016/b978-0-444-64196-0.00002-9
Russo, M. A., Santarelli, D. M., & O’Rourke, D. (2017). The Physiological Effects of Slow Breathing in the Healthy Human. Breathe, 13, 298-309. https://doi.org/10.1183/20734735.009817
Schnorbusch, K., Lembrechts, R., Pintelon, I., Timmermans, J., Brouns, I., & Adriaensen, D. (2013). Gabaergic Signaling in the Pulmonary Neuroepithelial Body Microenvironment: Functional Imaging in GAD67-GFP Mice. Histochemistry and Cell Biology, 140, 549-566. https://doi.org/10.1007/s00418-013-1093-x
Trost, W., & Vuilleumier, P. (2013). Rhythmic Entrainment as a Mechanism for Emotion Induction by Music. In T. Cochrane, et al . (Eds.), The Emotional Power of Music : Multidisciplinary Perspectives on Musical Arousal, Expression, and Social Control (pp. 213-225). Oxford University Press. https://doi.org/10.1093/acprof:oso/9780199654888.003.0016
Tyng, C. M., Amin, H. U., Saad, M. N. M., & Malik, A. S. (2017). The Influences of Emotion on Learning and Memory. Frontiers in Psychology, 8, Article No. 1454. https://doi.org/10.3389/fpsyg.2017.01454
Valentinuzzi, M. E. (2007). Bioelectrical Signal Processing in Cardiac and Neurological Applications and Electromyography: Physiology, Engineering, and Noninvasive Applications. BioMedical Engineering OnLine , 6, Article No. 27. https://doi.org/10.1186/1475-925x-6-27
Vidotto, L. S., Bigliassi, M., Jones, M. O., Harvey, A., & Carvalho, C. R. F. (2018). Stop Thinking! I Can’t! Do Attentional Mechanisms Underlie Primary Dysfunctional Breathing? Frontiers in Physiology, 9, Article No. 782. https://doi.org/10.3389/fphys.2018.00782
Vidotto, L. S., Carvalho, C. R. F. d., Harvey, A., & Jones, M. (2019). Dysfunctional Breathing: What Do We Know? Jornal Brasileiro de Pneumologia , 45, e20170347. https://doi.org/10.1590/1806-3713/e20170347
Von Leupoldt, A., Vovk, A., Bradley, M. M., Keil, A., Lang, P. J., & Davenport, P. W. (2010). The Impact of Emotion on Respiratory-Related Evoked Potentials. Psychophysiology, 47, 579-586. https://doi.org/10.1111/j.1469-8986.2009.00956.x
Weng, H. Y., Feldman, J. L., Leggio, L., Napadow, V., Park, J., & Price, C. J. (2021). Interventions and Manipulations of Interoception. Trends in Neurosciences, 44, 52-62. https://doi.org/10.1016/j.tins.2020.09.010
Wolff, M., Morceau, S., Folkard, R., Martin-Cortecero, J., & Groh, A. (2021). A Thalamic Bridge from Sensory Perception to Cognition. Neuroscience & Biobehavioral Reviews, 120, 222-235. https://doi.org/10.1016/j.neubiorev.2020.11.013
Zaccaro, A., Perrucci, M. G., Parrotta, E., Costantini, M., & Ferri, F. (2022). Brain-Heart Interactions Are Modulated across the Respiratory Cycle via Interoceptive Attention. NeuroImage, 262, Article ID: 119548. https://doi.org/10.1016/j.neuroimage.2022.119548
Zaccaro, A., Piarulli, A., Laurino, M., Garbella, E., Menicucci, D., Neri, B. et al. (2018). How Breath-Control Can Change Your Life: A Systematic Review on Psycho-Physiological Correlates of Slow Breathing. Frontiers in Human Neuroscience, 12, Article No. 353. https://doi.org/10.3389/fnhum.2018.00353
Zelano, C., Jiang, H., Zhou, G., Arora, N., Schuele, S., Rosenow, J. et al. (2016). Nasal Respiration Entrains Human Limbic Oscillations and Modulates Cognitive Function. The Journal of Neuroscience, 36, 12448-12467. https://doi.org/10.1523/jneurosci.2586-16.2016