Journal of Applied Physiology AJP: Endocrinology and Metabolism
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J Appl Physiol 96: 359-366, 2004; doi:10.1152/japplphysiol.00809.2003
8750-7587/04 $5.00
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INVITED REVIEW

HIGHLIGHTED TOPICS
Oxygen Sensing in Health and Disease

Peripheral chemoreceptors in health and disease

Nanduri R. Prabhakar and Ying-Jie Peng

Department of Physiology and Biophysics, Case Western Reserve University, Cleveland, Ohio 44106

Peripheral chemoreceptors (carotid and aortic bodies) detect changes in arterial blood oxygen and initiate reflexes that are important for maintaining homeostasis during hypoxemia. This mini-review summarizes the importance of peripheral chemoreceptor reflexes in various physiological and pathophysiological conditions. Carotid bodies are important for eliciting hypoxic ventilatory stimulation in humans and in experimental animals. In the absence of carotid bodies, compensatory upregulation of aortic bodies as well as other chemoreceptors contributes to the hypoxic ventilatory response. Peripheral chemoreceptors are critical for ventilatory acclimatization at high altitude. They also contribute in part to the exercise-induced hyperventilation, especially with submaximal and heavy exercise. During pregnancy, hypoxic ventilatory sensitivity increases, perhaps due to the actions of estrogen and progesterone on chemoreceptors. Augmented peripheral chemoreceptors have been implicated in early stages of recurrent apneas, congestive heart failure, and certain forms of hypertension. It is likely that chemoreceptors tend to maintain oxygen homeostasis and act as a defense mechanism to prevent the progression of the morbidity associated with these diseases. Experimental models of recurrent apneas, congestive heart failure, and hypertension offer excellent opportunities to unravel the cellular mechanisms associated with altered chemoreceptor function.

carotid bodies; aortic bodies; exercise; high altitude; apneas; hypertension; congestive heart failure; sympathetic nerve activity; ventilation



Address for reprint requests and other correspondence: N. R. Prabhakar, Dept. of Physiology & Biophysics, School of Medicine, Case Western Reserve Univ., 10900 Euclid Ave., Cleveland, OH 44106 (E-mail: nrp{at}po.cwru.edu).




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