Laryngeal afferents activated by phenyldiguanide and their response to cold air or helium-oxygen

Abstract

In anesthetized cts, sensory in the superior laryngeal nerves (SLN) were identified with respect to their response to (1) phenyldiguanide (PDG) i.v., (2) mechanical stimulation and (3) lowering temperature in an isolated tracheolaryngeal segment. The activity originating from 107 SLN afferent units activated by PDG was recorded using glass microelectrodes in the nodose ganglion. All tested afferent units increased their discharge rate during direct touching of the airway mucosa. None showed flow or pressure related activity during abrupt changes in constant laryngeal flow or transmural pressure in the isolated segment. Fifteen units were inhibited by cold air. Sixty-two units significantly increased their firing rate when the temparature approached 18°C, reached a peak discharge near 15°C, then their activity decreased or stopped. The response to cold air was compared to cold heliox (79% He-21 O 2), which enhanced the respiratory heat loss by conduction. The peak firing rate was significantly higher with heliox (+ 356% compared to + 246% with air), the temperature threshold higher (25° C ± 1.0° C) amd the temperature range broader (25-11.5°C). Present results show that a large proportion (58%) of afferent SLN fibres activated by PDG are likely non-proprioceptive units, which are stimulated by cooling the inspired gas. Thermosensitive units in the upper airways may act as sensors of the thermal flux through the airway wall more than as detectors of the absolute value of temperature in the airway lumen.