Abstract
Perinatal exposure to adverse experiences disrupts brain development, including the brainstem network that regulates breathing. At adulthood, rats previously subjected to stress (in the form of neonatal maternal separation; NMS) display features reported in patients suffering from sleep disordered breathing, including an increased hypoxic ventilatory response and hypertension. This effect is also sex-specific (males only). Based on these observations, we hypothesized that NMS augments the carotid body's O2-chemosensitivity. Using an isolated and perfused ex vivo carotid body preparation from adult rats we compared carotid sinus nerve (CSN) responses to hypoxia and hypercapnia in carotid bodies harvested from adult rats that either experienced control conditions (no experimental manipulation) or were subjected to NMS (3 h/day from postnatal days 3 to 12). In males, the CSN response to hypoxia measured in preparations from NMS males was 1.5 fold higher than controls. In control rats, the female's response was similar to that of males; however, the increase in CSN activity measured in NMS females was 3.0 times lower than controls. The CSN response to hypercapnia was not influenced by stress or sex. We conclude that NMS is sufficient to have persistent and sex-specific effects on the carotid body's response to hypoxia. Because NMS also has sex-specific effects on the neuroendocrine response to stress, we propose that carotid body function is influenced by stress hormones. This, in turn, leads to a predisposition toward cardio-respiratory disorders.
Highlights
IntroductionHighly vascularized chemosensors that are strategically located at the bifurcation of the carotid arteries
Carotid bodies are small, highly vascularized chemosensors that are strategically located at the bifurcation of the carotid arteries
Following a brief delay (∼90 s), carotid sinus nerve (CSN) activity augmented in all experimental groups [F(2, 44) = 157.9; p < 0.0001; Figures 1, 2] and a plateau was observed within 3 min
Summary
Highly vascularized chemosensors that are strategically located at the bifurcation of the carotid arteries. While they can respond to various blood born stimuli (CO2/H+, glucose), it is generally agreed that their main role is to detect changes in arterial PO2 reaching the brain and trigger appropriate ventilatory adjustments when necessary (Kumar and Prabhakar, 2012). Sleep disordered breathing affects ∼4% of men and 2% for women (Jordan et al, 2014) In this population, an augmented carotid body responsiveness initiates excessive hyperventilation in response to the modest PaO2 fluctuations that naturally occur during sleep. Carotid body resection appears as a highly promising treatment of severe and resistant hypertension in humans (Iturriaga et al, 2016)
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