Carotid body (Thermoreceptors, sympathetic neural activation, and cardiometabolic disease

The carotid body (CB) is the main peripheral chemoreceptor that senses the arterial PO2, PCO2 and pH. In response to hypoxemia, hypercapnia and acidosis, carotid chemosensory discharge elicits reflex respiratory, autonomic and cardiovascular adjustments. The classical construct considers the CB as t...

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Autores principales: Iturriaga,Rodrigo, Del Rio,Rodrigo, Idiaquez,Juan, Somers,Virend K.
Lenguaje:English
Publicado: Sociedad de Biología de Chile 2016
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Acceso en línea:http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0716-97602016000100013
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spelling oai:scielo:S0716-976020160001000132016-12-01Carotid body (Thermoreceptors, sympathetic neural activation, and cardiometabolic diseaseIturriaga,RodrigoDel Rio,RodrigoIdiaquez,JuanSomers,Virend K. Autonomic dysfunction Carotid body Heart failure Metabolic syndrome Obstructive sleep apnea Sympathetic activation The carotid body (CB) is the main peripheral chemoreceptor that senses the arterial PO2, PCO2 and pH. In response to hypoxemia, hypercapnia and acidosis, carotid chemosensory discharge elicits reflex respiratory, autonomic and cardiovascular adjustments. The classical construct considers the CB as the main peripheral oxygen sensor, triggering reflex physiological responses to acute hypoxemia and facilitating the ventilatory acclimation to chronic hypoxemia at high altitude. However, a growing body of experimental evidence supports the novel concept that an abnormally enhanced CB chemosensory input to the brainstem contributes to overactivation of the sympathetic nervous system, and consequent pathology. Indeed, the CB has been implicated in several diseases associated with increases in central sympathetic outflow. These include hypertension, heart failure, sleep apnea, chronic obstructive pulmonary disease and metabolic syndrome. Indeed, ablation of the CB has been proposed for the treatment of severe and resistant hypertension in humans. In this review, we will analyze and discuss new evidence supporting an important role for the CB chemoreceptor in the progression of autonomic and cardiorespiratory alterations induced by heart failure, obstructive sleep apnea, chronic obstructive pulmonary disease and metabolic syndrome.info:eu-repo/semantics/openAccessSociedad de Biología de ChileBiological Research v.49 20162016-01-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0716-97602016000100013en10.1186/s40659-016-0073-8
institution Scielo Chile
collection Scielo Chile
language English
topic Autonomic dysfunction
Carotid body
Heart failure
Metabolic syndrome
Obstructive sleep apnea
Sympathetic activation
spellingShingle Autonomic dysfunction
Carotid body
Heart failure
Metabolic syndrome
Obstructive sleep apnea
Sympathetic activation
Iturriaga,Rodrigo
Del Rio,Rodrigo
Idiaquez,Juan
Somers,Virend K.
Carotid body (Thermoreceptors, sympathetic neural activation, and cardiometabolic disease
description The carotid body (CB) is the main peripheral chemoreceptor that senses the arterial PO2, PCO2 and pH. In response to hypoxemia, hypercapnia and acidosis, carotid chemosensory discharge elicits reflex respiratory, autonomic and cardiovascular adjustments. The classical construct considers the CB as the main peripheral oxygen sensor, triggering reflex physiological responses to acute hypoxemia and facilitating the ventilatory acclimation to chronic hypoxemia at high altitude. However, a growing body of experimental evidence supports the novel concept that an abnormally enhanced CB chemosensory input to the brainstem contributes to overactivation of the sympathetic nervous system, and consequent pathology. Indeed, the CB has been implicated in several diseases associated with increases in central sympathetic outflow. These include hypertension, heart failure, sleep apnea, chronic obstructive pulmonary disease and metabolic syndrome. Indeed, ablation of the CB has been proposed for the treatment of severe and resistant hypertension in humans. In this review, we will analyze and discuss new evidence supporting an important role for the CB chemoreceptor in the progression of autonomic and cardiorespiratory alterations induced by heart failure, obstructive sleep apnea, chronic obstructive pulmonary disease and metabolic syndrome.
author Iturriaga,Rodrigo
Del Rio,Rodrigo
Idiaquez,Juan
Somers,Virend K.
author_facet Iturriaga,Rodrigo
Del Rio,Rodrigo
Idiaquez,Juan
Somers,Virend K.
author_sort Iturriaga,Rodrigo
title Carotid body (Thermoreceptors, sympathetic neural activation, and cardiometabolic disease
title_short Carotid body (Thermoreceptors, sympathetic neural activation, and cardiometabolic disease
title_full Carotid body (Thermoreceptors, sympathetic neural activation, and cardiometabolic disease
title_fullStr Carotid body (Thermoreceptors, sympathetic neural activation, and cardiometabolic disease
title_full_unstemmed Carotid body (Thermoreceptors, sympathetic neural activation, and cardiometabolic disease
title_sort carotid body (thermoreceptors, sympathetic neural activation, and cardiometabolic disease
publisher Sociedad de Biología de Chile
publishDate 2016
url http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0716-97602016000100013
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AT idiaquezjuan carotidbodythermoreceptorssympatheticneuralactivationandcardiometabolicdisease
AT somersvirendk carotidbodythermoreceptorssympatheticneuralactivationandcardiometabolicdisease
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