Abstract
There is an abundance of literature concerning the possible transduction mechanisms and neurotransmitters that act within the carotid body, the activity of carotid chemoreceptor afferents to various stimulants, and the reflex effects produced by altering chemoreceptor afferent discharge. However, relatively little information is available regarding the mechanisms which intervene between the activity in the afferent nerve fibres and the alterations evoked in motor outflow. In this short review I will summarise what is known regarding the sites of termination of arterial chemoreceptor afferents and the integration of these afferents with other afferent inputs, respiration, and higher centres at the second and higher order neurones. In addition, these will be compared to the pathways underlying the responses evoked by a second set of chemoreceptor afferents, those arising from the pulmonary chemoreceptor afferents variously termed “J-receptors”, “pulmonary C-fibre afferents” or “pulmonary chemoreceptor afferents”. When activated these afferents evoke a marked vagal bradycardia, a depressor response and either rapid shallow breathing or apnoea. These afferents are of interest since the bradycardia they evoke is unaffected by respiratory gating (Daly & Kirkman, 1989; Daly, 1991) whereas the bradycardia evoked by arterial chemoreceptor or baroreceptor afferents is powerfully gated both by the central respiratory cycle and lung inflation (Daly, 1986; Davidson et al., 1976). This may suggest that the central mechanisms underlying the two chemoreceptor reflexes are fundamentally different. Hence, it is worth comparing the pathways responsible for both reflexes. The effects of these two types of afferent on the relevant motor neuronal pools has been discussed elsewhere in this volume (Jones et al., 1994) and will not be discussed in detail here.
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Jordan, D. (1994). Central Integration of Chemoreceptor Afferent Activity. In: O’Regan, R.G., Nolan, P., McQueen, D.S., Paterson, D.J. (eds) Arterial Chemoreceptors. Advances in Experimental Medicine and Biology, vol 360. Springer, Boston, MA. https://doi.org/10.1007/978-1-4615-2572-1_8
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