Abstract
The last 15 years has seen an enormous increase in our understanding of arterial chemoreceptor function in fetal and neonatal life. This is of obvious clinical significance: both the identification of fetuses which are not adapting adequately to hypoxia in utero and the appropriate care of newborn, especially preterm, infants demands a thorough knowledge of the integrated chemoreflexes which the fetus and neonate mount. In this chapter, we review knowledge of arterial chemoreceptor responses to natural stimuli during development and the chemoreflexes which ensue. We then note the possible effects of pathophysiological processes (especially chronic hypoxaemia) on chemoreceptor function. Finally, we consider the implications of new knowledge on chemoreceptor function over the period for studies on the transduction mechanisms of arterial chemoreceptors.
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References
Acker, H., Degner, F. &Hilsmann, J. (1991). Local blood flow velocities in the carotid body of fetal sheep and newborn lambs. J. Comp. Physiol., B, Biochem. System. Env. Physiol. 161:73–79.
Bennet, L. &Hanson, M.A. (1994). Intra-uterine compromise - Physiological consequences. In “Early Fetal Growth and Development”. R.H.T. Ward, C.K.Smith &D. Donnai, eds. In press.
Blanco, C.E., Dawes, G.S., Hanson, M.A. &McCooke, H.B. (1982). The arterial chemoreceptors in fetal sheep and newborn lambs. J. Physiol. 330:38P
Blanco, C.E., Dawes, G.S., Hanson, M.A. &McCooke, H. B. (1984). The response to hypoxia of arterial chemoreceptors in fetal sheep and new-born lambs. J. Physiol. 351:25–37.
Blanco, C.E., Hanson, M.A., Johnson, P. &Rigatto, H. (1984b). Breathing pattern of kittens during hypoxia. J. Appl. Physiol. 56(1): 12–17.
Blanco, C.E., Hanson, M.A. &McCooke, H.B. (1988). Effects on carotid chemoreceptor resetting of pulmonary ventilation in the fetal lamb in utero. J. Dev. Physiol. 10:167–174.
Boddy, K., Dawes, G.S., Fisher, R., Pinter, S. &Robinson, J.S. (1974). Foetal respiratory movements, electrocortical and cardiovascular responses to hypoxemia and hypercapnia in sheep. J. Physiol. 243:599–618.
Brace, R. A. (1993). Regulation of blood volume in utero. In “Fetus and Neonate: Volume One: Circulation”, M.A. Hanson, J.A.D. Spencer &C.H. Rodeck, eds., pp. 75–98. CambridgeUniversity Press: Cambridge.
Buckler, K.J., Vaughan-Jones, R.D., Peers, C. &Nye, P.C.G. (1991a). Intracellular pH and its regulation in isolated Type I carotid body cells of the neonatal rat. J. Physiol. 436:107–129.
Buckler, K.J., Vaughan-Jones, R.D., Peers, C., Lagadic-Grossman, D. &Nye, P.C.G. (1991b). Effects of extracellular pH, PCO2 and HCO3-on intracellular pH in isolated type-I cells of the neonatal rat carotid body. J.Physiol. 444:703–721.
Calder, N.A., Wilhams, B.A., Kumar, P. &Hanson, M.A. (1993). The respiratory response of healthy term infants to breath-by-breath alternations in inspired oxygen at two postnatal ages. Pediatr. Res., In press.
Calder, N.A., Williams, B.A., Smyth, J., Boon, A.W., Kumar, P. &Hanson, M.A. (1994). Absence of ventilatory responses to alternating breaths of mild hypoxia and air in infants who have suffered bronchopulmonary dysplasia: implications for the risk of sudden infant death. Pediatr. Res., In press.
Cohen, G. &Henderson-Smart, D.J. (1990). A modified rebreathing method to study the ventilatory response of the newborn to carbon dioxide. J. Dev. Physiol. 14:295–301
Cross, K.W., Tizard, J.P.M. &Trythall, D.A.H. (1958). The gaseous metabolism of the newborn infant breathing 15% O2. Acta Paed. Scand. 47:217–237.
Delpiano, M.A. &Hescheler, J. (1989). Evidence for a PO2-sensitive K+ channel in the type-I cell of the rabbit carotid body. FEBS Lett. 249:195–198.
Duchen, M.R., Caddy, K.W.T., Kirby, G.C., Patterson, D.L., Ponte, J. &Biscoe, T.J. (1988). Biophysical studies of the cellular elements of the rabbit carotid body. Neurosci. 26, 291–311.
Duchen, M.R. &Biscoe, T.J. (1992a). Mitochondrial function in Type I cells isolated from rabbit arterial chemoreceptors. J. Physiol. 450:13–31.
Duchen, M.R. &Biscoe, T.J. (1992b). Relative mitochondrial membrane potential and [Ca2+] in Type I cells isolated from the rabbit carotid body. J. Physiol. 450:33–61.
Eden, G.J. &Hanson, M.A. (1987a). Maturation of the respiratory response to acute hypoxia in the newborn rat. J.Physiol. 392:1–9.
Eden, G.J. &Hanson, M.A. (1987b). Effects of chronic hypoxia from birth on the ventilatory response to acute hypoxia in the newborn rat. J. Physiol. 392:11–19.
Elnazir, B.K. &Kumar, P. (1993). Maturation of the initial ventilatory responses to CO2 and O2 in conscious, newborn rats. J. Physiol. 459:337P
Elnazir, B.K., Pepper, D.R. &Kumar, P. (1993). The effect of chronic hypoxia from birth upon the initial ventilatory responses to CO2 and O2 in conscious, newborn rats. J. Physiol., In press.
Giussani, D.A., Spencer, J.A.D., Moore, P.J., Bennet, L. &Hanson, M.A. (1993a). Afferent and efferent components of the cardiovascular reflex responses to acute hypoxia in term fetal sheep. J. Physiol. 461:431–449.
Giussani, D.A., McGarrigle, H.H.G., Bennet, L., Moore, P.J., Spencer, J.A.D. &Hanson, M.A. (1993b). Carotid sinus nerve section affects ACTH and cortisol responses to acute isocapnic hypoxia in term fetal sheep. J. Physiol, In press.
Giussani, D.A., McGarrigle, H.H.G., Spencer, J.A.D., Moore, P.J., Bennet, L. &Hanson, M.A. (1993c). Carotid denervation does not affect plasma vasopressin levels during active hypoxia in the late gestation sheep fetus. J. Physiol., In press.
Gluckman, P.D. &Johnston, B.M. (1987). Lesions in the upper lateral pons abolish the hypoxic depression of breathing in unanaesthetized fetal lambs in utero. J. Physiol. 382:373–383.
Gonzalez, C., Almaraz, L., Obeso, A. &Rigual, R. (1992). Oxygen and acid chemoreception in the carotid body chemoreceptors. Trends in Neurosciences 15:146–153.
Hanson, M.A. (1986a). Peripheral chemoreceptor function before and after birth. In “Respiratory control and lung development in the fetus and newborn”, B.M. Johnston &P.D. Gluckman, eds. pp. 311–330. Perinatology Press, New York.
Hanson, M.A. (1986b). Maturation of peripheral chemoreceptors and central nervous components of respiratory control in perinatal life. In “Neurobiology of the Control of Breathing”., C.V. Euler &H. Lagercrantz ,eds. pp. 59–65. Raven Press: New York.
Hanson, M.A., Kumar, P. &McCooke, H.B. (1986). Post-natal re-setting of carotid chemoreceptor sensitivity in the lamb. J. Physiol. 382:57P
Hanson, M.A., Nye, P.C.G. &Torrance, R.W. (1981). The exodus of an extracellular bicarbonate theory of chemoreception and the genesis of an intracellular one. In “Arterial chemoreceptors”, C. Belmonte, D.J. Pallot, H. Acker &S. Fidone, eds. pp. 403–416. Leicester University Press: Leicester.
Hanson, M.A. &Williams, B.A. (1987). A role for brown adipose tissue in the biphasic ventilatory response of the newborn rat to hypoxia. J. Physiol. 386:70P
Hanson, M.A., Kumar, P. &Williams, B.A. (1989). The effect of chronic hypoxia upon the development of respiratory chemoreflexes in the newborn kitten. J. Physiol. 411:563–574.
Hanson, M.A., Eden, G.J., Nijhuis, J.G. &Moore, P.J. (1989). Peripheral chemoreceptors and other 02 sensors in the fetus and newborn. In “Chemoreceptors and Reflexes in Breathing”, A.I. Pack, ed. pp. 113–120. Oxford University Press: New York.
Hanson, M.A. (1989). The importance of baro- and chemoreflexes in the control of the fetal cardiovascular system. J. Dev. Physiol. 10:491–511.
Hertzberg, T. &Lagercrantz, H. (1987). Postnatal sensitivity of the peripheral chemoreceptors in newborn infants.. Arch. Dis. Child. 62:1238–1241.
Hertzberg, T., Hellstrom, S., Holgert, H., Lagercrantz, H. &Pequignot, J.M. (1992). Ventilatory response to hyperoxia in newborn rats born in hypoxia - possible relationship to carotid body dopamine. J. Physiol. 456:645–654.
Hescheler, J., Delpiano, M.A., Acker, H. &Pietruschka, F. (1989). Ionic currents on Type I cells of the rabbit carotid body measured by voltage clamp experiments and the effect of hypoxia. Brain Res. 486:79–88.
Hill, J. R. (1959). The oxygen consumption of newborn and adult mammals.Its dependence on the oxygen tension in the inspired air and on the enviromental temperature. J. Physiol. 149:346–373.
Hohimer, A.R., Bissonnette, J.M., Richardson, B.S. &Machida, C.M. (1983). Central chemical regulation of breathing movements in fetal lambs. Respir. Physiol. 52:88–111.
Jansen, A.O., Ioffe, S. &Chernick, V. (1992). Maturation of steady-state CO2 sensitivity in vagotomized anaesthetized lambs. J. Appl. Physiol. 72(4):1255–1260.
Jensen, A. &Berger, R. (1991). Fetal circulatory responses to oxygen lack. J. Dev. Physiol. 16:181–207.
Jensen, A. &Hanson, M.A. (1993). Circulatory responses to acute asphyxia in intact and chemodenervated fetal sheep near term. J. Dev. Physiol.. In press.
Johnston, B.M., Moore, P.J., Bennet, L., Hanson, M.A. &Gluckman, P.D. (1990). Almitrine mimics hypoxia in fetal sheep with lateral pontine lesions. J. Appl. Physiol. 69:1330–1335.
Johnston, B. M. (1991). Brain stem inhibitory mechanisms in the control of fetal breathing movements. In “The Fetal and Neonatal Brain Stem”, M.A. Hanson, ed. pp. 21–47. Cambridge University Press, Cambridge.
Jones, C.T., Roebuck, M.M., Walker, D.W. &JohstonN, B. M. (1988). The role of the adrenal medulla and peripheral sympathetic nerves in the physiological responses of the fetal sheep to hypoxia. J. Dev. Physiol. 10:17–36.
Kholwadwala, D. &Donnelly, D.F. (1992). Maturation of carotid chemoreceptor sensitivity to hypoxia: in vitro studies in the newborn rat. J. Physiol. 453:461–473.
Koos, B.J., Chao, A. &Doany, W. (1992). Adenosine stimulates breathing in fetal sheep with brain stem section. J. Appl. Physiol. 72:94–99.
Kumar, P. &Hanson, M.A. (1989). Re-setting of the hypoxic sensitivity of aortic chemoreceptors in the newborn lamb. J. Dev. Physiol. 11(4):199–206.
Lahiri, S., Brody, J.S., Motoyama, E.K. &Velasquez, T.M. (1978). Regulation of breathing in newborns at high altitude. J. Appl. Physiol. 44:673–678.
Lopez-Barneo, J., Lopez-Lopez, J.R., Urena, J. &Gonzalez, C. (1988). Chemotransduction in the carotid body: K+ current modulated by PO2 in type I chemoreceptor cells. Science 241:580–582.
Lopez-Lopez, J.R., Gonzalez, C., Urena, J. &Lopez-Barneo, J. (1989). Low pO2 selectively inhibits K channel activity in chemoreceptor cells of the mammalian carotid body. J. Gen. Physiol. 93:1001–1015.
Marchai, F., Bairam, A., Haouzi, P., Crance, J.P., di Giulio, C., Vert, P. &Lahiri, S. (1992). Carotid chemoreceptor response to natural stimuli in the newborn kitten. Respir. Physiol. 87:183–193.
Martin-Body, R.L. &Johnston, B.M. (1988). Central origin of the hypoxic depression of breathing in the newborn.. Respir.Physiol. 71:25–32.
Mills, E. &Jobsis, F.F. (1970). Simultaneous measurement of cytochrome aa3 reduction and chemoreceptor afferent activity in the carotid body. Nature 225:1147–1149.
Moore, P.J., Hanson, M.A. &Parkes, M.J. (1989). Almitrine inhibits breathing movements in fetal sheep. J. Dev. Physiol. 11(5):277–281.
Moore, P.J. &Hanson, M.A. (1991). The role of peripheral chemoreceptors in the rapid response of the pulmonary vasculature of the late gestation fetus to changes in PaO2. J. Dev. Physiol. 16:133–138.
Moore, P.J., Clarke, J.A., Hanson, M.A., Daly, M.D. &Ead, H.W. (1991a). Quantitative studies of the vasculature of the carotid body in fetal and newborn sheep. J. Dev. Physiol. 15:211–214.
Moore, P.J., Parkes, M.J., Noble, R. &Hanson, M.A. (1991b). Reversible blockade of the secondary fall of ventilation during hypoxia in anaesthetized newborn sheep by focal cooling in the brain stem. J. Physiol. 438:242P
Morray, J., Bennet, L., Noble, R. &Hanson, M.A. (1992). Effect of halothane on the carotid chemoreceptor response to hypoxia in anaesthetized kittens. J. Physiol. 446:425P
Mulligan, E.M. (1991). Discharge properties of carotid bodies. Developmental aspects. In “Developmental Neurobiology of Breathing”. Haddad, G.G. &Farber, J.P., eds. pp 321–340. Marcel Dekker, New York.
Obeso, A., Rocher, A., Fidone, S. &Gonzalez, C. (1992). The role of dihydropyridine-sensitive Ca2+ channels in stimulus-evoked catecholamine release from chemoreceptor cells of the carotid body. Neurosci. 47:463–472.
Peers, C. (1990a). Hypoxic supression of K+ currents in Type I carotid body cells: Selective effect on the Ca2+-activated K+ current. Neurosci. Lett. 119:253–256.
Peers, C. (1990b). Effect of lowered extracellular pH on Ca2+-dependent K+ currents in type I cells from the neonatal rat carotid body. J. Physiol. 422:381–395.
Peers, C. &Green, F.K. (1991). Inhibition of Ca2+ -activated K+ currents by intracellular acidosis in isolated Type I cells of the neonatal rat carotid body. J. Physiol. 422:381–395.
Rigual, R., Lopez-Lopez, J.R. &Gonzalez, C. (1991). Release of dopamine and chemoreceptor discharge induced by low ph and high PCO2 stimulation of the cat carotid body. J. Physiol. 433:519–531.
Rocher, A., Obeso, A., Gonzalez, C. &Herreros, B. (1991). Ionic mechanisms for the transduction of acidic stimuli in rabbit carotid body glomus cells. J. Physiol. 433:533–548.
Rudolph, A.M. (1984). The fetal circulation and its response to stress. J. Dev. Physiol. 6:11–19.
Schwieler, G.H. (1968). Respiratory regulation during postnatal development in cats and rabbits and some if its morphological substrate.. Acta. Physiol. Scand. 72, Suppl. 304:1–123.
Sorensen, S.C. &Severinghaus, J.W. (1968). Respiratory insensitivity to acute hypoxia persisting after correction of tetralogy of Fallot. J. Appl. Physiol. 25:221–223.
Torrance, R.W., Bartels, E.M. &McLaren,A. (1993). Update on the bicarbonate hypothesis.. In: “Neurobiology and Cell Physiology of Chemoreception,” P.G. Data, S. Lahiri &H. Acker, eds., Plenum Press, New York, In press .
Watanabe, T., Kumar, P. &Hanson, M.A. (1993). Comparison of respiratory responses to CO2 and hypoxia in neonatal kittens. J. Physiol. 459:141P
Williams, B.A. &Hanson, M.A. (1989). The effect of decerebration and brain-stem transection on the ventilatory response to acute hypoxia in normoxic and chronically hypoxic newborn rats. J. Physiol. 4I4:25P
Williams, B.A. &Hanson, M.A. (1990). Role of the carotid chemoreceptors in the respiratory response of newborn lambs to alternate pairs of breaths of air and a hypoxic gas. J. Dev. Physiol. 13:157–164.
Williams, B.A., Smyth, J., Boon, A.W., Hanson, M.A., Kumar, P. &Blanco, C.E. (1991). Development of respiratory chemoreflexes in response to alternations of fractional inspired oxygen in the newborn infant. J. Physiol. 442:81–90.
Wolsink, J.G., Berkenbosch, A., Degoede, J. &Olievier, N. (1991). Ventilatory sensitivities of peripheral and central chemoreceptors of young piglets to inhalation of CO2 in air. Pediatr. Res. 30:491–495.
Wood, C. E. (1993). Local and endocrine factors in the control of the circulation. In “Fetus and Neonate; Volume One: Circulation”, M.A.Hanson, J.A.D. Spencer &C.H. Rodeck, eds. pp. 100–115. Cambridge University Press; Cambridge
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Hanson, M., Kumar, P. (1994). Chemoreceptor Function in the Fetus and Neonate. 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_9
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