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First published online on June 1, 2006.
Experimental Physiology (2006)
DOI: 10.1113/expphysiol.2006.033514
© The Physiological Society 2006

A more recent version of this article appeared on September 1, 2006
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Received May 15, 2006
Revised May 19, 2006
Accepted after revision May 26, 2006


Respiratory [290]

AMP-activated protein kinase underpins hypoxic pulmonary vasoconstriction and carotid body excitation by hypoxia

A Mark Evans 1*

1 University of St Andrews

* To whom correspondence should be addressed. E-mail: ame3{at}st-andrews.ac.uk.


   Abstract
In order to maintain tissue pO2 within physiological limits, vital homeostatic mechanisms monitor O2 supply and respond to a fall in pO2 by altering respiratory and circulatory function, and the capacity of the blood to transport O2. Two systems that are key to this process in the acute phase are the pulmonary arteries and the carotid bodies. Hypoxic pulmonary vasoconstriction is driven by mechanisms intrinsic to the pulmonary arterial smooth muscle and endothelial cells, and aids ventilation-perfusion matching in the lung by diverting blood flow from areas with an O2 deficit to those that are rich in O2. By contrast, a fall in arterial pO2 precipitates excitation-secretion coupling in carotid body type I cells, increased sensory afferent discharge from the carotid body and thereby elicits corrective changes in breathing patterns via the brain stem. There is a general consensus that hypoxia inhibits mitochondrial oxidative phosphorylation in these O2-sensing cells over a range of pO2 that has no such effect on other cell types. However, the question remains as to the identity of the mechanism that underpins thereafter hypoxia-response coupling in O2-sensing cells. Here, I lay out the case in support of a primary role for AMP-activated protein kinase in mediating chemotransduction by hypoxia.

Key Words: Carotid body, Hypoxia, Pulmonary artery




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