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First published online on November 23, 2006.
Experimental Physiology (2006)
DOI: 10.1113/expphysiol.2006.036434
© The Physiological Society 2006

A more recent version of this article appeared on January 1, 2007
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Received November 3, 2006
Revised November 6, 2006
Accepted after revision November 6, 2006


Cardiovascular Control [210]

SYSTEMIC, CELLULAR AND MOLECULAR ANALYSIS OF CHEMOREFLEX- MEDIATED SYMPATHO-EXCITATION BY CHRONIC INTERMITTENT HYPOXIA

Nanduri R Prabhakar 1*, Thomas E Dick 1, Jayasri Nanduri 1, Ganesh K Kumar 1

1 CWRU

* To whom correspondence should be addressed. E-mail: nrp{at}po.cwru.edu.


   Abstract
Abstract Patients with recurrent apneas exhibit autonomic abnormalities manifested as persistent increase in sympathetic nerve activity (SNA). Several studies suggest that chronic intermittent hypoxia (CIH) resulting from recurrent apneas is a major stimulus for evoking autonomic morbidity. Although it has been proposed that CIH by way of activating chemoreceptor reflex leads to sympathetic excitation the underlying mechanisms are incompletely understood. Studies on experimental models provided new insights into the mechanisms associated with CIH-evoked sympatho- excitation. The purpose of this article is to highlight recent information on systemic, cellular and molecular analysis of the effects of CIH on chemoreceptor mediated sympatho-excitation. CIH exerts two major effects on the chemoreceptor-reflex pathway that includes: a) augmentation of the carotid body and sympathetic effector responses to acute hypoxia and b) induction of long-lasting activation of both the sensor and the effector that persists several hours after termination of CIH. Available evidence indicates that CIH may facilitate processing of chemoreceptor afferent information at the central nervous system. Recent studies suggest that reactive oxygen species (ROS)- mediated signaling is a major cellular mechanism, and transcriptional activation by hypoxia-inducible factor-1 is one of the critical molecular mechanism underlying chemoreceptor mediated sympatho-excitation by CIH.

Key Words: Cardiovascular, Carotid body, Hypoxia




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