Molecular and cellular mechanisms of the organogenesis and development of the mammalian carotid body.

Despite significant advancements in understanding physiological properties of the carotid body, little attention has been paid to its organogenesis. This review addresses the molecular and cellular mechanisms underlying organogenesis of the carotid body in mammals. The carotid body consists of two types of cells, that is, glomus cells and sustentacular cells, that are derived from different origins. Glomus cells are derivatives of neural crest cells which form sympathetic ganglia. Sustentacular cells are derivatives of mesenchymal neural crest cells which colonize the third pharyngeal arch and form the wall of the third arch artery. Gene-targeting studies indicate that three elements are required for carotid body organogenesis: the carotid sinus nerve (CSN), third arch artery, and superior cervical sympathetic ganglion (SCG). The CSN sends sensory fibers and Schwann cells to the wall of the third arch artery. The third arch artery provides mesenchymal cells, which give rise to sustentacular cells. The nerve process from the SCG sends glomus cell progenitors into the carotid body primordium. The presence of stem cells in the adult carotid body was recently highlighted. The origin of stem cells, however, remains controversial. Based on embryonic development of the carotid body, this review proposes the origin of stem cells.

Effects of selective sinoaortic denervations on phenylephrine-induced activational responses in the nucleus of the solitary tract.

Intravenous administration of phenylephrine provokes a pattern of cellular activation in the nucleus of the solitary tract that resembles the central distributions of primary baroreceptor afferents supplied by the carotid sinus and aortic depressor nerves. Transganglionic transport and denervation methods were used in an experimental setting to test the dependence of phenylephrine-induced Fos immunoreactivity on the integrity of buffer nerve afferents, and to identify the subregions of the nucleus of the solitary tract supplied by each. Cholera toxin B-horseradish peroxidase injections into either or both nerves revealed terminal labeling concentrated in, but not restricted to, the dorsal commissural part of the nucleus of the solitary tract at the level of the apex of calamus scriptorius, and extending into the dorsal subnucleus at the level of the area postrema. Preferential ramifications of carotid sinus and aortic depressor nerve afferents at the levels of the commissural part of the nucleus and the area postrema, respectively, were reflected in the extent to which labeled fibers comingled with neurons exhibiting phenylephrine-induced Fos in dual labeling experiments. Complete sinoaortic denervation reduced by 90% the number of neurons exhibiting drug-induced Fos expression. Selective carotid and aortic sinus denervations effected partial reductions manifest preferentially in the caudal and rostral foci of the distribution, respectively. Reduced activational responses at the level of the area postrema of aortic sinus-denervated rats were accompanied by a reduction in cellular nicotinamide adenine dinucleotide phosphate-diaphorase activity in this region. Animals killed 30 days after complete sinoaortic denervation displayed no evidence of recovery of phenylephrine-induced Fos, while the strength and distribution of the response in rats that received selective carotid sinus denervation were indistinguishable from those seen in controls. These findings (i) support the dependence of phenylephrine-induced Fos expression on the integrity of carotid sinus and aortic depressor nerve afferents, (ii) provide anatomical and functional evidence that the two buffer nerves distribute differentially within the nucleus of the solitary tract, and (iii) implicate central reorganization as a likely basis for functional recovery of baroreflex mechanisms following partial sinoaortic denervation.

Modulation of the carotid baroreceptor reflex by substance P in the nucleus tractus solitarius.

Previous studies have shown that administration of substance P (SP) into the nucleus tractus solitarius (NTS) can evoke a depressor response similar to that produced by activation of the arterial baroreceptors. In addition, some studies have suggested that SP increases the reflex responses to activation of baroreceptor input. The present study was performed to determine the effects of SP on the carotid sinus baroreceptor reflex at the level of the NTS by examining the effects of both exogenous SP microinjected into different rostrocaudal locations in the NTS and blockade of the effects of endogenous SP, through the microinjection of a substance P antagonist (SPa; [D-Pro, D-Trp]-substance P). Changes in pressure in an isolated carotid sinus in anesthetized dogs were used to evoke baroreflex changes in arterial blood pressure (BP) before and after microinjection of SP (0.5 microM) or SPa (10 microM) into barosensitive regions of the NTS. Microinjection of SP or its antagonist did not alter baseline, resting BP but did produce significant changes in baroreflex sensitivity. Microinjection of SP into different rostrocaudal regions of the NTS produced different responses, with rostral and caudal NTS microinjections producing significant increases in sensitivity. No effects on baroreflex sensitivity were obtained in response to SP microinjections into the intermediate NTS. Unlike SP, microinjection of the SPa significantly decreased baroreflex sensitivity at all rostrocaudal levels of the NTS. These data demonstrated that SP has the capability to modulate the carotid baroreflex at the level of the NTS and support a physiological role for endogenously released SP.

Phase resetting of the respiratory oscillator by carotid sinus nerve stimulation in cats.

1. Stimulation of the carotid sinus nerve causes an increase in inspiratory (I) and expiratory (E) neural activities. If central respiratory oscillation is generated by an attractor-cycle process, an increase in its activity can be caused by a centrifugal perturbation of state. We evaluated this hypothesis by comparing the respiratory oscillator's phase responses to carotid sinus nerve stimulations in cats to the phase responses of an attractor-cycle oscillator, the Bonhoeffer-van der Pol (BvP) equations, subjected to centrifugal perturbations. 2. We recorded phrenic activity in seven anaesthetized, vagotomized, glomectomized, paralysed and servo-ventilated cats. Carotid sinus nerve (CSN) stimulation with 0.5-0.8 s electrical pulse trains increased the immediate cycle period and delayed the onset of breaths after stimulation in a highly predictable manner, with the exception that strong stimuli (25 Hz, 0.25-0.90 V) caused unpredictable responses when given at the I-E or the E-I transitions. The resetting plots exhibited focal gaps corresponding to these unpredictable responses, and the size of the gaps increased with increases in the strength of CSN stimulation. Type 0 resetting was not achieved despite the large perturbations in rhythm induced by CSN stimulation. 3. Centrifugal perturbations of the BvP oscillator resulted in phase responses which were similar to those found in the animal experiments. The BvP cycle had two critical phases at which phase resetting was highly irregular and neighbouring state trajectories were highly divergent. The resetting plots had focal gaps that increased in size with increases in the strength of perturbation. The gaps did not represent true discontinuity because at higher computational resolution the resetting plots appeared to be steep but smooth portions of topological Type 1 resetting curves. 4. These studies support the concept that brief carotid sinus nerve stimulations cause a transient outward displacement of the central respiratory state away from its attractor cycle, in contrast to the unidirectional displacements that accompany midbrain reticular or superior laryngeal nerve stimulations. The findings define particular geometrical relationships between oscillatory state trajectories of the rhythm generator and perturbed state trajectories induced by inputs to the oscillator. These relationships provide a framework for developing and testing the validity of neural models of the respiratory oscillator.

Short-term potentiation of carotid sinus nerve inputs to neurons in the nucleus of the solitary tract.

Reflex studies have shown that the effects of afferent stimulation can persist beyond the period of stimulation. To determine if some form of 'short-term potentiation' occurs during the initial integration of afferent inputs within the nucleus of the solitary tract (NTS), the synaptic responses of NTS neurons to high frequency carotid sinus nerve (CSN) stimulation were examined in anesthetized rats. In extracellular recording experiments, high frequency CSN stimulation (1-3 sec, 100-300 Hz) increased the number of action potentials evoked by 30 CSN stimuli from 31 +/- 3 to 38 +/- 4 (P < 0.05, n = 11). In this population, evoked discharge was enhanced in six cells, not altered in three cells and reduced in two cells. Spontaneous discharge was increased in the five cells in which it was present (P < 0.05). In intracellular recording experiments, high frequency CSN stimulation increased EPSP amplitude from 5.1 +/- 0.4 to 6.1 +/- 0.4 mV (P < 0.01, n = 21). In this population, amplitude was enhanced in 13 cells, not altered in four cells and reduced in four cells. The enhanced EPSP occurred in the absence of any change in membrane potential in five cells and during a 3-5 mV depolarization in eight cells. In both the intra- and extra-cellular experiments, the effects of high frequency stimulation were over within 5 min. The results indicate that brief, intense periods of visceral afferent activation can alter the responses of NTS neurons to subsequent afferent inputs.

Responses of neurons in the caudal medullary raphe nuclei of the cat to stimulation of the vestibular nerve.

In the decerebrate cat, recordings were made from neurons in the caudal medullary raphe nuclei to determine if they responded to electrical stimulation of the vestibular nerve and thus might participate in vestibulosympathetic reflexes. Many of these cells projected to the upper thoracic spinal cord. The majority (20/28) of raphespinal neurons with conduction velocities between 1 and 4 m/s received vestibular inputs; 13 of the 20 were inhibited, and 7 were excited. Since many raphespinal neurons with similar slow conduction velocities are involved in the control of sympathetic outflow, as well as in other functions, these cells could potentially relay vestibular signals to sympathetic preganglionic neurons. The onset latency of the vestibular effects was long (median of 15 ms), indicating the inputs were polysynaptic. In addition, 34 of 42 raphespinal neurons with more rapid conduction velocities (6-78 m/s) also received long-latency (median of 10 ms) labyrinthine inputs; 26 were excited and 8 were inhibited. Although little is known about these rapidly-conducting cells, they do not appear to be involved in autonomic control, suggesting that the function of vestibular inputs to raphe neurons is not limited to production of vestibulosympathetic reflexes. One hypothesis is that raphe neurons are also involved in modulating the gain of vestibulocollic and vestibulospinal reflexes; this possibility remains to be tested.

The central origin of efferent pathways in the carotid sinus nerve of the cat.

The application of horseradish peroxidase to the central cut end of the carotid sinus nerve of the cat produced retrograde labeling of neurons in the ipsilateral medulla in the region of the nucleus ambiguus at anterior-posterior coordinates -8 to -10.5. These data coupled with previous electrophysiological observations suggest that the nucleus ambiguus may be the origin of an efferent inhibitory pathway to the carotid body.