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* To whom correspondence should be addressed. E-mail: nursec{at}mcmaster.ca.
The neurotransmitter mechanisms that process acid hypercapnia in the mammalian carotid body (CB) are poorly understood. Using a co-culture model, containing rat CB chemoreceptor (type 1 cell) clusters and petrosal neurons (PN), we tested the hypothesis that co-released ACh and ATP was an important mechanism. Sensory transmission from type I clusters to PN in co-culture occurred at chemical synapses via co-release of ATP and ACh since: (i) isohydric hypercapnia depolarized and/or increased firing in co-cultured PN, but not in PN cultured alone; (ii) PN chemoexcitatory responses were inhibited by decreasing the extracellular Ca2+: Mg2+ ratio; (iii) partial inhibition of these responses occurred during separate perfusion of cholinergic (hexamethonium or mecamylamine) and P2X (suramin) receptor blockers, though inhibition was often complete with both blockers present; (iv) rapid chemoexcitatory responses to hypercapnia were inhibited by acetazolamide (10 µM), an inhibitor of carbonic anhydrase, localized in type I cells. Acidosis (pH = 7.0, 7.2) enhanced the ATP-induced whole-cell current in functional PN, relative to that at physiologic pH (7.4), suggesting that increased sensitivity of postsynaptic P2X receptors may contribute to acid chemotransmission. Type I cells in CB tissue sections expressed vesicular acetylcholine transporter (VAChT), a cholinergic marker, as revealed by confocal immunofluorescence. Thus, co-release of ACh and ATP is an important neurotransmitter mechanism for processing isohydric and acidic hypercapnia in the rat carotid body.
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