Doxapram is a respiratory stimulant which acts on peripheral chemorece
ptors and central respiratory neurons in a dose-dependent fashion in t
he adult cat. In the newborn, the mechanisms of action of doxapram are
still unclear. To evaluate the effects of doxapram on the carotid che
mosensory discharge and its relationship with dopaminergic mechanisms
in the carotid body, two groups of kittens less than 13 days old, anes
thetized, artificially ventilated and paralyzed, were prepared for the
recording of a single or a few chemosensory afferents of the carotid
sinus nerve. The chemosensory activity was recorded under five conditi
ons of inspired gas mixtures (21 and 8% O2 in N2, 100% O2, 5 and 10% C
O2 in O2). Group 1 (n = 9) received only doxapram and group 2 (n = 8)
was pretreated with haloperidol (1 mg/kg), a dopamine D2-receptor bloc
ker, before receiving doxapram. Doxapram significantly stimulated the
discharge rate of the carotid chemoafferents under all conditions of i
nspired gas. The chemosensory discharge was increased by haloperidol,
and was raised further after doxapram by an amount similar to group 1.
For instance, in normoxia, the activity increased from 2.9 +/- 0.4 to
7.5 +/- 0.9 impulse/s (mean +/- SEM, p < 0.01) in group 1 and from 3.
8 +/- 0.6 to 9.1 +/- 1.0 impulse/s (p < 0.01) in group 2. These result
s indicate that the mechanisms of response of carotid chemoreceptor to
doxapram are developed in the newborn kitten and doxapram acts indepe
ndent of the dopaminergic mechanisms in the carotid body.