K. Tatsumi et al., EFFECTS OF TESTOSTERONE ON HYPOXIC VENTILATORY AND CAROTID-BODY NEURAL RESPONSIVENESS, American journal of respiratory and critical care medicine, 149(5), 1994, pp. 1248-1253
Citations number
25
Categorie Soggetti
Emergency Medicine & Critical Care","Respiratory System
Hypoxic (HVR) and hypercapnic ventilatory responses (HCVR) are known t
o be influenced by the administration of testosterone, but whether the
hormone acts centrally or peripherally is unknown. To determine wheth
er testosterone alters HVR, HCVR, and carotid sinus nerve (CSN) respon
siveness to hypoxia, we compared the ventilatory and CSN responses of
neutered male cats treated with testosterone with those of placebo-tre
ated cats. Testosterone treatment increased resting ventilation and CO
, production but did not change end-tidal or arterial PCO2, implying t
hat alveolar ventilation per unit CO2 production was unaltered. Testos
terone treatment raised the HVR shape parameter A value 63% in the awa
ke animals (from 16.9 +/- 4.2 to 28 +/- 4, p < 0.05) and 69% in the an
esthetized cats (from 22.4 +/- 0.9 to 37.8 +/- 3.7, p < 0.05). Testost
erone also augmented the HCVR slope S in awake cats (from 0.17 +/- 0.0
2 to 0.25 +/- 0.04, p < 0.05). Placebo treatment did not change HVR or
HCVR. The CSN response to hypoxia was greater in the testosterone-tre
ated than in the placebo-treated animals(A = 53.6 +/- 7.1 versus 27.1
+/- 5.5 respectively, p < 0.05). The crossplot of the simultaneously m
easured CSN activity and ventilation during progressive hypoxia showed
that the central nervous system translation of CSN output into ventil
ation was similar in the hormone- and placebo-treated groups. Unilater
al, proximal sectioning of the CSN decreased the ventilatory and the C
SN responses to hypoxia in the testosterone-treated animals but not in
the placebo group. These results indicated that testosterone increase
d hypoxic and hypercapnic ventilatory responsiveness and increased hyp
oxic sensitivity of the carotid body. The latter of feet seemed to dep
end on descending central neural activity.