Peripheral chemoreceptors
Peripheral chemoreceptors (of the carotid and aortic bodies) are so named because they are sensory extensions of the peripheral nervous system into blood vessels where they detect changes in chemical concentrations. As transducers of patterns of variability in the surrounding environment, carotid and aortic bodies count as chemosensors in a similar way as taste buds and photoreceptors. However, because carotid and aortic bodies detect variation within the body's internal organs, they are considered interoceptors. Taste buds, olfactory bulbs, photoreceptors, and other receptors associated with the five traditional sensory modalities, by contrast, are exteroceptors in that they respond to stimuli outside the body. The body also contains proprioceptors, which respond to the amount of stretch within the organ, usually muscle, that they occupy. As for their particular function, peripheral chemoreceptors help maintain homeostasis in the cardiorespiratory system by monitoring concentrations of blood borne chemicals. These polymodal sensors respond to variations in a number of blood properties, including low oxygen (hypoxia), high carbon dioxide (hypercapnia), and low glucose (hypoglycemia). Hypoxia and hypercapnia are the most heavily studied and understood conditions detected by the peripheral chemoreceptors. Glucose is discussed in a later section. Afferent nerves carry signals back from the carotid and aortic bodies to the brainstem, which responds accordingly (e.g. increasing ventilation). Structure Both carotid bodies and aortic bodies increase sensory discharge during hypoxia. Carotid bodies are considered the primary peripheral chemoreceptor and have been shown to contribute more to a hypoxic response. However, in the chronic absence of the carotid body, the aortic body is able to perform a similar respiratory regulatory role, suggesting that it possesses efficacious mechanisms of signal transduction as well. The differing locations of the two bodies ideally position them to take advantage of different information; the carotid bodies, located on one of the main arteries of the neck, monitor partial pressure within arterial vessels while aortic body, located on the aortic arch, monitors oxygen concentration closer to the heart. Each of these bodies is composed of a similar collection of cells, and it is the post-transduction signal processing that differentiates their responses. However, little is known about the specifics of either of these signaling mechanisms. Microanatomy Carotid and aortic bodies are clusters of cells located on the common carotid artery and the aortic arch, respectively. Each of these peripheral chemoreceptors is composed of type I glomus cells and glia-like type II cells. The type-I cells transduce the signals from the bloodstream and are innervated by afferent nerve fibers leading back to (in the carotid body) the carotid sinus nerve and then on to the glossopharyngeal nerve and medulla of the brainstem. The aortic body, by contrast, is connected to the medulla via the vagus nerve. They also receive input from efferent nerve fibers leading back to the same set of nerves. The entire cluster of cells is infiltrated with capillaries to provide access to the bloodstream; the high capillary density makes this one of the areas of the body with the greatest blood flow. Type I