Chemoreceptors for oxygen reside within the carotid body, but it is not known which cells actually sense hypoxia and by what mechanisms they transduce this information into afferent signals in the carotid sinus nerve. We have developed systems for the growth of glomus cells of the carotid body in dissociated cell culture. Here we demonstrate that, as in vivo, these cells contain the putative neurotransmitters dopamine, serotonin, and norepinephrine. Oxygen tension regulates the rate of dopamine secretion from the glomus cells. Similar to chemically stimulated catecholamine secretion from other adrenergic cells this hypoxia-stimulated release requires extracellular calcium. These results are compatible with the suggestion that the glomus cells of the carotid body are chemoreceptor cells and that they signal hypoxia by regulated secretion of dopamine.Since the work of Heymans (1) it has been known that the hypoxic ventilatory drive originates primarily within the carotid body. Subsequent work has outlined the role of this sensory organ in control of breathing at sea level and at higher altitude (1, 2) and in the sensation of dyspnea (3). However, definition of the molecular basis of oxygen transduction has been hampered by the complexity of the carotid body. It contains several cell types, including endothelial, sustentacular, and glomus cells as well as the terminals of afferent and sympathetic nerves (4, 5), but it is not known which are actually capable of sensing the level of oxygen. The glomus cells have been attractive candidates to be chemoreceptor cells because they contain dopamine, a transmitter secreted from the carotid body during hypoxia, and because they form morphological synapses with afferent nerve terminals (5, 6). We have designed systems for the growth of glomus cells in culture in order to investigate the neurophysiology of these cells and their potential role in chemoreception (7). Here, we report evidence that carotid body glomus cells in culture synthesize and secrete putative neurotransmitters and manifest chemosensitivity in their control of dopamine secretion.
MATERIALS AND METHODSDissociated newborn rat carotid body cells were cultured as described (7) in 24-well plates and were grown in a humidified atmosphere of Po2 151 mm Hg, Pco2 36 mm Hg in supplemented F-12 medium (pH 7.2). Nerve growth factor was not added to the medium. Enrichment for glomus cells could be achieved by the use of tyrosine-free medium (7), but successful elimination of other cells required several weeks of growth under these conditions. Since the very few cells in the carotid body was the limiting factor in the number of experiments that were possible and since there was a slow but noticeable decrement in catecholamine content in cultures >7-10 days old, we elected not to use this long-term enrichment procedure. Hypoxic conditions were identical except that the Po2 was diminished to 36 mm Hg. Since there are only a few thousand cells in the carotid body, each experiment necessitated the pooling of dissocia...