Am. J. Respir. Crit. Care Med., Vol 149, No. 5, 05 1994, 1248-1253.
Effects of testosterone on hypoxic ventilatory and carotid body neural responsiveness
K Tatsumi, B Hannhart, CK Pickett, JV Weil and LG Moore
Cardiovascular Pulmonary Research Laboratory, University of Colorado Health Sciences Center, Denver 80262.
Hypoxic (HVR) and hypercapnic ventilatory responses (HCVR) are known to be
influenced by the administration of testosterone, but whether the hormone
acts centrally or peripherally is unknown. To determine whether
testosterone alters HVR, HCVR, and carotid sinus nerve (CSN) responsiveness
to hypoxia, we compared the ventilatory and CSN responses of neutered male
cats treated with testosterone with those of placebo-treated cats.
Testosterone treatment increased resting ventilation and CO2 production but
did not change end-tidal or arterial PCO2, implying that alveolar
ventilation per unit CO2 production was unaltered. Testosterone treatment
raised the HVR shape parameter A value 63% in the awake animals (from 16.9
+/- 4.2 to 28 +/- 4, p < 0.05) and 69% in the anesthetized cats (from
22.4 +/- 0.9 to 37.8 +/- 3.7, p < 0.05). Testosterone also augmented the
HCVR slope S in awake cats (from 0.17 +/- 0.02 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-treated 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 measured CSN activity and ventilation
during progressive hypoxia showed that the central nervous system
translation of CSN output into ventilation was similar in the hormone- and
placebo- treated groups. Unilateral, proximal sectioning of the CSN
decreased the ventilatory and the CSN responses to hypoxia in the
testosterone- treated animals but not in the placebo group. These results
indicated that testosterone increased hypoxic and hypercapnic ventilatory
responsiveness and increased hypoxic sensitivity of the carotid
body.(ABSTRACT TRUNCATED AT 250 WORDS)
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Copyright © 1994 American Thoracic Society
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