Peripheral chemoreceptor deactivation attenuates the sympathetic response to glucose ingestion

Appl Physiol Nutr Metab. 2019 Apr;44(4):389-396. doi: 10.1139/apnm-2018-0062. Epub 2018 Sep 18.

Abstract

Acute increases in blood glucose are associated with heightened muscle sympathetic nerve activity (MSNA). Animal studies have implicated a role for peripheral chemoreceptors in this response, but this has not been examined in humans. Heart rate, cardiac output (CO), mean arterial pressure, total peripheral conductance, and blood glucose concentrations were collected in 11 participants. MSNA was recorded in a subset of 5 participants via microneurography. Participants came to the lab on 2 separate days (i.e., 1 control and 1 experimental day). On both days, participants ingested 75 g of glucose following baseline measurements. On the experimental day, participants breathed 100% oxygen for 3 min at baseline and again at 20, 40, and 60 min after glucose ingestion to deactivate peripheral chemoreceptors. Supplemental oxygen was not given to participants on the control day. There was a main effect of time on blood glucose (P < 0.001), heart rate (P < 0.001), CO (P < 0.001), sympathetic burst frequency (P < 0.001), burst incidence (P = 0.01), and total MSNA (P = 0.001) for both days. Blood glucose concentrations and burst frequency were positively correlated on the control day (r = 0.42; P = 0.03) and experimental day (r = 0.62; P = 0.003). There was a time × condition interaction (i.e., normoxia vs. hyperoxia) on burst frequency, in which hyperoxia significantly blunted burst frequency at 20 and 60 min after glucose ingestion only. Given that hyperoxia blunted burst frequency only during hyperglycemia, our results suggest that the peripheral chemoreceptors are involved in activating MSNA after glucose ingestion.

Keywords: apport alimentaire; autonomic nervous system; chimiorécepteurs périphériques; dietary intake; glucose ingestion; ingestion de glucose; peripheral chemoreceptors; régulation sympathique; sympathetic regulation; système nerveux autonome.

MeSH terms

  • Administration, Oral
  • Adult
  • Arterial Pressure
  • Blood Glucose / metabolism
  • Cardiac Output
  • Cardiovascular System / innervation*
  • Chemoreceptor Cells / metabolism*
  • Female
  • Glucose / administration & dosage*
  • Glucose / metabolism
  • Heart Rate
  • Hemodynamics*
  • Humans
  • Hyperoxia / blood
  • Hyperoxia / metabolism*
  • Hyperoxia / physiopathology
  • Male
  • Muscle Contraction*
  • Muscle, Skeletal / innervation*
  • Sympathetic Nervous System / metabolism*
  • Sympathetic Nervous System / physiopathology
  • Time Factors
  • Young Adult

Substances

  • Blood Glucose
  • Glucose