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The aim of this review is to provide an overview of current …


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- An overview of the sensory receptors regulating cough

Table 1
Properties of low threshold mechanosensor subtypes innervating the guinea pig airways.

SAR
RAR
Cough Receptor
Anatomical Characteristics:



Ganglionic Origin
Nodose
Nodose
Nodose
Extrapulmonary Termination
No
No
Yes
Intrapulmonary Termination
Yes
Yes
Few
Substance P Expression
No
No
No
TRPV1 Expression
No
No
No




Functional Characteristics:



Conduction Velocity (m/sec)
~18 (Aβ)
~15 (Aβ)
~5 (Aδ)
Mechanical Threshold
Low
Low
Low
Sensitive to:



      Punctate Mechanical
Yes
Yes
Yes
      Capsaicin
Yes1
Yes1
No
      Hypertonic Saline
Unknown
Unknown
Yes
      Bradykinin
Yes1
Yes1
No
      Acid
No
Unknown
Yes
      Inflation (≤50 cmH2O)
Yes
Yes
No
      Deflation/Collapse
No
Yes
No
      Stretch
Yes
Yes
No
      Bronchoconstriction
Yes
Yes
No
      ATP
Yes
Yes
No
Reflex Effects on Respiration
Hering-Breuer
Tachypnea
Cough
1 SARs and RARs are insensitive to the direct action of these chemicals on the nerve terminal. However, chemical stimuli such as capsaicin and bradykinin can activate SARs and RARs secondary to airway smooth muscle contraction, mucous secretion or edema formation. Cough receptors are insensitive to both the direct and indirect actions of capsaicin and bradykinin. See text for references.
Table 2
Properties of chemosensor subtypes innervating the guinea pig airways.

C-Fiber
C-Fiber
Aδ-Fiber
Anatomical Characteristics:



Ganglionic Origin
Nodose
Jugular
Jugular
Extrapulmonary Termination
No
Yes
Yes
Intrapulmonary Termination
Yes
Yes
Few
Substance P Expression (%)1
Yes (50)
Yes (90–100)
No (0)
TRPV1 Expression2
Yes
Yes
Yes




Functional Characteristics:



Conduction Velocity (m/sec)
~6
Mechanical Threshold
High
High
High
Sensitive to:



      Punctate Mechanical
Yes3
Yes3
Yes3
      Capsaicin
Yes
Yes
Yes
      Hypertonic Saline
Unknown
Yes
Yes
      Bradykinin
Yes
Yes
Yes
      Acid
Yes
Yes
Yes
      Inflation (≤50 cmH2O)
No
No
No
      Deflation/Collapse
No
No
No
      Stretch
No
No
No
      Bronchoconstriction
No
No
No
      ATP
Yes
No
No
      Serotonin (5-HT)
Yes
No
Unknown
Reflex Effects on Respiration
Apnea4
Apnea4
Apnea4
1 Percentage of soma expressing substance P shown in parentheses [taken from ref 36]. 2 Functionally responsive to capsaicin and/or TRPV1 detected immunohistochemically. There is no data available indicating percentage of cells expressing TRPV1. 3 All airway afferents are responsive to punctate mechanical stimulation. However, the threshold for activation is approximately 100 fold higher for chemosensors compared to mechanosensors. 4 The basic respiratory reflex evoked by capsaicin is apnea or respiratory slowing, often proceeded by rapid shallow breathing. However, the precise reflex response evoked by each chemosensor subtype has not been described. See text for references.

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