RT Journal Article T1 Lactate sensing mechanisms in arterial chemoreceptor cells A1 Torres-Torrelo, Hortensia A1 Ortega-Sáenz, Patricia A1 Gao, Lin A1 López-Barneo, José K1 Carotid body K1 Reactive oxygen species K1 Hypoxia K1 Mitochondria K1 Homeostasis K1 Lactate dehydrogenase K1 Chemoreceptor cells K1 Cation Channels K1 Cuerpo carotídeo K1 Especies reactivas de oxígeno K1 Hipoxia K1 Mitocondrias K1 Células quimiorreceptoras AB Classically considered a by-product of anaerobic metabolism, lactate is now viewed as a fundamental fuel for oxidative phosphorylation in mitochondria, and preferred over glucose by many tissues. Lactate is also a signaling molecule of increasing medical relevance. Lactate levels in the blood can increase in both normal and pathophysiological conditions (e.g., hypoxia, physical exercise, or sepsis), however the manner by which these changes are sensed and induce adaptive responses is unknown. Here we show that the carotid body (CB) is essential for lactate homeostasis and that CB glomus cells, the main oxygen sensing arterial chemoreceptors, are also lactate sensors. Lactate is transported into glomus cells, leading to a rapid increase in the cytosolic NADH/NAD+ ratio. This in turn activates membrane cation channels, leading to cell depolarization, action potential firing, and Ca2+ influx. Lactate also decreases intracellular pH and increases mitochondrial reactive oxygen species production, which further activates glomus cells. Lactate and hypoxia, although sensed by separate mechanisms, share the same final signaling pathway and jointly activate glomus cells to potentiate compensatory cardiorespiratory reflexes. PB Nature Publishing Group YR 2021 FD 2021-07-06 LK http://hdl.handle.net/10668/4418 UL http://hdl.handle.net/10668/4418 LA en NO Torres-Torrelo H, Ortega-Sáenz P, Gao L, López-Barneo J. Lactate sensing mechanisms in arterial chemoreceptor cells. Nat Commun. 2021 Jul 6;12(1):4166 DS RISalud RD Apr 7, 2025