Role of acid-sensing ion channels in hypoxia- and hypercapnia-induced ventilatory responses

Previous reports indicate roles for acid-sensing ion channels (ASICs) in both peripheral and central chemoreception, but the contributions of ASICs to ventilatory drive in conscious, unrestrained animals remain largely unknown. We tested the hypotheses that ASICs contribute to hypoxic- and hypercapnic-ventilatory responses. Blood samples taken from conscious, unrestrained mice chronically instrumented with femoral artery catheters were used to assess arterial O2, CO2, and pH levels during exposure to inspired gas mixtures designed to cause isocapnic hypoxemia or hypercapnia. Whole-body plethysmography was used to monitor ventilatory parameters in conscious, unrestrained ASIC1, ASIC2, or ASIC3 knockout (-/-) and wild-type (WT) mice at baseline, during isocapnic hypoxemia and during hypercapnia. Hypercapnia increased respiratory frequency, tidal volume, and minute ventilation in all groups of mice, but there were no differences between ASIC1-/-, ASIC2-/-, or ASIC3-/- and WT. Isocapnic hypoxemia also increased respiratory frequency, tidal volume, and minute ventilation in all groups of mice. Minute ventilation in ASIC2-/- mice during isocapnic hypoxemia was significantly lower compared to WT, but there were no differences in the responses to isocapnic hypoxemia between ASIC1-/- or ASIC3-/- compared to WT. Surprisingly, these findings show that loss of individual ASIC subunits does not substantially alter hypercapnic or hypoxic ventilatory responses.


Introduction
Arterial O 2 , CO 2 , and pH (P a O 2 , P a CO 2 , and pH a ) homeostasis is maintained by reflex control of ventilation. Alterations in P a O 2, P a CO 2 , and pH a are detected by peripheral chemoreceptors located in type I glomus cells within the carotid and aortic bodies. P a CO 2 homeostasis is additionally regulated by central chemoreceptors located on the ventral surface of the medulla as well as other brain regions [1]. Activation of carotid chemoreceptors in response to hypoxemia, hypercapnia, or acidosis leads to inhibition of K + channels, depolarization of the chemoreceptor cells, activation of L-type Ca 2+ channels, and release of excitatory neurotransmitters that subsequently stimulate ventilation and sympathetic activation [2][3][4][5][6][7][8]. Although this model a1111111111 a1111111111 a1111111111 a1111111111 a1111111111 of carotid body chemoreception is generally accepted, there are several O 2 -and CO 2 /pH-sensitive ion channels and other proteins and their individual and integrated roles in chemoreception remain incompletely understood. The precise location of central chemoreception also remains uncertain, and it appears that several brain regions are involved [1]. A major mechanism by which central chemoreceptors detect CO 2 levels is thought to be the detection of secondary changes in cerebrospinal fluid pH [1]. Ion channels are generally the favored candidates for central chemoreception [9], but the identity of the specific channels involved remains unclear, with several candidates having been proposed [10][11][12][13]. One family of ion channels implicated in both peripheral and central chemoreception is that of the proton-gated, acid-sensing ion channels (ASICs).
ASICs are members of the degenerin\epithelial Na + channel (DEG/ENaC) superfamily that form trimeric cation channels. ASIC genes (ASIC1-4) and their splice variants (ASIC1a, -1b, -2a, -2b, -3, and -4) form homo-or hetero-multimeric channels with different pH sensitivities. ASIC1 and 3 homomers are the most sensitive to acidic conditions with a half-maximal activation (pH 50 ) of around pH 6.5 [14,15]; whereas ASIC2 is least acid-sensitive (pH 50~4 .9) [15]. ASIC1 and 3, and to a lesser extent ASIC2, are expressed in glomus cells and the transient acid-evoked depolarization of isolated glomus cells is consistent with the biophysical and pharmacological properties of ASICs [16]. ASICs are also widely expressed in the medulla where reductions in pH trigger ASIC-like currents and stimulation of phrenic nerve activity in anesthetized animals [17][18][19]. Based on these reports that suggest that ASICs play an important role in chemoreception, we hypothesized that ASICs contribute to hypercapnic/acidosisinduced ventilatory drive in conscious, unrestrained mice.
Recent studies from our laboratory also demonstrate that ASIC1, expressed in pulmonary arterial smooth muscle cells (PASMC), contributes to hypoxic pulmonary vasoconstriction (HPV) [20]. Although the precise mechanism remains unclear, HPV is generally thought to be an intrinsic response of O 2 -sensing PASMC, supporting ventilation-perfusion matching for optimal gas exchange in the lung by diverting blood flow away from hypoxic regions of the lung . Our data showing reduced HPV in ASIC1 null mice [20] suggest ASICs are sensitive to changes in O 2. Therefore, we further hypothesized that ASICs additionally contribute to the hypoxic ventilatory response. To test our hypotheses, we examined ventilatory responses to isocapnic hypoxemia and hypercapnia in conscious, unrestrained, ASIC1, 2, or 3 global knockout (ASIC1 -/-, 2 -/-, or 3 -/-) and wild-type (WT) mice.

Femoral artery catheterization and blood gas measurement
To confirm that alterations in inspired gases were achieving the desired effect on blood gases, and that blood gases were similar between paired groups of WT and knockouts, mice were chronically instrumented with femoral artery catheters for arterial blood sampling to determine P a O 2 , P a CO 2 , and pH a . The catheters were routed out through the top of the cage through spring tethers to enable blood sampling in conscious, unrestrained mice. Catheters consisted of PE-10 tubing with a stretch-tapered proximal end for insertion into the right femoral artery, and were filled with a solution of 0.9% saline containing 100 units/ml heparin. Catheterization was performed under isoflurane anesthesia (5% isoflurane for induction of anesthesia,~2% for maintenance) and mice were given buprenorphine (0.05-0.1 mg/kg, s.c.) and enrofloxacin (15 mg/kg, s.c.) post-operatively for analgesia and protection from infection, respectively.
Blood gas measurements were performed 2 days after the implantation surgery. For these experiments, mice were placed in a polycarbonate chamber for exposure to different inspired gas mixtures. A Columbus Instruments PEGAS 4000MF gas mixer (Columbus, OH) was used to combine N 2 , O 2 , and CO 2 for the appropriate inspired gas mixtures, the compositions of which were confirmed using an OxiGraf O 2 Cap Oxygen [and CO 2 ] Analyzer (Sunnyvale, CA) to test samples taken from chamber inflow line. To measure blood gases,~100 μL of blood was allowed to flow directly from the femoral artery catheter into Abbott iStat handheld blood gas analyzer cartridges (EG6+ or G3+, Abbott Park, IL) while the mouse was conscious and unrestrained. Each measurement was taken after 5 minutes of exposure to the respective inspired gas mixture, with at least 20 minutes between subsequent exposures. The catheter was flushed with a volume of saline (containing 100 units/mL heparin) equivalent to 1.5 times the dead space of the catheter between each measurement. For each individual mouse, all blood gas measurements were performed on a single day.

Whole-body plethysmography
Whole-body plethysmography was used to assess respiratory frequency, tidal volume, and minute ventilation in conscious, unrestrained mice. First described by Drorbaugh and Fenn [21], this method utilizes a nearly sealed chamber in which the pressure transiently increases as inspired air expands due to the humidity and warmth of the lung compared to the surrounding environment. For this study we modified a method previously used for rats [22]. The plethysmography chamber consisted of a~50 cubic centimeter transparent polycarbonate cylinder fitted with a Validyne DP45-16 differential pressure transducer and inlets for the introduction of new inspired gas mixtures. To take a measurement, the chamber was sealed with the exception of a small controlled leak through a 50 μl glass syringe (Gastight #1705) with plunger removed, attached to one of the Luer-lock ports on the side of the chamber, which served as a physical high-pass filter to eliminate gradual changes in chamber pressure that go beyond the narrow range of the highly sensitive differential pressure transducer.
Temperature inside the chamber was monitored using an electronic probe (BAT-10, Physitemp, Clifton, NJ) and ranged from 21 to 25˚C. Calibration air injections of 40 μl were used to enable calculation of tidal volume using the equation introduced by Drorbaugh and Fenn [21]: Where: V T = tidal volume V K = the volume of air injected into the animal chamber for calibration P T = the pressure deflection associated with each tidal volume P K = the pressure deflection associated with injection of the calibrating volume, V K T R = body temperature, assumed to be 37˚C for all animals T C = the air temperature in the chamber, which varied from 20-23˚C P B = barometric pressure, 630 mmHg in Albuquerque, NM P R = vapor pressure of water at body temperature P C = vapor pressure of water in the chamber, derived from T C assuming 100% humidity which was confirmed in pilot experiments (gas mixtures were humidified by bubbling through three consecutive flasks of water prior to entry into the plethysmography chamber) Tidal volume and minute ventilation data were normalized to body mass. The plethysmography chamber was never closed from gas flow for measurement for more than 2 consecutive minutes, and the chamber was continuously flushed with fresh gas mixture for at least 2 minutes between measurements at a flow rate of 2 L/min. Mice were allowed up to 1 hour to achieve a resting state suitable for baseline measurements (lack of movement, grooming, or sniffing as observed through the transparent walls of the chamber). Mice that remained active after 1 hour were removed from the chamber and re-tested on another day. After a baseline measurement was taken, the chamber was flushed with 21% O 2 , 6% CO 2 , balance N 2 to achieve hypercapnia, or 7% O 2 , 3.2% CO 2 , balance N 2 to achieve isocapnic hypoxemia for 5 minutes before taking the subsequent measurement.

Statistics
All data are expressed as means ± SE. n values correspond to the numbers of animals per group. Statistical tests are specified in the figure legends or in the results section, and were made using GraphPad Prism 7.02 software (La Jolla, CA). P values of <0.05 were accepted as significant for all comparisons.

Examining the roles of ASIC1, 2, and 3 in the hypercapnic ventilatory response
To investigate the roles of ASIC1, 2, and 3 in the hypercapnic ventilatory response, we first assessed changes in ventilation during exposure to increasing levels of inspired CO 2 (3.7, 6.0, and 9.8%) using whole-body plethysmography in conscious, unrestrained WT mice. The traces shown in Fig 1A represent the pressure difference between the inside and the outside (room pressure) of the chamber. Upward pressure defections indicate increasing pressure in the animal chamber (inspiration). The amplitude of the pressure deflections corresponds to tidal volume. Respiratory frequency (Fig 1B, breaths/min) was determined by counting the number of pressure defections per minute. Exact tidal volume normalized to body mass ( Fig  1C, μL/breath/g) was calculated using chamber temperature and calibration air injection (see Methods). Minute ventilation normalized to body mass (Fig 1D, mL/minute/gram) was determined by multiplying tidal volume by respiratory frequency.
First, we measured minute ventilation in mice exposed to 5 minutes of 3 levels of inspired CO 2 (3.7, 6.0, and 9.8%) to determine an appropriate level for testing hypercapnic ventilatory responses (Fig 1A-1D). In these pilot experiments, exposure to 3.7%, 6.0%, and 9.8% inspired CO 2 significantly elevated respiratory frequency (Fig 1B), but only exposure to 6.0% and 9.8%, and not 3.7% inspired CO 2 caused statistically significant elevations in tidal volume and minute ventilation (Fig 1C and 1D, respectively). We chose to use 6% CO 2 as the hypercapnic stimulus for the remaining experiments in this study because it stimulated a robust response Inhalation of 6% CO 2 produces reliable hypercapnia and elevation of ventilation. WT mice were exposed to a range of inspired CO 2 levels to determine optimal conditions for testing hypercapnic ventilatory responses. (A) Representative traces of whole-body plethysmography illustrate frequency and depth of breathing in conscious, unrestrained mice exposed to normal air at baseline (21% O 2 , 0% CO 2 , balance N 2 ), and to increasing levels of hypercapnia (3.7, 6.0, and 9.8% CO 2 ). Summary data shows (B) respiratory frequency (breaths/min), (C) tidal volume (μL/breath/g), and (D) minute ventilation (mL/min/g) at each inspired CO 2 level. Arterial blood samples taken from WT mice at baseline (normal air) or during exposure to 6% CO 2 were analyzed for (E) P a O 2, (F) P a CO 2 , and (G) pH a . Values are means ± SE; n = 4-8 animals/group. Ã P < 0.05 vs. baseline (1-way ANOVA; Dunnett's post-hoc test (B) or two-tailed, paired Student's t-test (C-E)). that was not statistically different from the response caused by 9.8% CO 2 . Using arterial blood samples obtained via chronically implanted femoral artery catheters in conscious, unrestrained WT mice, we assessed P a O 2 , P a CO 2 , and pH a at baseline (room air) and during exposure to 6% inspired CO 2 . Although inspired O 2 was unchanged (21%) during exposure to 6% inspired CO 2 , P a O 2 was increased ( Fig 1E) likely due to the resultant increase in alveolar ventilation. As expected, mice exhibited hypercapnia and acidosis indicated by increased P a CO 2 and decreased pH a during exposure to 6% inspired CO 2 (Fig 1F and 1G).
Next, we measured P a O 2 , P a CO 2 , and pH a in ASIC1 -/-, ASIC2 -/-, ASIC3 -/-, and paired groups of WT mice. The purpose of this experiment was to determine if the stimuli for ventilation (P a O 2 , P a CO 2 , and pH a ) were the same between WT and knockout mice. Our results show no significant differences in P a O 2 , P a CO 2 , and pH a between ASIC1 -/-, ASIC2 -/-, or ASIC3 -/versus corresponding WT mice at baseline or during exposure to 6% inspired CO 2 ( Table 1). To investigate the putative roles of ASIC1, ASIC2, and ASIC3 in the hypercapnic/ acidotic ventilatory response, we exposed separate groups of ASIC1 -/-, ASIC2 -/-, and ASIC3 -/mice to 6% inspired CO 2 and measured respiratory frequency, tidal volume, and minute ventilation using whole-body plethysmography as described above, and compared the responses to those of WT mice run in parallel for each experiment. Surprisingly, there were no significant differences between ASIC1 -/-, ASIC2 -/-, or ASIC3 -/mice compared to WT mice in respiratory frequency, tidal volume, or minute ventilation (Fig 2). There was a tendency for ASIC2 -/mice to exhibit lower respiratory frequency during hypercapnia (Fig 2D), but this trend was not statistically significant (p = 0.070).

Assessing the roles of ASIC1, 2, and 3 in the hypoxic ventilatory response
To specifically assess the roles of ASICs in the ventilatory response to hypoxia, we measured responses to isocapnic hypoxemia, which was achieved via inhalation of a hypoxic gas mixture with a level of inspired CO 2 adequate to preserve baseline P a CO 2 levels, allowing for the assessment of the hypoxic ventilatory response without confounding changes in P a CO 2 /pH a -dependent ventilatory drive. To determine the level of inspired CO 2 required to achieve isocapnic hypoxemia, we measured baseline P a CO 2 in WT animals, and then experimentally determined the level of inspired CO 2 necessary to maintain this P a CO 2 in mice concurrently exposed to 7% inspired O 2 . Baseline P a CO 2 in WT mice was 29.8 ± 0.9 mmHg. Mice chronically instrumented with femoral artery catheters were exposed to 7% O 2 at a range of inspired CO 2 levels (2.5-3.5%) and the resulting P a CO 2 was assessed (Fig 3A). Linear regression analysis of these data indicate that an inspired CO 2 of 3.2% produces isocapnic hypoxemia. Testing this exposure in a group of WT mice (n = 7) confirmed significant hypoxemia (Fig 3B) with no accompanying change in P a CO 2 or pH a (Fig 3C and 3D). Whole-body plethysmography measurements show that this exposure robustly increased respiratory frequency and tidal volume (Fig 3E). We used this stimulus (7% O 2 , 3.2% CO 2 , balance N 2 ) to compare hypoxic ventilatory responses in the following experiments.
Using ASIC1 -/-, ASIC2 -/-, and ASIC3 -/-, and WT mice chronically instrumented with femoral artery catheters, we measured P a O 2 , P a CO 2 , and pH a to confirm that there were no differences in blood gases between respective knockout and WT mice at baseline or during exposure to 7% O 2 , 3.2% CO 2 , balance N 2 (Table 1), demonstrating that a similar hypoxic stimulus was achieved between groups. Although a slight but significant decrease in P a CO 2 occurred in response to this inspired gas mixture compared to baseline in some groups (marked with asterisks, Table 1), in all cases there were no significant differences between paired WT and knockout groups. To test the roles of ASIC1, 2, and 3 in the hypoxic ventilatory response, separate groups of conscious, unrestrained ASIC1 -/-, ASIC2 -/-, ASIC3 -/-, and WT mice were exposed to 7% O 2 , 3.2% CO 2 , balance N 2 to induce isocapnic hypoxemia and their respiratory frequencies, tidal volumes, and minute ventilations were assessed using wholebody plethysmography (Fig 4). There were no differences in ventilatory parameters between An inspired CO 2 of 3.2% causes isocapnic hypoxemia in mice concurrently exposed to 7.0% O 2 . A scatter plot (A) showing arterial CO 2 tensions (P a CO 2 ; y-axis) in mice exposed to 7.0% O 2 and a range of inspired CO 2 levels (% CO 2 ; x-axis) was fit using linear regression (solid line, equation displayed on the graph). The dotted lines on the graph indicate the average baseline P a CO 2 (horizontal) measured during exposure to room air, and the estimated inspired CO 2 required to maintain this P a CO 2 level (vertical) during exposure to 7% O 2 based on the linear regression. Arterial blood samples from WT mice exposed to 7.0% O 2 , 3.2% CO 2 , balance N 2 , were analyzed to assess P a O 2 (B), P a CO 2 (C), and pH a (D). (E) Representative whole-body plethysmography traces from a WT mouse show the ventilatory response to 7.0% O 2 , 3.2% CO 2 , balance N 2 . Values are individual measurements (A) or means ± SE (B-D); n = 5-6 animals per group (B-D). Ã P < 0.05 vs. baseline (paired, two-tailed Student's t-test). https://doi.org/10.1371/journal.pone.0192724.g003 Role of acid-sensing ion channels in regulation of breathing PLOS ONE | https://doi.org/10.1371/journal.pone.0192724 February 23, 2018 ASIC1 -/or ASIC3 -/and WT mice (Fig 4A-4C and 4G-4I). ASIC2 -/mice tended to have lower respiratory frequency and tidal volume than WT mice during exposure to isocapnic hypoxemia (Fig 4D and 4E). While these trends in respiratory frequency and tidal volume were not statistically significant, minute ventilation was significantly lower in ASIC2 -/mice compared to WT (Fig 4F), suggesting a role for ASIC2 in the hypoxic ventilatory response.

Discussion
Previous evidence indicates that ASICs are involved in chemoreception and the control of ventilation [16][17][18][19]23,24], but most of this evidence comes from in vitro studies and little is known about the role of ASICs in hypercapnic and hypoxic ventilatory responses in conscious animals. Here we directly measured hypercapnic and hypoxic ventilatory responses in conscious, unrestrained mice. In contrast to our hypothesis, we found that genetic deletion of ASIC1, 2, or 3 does not alter the hypercapnic ventilatory response in mice; whereas ASIC2 appears to play a minor role in the hypoxic ventilatory response. Together, these data suggest the contribution of ASICs to ventilatory control is modest.
ASICs have been implicated in both peripheral and central CO 2 chemoreception. Isolated carotid body glomus type I cells exhibit acid (pH 6.0-6.8)-induced cation currents and depolarization which have been attributed to ASICs [16]. Further investigation revealed that pH-sensitivity in isolated glomus cells is increased in both transgenic ASIC3 overexpressing mice and spontaneously hypertensive rats with increased expression of ASIC3, and decreased in ASIC3 null mice [23,24]. These studies suggest that ASIC3 would contribute to hypercapnic ventilatory drive. However, the pH levels used to stimulate a response in these in vitro experiments ranged from pH 6.0 to 6.8. In the present study, exposure to 6% inspired CO 2 caused a 70% increase in P a CO 2 , resulting in a pH a of 7.2. This stimulus caused a robust ventilatory response (Figs 1 and 2), yet a pH a of 7.2 may be insufficient to activate ASICs.
Other reports implicate ASICs in central chemoreception. The response of central chemoreceptors to changes in pH is known to be very sensitive, in that changes in cerebrospinal fluid pH from 7.30 to 7.25 cause a doubling in alveolar ventilation [25]. In neurons of the nucleus tractus solitarius in brainstem slices, acidification to pH 7.0 causes transient inward currents that are blocked by amiloride [18]. Although amiloride is a non-selective blocker of ASICs, Song et al., found that the selective ASIC1a blocker, psalmotoxin-1 (PcTX1) inhibited the increased phrenic nerve discharge in response to injection of acidified (pH 6.5) artificial cerebrospinal fluid in the lateral hypothalamus [17]. Furthermore, these authors report ASIC-like acid-induced currents in the ventrolateral medulla were absent in ASIC1 -/mice [19]. These data provide strong evidence that ASIC1 contributes to central chemoreception in response to direct changes in pH (pH 6.0-7.0), however whether the observed effect is relevant to the physiological ventilatory response to hypercapnia is less clear. The threshold for activation of ASIC1 and ASIC3 is~pH 7.0-7.2 [26,27] and the half-maximal activation is 6.2-6.8 for ASIC1a,~4.9 for ASIC2a, and 6.5-6.7 for ASIC3 [26,28]. Interestingly, however, Ziemann et al. reported that inhalation of higher CO 2 concentrations (10 and 20%) in anesthetized mice leads to a drop in pH ranging from 6.7-6.9 in the amygdala and lateral ventricle [29]. Consistent with our findings, the authors demonstrated an intact ventilatory response to CO 2 inhalation (5 and 10%) in ASIC1 -/mice despite the important chemosensory role ASIC1 plays in the amygdala and fearrelated behavior [29]. Acid-evoked ASIC responses in isolated cells tend to be transient, on the order of seconds, while the ventilatory response to hypercapnia is sustained indefinitely. This might explain why the previously reported contribution of ASIC3 to transient acid-induced currents in isolated glomus cells [16,24] does not translate to a contribution to the hypercapnic ventilatory response. However, the studies implicating ASICs in central chemoreception reported sustained changes to phrenic nerve discharge [17][18][19], suggesting that ASICs can mediate sustained responses to extracellular acidification in some contexts.
Thus, despite strong evidence for ASICs in chemoreception, our current findings do not support a role for ASICs in the hypercapnic ventilatory response in conscious, unrestrained mice. Although differences in ventilatory regulation may exist between species, mice are widely used in ventilatory function studies as they show dependency both on carotid bodies [30] as well as central chemoreception [1] for control of ventilation. Furthermore, mice were used to study the involvement of ASICs in carotid body glomus cells [24] and central chemoreception [19]. Therefore, it is unlikely that our current findings are due to species differences in control of ventilation. Inhalation of 6% CO 2 was chosen as the stimulus for hypercapnic ventilatory responses based on data presented in Fig 1 which indicates that 6% CO 2 causes a nearmaximal ventilatory response. Although we cannot exclude the potential for ASICs to participate in hypercapnic ventilatory responses to higher levels of CO 2 , this seems unlikely since the response of WT mice to 9.7% CO 2 was not different compared to the response to 6% CO 2 . Additionally, our results agree with the findings of Ziemann et al. [29] which indicated that ASIC1 was not involved in ventilatory responses to 5% or 10% inspired CO 2 .
Although much of the evidence supporting ASIC involvement in chemoreception focuses on the detection and ventilatory response to CO 2 or acidosis, evidence suggests ASICs may also be hypoxia-sensitive. For example, we have previously reported that ASIC1 contributes to HPV in isolated-perfused lungs [20]. Additionally, activation of the Ca 2+ -permeable ASIC1a contributes to neuronal cell death during ischemic brain injury [31,32]. Currently however, it is unclear whether the activation of ASICs responsible for neuronal cell death in this context results from the associated acidosis, or a direct effect of hypoxia. Liu et al reported that the hypoxia-induced chemoreceptor response and ASIC expression are both increased following exposure to chronic hypobaric hypoxia (380 Torr ambient air pressure for 1-7 days) in the rat petrosal ganglion, which contains chemoafferent neurons that innervate O 2 -sensitive carotid body glomus type I cells [33]. Pharmacological inhibition of ASICs using A-317576 (novel ASIC blocker [34]) or ibuprofen (non-specific ASIC inhibitor [35]) prevented the enhanced hypoxia-evoked chemoreceptor response following exposure of rats to chronic hypoxia, but did not alter the hypoxic chemoreceptor response in normoxia-exposed control animals [33]. In contrast, Lu et al. demonstrated that transgenic overexpression of ASIC3 leads to decreased glomus cell sensitivity to sodium cyanide (used to mimic hypoxia) [24]. Together, these data are consistent with the hypothesis that ASICs modulates hypoxic chemotransmission between type I cells and chemoafferent neurons. In the present study, we have differentiated between hypoxia and acidosis by utilizing isocapnic hypoxemia as a ventilatory stimulus that maintains baseline CO 2 and pH levels. Ventilatory responses to isocapnic hypoxemia were normal in ASIC1 -/and ASIC3 -/mice, but reduced in ASIC2 -/mice ( Fig 4F) suggesting a minor role for ASIC2 in this response. ASIC2a was reported to be expressed in carotid body glomus cells [16], and may contribute to the hypoxic ventilatory response by contributing to the depolarization of these cells during hypoxemia.
In summary, our data bring into question the physiological relevance of ASICs in chemoreception and the control of ventilation. We cannot rule out the possibility that compensatory upregulation of parallel chemoreception and ventilatory control pathways masks any effect of ASIC deletion in our global knockout mice. Furthermore, cerebral ischemia or other pathophysiological conditions might unmask a contribution of ASICs to hypercapnic and/or hypoxic ventilatory drive. Because ASICs are potential therapeutic targets for the treatment of pulmonary hypertension [20] and several neuronal diseases [36], a complete understanding of the roles ASICs play in O 2 and CO 2 homeostasis is important to the development of safe therapeutics.