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1 Centre d'Étude des Rythmes Biologiques, Université Libre de Bruxelles-Hôpital Erasme, B-1070 Brussels, Belgium; 2 Physiologisches Institut, Universität Zürich-Irchel, CH-8057 Zurich, Switzerland; 3 Instituto Boliviano de Biología de Altura, Embajada de Francia, La Paz, Bolivia; and 4 Laboratoire de Physiologie des Régulations Energétiques, Cellulaires et Moléculaires, Centre National de la Recherche Scientifique et Faculté de Médecine, Université Claude Bernard, Unité Mixte de Recherche 5123, F-69373 Lyon, France
We
tested the hypothesis that ovarian steroids stimulate breathing through
a dopaminergic mechanism in the carotid bodies. In ovariectomized
female rats raised at sea level, domperidone, a peripheral
D2-receptor antagonist, increased ventilation in normoxia
(minute ventilation = +55%) and acute hypoxia (+32%). This
effect disappeared after 10 daily injections of ovarian steroids (progesterone + estradiol). At high altitude (3,600 m, Bolivian Institute for High-Altitude Biology-IBBA, La Paz, Bolivia),
neutered females had higher carotid body tyrosine hydroxylase activity (the rate-limiting enzyme for catecholamine synthesis: +129%) and
dopamine utilization (+150%), lower minute ventilation (
30%) and
hypoxic ventilatory response (
57%), and higher hematocrit (+18%)
and Hb concentration (+21%) than intact female rats. Consistent signs
of arterial pulmonary hypertension (right ventricular hypertrophy) also
appeared in ovariectomized females. None of these parameters was
affected by gonadectomy in males. Our results show that ovarian steroids stimulate breathing by lowering a peripheral dopaminergic inhibitory drive. This process may partially explain the
deacclimatization of postmenopausal women at high altitude.
hypoxia; ovarian steroids; chronic mountain sickness
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