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Oxygen (O 2 ) is essential for life and therefore the supply of sufficient O 2  to the tissues is a major physiological challenge. In mammals, a deficit of O 2  (hypoxia) triggers rapid cardiorespiratory reflexes (e.g. hyperventilation and increased heart output) that within a few seconds increase the uptake of O 2  by the lungs and its distribution throughout the body. The prototypical acute O 2 -sensing organ is the carotid body (CB), which contains sensory glomus cells expressing O 2 -regulated ion channels. In response to hypoxia, glomus cells depolarize and release transmitters which activate afferent fibers terminating at the brainstem respiratory and autonomic centers. In this review, we summarize the basic properties of CB chemoreceptor cells and the essential role played by their specialized mitochondria in acute O 2  sensing and signaling. We focus on recent data supporting a “mitochondria-to-membrane signaling” model of CB chemosensory transduction. The possibility that the differential expression of specific subunit isoforms and enzymes could allow mitochondria to play a generalized adaptive O 2 -sensing and signaling role in a wide variety of cells is also discussed.

Mitochondrial acute oxygen sensing and signaling