Adenylate Cyclase 3 Mediates Carotid Body Activation And Autonomic Dysfunction In A Sleep Apnea Model

Patients with obstructive sleep apnea (OSA) experience chronic intermittent hypoxia (CIH). OSA patients and CIH-treated rodents exhibit autonomic dysfunction, characterized by overactive sympathetic nervous system and hypertension, mediated through hyperactive carotid body (CB) chemoreflex. Activation of olfactory receptor 78 (Olfr78) by hydrogen sulfide (H2S) is implicated in CB activation and autonomic responses to CIH, but the downstream signaling pathways remain unknown. Given that odorant receptor signaling is coupled to adenylyl cyclase 3 (Adcy3), we hypothesized that Adcy3-dependent cAMP contributes to CB and autonomic responses to CIH. Our findings show that CIH increases cAMP levels in the CB, a response absent in Adcy3, Cth, and Olfr78 null mice. CBs from Cth and Olfr78 mutant mice lacked persulfidation response to CIH, indicating that Adcy3 activation by CIH requires Olfr78 activation by H2S. CIH also enhanced glomus cell Ca2+ influx, an effect absent in Cnga2 and Adcy3 mutants, suggesting that CIH-induced cAMP mediates enhanced Ca2+ responses through cyclic nucleotide-gated channels. Furthermore, Adcy3 null mice did not exhibit neither CB activation nor autonomic dysfunction by CIH. These results demonstrate that Adcy3-dependent cAMP is a downstream signaling pathway to H2S/Olfr78, mediating CIH-induced CB activation and autonomic dysfunction.