Respiratory physiology: Lung receptors
Pulmonary receptors
There are a number of key receptors in the lung which play a role in the control of respiration:- Stretch receptors
- Juxtacapillary receptors
- Irritant receptors
Stretch receptors
Pulmonary stretch receptors are mechanoreceptors found in the smooth muscle of the bronchi and bronchioles of the lungs.
When triggered these stretch receptors send action potentials via myelinated fibres of the vagus nerve to the inspiratory area in the medulla and apneustic centre of the pons. These impulses directly inhibit the inspiratory area and inhibit the apneustic centre from activating the inspiratory area (therefore slowing respiratory rate). This inhibits inspiration, allowing expiration to occur. This is known as the Hering-Breuer reflex
Stretch receptors are located in the walls of the bronchi and bronchioles. When activated they send action potentials through large myelinated fibres of the vagus nerve to the inspiratory area in the medulla and apneustic centre of the pons which result in:
- Initiation of Hering-Breuer reflex
- Slowing respiratory rate
- Increased pulmonary surfactant
J receptors
Juxta-pulmonary capillary receptors are also known as J-receptors, Juxtacapillary receptors and pulmonary C-fibre receptors.
J-receptors are located in alveolar and bronchial walls. They are innervated by the vagus nerve
J-receptors respond to several stimuli including:
- Pulmonary congestion/oedema
- Pulmonary emboli
- Lung inflammation e.g. pneumonia
- Hyperinflation (barotrauma)
The stimulation of the J-receptors causes the following reflex response:
- Apnoea followed by rapid breathing (tachypnoea)
- Bradycardia
- Hypotension
- Sensation of dyspnoea
Irritant receptor
Irritant receptors are located throughout the respiratory epithelium. They are sensitive to both mechanical and chemical stimuli e.g. histamine, bradykinin, and prostaglandins. The stimulation of irritant receptors will typically lead to cough and bronchoconstiction.
Irritant receptors are located throughout the respiratory epithelium. Afferent nerves to the CNS are myelinated nerve fibres of the vagus nerve.