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Perspective on the human cough reflex.

Stuart M Brooks1

  • 1Colleges of Public Health and Medicine, University of South Florida, Tampa, Florida. sbrooks@health.usf.edu.

Cough (London, England)
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Summary
This summary is machine-generated.

The human cough reflex evolved into two types: mechanosensory to prevent aspiration and chemosensory for respiratory infections. Both reflexes involve complex neuromuscular coordination for airway protection.

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Area of Science:

  • Evolutionary biology and human physiology
  • Neuroscience of respiratory reflexes

Background:

  • The human cough reflex is a complex protective mechanism with proposed evolutionary origins.
  • Two distinct pathways, mechanosensory and chemosensory, mediate cough reflexes via different nerve fibers.

Discussion:

  • Mechanosensory cough, via Aδ fibers, likely evolved to prevent aspiration of gastric or particulate matter, coinciding with the shift towards phonation over olfaction.
  • Chemosensory cough, via C fibers, may have evolved due to increased risk of respiratory infections and irritant-induced lung injury in communal living.
  • The chemosensory pathway shares mechanisms with pain signaling, involving TRPV1 and TRPA1 ion channels, crucial for detecting irritants and inflammation.

Key Insights:

  • The evolution of the larynx and respiratory tract influenced the development of the mechanosensory cough reflex.
  • TRPV1 and TRPA1 channels are key molecular players in the chemosensory cough reflex, linking irritation to airway protection.
  • Despite distinct sensory inputs, both cough types utilize identical motor outputs orchestrated by central neural networks.

Outlook:

  • Further research into the evolutionary pressures shaping the cough reflex can illuminate its role in airway defense.
  • Understanding the molecular underpinnings of chemosensory cough may reveal novel therapeutic targets for conditions like chronic cough.
  • Investigating the neural control of cough provides insights into respiratory control and neuromuscular coordination.