Acute O₂ Sensing: Role of Coenzyme QH₂/Q Ratio and Mitochondrial ROS Compartmentalization

Acute O₂ sensing by peripheral chemoreceptors is essential for mammalian homeostasis. Carotid body glomus cells contain O₂-sensitive ion channels, which trigger fast adaptive cardiorespiratory reflexes in response to hypoxia. O₂-sensitive cells have unique metabolic characteristics that favor the hypoxic generation of mitochondrial complex I (MCI) signaling molecules, NADH and reactive oxygen species (ROS), which modulate membrane ion channels. We show that responsiveness to hypoxia progressively disappears after inducible deletion of the Ndufs2 gene, which encodes the 49 kDa subunit forming the coenzyme Q binding site in MCI, even in the presence of MCII substrates and chemical NAD⁺ regeneration. We also show contrasting effects of physiological hypoxia on mitochondrial ROS production (increased in the intermembrane space and decreased in the matrix) and a marked effect of succinate dehydrogenase activity on acute O₂ sensing. Our results suggest that acute responsiveness to hypoxia depends on coenzyme QH₂/Q ratio-controlled ROS production in MCI.