Edgell H, Stickland MK. Activation of the carotid chemoreflex secondary to muscle metaboreflex stimulation in men. Am J Physiol Regul Integr Comp Physiol 306: R693-R700, 2014. First published February 26, 2014 doi:10.1152 doi:10. /ajpregu.00472.2013 has shown that the carotid chemoreceptor (CC) contributes to sympathetic control of cardiovascular function during exercise, despite no evidence of increased circulating CC stimuli, suggesting enhanced CC activity/sensitivity. As interactions between metaboreceptors and chemoreceptors have been previously observed, the purpose of this study was to isolate the metaboreflex while acutely stimulating or inhibiting the CC to determine whether the metaboreflex increased CC activity/sensitivity. Fourteen young healthy men (height: 177.0 Ϯ 2.1 cm, weight: 85.8 Ϯ 5.5 kg, age: 24.6 Ϯ 1.1 yr) performed three trials of 40% maximal voluntary contraction handgrip for 2 min, followed by 3 min of postexercise circulatory occlusion (PECO) to stimulate the metaboreflex. In random order, subjects either breathed room air, hypoxia (target SPO 2 ϭ 85%), or hyperoxia (FIO 2 ϭ 1.0) during the PECO to modulate the chemoreflex. After these trials, a resting hypoxia trial was conducted without handgrip or PECO. Ventilation (V E), heart rate (HR), blood pressure, and muscle sympathetic nervous activity (MSNA) data were continuously obtained. Relative to normoxic PECO, inhibition of the CC during hyperoxic PECO resulted in lower MSNA (P ϭ 0.038) and HR (P ϭ 0.021). Relative to normoxic PECO, stimulation of the CC during hypoxic PECO resulted in higher HR (P Ͻ 0.001) and V E (P Ͻ 0.001). The ventilatory and MSNA responses to hypoxic PECO were not greater than the sum of the responses to hypoxia and PECO individually, indicating that the CC are not sensitized during metaboreflex activation. These results demonstrate that stimulation of the metaboreflex activates, but does not sensitize the CC, and help explain the enhanced CC activity with exercise. sympathetic nerve activity; ventilation; exercise EXERCISE is known to involve cardiovascular influences from metaboreceptors, mechanoreceptors, baroreceptors, and central command (25). The carotid chemoreceptor has been shown to be activated/sensitized during exercise (10,27,33,40). Previous work has provided evidence that the carotid chemoreceptor is enhanced with exercise despite no change in circulating carotid chemoreceptor stimuli (K ϩ , lactate, pH, PCO 2 , PO 2 ), and that carotid chemoreceptor inhibition with either dopamine or hyperoxia increases cardiac output and/or peripheral blood flow during exercise secondary to a reduction in sympathetic vasoconstrictor outflow (32-34). Similarly, rhythmic handgrip exercise in humans activates/sensitizes the carotid chemoreceptor despite no increase in blood lactate (34); however, the exact mechanism behind this activation/sensitization of the carotid chemoreceptor during exercise is unknown.Conflicting evidence exists concerning the role of muscle afferents on exercise-induced carotid chemorecepto...