Chemical regulation of respiration is controlled by central and peripheral chemoreceptors. Central chemoreceptors are located in the medulla and are sensitive to increased hydrogen ion concentration and carbon dioxide levels in the cerebrospinal fluid. When carbon dioxide levels rise in the blood, it crosses the blood-brain barrier and forms carbonic acid, releasing hydrogen ions that stimulate the central chemoreceptors. Peripheral chemoreceptors are located in the carotid bodies and aortic arch and respond to decreases in oxygen, sensing hypoxia.