Sympathetic Nerve Activity and Baroreflex are Strongly Altered in a Context of Severe Hypertension Using the Spontaneously Hypertensive Rat Model Associated with Chronic Reduction of Nitric Oxide.

IF 1.9 4区 医学 Q3 PERIPHERAL VASCULAR DISEASE
International Journal of Hypertension Pub Date : 2021-11-25 eCollection Date: 2021-01-01 DOI:10.1155/2021/4808657
Christine Vayssettes-Courchay, Jonathan Melka, Clothilde Philouze, Najah Harouki
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引用次数: 2

Abstract

The aim of our study is to investigate the sympathetic output and baroreflex via renal sympathetic nerve activity (RSNA) recording in a model of severe hypertension which exhibits arterial, cardiac, and renal damages, the spontaneously hypertensive rat (SHR) under lowered NO bioavailability. SHR are treated from 18 to 20 weeks of age with a low dose of L-NAME, a NO synthase inhibitor, in drinking water (SHRLN) and compared to SHR and normotensive Wistar Kyoto (WKY) rats. After the two-week treatment, rats are anesthetized for RSNA, mean blood pressure (MBP), and heart rate (HR) recording. MBP is higher in SHR than in WKY and higher in SHRLN than in SHR. Compared to WKY, SHR displays an alteration in the baroreflex with a displacement of the sympathoinhibition curve to highest pressures; this displacement is greater in SHRLN rats. The bradycardic response is reduced in SHRLN compared to both SHR and WKY. In hypertensive rats, SHR and SHRLN, basal RSNA is modified, the maximal amplitude of burst is reduced, but minimal values are increased, indicating an increased basal RSNA with reduced bursting activity. The temporal correlation between RSNA and HR is preserved in SHR but altered in 10 SHRLN out of 10. The RSNA inhibition triggered by the Bezold-Jarisch reflex activation is not modified in hypertensive rats, SHR or SHRLN, in contrast to that triggered by the baroreflex. Histological analysis of the carotid bifurcation does not reveal any abnormality in SHRLN at the level of the carotid sinus. In conclusion, data indicate that the sympathetic outflow is altered in SHRLN with a strong reduction of the baroreflex sympathoinhibition and suggest that its central pathway is not involved. These additional results on SHRLN also confirm the usefulness of this model of severe hypertension with multiple target organ damages.

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在慢性一氧化氮减少的自发性高血压大鼠模型中,交感神经活动和压力反射在严重高血压的背景下发生强烈改变。
我们的研究目的是通过记录肾交感神经活动(RSNA)记录动脉、心脏和肾脏损伤的严重高血压模型,即自发性高血压大鼠(SHR)在低一氧化氮生物利用度下的交感神经输出和压力反射。从18周龄到20周龄,用低剂量的L-NAME(一种NO合成酶抑制剂)在饮用水(SHRLN)中治疗SHR,并与SHR和正常血压的Wistar Kyoto (WKY)大鼠进行比较。治疗两周后,麻醉大鼠进行RSNA、平均血压(MBP)、心率(HR)记录。MBP在SHR中高于WKY,在SHRLN中高于SHR。与WKY相比,SHR表现出压力反射的改变,交感神经抑制曲线向最高压力偏移;这种位移在SHRLN大鼠中更大。与SHR和WKY相比,SHRLN的心动过缓反应减少。在高血压大鼠中,SHR和SHRLN,基础RSNA被修改,最大爆发幅度降低,但最小值升高,表明基础RSNA升高,爆发活性降低。RSNA和HR的时间相关性在SHR中保持不变,但在10个SHRLN中发生改变。与高压反射触发的RSNA抑制相比,由Bezold-Jarisch反射激活触发的RSNA抑制在高血压大鼠、SHR或SHRLN中没有改变。颈动脉分叉的组织学分析未发现颈动脉窦水平的SHRLN有任何异常。综上所述,数据表明,在SHRLN中,交感神经流出被改变,并伴有压反射性交感神经抑制的强烈减弱,表明其中枢通路不参与其中。这些关于SHRLN的额外结果也证实了该模型对伴有多靶器官损伤的严重高血压的有效性。
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来源期刊
International Journal of Hypertension
International Journal of Hypertension Medicine-Internal Medicine
CiteScore
4.00
自引率
5.30%
发文量
45
期刊介绍: International Journal of Hypertension is a peer-reviewed, Open Access journal that provides a forum for clinicians and basic scientists interested in blood pressure regulation and pathophysiology, as well as treatment and prevention of hypertension. The journal publishes original research articles, review articles, and clinical studies on the etiology and risk factors of hypertension, with a special focus on vascular biology, epidemiology, pediatric hypertension, and hypertensive nephropathy.
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