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NEUROHUMORAL CONTROL OF CARDIOVASCULAR FUNCTION
1Department of Cardiovascular Medicine, Nephrology and Neurology, and 2Department of Clinical Pharmacology and Therapeutics, University of the Ryukyus, School of Medicine, Okinawa, Japan; and 3Department of Functional Pathology, Shimane University, School of Medicine, Izumo, Japan
Submitted 24 August 2005 ; accepted in final form 19 October 2005
| ABSTRACT |
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renal sympathetic nerve activity; Wistar-Kyoto rat; stroke-prone spontaneously hypertensive rats; brain renin-angiotensin system
Hypertensive humans and animals with sympathetic hyperactivity exhibit enhanced pressor and sympathetic responses to different types of stress (15, 20, 30, 32). Air-jet stress is an environmental stress thought to be a pure psychoemotional stress and causes the characteristic pattern of the classic defense reaction with an increase in mean arterial pressure (MAP), heart rate (HR), renal sympathetic nerve activity (RSNA), and a decrease in urinary sodium excretion (9, 12). In acute response to this stress, spontaneously hypertensive rats (SHR) exhibit increased cardiovascular and sympathetic responses and abnormal renal vascular responses (4, 21).
Accumulating evidence suggests that the brain renin-angiotensin system (RAS) has a key role in modulating the stress-induced cardiovascular responses (13). Intracerebroventricular injection of ANG II-receptor blockers attenuated cardiovascular responses induced by an immobilization stress in the rat (14, 25), and the microinjection of an ANG II type 1 receptor blocker into the rostral ventrolateral medulla decreased the pressor response to an air-jet stress in the rabbit (19).
Nabika et al. (23) constructed a congenic rat for a chromosome 1 blood pressure QTL. A segment of chromosome 1 from stroke-prone SHR (SHRSP) was introgressed into Wistar-Kyoto (WKY) rat by repeated backcrossing. This congenic rat showed only a small increase in blood pressure measured continuously by radiotelemetry but an exaggerated pressor response to both restraint (2) and cold stress (3). Because this exaggerated response was abolished by chemical sympathectomy (2, 3) and urinary excretion of norepinephrine during cold stress was greater in the congenic rat than in the WKY (3), a hyperreactivity of the sympathetic system might be present in the congenic rat. However, the previous studies did not measure sympathetic nerve activity directly. Further, the mechanisms of the hyperreactivity of the sympathetic system remain unknown.
Therefore, in the present study, we examined the RSNA, in addition to the responses of blood pressure and HR, to air-jet stress in this congenic strain. We also examined effects of intracerebroventricular administration of candesartan, an ANG II type 1 receptor blocker, on the cardiovascular responses to air-jet stress. Our observation suggests the role of brain RAS in the exaggerated pressor response in the congenic rat.
| METHODS |
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Construction of congenic rats. A congenic strain, WKY.SHRSP-(D1Wox29-D1Arb21)/Izm (abbreviated here as WKYpch1.0) was constructed as described previously (3). In brief, a segment of chromosome 1 from SHRSP/Izm was introgressed into WKY/Izm by 10 generations of repeated backcrossing. Five genetic markers inside were monitored to keep the region between D1Wox29 and D1Arb21 heterozygous. A congenic strain was established through the final brother-sister mating. This region covered the 100: 1 confidence interval for the blood pressure QTL. More than 99.9% of the background genome was expected to be homozygous for original WKY rats in the congenic strain (2, 3).
Implantation of arterial and venous catheters and the renal nerve electrode. Rats were anesthetized with an intraperitoneal injection of 50 mg/kg of pentobarbital sodium, and vascular catheters were inserted through the femoral artery and vein for blood pressure recording and drug administration, respectively. The renal nerves were exposed through a retroperitoneal approach. A branch of the nerves was separated from the surrounding connective tissue and a bipolar silver wire electrode (no. 7855; A-M Systems, Carlsborg, WA) was placed under the nerve branch. When an optimal neurogram was obtained, the nerve and an electrode were embedded in silicone gel (Semicosil 932; Wacker, Munich, Germany) and allowed to harden. Catheters and lead wires from the electrode were exteriorized at the interscapular region through a subcutaneous tunnel. After surgery, each rat received an intramuscular injection of 40,000 U/kg body wt of penicillin G for prophylaxis.
Implantation of guide cannula for intracerebroventricular injection. Separate groups of WKY and WKYpch1.0 were anesthetized, and the rats were placed on a stereotaxic frame (Narishige Scientific Instruments, Tokyo, Japan) in a prone position. The incisor bar was set at 4 mm below the interaural line. The skin overlying the midline of the skull was incised, and a small hole was drilled to the dorsal surface of the cranium, according to the following coordinates; 0.8 mm posterior to the bregma, 1.5 mm lateral to the midline. A 23-gauge stainless-steel guide cannula was lowered 2 mm vertically from the skull surface toward the lateral ventricle. The guide cannula was fixed to the skull with screws and hardened together with cyanoacrylate adhesive. Before and after the surgery, each rat received an intramuscular injection of 20,000 U/kg body wt of penicillin G for prophylaxis.
Experimental protocol 1. Effect of air-jet stress on blood pressure, HR, and RSNA. At least 18 h after the implantation of the renal nerve electrode, the rat was placed in an 18-cm-diameter plastic bowl and was allowed to move freely. The amplified nerve pulses and pulsatile blood pressure, MAP, and HR were recorded. RSNA was rectified and integrated (reset every 1 s) for analysis. After recording baseline MAP, HR, and RSNA, each rat had a continuous air-jet stress delivered from nozzles 810 cm apart directed to the face of the rat for 20 s. This stress was applied two times with an interval of at least 10 min. The strength of the stimulus was adjusted so that the rats would not increase gross locomotor activity. In response to air-jet stress, rats normally take a defensive posture and stand ready to get out from under the air-jet. In most cases, rats stayed in the same place during 20 s of the stress; however, sometimes rats moved around. Responses of MAP, HR, and RSNA were recorded. The data of air-jet stress from each rat were averaged for analysis. We excluded rats that had more than 10 s of motion artifact on RSNA during the air-jet stress from further data analysis. We also excluded rats from further analysis when RSNA neurogram was strongly influenced by respiration, because this type of RSNA could have more influence on the electromyogram. At the end of experiments, 40 mg/kg of hexamethonium were administered intravenously to examine the effect of ganglionic blockade on blood pressure and to determine background noise level of nerve pulses.
Experimental protocol 2. Effect of intracerebroventricular injection of an ANG II type 1 receptor blocker to air-jet stress. At least 4 days after the implantation of the guide cannula for intracerebroventricular injection, we performed surgery on the rat to implant the arterial and venous catheters. On the following day, the experiment was performed on WKYpch1.0 or WKY in conscious, unrestrained condition. Before intracerebroventricular injection, each rat had 20 s of air-jet stress, and MAP and HR were recorded. An injector needle, which extended 2 mm beyond the tip of the guide cannula, was inserted through the guide cannula. Each injection of drug was given over a period of 1 min in a 2-µl volume. Rats had intracerebroventricular injection of either 1 µg of candesartan or normal saline as a vehicle. This dose of candesartan has been reported to lack a centrally mediated antihypertensive effect in SHR and to abolish changes in MAP and HR in response to intracerebroventricular injection of ANG II (100 ng) (1). Thirty minutes after the intracerebroventricular injection, the rats had another 20 s of air-jet stress. At least 10 min after the stress, 20 ng of ANG II was injected into the lateral ventricle of the rat. Finally, each rat received a bolus intravenous injection of 3 µg of phenylephrine, an alpha 1 adrenoceptor agonist. At the end of the intracerebroventricular experiments, rats were anesthetized and received an intracerebroventricular injection of 5% solution of methylene blue to verify the position of intracerebroventricular cannula. The animal preparations and procedures have been described in detail elsewhere (2628, 31).
Statistical analysis. Values are expressed as the means ± SE. Differences among the groups were tested by two-way ANOVA. Scheffé's F test was used for subsequent analysis. A value of P < 0.05 was considered to be significant.
| RESULTS |
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| DISCUSSION |
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The most interesting observation in the present study was an exaggerated RNSA, as well as an exaggerated blood pressure response, in the congenic rat under an air-jet stress. This congenic rat has been reported to have an exaggerated blood pressure elevation to environmental stresses such as restraint (2) and cold stress (3). In the present study, we observed the exaggerated blood pressure response to another type of stress in this congenic rat. Air-jet stress is thought to be a pure psychoemotional stress, which is largely different from physical stresses like cold stress (18). The pressor responses caused by air-jet stress in the present study were comparable to our previous observations in SHR and WKY (21). In addition, we clearly showed that the exaggerated response of blood pressure was accompanied with the hyperactivation of the RSNA in this strain (see Figs. 1 and 2). In addition, because intravenous injection of phenylephrine caused a pressor response comparable between WKYpch1.0 and WKY, the difference in the peripheral vascular reactivity to catecholamines cannot be interpreted for the exaggerated blood pressure response to the stress. Therefore, our results strongly suggest that this congenic rat showed an exaggerated response in blood pressure to the stresses through the hyperreactivity of the sympathetic nervous system.
In the present study, the increase in RSNA in response to air-jet stress was similar in the congenic rat to the SHRSP rat, whereas the increase in MAP was smaller in congenic rat than in the SHRSP rat. There was a discrepancy between responses of RSNA and MAP. Baseline MAP was markedly higher in SHRSP than WKY and WKYpch1.0. We assessed MAP response to air-jet stress by %change in MAP. Percent change in MAP was similar between WKYpch1.0 and SHRSP. There is a possibility that the absolute values of MAP response to air-jet stress were influenced by the baseline MAP. Another possibility of the cause of this discrepancy is a difference in baroreflex function. SHRSP is known to have an impaired baroreflex function (16). This impairment might contribute to the discrepancy between responses of RSNA and MAP to air-jet stress in congenic and SHRSP rats.
It is notable that the increase in RSNA to air-jet stress in WKYpch1.0 was as large as that in SHRSP (see Fig. 2). This result implies that a gene or genes located in the QTL region on chromosome 1 exerted a major effect on the sympathetic reactivity. As WKYpch1.0 showed an exaggerated RSNA reactivity comparable with that in SHRSP, despite its normal blood pressure, this strain may be a useful model for the study of reactivity of the sympathetic nervous system without regard to secondary effects of blood pressure.
Accumulating evidence has established that the brain RAS plays an important role in the control of cardiovascular functions (22, 29), including stress-induced cardiovascular responses (13). The subfornical organ, paraventricular nucleus, and rostral ventrolateral medulla are proposed to take part in the emotional pressor circuit using ANG II as a major neurotransmitter (13). We observed a greater effect of an ANG II type I receptor blocker in the congenic rat, attenuating the pressor response to air-jet stress (see Fig. 3). This observation implied that the exaggerated stress response in the congenic rat was at least partly mediated by the brain RAS. Therefore, we speculate that the brain RAS contributes to the sympathetic hyperreactivity to the stress in this congenic rat.
Careful discussion is, however, necessary on the relationship between 'hypertension' genes and the exaggerated sympathetic response observed in the present study. A previous study demonstrated a small but significant elevation in blood pressure in WKYpch1.0 when compared with WKY (2), whereas another report could not replicate the significant difference in blood pressure between the congenic rat and WKY at the baseline (3). Thus it remains still controversial whether this congenic rat had an elevated blood pressure under a resting condition. In the present study, blood pressure, as well as HR, of WKYpch1.0 was not significantly different from that of WKY. In addition, the decrease in MAP by the ganglionic blockade was comparable between the two strains. These observations suggested that the sympathetic and cardiovascular hyperactivities in the resting condition were not obvious in the congenic rat. The discrepant results for the blood pressure among studies may be due to differences in experimental conditions such as the different methods used in blood pressure measurement and influence of the surgery. In any case, it appears that the increase of blood pressure in WKYpch1.0 was quite small if any. As a reciprocal congenic strain for the same QTL showed a large decrease in blood pressure (11), the effect of the QTL on blood pressure seems dependent on the genetic background of rats. This is quite a contrast to the air-jet stress-induced increase in the RSNA, which was as large in WKYpch1.0 as in SHRSP (Fig. 2). These results might suggest that a gene (or genes) in the chromosome 1 QTL had a major influence on the stress-induced activation of RSNA, although synergistic effects of other genetic factors were necessary to cause an evident increase in blood pressure. Another interpretation that should be considered is that a gene regulating RSNA was different from that responsible for high blood pressure. The QTL region isolated in the congenic strain was still quite large. It harbors hundreds of genes, and it is sometimes quite difficult to show that one of them is responsible for high blood pressure (5). The subcongenic rats with a narrower segment of the QTL would help to identify candidate genes.
There is some limitation to interpreting the RSNA data in the present study. Because we observed the sympathetic nerve activity under conscious condition, it is unable to remove artifacts due to motion and electromyogram from RSNA entirely. It is also unable to control a startle motion in response to air-jet stress, which might cause the artifacts on RSNA. We did not observe a noticeable difference in the motion artifact between WKY and WKYpch1.0 during air-jet stress. However, SHRSP might have more motion artifacts than the other two strains. This strain-specific difference in the artifact due to startle motion might influence the RSNA results. However, we believe that we could minimize these influences by excluding the data, which contained large-motion artifacts, from the analyses.
In summary, an air-jet stress caused greater increase in RSNA, as well as MAP in the congenic rat for the QTL on chromosome 1. In addition, injection of an ANG II type 1 receptor blocker elicited a greater attenuation of the pressor response to air-jet stress in the congenic rat. These results suggest that the blood pressure QTL on chromosome 1 harbored a gene or genes influencing the sympathetic hyperreactivity to the environmental stress, which caused exaggerated cardiovascular response. Contribution of the brain RAS to the exaggerated response was suggested. This congenic rat may be a good model for stress-induced hypertension, which has been described in humans as well (18).
| GRANTS |
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| ACKNOWLEDGMENTS |
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| FOOTNOTES |
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The costs of publication of this article were defrayed in part by the payment of page charges. The article must therefore be hereby marked "advertisement" in accordance with 18 U.S.C. Section 1734 solely to indicate this fact.
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