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NEUROHUMORAL CONTROL OF CARDIOVASCULAR FUNCTION
Uniersité de Lyon, Lyon, F-69008, France; Université Lyon 1, Lyon, F-69008, France, ISPB, Département de Physiologie et Pharmacologie Clinique
Submitted 28 May 2007 ; accepted in final form 31 August 2007
| ABSTRACT |
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arterial pressure; baroreceptor reflex; sympathetic nervous system
1-adrenoceptor stimulation (15) and direct mechanical effects of the drugs on barosensitive areas (43). In addition, a proper description of baroreflex curves requires that several injections be performed under stationary conditions, which makes it difficult to use this technique for continuously evaluating changes in the characteristics of the reflex under daily life conditions. These limitations have prompted some investigators to develop other methods using spontaneous rather than evoked AP changes. While these methods have mostly been used for investigating the baroreflex control of heart rate (HR) (36, 39), a few studies have been devoted to the baroreflex control of SNA (20, 34, 44, 50, 51). In these studies, the sympathetic baroreflex sensitivity (BRS) was estimated by relating SNA to beat-to-beat values of AP recorded over several heart beats. Over such time scales, baroreflex operation is closed loop (4, 12), which complicates the interpretation of SNA-AP relationships (25). Moreover, it is likely that respiratory-related rhythms of AP and SNA interfere with the observed relations, while it is well established that the respiratory fluctuations of SNA have a mixed central and baroreflex origin (1, 16, 30). In both humans and rats, SNA contains at least two rhythms that derive from the activity of the arterial baroreceptor reflex: a fast one synchronous with the cardiac beat (
1 Hz in humans; 5–7 Hz in rats), and a slower one accompanying the vasomotor waves of AP usually termed Mayer waves (
0.1 Hz in humans;
0.4 Hz in rats). It has been shown in rats that sinoaortic baroreceptor denervation abolishes both rhythms when SNA is recorded from a renal nerve (22, 28, 42). However, only the pulse-synchronous oscillation can be regarded as reflecting the open-loop operation of the baroreceptor reflex because of the low-pass filter properties of the resistance vasculature that prevent fluctuations of SNA to be translated into corresponding fluctuations of AP at frequencies above 1 Hz (21, 23). It is therefore tempting to speculate that the amplitude of the cardiac-related oscillation of SNA depends both on the amplitude of the AP pulse and on the sympathetic BRS. The amplitude ratio between AP and SNA fluctuations at the frequency of the heart beat would thus provide an index of the sympathetic BRS. The reference method for quantifying the amplitude of an oscillation in a cardiovascular signal is power spectral analysis (41). The ratio between the amplitude of two oscillations can be derived either from the power spectra of both signals or from the gain of the transfer function computed between the two signals. The latter method has the advantage of taking into account the degree of linear correlation between oscillations of the two signals, i.e., the coherence (48). We recently used this method to show that, in urethane anaesthetized rats, the transfer gain between AP and renal SNA (RSNA) computed at HR frequency is insensitive to changes in the mean HR level in the 5.6–9 Hz frequency range (37).
The specific objective of the present study was to examine the possibility of deriving a continuous index of sympathetic BRS from the calculation of the gain of the transfer function between AP and RSNA at the frequency of the heart beat in conscious rats. In an attempt to enlarge the range of variation of sympathetic BRS, the study included rats with partial (aortic) arterial baroreceptor denervation (35). Rats with complete baroreceptor denervation were not included in the study because this procedure would have eliminated the cardiac-related RSNA oscillation, which would have resulted in low coherence values (42) and thus, would not have allowed the computation of reliable transfer gain values. Modeling analysis predicts an inverse relationship between AP variability and sympathetic BRS (8, 49). The ability of the new index to predict buffering of AP fluctuations was therefore examined and taken as an indication of its functional relevance.
| METHODS |
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Surgical procedures have been previously described in detail (3, 5, 22, 24). Two weeks before the study, rats were anesthetized with a mixture of acepromazine maleate (12 mg/kg ip) and ketamine hydrochloride (120 mg/kg ip), and received a prophylactic injection of penicillin G (50,000 IU sc). They then underwent denervation of aortic baroreceptors (ABD group, n = 10) or a sham surgery (control group, n = 11). To alleviate postoperative pain and improve recovery, the nonsteroidal anti-inflammatory drug, ketoprofen (5 mg/kg sc) was given just after surgery and 24 h later. One day before the study, rats were anesthetized with halothane (2% in oxygen) and received an injection of penicillin G. Femoral arterial and venous polyethylene catheters were inserted for AP measurement and drugs administration, respectively. Rats were reanesthetized 4 to 6 h later, with pentobarbital sodium (60 mg/kg ip), and a branch of the left renal nerve was exposed retroperitoneally, placed on a bipolar electrode, and insulated with a silicone gel for RSNA measurement. Both catheters and electrode were led subcutaneously to exit at the back of the neck. Rats received an injection of ketoprofen (2.5 mg/kg sc) and were allowed 16–18 h to recover from anesthesia.
Data collection and experimental protocol. AP was measured by using a pressure transducer (model TNF-R; Becton Dickinson, Sandy, UT) coupled to an amplifier (model 13–4615-52; Gould, Cleveland, OH). RSNA was band-pass filtered (300–3,000 Hz) and amplified with a gain of 50,000 (model P-511J; Grass, Quincy, MA). The RSNA signal was then full-wave rectified and low-pass filtered (cut-off frequency: 150 Hz) with a custom-made device. All signals were digitized by using a computer equipped with an analog-to-digital converter (model AT-MIO-16; National Instruments, Austin, TX) and LabVIEW 5.0 software (National Instruments). The AP and RSNA signals were sampled at 500 and 5,000 Hz, respectively.
AP and RSNA were continuously recorded in conscious, freely behaving rats for at least 3 h. The baroreflex control of RSNA was then assessed in the awake resting state by means of sequential injections of sodium nitroprusside and phenylephrine, as previously described (9, 24). Baroreflex testing was repeated after a time interval sufficient to allow complete return of cardiovascular variables to predrug levels, usually 30 min. Finally, the background noise level of RSNA was estimated as the residual electrical activity obtained after administration of the ganglionic blocker chlorisondamine (2.5 mg/kg iv). This activity incorporated possible movement artifacts and, as the nerve was not cut distal to the electrode, afferent renal nerve activity, if present. On completion of the experiments, rats were euthanized with an intravenous overdose of pentobarbital sodium.
Data analysis. Offline processing of data was performed with LabVIEW 6i software. AP and RSNA were resampled at 50 Hz by averaging over consecutive 20-ms periods. These 50-Hz time series were split into data segments of 512 points (10.24 s). Cross-spectral techniques using a fast Fourier transform algorithm were employed to calculate the coherence and transfer functions between AP (input signal) and RSNA (output signal) over 11 segments overlapping by half, which corresponded to a total duration of 61.4 s. The fast Fourier transform was also used to compute autospectra of AP that served to locate the frequency at which maximum spectral power density occurred in the frequency band encompassing HR (usually 5–8 Hz). Coherence, gain and phase were then noted at this particular frequency. However, only gain and phase values associated with a significant coherence were retained for further calculations. The significance threshold for coherence is the limit above which the observed coherence is statistically different from zero, and thus, a linear relationship between oscillations of two variables can be assumed. It is determined by the number of nonoverlapping segments used for computing spectra (6 in this case) and the shape of the window used to taper data (Hanning window in this case) (2). In the present study, the significance threshold for coherence was 0.348 at P < 0.05. Mean values of AP, HR, and RSNA were calculated over the same 61.4-s periods as those used for spectral analyses. HR was derived from the mean interbeat interval. From the total recording period, one continuous 60-min period free of artifacts was selected for analysis so that a maximum of 58 gain and phase values (depending on the coherence) could be obtained in each rat (Fig. 1). The mean of the transfer gain values was calculated and will be referred to as the spontaneous gain in the following text. The mean RSNA value calculated over the entire 60-min period was taken as the reference value for normalizing RSNA data in all computations [normalized gain = (raw gain x 100)/mean RSNA].
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Indices of AP variability were obtained from the 60-min period used for transfer function analysis. A time-domain estimate of overall AP variability was obtained by calculating the standard deviation of beat-to-beat mean AP values. A frequency domain estimate was obtained by using the discrete Fourier transform to calculate a single autospectrum of AP. Total spectral power was then calculated by integrating power spectral density from 0.00028 to 2.5 Hz.
Statistics. All data are presented as means ± SE. Statistical comparisons between control and ABD rats were performed using the nonparametric Mann-Whitney U-test.
| RESULTS |
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Effect of chronic aortic baroreceptor denervation on sympathetic baroreflex function curves, mean value, and variability of AP. As shown in Fig. 2 and Table 1, aortic baroreceptor denervation decreased the baroreflex pharmacological gain by almost 70%. This effect was a consequence of a decrease in the upper plateau of the baroreflex curve (Fig. 2A), and hence, in the range of RSNA variation (P1), combined with a decrease in the slope coefficient (P2).
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Effect of chronic aortic baroreceptor denervation on the AP-RSNA transfer function at HR frequency. The frequency at which maximum power spectral density was observed in the high-frequency band of 1-min AP spectra did not differ significantly between control and ABD rats (Table 2), thus confirming that the denervation procedure had no noticeable effect on HR. In control rats, coherence between AP and RSNA was significant in 90% of cases at that frequency and, consequently, transfer function gain and phase could be estimated at the 95% confidence level during 90% of the time. This percentage dropped to 56% in ABD rats. The mean transfer gain at HR frequency was significantly reduced by 38% in ABD rats compared with control rats, whereas the transfer phase remained unchanged (Table 2).
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| DISCUSSION |
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90% of the time when it is computed over consecutive 1-min periods. The validity of the transfer gain as a spontaneous index of sympathetic BRS is supported by three lines of evidence: 1) in rats with partial baroreceptor denervation, the transfer gain either could not be determined or was markedly attenuated; 2) the transfer and pharmacological gains differed in absolute values but were positively correlated; 3) the transfer gain was inversely related to AP variability. The latter observation points to the functional relevance of the new index with respect to the short-term control of AP. Effects of aortic baroreceptor denervation. As mentioned in the introduction, there is a strong rationale behind the hypothesis that the AP-RSNA transfer function gain at HR frequency might provide an index of sympathetic BRS in rats, simply because the cardiac-related RSNA rhythm is abolished by both acute (42) and chronic (28) sinoaortic baroreceptor denervation. Accordingly, chronically ABD rats of the present study had markedly reduced coherence and transfer gain values, which points to an overall decrease in the occurrence frequency and/or amplitude of cardiac-related oscillations of RSNA. On the other hand, phase between AP and RSNA at HR frequency did not differ between control and ABD rats, which indicates that the lead/lag relationship between AP and RSNA at HR frequency was not altered by the denervation procedure.
While there have been several reports on the effects of aortic baroreceptor denervation on the cardiac component of the baroreceptor reflex in rats (13, 14, 38), only one study has been devoted to the sympathetic component of the reflex (35). In the latter study, AP-RSNA baroreflex function curves were constructed in chloralose anesthetized rats after sequential transection of aortic depressor and carotid sinus nerves. It was found that aortic baroreceptor denervation alone produced a 58% decrease in the pharmacological BRS, while subsequent removal of carotid sinus baroreceptor influences abolished the remaining reflex RSNA responses. In ABD rats of the present study, the pharmacological and spontaneous estimates of sympathetic BRS were reduced by 68 and 38%, respectively. We therefore confirm that aortic baroreceptor denervation is a valid approach for achieving a partial reduction of the sympathetic BRS in rats. Moreover, in both control and ABD rats, there was a rather large scattering of pharmacological and spontaneous gain values, which resulted in some degree of overlap between the two sets of data. For this reason, correlations could be calculated using the pooled study sample.
Comparison between pharmacological and spontaneous gains. In both control and ABD rats, pharmacological gains were higher than spontaneous gains. There are at least two simple explanations for this difference. First, the pharmacological gain was defined as the maximum gain of the baroreflex curve, which is the most widely used procedure for estimating sympathetic BRS with the vasoactive drug injection technique (24, 32, 33). In conscious rats, however, the maximum gain is usually observed at AP values lower than the reference AP (9). Consequently, the gain measured at this reference AP is lower than the maximum gain, which was indeed the case in the present study. Gains corresponding to the 1-h mean values of AP were 3.9 ± 0.7 and 1.7 ± 0.3 NU/mmHg in control and ABD rats, respectively. These values are only slightly higher than the transfer gains, which by definition are computed at spontaneous AP values. The second explanation for the difference between pharmacological and spontaneous gains is that low-pass filter properties of arterial baroreceptors are important in the frequency range encompassing spontaneous HR (6, 27) and thus, probably contribute to attenuate RSNA responses to AP changes. As a consequence, transfer gains computed at these frequencies are lower than steady-state gains (37).
The correlation between pharmacological and spontaneous gains was far from being perfect. First, the linear regression line did not pass through the origin, contrary to what would be expected when one considers that rats with complete sinoaortic baroreceptor denervation have no measurable RSNA responses to drug-induced changes in AP (null pharmacological gain) and no cardiac-related oscillations of RSNA (null spontaneous gain) (42). The relationship between the two estimates of sympathetic BRS is thus probably curvilinear, and indeed, the correlation coefficient was slightly improved (R = 0.82) when a curvilinear equation (y = a·x
) was fitted to the data set. Secondly, some data pairs were clear outliers, especially in control rats. This might reflect the fact that pharmacological testing of the baroreflex was performed in resting rats, whereas the transfer function gain was an average value calculated over periods of rest and activity. Changes in behavioral and emotional states have been shown to alter the characteristics of sympathetic baroreflex curves (24, 32, 33) and are probably accompanied by changes in the spontaneous gain as well (see below). In summary, it appears that pharmacological and spontaneous estimates of sympathetic BRS both explore baroreflex function while not being interchangeable.
The correlation between spontaneous gain and AP variability. The spontaneous gain was inversely related to overall AP variability. AP variability is largely the result of the continuous interplay between hemodynamic perturbations and the corrective action provided by the sympathetic component of the baroreceptor reflex (8, 49). It is therefore not surprising that interanimal differences in BRS would account for part of interanimal differences in AP variability, especially large differences such as those observed when pooling data from control and ABD rats. In this regard, it is worth noting that both estimates of sympathetic BRS were inversely and similarly related to AP variability, which suggests that both indices are indicators of the AP buffering capacity of the baroreceptor reflex.
Two different indices were used for estimating AP variability: the standard deviation of beat-to-beat mean AP time series and the total spectral power calculated over one single autospectrum of AP. In the latter case, the upper frequency limit was set at 2.5 Hz. Therefore, both indices incorporated all AP fluctuations slower than the cardiac cycle. It must be recalled, however, that AP variability is mainly secondary to slow (i.e., low-frequency) fluctuations (8, 19, 22). Spectral power calculated in the low-frequency band (0.00028–0.27 Hz) accounted for 81 ± 3 and 92 ± 1% of the total power in control and ABD rats, respectively. For this reason, the correlation between AP spectral power and spontaneous gain was only marginally improved when considering low-frequency power instead of total power (data not shown). It should be mentioned that spectral power in the midfrequency band containing Mayer waves was not significantly related to the spontaneous gain. This means that the sympathetic BRS is not the sole determinant of Mayer wave's amplitude, in accordance with a previous report in anesthetized rats (9).
Variability of the spontaneous gain. The spontaneous gain showed rather large fluctuations in control rats. This feature was not investigated in ABD rats because transfer gains were calculated, on average, during only one-half of the recording time, due to the constraint imposed by the coherence significance threshold. Spontaneous fluctuations of the transfer gain could not be ascribed to any specific behavioral changes as behavior was not rigorously monitored. It should be mentioned, however, that one important criterion for the selection of the 1-h periods used for analysis was that the rats displayed the normal pattern of common behaviors, as indicated by the routine watching of the animals during the recording sessions. Under these conditions, cardiovascular variables showed fluctuations that could be compared with those of the spontaneous gain. No systematic association could be found between the 1-min mean levels of AP, HR, and RSNA and the spontaneous gain computed over the same periods. The lack of correlation with HR fluctuations is not surprising. We have thoroughly investigated this question in anesthetized rats and reported that no relation exists between the transfer gain and HR at cardiac pacing frequencies ranging from 5.6 to 9 Hz (37), which is a frequency range relevant to the present study. On the other hand, a correlation with AP fluctuations could have been expected. In a previous study, we were able to show that there was a strong dependence of the amplitude of cardiac-related oscillations of RSNA on the AP level in conscious resting rats (5). Specifically, changes in RSNA power at HR frequency were characterized by a bell curve reaching a maximum at 22 mmHg below basal AP. This relation was explained on the basis of the nonlinear properties of baroreceptor activity during the cardiac cycle, in particular, the existence of a threshold AP for baroreceptor discharge (5). The present study clearly indicates that forced and spontaneous AP changes exert differential effects on the cardiac-related RSNA rhythm. One tentative explanation would implicate a continuous resetting of baroreflex relationships linked to behavioral changes and locomotor activity. Such a resetting has indeed been observed in rats during exercise (32), grooming (33), and exposure to a mild emotional stressor (24). Finally, it is of note that the spontaneous gain was positively related to the RSNA level in seven of eleven rats. It is possible that in these animals, some stress reactions had contributed to this relationship (10). To examine the latter hypothesis, we reanalyzed our previously published data demonstrating an 80% increase in the pharmacological estimate of sympathetic BRS associated with an 86% increase in RSNA during air-jet stress in conscious rats (24). By using the method described in the present paper, the AP-RSNA transfer function gain at HR frequency was calculated and averaged over the five periods preceding, and the fifth to ninth periods following, the onset of the stress trial (Fig. 5). The transfer gain increased during stress [from 3.14 ± 0.32 to 5.12 ± 0.51 NU/mmHg; (n = 11); P = 0.0044]. This was accompanied by an increase in coherence (from 0.79 ± 0.03 to 0.89 ± 0.02; P = 0.0033) and a decrease in phase (from –27 ± 9 to –45 ± 9 degrees; P = 0.0208). The latter effect was probably secondary to the stress-induced increase in HR (24). The positive relationship between changes in pharmacological and spontaneous estimates of sympathetic BRS did not reach statistical significance (R = 0.50, P = 0.1196). The variations of the transfer gain were positively correlated with changes in the mean RSNA level (R = 0.71; P = 0.0152). These observations further confirm the value of the novel index for measuring variations in sympathetic BRS, and provide a potentially important mechanism responsible for spontaneous changes in sympathetic BRS.
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Methodological issues.
The temporal resolution of the transfer function method is limited by physiological and computational factors. The amplitude of cardiac-related oscillations is rhythmically altered by AP Mayer waves (data not shown). Therefore, the duration of the segments used for computation must be at least equal to that of the period of Mayer waves, i.e., about 2.5 s. That would produce a frequency resolution of
0.4 Hz, which is not appropriate for a precise calculation of the transfer gain in the 5–9 Hz frequency band. A minimum duration of 5 s is therefore advisable. A fundamental algorithmic requirement is the use of at least three nonoverlapping segments for computing coherence. Taken together, these considerations imply that the temporal resolution of the method has an absolute minimum of about 15 s.
Conclusion and Perspectives By using the so-called "spontaneous" methods, it has been possible to show that the cardiac BRS exhibits large fluctuations in humans (11, 40) and in rats (36). The present study provides a demonstration that the sympathetic BRS also exhibits large spontaneous fluctuations.
It is likely that in both humans and rats, the sympathetic vascular component of the baroreceptor reflex plays the most critical role in determining the potency of the reflex in buffering AP perturbations (8, 49). Fluctuations of sympathetic BRS are thus of great functional relevance to the short-term control of AP. Future studies will have to examine whether these fluctuation are linked to changes in behavioral and emotional states. It would also be important to prolong the recording periods to investigate slow and long-lasting changes in sympathetic BRS that might possibly be linked to changes in homeostatic states.
| 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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