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Am J Physiol Regul Integr Comp Physiol (March 30, 2006). doi:10.1152/ajpregu.00049.2006
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Submitted on January 19, 2006
Accepted on March 14, 2006

Activation of lateral parabrachial nucleus neurons restores blood pressure and sympathetic vasomotor drive after hypotensive hemorrhage

Martha L. Blair1* and Deanne Mickelsen1

1 Pharmacology & Physiology, Univ of Rochester, Rochester, New York, United States

* To whom correspondence should be addressed. E-mail: martha_blair{at}urmc.rochester.edu.

Lesions of the lateral parabrachial nucleus (LPBN) impair blood pressure recovery after hypotensive blood loss (Am J Physiol 280: R1141, 2001). This study tested the hypothesis that post-hemorrhage blood pressure recovery is mediated by activation of neurons located in the ventrolateral aspect of the LPBN (VL-LPBN) that initiate blood pressure recovery by restoring sympathetic vasomotor drive. Hemorrhage experiments (16 ml/kg over 22 min) were performed in unanesthetized male Sprague-Dawley rats prepared with bilateral ibotenate lesions or guide cannulas directed toward the external lateral subnucleus of the VL-LPBN. Hemorrhage initially decreased mean arterial pressure (MAP) from ~100 mmHg control to 40-50 mmHg, and also decreased heart rate. In animals with sham lesions, MAP returned to 84±4 mmHg by 40 min post-hemorrhage, and subsequent autonomic blockade with hexamethonium reduced MAP to 53±2 mmHg. In contrast, animals with VL-LPBN lesions remained hypotensive at 40 min post-hemorrhage (58±4 mmHg) and hexamethonium had no effect on MAP, implying a deficit in sympathetic tone. VL-LPBN lesions did not alter the renin response or the effect of vasopressin V1 receptor blockade after hemorrhage. Post-hemorrhage blood pressure recovery was also significantly delayed by VL-LPBN infusion of the ionotropic glutamate receptor antagonist kynurenic acid. Both VL-LPBN lesions and VL-LPBN kynurenate infusion caused post-hemorrhage bradycardia to be significantly prolonged. Bradycardia was reversed by hexamethonium or atropine, but did not contribute to post-hemorrhage hypotension. Taken together, these data support the hypothesis that stimulation of VL-LPBN glutamate receptors mediates spontaneous blood pressure recovery by initiating restoration of sympathetic vasomotor drive.







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