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Am J Physiol Regul Integr Comp Physiol (February 12, 2004). doi:10.1152/ajpregu.00527.2003
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Submitted on September 12, 2003
Accepted on February 6, 2004

Effects of neuronal norepinephrine uptake blockade on baroreflex neural and peripheral arc transfer characteristics

Toru Kawada1*, Tadayoshi Miyamoto2, Kazunori Uemura1, Koji Kashihara3, Atsunori Kamiya1, Masaru Sugimachi1, and Kenji Sunagawa1

1 Cardiovascular Dynamics, National Cardiovascular Center Research Institute, Suita-shi, Osaka, Japan
2 Cardiovascular Dynamics, National Cardiovascular Center Research Institute, Suita-shi, Osaka, Japan; Japan Association for the Advancement of Medical Equipment, Bunkyo-ku, Tokyo, Japan
3 Cardiovascular Dynamics, National Cardiovascular Center Research Institute, Suita-shi, Osaka, Japan; Organization for Pharmaceutical Safety and Research, Chiyoda-ku, Tokyo, Japan

* To whom correspondence should be addressed. E-mail: torukawa{at}res.ncvc.go.jp.

Neuronal uptake is the most important mechanism by which norepinephrine (NE) is removed from the synaptic clefts at sympathetic nerve terminals. We examined the effects of neuronal NE uptake blockade on the dynamic sympathetic regulation of the arterial baroreflex, because dynamic characteristics are important for understanding the system behavior in response to exogenous disturbance. We perturbed intra-carotid sinus pressure (CSP) according to a binary white noise sequence in anesthetized rabbits, while recording cardiac sympathetic nerve activity (SNA), arterial pressure (AP), and heart rate (HR). Intravenous administration of desipramine (1 mg/kg) decreased the normalized gain of the neural arc transfer function from CSP to SNA relative to untreated control (1.03±0.09 vs. 0.60±0.08, mean±SEM, P<0.01), but did not affect that of the peripheral arc transfer function from SNA to AP (1.10±0.05 vs. 1.08±0.10). The normalized gain of the transfer function from SNA to HR was unaffected (1.01±0.04 vs. 1.09±0.12). Desipramine decreased the natural frequency of the transfer function from SNA to AP by 28.7±7.0% (0.046±0.007 vs. 0.031±0.002 Hz, P<0.05) and that of the transfer function from SNA to HR by 64.4±2.2% (0.071±0.003 vs. 0.025±0.002 Hz, P<0.01). In conclusion, neuronal NE uptake blockade by intravenous desipramine administration reduced the total buffering capacity of the arterial baroreflex mainly through its action on the neural arc. The differential effects of neuronal NE uptake blockade on the dynamic AP and HR responses to SNA may provide clues for understanding the complex pathophysiology of cardiovascular diseases associated with neuronal NE uptake deficiency.




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