Wei Shun-Guang, Zhang Zhi-Hua, Yu Yang, Felder Robert B
Department of Internal Medicine, University of Iowa Carver College of Medicine, Iowa City, IA 52242, USA.
J Hypertens. 2009 Mar;27(3):543-50. doi: 10.1097/hjh.0b013e3283200442.
Systemic administration of the superoxide scavenger tempol (4-hydroxy-2,2,6,6-tetramethylpiperidine-N-oxyl) reduces blood pressure (BP), heart rate (HR) and sympathetic nerve activity in normotensive and hypertensive animals. The global nature of the depressor response to tempol suggests an inhibitory influence on cardiovascular presympathetic regions of the brain. This study examined several possible mechanisms for such an effect.
In urethane anesthetized rats, as expected, intravenous tempol (120 microg mol/kg) reduced mean arterial pressure, HR and renal sympathetic nerve activity (RSNA). Concomitant central neuronal recordings revealed reduced spontaneous discharge (spikes/s) of neurons in the paraventricular nucleus of hypothalamus (from 2.9 +/- 0.4 to 0.8+/- 0.2) and the rostral ventrolateral medulla (RVLM; from 9.8 +/- 0.5 to 7.2 +/-0.4), two cardiovascular and autonomic regions of the brain. Baroreceptor-denervated rats had exaggerated sympathetic and cardiovascular responses. Pretreatment with the hydroxyl radical scavenger dimethyl sulfoxide (intravenous) attenuated the tempol-induced decreases in BP, HR and RSNA, but the nitric oxide synthesis inhibitor NG-nitro-L-arginine methyl ester (intravenous or intracerebroventricular) had no effect.
These findings suggest that systemically administered tempol acts upon neurons in paraventricular nucleus and RVLM to reduce BP, HR and RSNA, perhaps by reducing the influence of reactive oxygen species in those regions. The arterial baroreflex modulates the depressor responses to tempol. These central mechanisms must be considered in interpreting data from studies using systemically administered tempol to assess the role of reactive oxygen species in cardiovascular regulation.
超氧化物清除剂tempol(4-羟基-2,2,6,6-四甲基哌啶-N-氧基)的全身给药可降低正常血压和高血压动物的血压(BP)、心率(HR)和交感神经活性。tempol降压反应的全局性表明其对大脑心血管交感神经节前区域有抑制作用。本研究探讨了产生这种作用的几种可能机制。
正如预期的那样,在氨基甲酸乙酯麻醉的大鼠中,静脉注射tempol(120微克/摩尔/千克)可降低平均动脉压、心率和肾交感神经活性(RSNA)。同时进行的中枢神经元记录显示,下丘脑室旁核(从2.9±0.4降至0.8±0.2)和延髓头端腹外侧区(RVLM;从9.8±0.5降至7.2±0.4)的神经元自发放电( spikes/s)减少,这两个区域是大脑的心血管和自主神经区域。压力感受器去神经支配的大鼠具有夸张的交感神经和心血管反应。用羟基自由基清除剂二甲基亚砜(静脉注射)预处理可减弱tempol引起的血压、心率和RSNA的降低,但一氧化氮合成抑制剂NG-硝基-L-精氨酸甲酯(静脉注射或脑室内注射)没有效果。
这些发现表明,全身给药的tempol作用于室旁核和RVLM中的神经元,以降低血压、心率和RSNA, 可能是通过减少这些区域中活性氧的影响。动脉压力反射调节对tempol的降压反应。在解释使用全身给药的tempol评估活性氧在心血管调节中的作用的研究数据时,必须考虑这些中枢机制。