Department of Internal Medicine, Wayne State University School of Medicine, 4160 John R. Street, no. 908, Detroit, MI 48201, USA.
Exp Physiol. 2010 Aug;95(8):845-57. doi: 10.1113/expphysiol.2009.051789. Epub 2010 May 21.
The renin-angiotensin system is activated in the early phase of two-kidney, one-clip (2K-1C) hypertension. The paraventricular nucleus (PVN) integrates inputs regulating sympathetic outflow. The PVN receives inputs from plasma angiotensin II via projections from circumventricular organs and from renal afferent nerves transmitted via the nucleus tractus solitarii. Nitric oxide within the PVN may exert a sympathoinhibitory effect. These studies tested whether decreasing endogenous nitric oxide by introducing dominant negative (DN) constructs for neuronal nitric oxide synthase (nNOS) into PVN chronically augments hypertension and/or modulates baroreflex function. Male 6-week-old Sprague-Dawley rats underwent sham surgery or right renal artery clipping and placement of radiotelemetry transmitters. One week later, the PVN was injected bilaterally with 250 nl artificial cerebrospinal fluid containing 250 ng microl(-1) of RSV beta-galactosidase (beta-Gal), cytomegalovirus (CMV) wild-type (WT nNOS), or respiratory syncytial virus (RSV) haeme domain or RSV haemeRedF (DN nNOS). Haemodynamics were monitored for 5 weeks. Then left renal nerve electrodes were placed, and 2 days later the rats underwent baroreflex testing in the conscious state. The rise in mean arterial pressure (MAP) was significantly potentiated in the DN nNOS 2K-1C group beyond 15 days after PVN injection. By day 35, MAP in the 2K-1C groups was 152 +/- 6.3 (beta-Gal), 155.1 +/- 6.6 (WT nNOS) and 179 +/- 5.4 mmHg (DN nNOS; P < 0.01 versus all other groups). Sham-clipped rats remained normotensive. All groups displayed progressive bradycardia over time that was attenuated in the DN nNOS 2K-1C group. Baroreflex curves shifted to higher pressures, and baroreflex sensitivity of heart rate was diminished to a similar extent in all groups of 2K-1C rats. The baroreflex response of renal sympathetic nerve activity was preserved. The PVN tissue from DN nNOS rats had decreased dimerization of nNOS and generation of total nitric oxide. These findings indicate that chronic interference of nNOS dimerization required for generation of nitric oxide within the PVN potentiates the increase of blood pressure by modulating the sympathoexcitation that accompanies renovascular hypertension.
肾素-血管紧张素系统在双肾一夹(2K-1C)高血压的早期阶段被激活。室旁核(PVN)整合调节交感传出的输入。PVN 通过绕过脑室器官的投射和通过孤束核传递的肾传入神经接收来自血浆血管紧张素 II 的输入。PVN 中的一氧化氮可能发挥抑制交感神经的作用。这些研究测试了通过将神经元型一氧化氮合酶(nNOS)的显性负(DN)构建体引入 PVN 慢性地增加高血压和/或调节压力反射功能,是否会减少内源性一氧化氮。雄性 6 周龄 Sprague-Dawley 大鼠接受假手术或右肾动脉夹闭和无线电遥测发射机的放置。一周后,将 250 nl 含有 250 ng/ml RSV beta-galactosidase (beta-Gal)、巨细胞病毒(CMV)野生型(WT nNOS)或呼吸道合胞病毒(RSV)血红素结构域或 RSV haemeRedF(DN nNOS)的人工脑脊液双侧注入 PVN。监测 5 周的血流动力学。然后放置左肾神经电极,2 天后在清醒状态下进行压力反射测试。在 PVN 注射后 15 天,DN nNOS 2K-1C 组的平均动脉压(MAP)升高明显增强。到第 35 天,2K-1C 组的 MAP 为 152 +/- 6.3(beta-Gal)、155.1 +/- 6.6(WT nNOS)和 179 +/- 5.4 mmHg(DN nNOS;与所有其他组相比,均 P < 0.01)。夹闭的假鼠保持正常血压。所有组的心率随时间逐渐出现心动过缓,而在 DN nNOS 2K-1C 组则减弱。压力反射曲线向更高的压力移动,所有 2K-1C 大鼠组的心率压力反射敏感性均降低到相似程度。肾交感神经活动的压力反射反应得以保留。DN nNOS 大鼠的 PVN 组织中 nNOS 的二聚化和总一氧化氮的产生减少。这些发现表明,在 PVN 内生成一氧化氮所需的 nNOS 二聚化的慢性干扰通过调节伴随肾血管性高血压的交感神经兴奋,增强血压的升高。
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