Department of Physiology, School of Medicine of Ribeirão Preto, University of Sao Paulo, Sao Paulo, Brazil.
Am J Physiol Regul Integr Comp Physiol. 2011 Feb;300(2):R418-27. doi: 10.1152/ajpregu.00463.2010. Epub 2010 Nov 24.
The present study investigated whether baroreflex control of autonomic function is impaired when there is a deficiency in NO production and the role of adrenergic and cholinergic mechanisms in mediating reflex responses. Electrical stimulation of the aortic depressor nerve in conscious normotensive and nitro-l-arginine methyl ester (L-NAME)-induced hypertensive rats was applied before and after administration of methylatropine, atenolol, and prazosin alone or in combination. The hypotensive response to progressive electrical stimulation (5 to 90 Hz) was greater in hypertensive (-27 ± 2 to -64 ± 3 mmHg) than in normotensive rats (-17 ± 1 to -46 ± 2 mmHg), whereas the bradycardic response was similar in both groups (-34 ± 5 to -92 ± 9 and -21 ± 2 to -79 ± 7 beats/min, respectively). Methylatropine and atenolol showed no effect in the hypotensive response in either group. Methylatropine blunted the bradycardic response in both groups, whereas atenolol attenuated only in hypertensive rats. Prazosin blunted the hypotensive response in both normotensive (43%) and hypertensive rats (53%) but did not affect the bradycardic response in either group. Prazosin plus angiotensin II, used to restore basal arterial pressure, provided hemodynamic responses similar to those of prazosin alone. The triple pharmacological blockade abolished the bradycardic response in both groups but displayed similar residual hypotensive response in hypertensive (-13 ± 2 to -27 ± 2 mmHg) and normotensive rats (-10 ± 1 to -25 ± 3 mmHg). In conclusion, electrical stimulation produced a well-preserved baroreflex-mediated decrease in arterial pressure and heart rate in conscious l-NAME-induced hypertensive rats. Moreover, withdrawal of the sympathetic drive played a role in the reflex bradycardia only in hypertensive rats. The residual fall in pressure after the triple pharmacological blockade suggests the involvement of a vasodilatory mechanism unrelated to NO or deactivation of α(1)-adrenergic receptor.
本研究探讨了在一氧化氮(NO)生成不足时,自主神经功能的压力反射控制是否受损,以及肾上腺素能和胆碱能机制在介导反射反应中的作用。在给予甲基阿托品、阿替洛尔和哌唑嗪单独或联合应用前后,对清醒的正常血压和硝基-L-精氨酸甲酯(L-NAME)诱导的高血压大鼠的主动脉减压神经进行电刺激。与正常血压大鼠(-17 ± 1 至-46 ± 2 mmHg)相比,高血压大鼠(-27 ± 2 至-64 ± 3 mmHg)对逐渐增强的电刺激(5 至 90 Hz)的降压反应更大,而两组的心率减速反应相似(-34 ± 5 至-92 ± 9 和-21 ± 2 至-79 ± 7 次/分钟)。甲基阿托品和阿替洛尔对两组的降压反应均无影响。甲基阿托品使两组的心率减速反应均减弱,而阿替洛尔仅使高血压大鼠的心率减速反应减弱。哌唑嗪使正常血压(43%)和高血压大鼠(53%)的降压反应减弱,但对两组的心率减速反应均无影响。哌唑嗪加血管紧张素 II,用于恢复基础动脉压,提供的血流动力学反应与单独使用哌唑嗪相似。三重药物阻断消除了两组的心率减速反应,但在高血压(-13 ± 2 至-27 ± 2 mmHg)和正常血压(-10 ± 1 至-25 ± 3 mmHg)大鼠中仍显示出相似的残余降压反应。结论:电刺激在清醒的 L-NAME 诱导的高血压大鼠中产生了良好保存的压力反射介导的动脉压和心率下降。此外,只有在高血压大鼠中,反射性心动过缓的交感驱动丧失起作用。三重药物阻断后的残余血压下降表明涉及与 NO 无关或 α1-肾上腺素能受体失活的血管扩张机制。