Mizuno Masaki, Iwamoto Gary A, Vongpatanasin Wanpen, Mitchell Jere H, Smith Scott A
Department of Health Care Sciences, University of Texas Southwestern Medical Center, Dallas, Texas; Department of Internal Medicine, University of Texas Southwestern Medical Center, Dallas, Texas;
Department of Cell Biology, University of Texas Southwestern Medical Center, Dallas, Texas; and.
Am J Physiol Heart Circ Physiol. 2015 Sep;309(5):H762-70. doi: 10.1152/ajpheart.00358.2015. Epub 2015 Jul 10.
Cardiovascular responses to exercise are exaggerated in hypertension. We previously demonstrated that this heightened cardiovascular response to exercise is mediated by an abnormal skeletal muscle exercise pressor reflex (EPR) with important contributions from its mechanically and chemically sensitive components. Exercise training attenuates exercise pressor reflex function in healthy subjects as well as in heart failure rats. However, whether exercise training has similar physiological benefits in hypertension remains to be elucidated. Thus we tested the hypothesis that the EPR overactivity manifest in hypertension is mitigated by exercise training. Changes in mean arterial pressure (MAP) and renal sympathetic nerve activity (RSNA) in response to muscle contraction, passive muscle stretch, and hindlimb intra-arterial capsaicin administration were examined in untrained normotensive Wistar-Kyoto rats (WKYUT; n = 6), exercise-trained WKY (WKYET; n = 7), untrained spontaneously hypertensive rats (SHRUT; n = 8), and exercise-trained SHR (SHRET; n = 7). Baseline MAP after decerebration was significantly decreased by 3 mo of wheel running in SHRET (104 ± 9 mmHg) compared with SHRUT (125 ± 10 mmHg). As previously reported, the pressor and renal sympathetic responses to muscle contraction, stretch, and capsaicin administration were significantly higher in SHRUT than WKYUT. Exercise training significantly attenuated the enhanced contraction-induced elevations in MAP (SHRUT: 53 ± 11 mmHg; SHRET: 19 ± 3 mmHg) and RSNA (SHRUT: 145 ± 32%; SHRET: 57 ± 11%). Training produced similar attenuating effects in SHR during passive stretch and capsaicin administration. These data demonstrate that the abnormally exaggerated EPR function that develops in hypertensive rats is significantly diminished by exercise training.
高血压患者对运动的心血管反应会增强。我们之前证明,这种对运动增强的心血管反应是由异常的骨骼肌运动升压反射(EPR)介导的,其机械敏感和化学敏感成分起了重要作用。运动训练可减弱健康受试者以及心力衰竭大鼠的运动升压反射功能。然而,运动训练在高血压患者中是否具有类似的生理益处仍有待阐明。因此,我们检验了这样一个假设,即运动训练可减轻高血压中表现出的EPR过度活跃。在未训练的正常血压Wistar-Kyoto大鼠(WKYUT;n = 6)、运动训练的WKY(WKYET;n = 7)、未训练的自发性高血压大鼠(SHRUT;n = 8)和运动训练的SHR(SHRET;n = 7)中,检测了平均动脉压(MAP)和肾交感神经活动(RSNA)对肌肉收缩、被动肌肉拉伸和后肢动脉内注射辣椒素的反应变化。与SHRUT(125±10 mmHg)相比,SHRET(104±9 mmHg)经3个月的轮转跑步后,去大脑后的基线MAP显著降低。如先前报道,SHRUT对肌肉收缩、拉伸和辣椒素注射的升压和肾交感反应显著高于WKYUT。运动训练显著减弱了收缩诱导的MAP升高(SHRUT:53±11 mmHg;SHRET:19±3 mmHg)和RSNA增强(SHRUT:145±32%;SHRET:57±11%)。训练在SHR被动拉伸和注射辣椒素期间也产生了类似的减弱效果。这些数据表明,运动训练可显著减弱高血压大鼠中异常增强的EPR功能。