Department of Medicine, Division of Renal-Electrolyte, University of Pittsburgh School of Medicine, Pittsburgh, PA, 15261, USA.
Department of Neural and Behavioral Sciences, Penn State College of Medicine, Hershey, PA, 17033, USA.
J Physiol. 2017 Sep 15;595(18):6187-6201. doi: 10.1113/JP274537. Epub 2017 Aug 2.
Changes in extracellular osmolarity stimulate thirst and vasopressin secretion through a central osmoreceptor; however, central infusion of hypertonic NaCl produces a greater sympathoexcitatory and pressor response than infusion of hypertonic mannitol/sorbitol. Neurons in the organum vasculosum of the lamina terminalis (OVLT) sense changes in extracellular osmolarity and NaCl. In this study, we discovered that intracerebroventricular infusion or local OVLT injection of hypertonic NaCl increases lumbar sympathetic nerve activity, adrenal sympathetic nerve activity and arterial blood pressure whereas equi-osmotic mannitol/sorbitol did not alter any variable. In vitro whole-cell recordings demonstrate the majority of OVLT neurons are responsive to hypertonic NaCl or mannitol. However, hypertonic NaCl stimulates a greater increase in discharge frequency than equi-osmotic mannitol. Intracarotid or intracerebroventricular infusion of hypertonic NaCl evokes a greater increase in OVLT neuronal discharge frequency than equi-osmotic sorbitol. Collectively, these novel data suggest that subsets of OVLT neurons respond differently to hypertonic NaCl versus osmolarity and subsequently regulate body fluid homeostasis. These responses probably reflect distinct cellular mechanisms underlying NaCl- versus osmo-sensing.
Systemic or central infusion of hypertonic NaCl and other osmolytes readily stimulate thirst and vasopressin secretion. In contrast, central infusion of hypertonic NaCl produces a greater increase in arterial blood pressure (ABP) than equi-osmotic mannitol/sorbitol. Although these responses depend on neurons in the organum vasculosum of the lamina terminalis (OVLT), these observations suggest OVLT neurons may sense or respond differently to hypertonic NaCl versus osmolarity. The purpose of this study was to test this hypothesis in Sprague-Dawley rats. First, intracerebroventricular (icv) infusion (5 μl/10 min) of 1.0 m NaCl produced a significantly greater increase in lumbar sympathetic nerve activity (SNA), adrenal SNA and ABP than equi-osmotic sorbitol (2.0 osmol l ). Second, OVLT microinjection (20 nl) of 1.0 m NaCl significantly raised lumbar SNA, adrenal SNA and ABP. Equi-osmotic sorbitol did not alter any variable. Third, in vitro whole-cell recordings demonstrate that 50% (18/36) of OVLT neurons display an increased discharge to both hypertonic NaCl (+7.5 mm) and mannitol (+15 mm). Of these neurons, 56% (10/18) displayed a greater discharge response to hypertonic NaCl vs mannitol. Fourth, in vivo single-unit recordings revealed that intracarotid injection of hypertonic NaCl produced a concentration-dependent increase in OVLT cell discharge, lumbar SNA and ABP. The responses to equi-osmotic infusions of hypertonic sorbitol were significantly smaller. Lastly, icv infusion of 0.5 m NaCl produced significantly greater increases in OVLT discharge and ABP than icv infusion of equi-osmotic sorbitol. Collectively, these findings indicate NaCl and osmotic stimuli produce different responses across OVLT neurons and may represent distinct cellular processes to regulate thirst, vasopressin secretion and autonomic function.
细胞外渗透压的变化通过中枢渗透压感受器刺激口渴和血管加压素分泌;然而,与输注等渗甘露醇/山梨醇相比,中心输注高渗 NaCl 会引起更大的交感神经兴奋和血压升高。终板血管器(OVLT)中的神经元感知细胞外渗透压和 NaCl 的变化。在这项研究中,我们发现,脑室输注或局部 OVLT 注射高渗 NaCl 会增加腰交感神经活动、肾上腺交感神经活动和动脉血压,而等渗甘露醇/山梨醇则不会改变任何变量。体外全细胞记录表明,大多数 OVLT 神经元对高渗 NaCl 或甘露醇有反应。然而,高渗 NaCl 刺激放电频率的增加大于等渗甘露醇。颈内动脉或脑室输注高渗 NaCl 比等渗山梨醇引起 OVLT 神经元放电频率的增加更大。总之,这些新数据表明,OVLT 神经元的亚群对高渗 NaCl 与渗透压的反应不同,随后调节体液平衡。这些反应可能反映了 NaCl 与渗透压感知背后的不同细胞机制。
全身或中枢输注高渗 NaCl 和其他等渗溶质可轻易刺激口渴和血管加压素分泌。相比之下,中枢输注高渗 NaCl 比等渗甘露醇/山梨醇引起更大的动脉血压(ABP)升高。尽管这些反应依赖于终板血管器(OVLT)中的神经元,但这些观察结果表明 OVLT 神经元可能对高渗 NaCl 与渗透压的感知或反应不同。本研究的目的是在 Sprague-Dawley 大鼠中检验这一假设。首先,脑室(icv)输注(5μl/10min)1.0m NaCl 比等渗山梨醇(2.0 渗透压 l )引起的腰交感神经活动(SNA)、肾上腺 SNA 和 ABP 增加更显著。其次,OVLT 微注射(20nl)1.0m NaCl 显著升高腰 SNA、肾上腺 SNA 和 ABP。等渗山梨醇未改变任何变量。第三,体外全细胞记录显示,50%(18/36)的 OVLT 神经元对高渗 NaCl(+7.5mm)和甘露醇(+15mm)均表现出放电增加。在这些神经元中,56%(10/18)对高渗 NaCl 的放电反应大于甘露醇。第四,体内单细胞记录显示,颈内动脉注射高渗 NaCl 引起 OVLT 细胞放电、腰 SNA 和 ABP 呈浓度依赖性增加。等渗高渗山梨醇的输注反应明显较小。最后,脑室输注 0.5m NaCl 引起的 OVLT 放电和 ABP 增加明显大于脑室输注等渗山梨醇。总的来说,这些发现表明 NaCl 和渗透刺激物在 OVLT 神经元中产生不同的反应,可能代表调节口渴、血管加压素分泌和自主功能的不同细胞过程。