Cardiovascular Division, Department of Physiology, Universidade Federal de São Paulo, Escola Paulista de Medicina, Rua Botucatu, 862, Ground Floor, CEP 04023-060, São Paulo, SP, Brazil.
Department of Neurology and Neurosurgery, Universidade Federal de São Paulo, Escola Paulista de Medicina, São Paulo, Brazil.
Pharmacol Rep. 2020 Feb;72(1):67-79. doi: 10.1007/s43440-019-00025-w. Epub 2020 Jan 8.
Knowledge of the central areas involved in the control of sympathetic vasomotor activity has advanced in the last few decades. γ-Aminobutyric acid (GABA) is the main inhibitory neurotransmitter in the mammal nervous system, and a microinjection of bicuculline, an antagonist of GABA type A (GABA-A) receptors, into the paraventricular nucleus of the hypothalamus (PVN) alters the pattern of sympathetic activity to the renal, splanchnic and lumbar territories. However, studies are needed to clarify the role of GABAergic inputs in other central areas involved in the sympathetic vasomotor activity. The present work studied the cardiovascular effects evoked by GABAergic antagonism in the PVN, RVLM and spinal cord.
Bicuculline microinjections (400 pMol in 100 nL) into the PVN and rostral ventrolateral medulla (RVLM) as well as intrathecal administration (1.6 nmol in 2 µL) evoked an increase in blood pressure, heart rate, and renal and splanchnic sympathetic nerve activity (rSNA and sSNA, respectively), inducing a higher coherence between rSNA and sSNA patterns. However, some of these responses were more intense when the GABA-A antagonism was performed in the RVLM than when the GABA-A antagonism was performed in other regions.
Administration of bicuculline into the RVLM, PVN and SC induced a similar pattern of renal and splanchnic sympathetic vasomotor burst discharge, characterized by a low-frequency (0.5 Hz) and high-amplitude pattern, despite different blood pressure responses. Thus, the differential control of sympathetic drive to different targets by each region is dependent, in part, on tonic GABAergic inputs.
在过去的几十年中,人们对控制交感血管运动活动的中枢区域的认识有了很大的提高。γ-氨基丁酸(GABA)是哺乳动物神经系统中的主要抑制性神经递质,将 GABA-A 型(GABA-A)受体拮抗剂荷包牡丹碱微注射到下丘脑室旁核(PVN)会改变肾脏、内脏和腰部区域的交感活动模式。然而,仍需要研究来阐明 GABA 能传入在其他参与交感血管运动活动的中枢区域中的作用。本研究研究了 GABA 能拮抗作用在 PVN、RVLM 和脊髓中引起的心血管效应。
将荷包牡丹碱(400 pMol 在 100 nL 中)微注射到 PVN 和延髓腹外侧区(RVLM)以及鞘内给药(1.6 nmol 在 2 µL 中)会引起血压、心率和肾和内脏交感神经活动(分别为 rSNA 和 sSNA)的增加,导致 rSNA 和 sSNA 模式之间的相干性更高。然而,当 GABA-A 拮抗作用在 RVLM 中进行时,与在其他区域中进行时相比,这些反应中的一些更为强烈。
将荷包牡丹碱注入 RVLM、PVN 和 SC 会引起类似的肾脏和内脏交感血管运动爆发放电模式,其特征是低频(0.5 Hz)和高振幅模式,尽管血压反应不同。因此,每个区域对不同靶标的交感驱动的差异控制部分取决于紧张性 GABA 能传入。