Department of Internal Medicine, Wayne State University School of Medicine, Detroit, Michigan.
John D. Dingell Veterans Affairs Medical Center, Detroit, Michigan.
Am J Physiol Regul Integr Comp Physiol. 2021 Mar 1;320(3):R213-R225. doi: 10.1152/ajpregu.00245.2020. Epub 2020 Dec 2.
Depression is an independent nontraditional risk factor for cardiovascular disease and mortality. The chronic unpredictable mild stress (CMS) rat model is a validated model of depression. Within the paraventricular nucleus (PVN), vasopressin (VP) via VR and VR have been implicated in stress and neurocardiovascular dysregulation. We hypothesized that in conscious, unrestrained CMS rats versus control, unstressed rats, PVN VP results in elevated arterial pressure (MAP), heart rate, and renal sympathetic nerve activity (RSNA) via activation of VR and/or VR. Male rats underwent 4 wk of CMS or control conditions. They were then equipped with hemodynamic telemetry transmitters, PVN cannula, and left renal nerve electrode. VR or VR antagonism dose-dependently inhibited MAP after VP injection. VR or VR blockers at their ED doses did not alter baseline parameters in either control or CMS rats but attenuated the pressor response to VP microinjected into PVN by ∼50%. Combined VR and VR inhibition completely blocked the pressor response to PVN VP in control but not CMS rats. CMS rats required combined maximally inhibitory doses to block either endogenous VP within the PVN or responses to microinjected VP. Compared with unstressed control rats, CMS rats had higher plasma VP levels and greater abundance of VR and VR transcripts within PVN. Thus, the CMS rat model of depression results in higher resting MAP, heart rate, and RSNA, which can be mitigated by inhibiting vasopressinergic mechanisms involving both VR and VR within the PVN. Circulating VP may also play a role in the pressor response.
抑郁症是心血管疾病和死亡率的一个独立的非传统危险因素。慢性不可预测轻度应激(CMS)大鼠模型是一种经过验证的抑郁症模型。在室旁核(PVN)中,加压素(VP)通过 VR 和 VR 参与了应激和神经心血管失调。我们假设,在清醒、不受限制的 CMS 大鼠与对照、未应激大鼠相比,PVN 的 VP 通过激活 VR 和/或 VR 导致动脉压(MAP)、心率和肾交感神经活性(RSNA)升高。雄性大鼠接受了 4 周的 CMS 或对照条件。然后,它们配备了血流动力学遥测发射机、PVN 套管和左肾神经电极。VP 注射后,VR 或 VR 拮抗剂呈剂量依赖性地抑制 MAP。在对照或 CMS 大鼠中,VR 或 VR 阻滞剂在其 ED 剂量下不会改变基线参数,但将 VP 微注射到 PVN 引起的升压反应降低约 50%。联合 VR 和 VR 抑制完全阻断了对照大鼠但不是 CMS 大鼠对 PVN VP 的升压反应。CMS 大鼠需要联合最大抑制剂量来阻断 PVN 内的内源性 VP 或对微注射 VP 的反应。与未应激的对照大鼠相比,CMS 大鼠具有更高的血浆 VP 水平和更高的 PVN 内 VR 和 VR 转录本丰度。因此,CMS 大鼠抑郁症模型导致静息 MAP、心率和 RSNA 升高,通过抑制涉及 PVN 内 VR 和 VR 的血管加压素能机制可以减轻这种升高。循环 VP 也可能在升压反应中起作用。