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终板血管器官的激活会导致交感神经介导的高血压。

Activation of the Organum Vasculosum of the Lamina Terminalis Produces a Sympathetically Mediated Hypertension.

机构信息

Department of Neurobiology, University of Pittsburgh School of Medicine (S.D.S.).

Department of Kinesiology and Applied Physiology, University of Delaware (M.M.W., W.B.F.).

出版信息

Hypertension. 2022 Jan;79(1):139-149. doi: 10.1161/HYPERTENSIONAHA.121.18117. Epub 2021 Nov 23.

Abstract

Neurons in the organum vasculosum of the lamina terminalis (OVLT) sense extracellular NaCl and angiotensin II concentrations to regulate body fluid homeostasis and arterial blood pressure. Lesion of the anteroventral third ventricular region or OVLT attenuates multiple forms of neurogenic hypertension. However, the extent by which OVLT neurons directly regulate sympathetic nerve activity to produce hypertension is not known. Therefore, the present study tested this hypothesis by using a multi-faceted approach including optogenetics, single-unit and multifiber nerve recordings, and chemogenetics. First, optogenetic activation of OVLT neurons in conscious Sprague-Dawley rats (250-400 g) produced frequency-dependent increases in arterial blood pressure and heart rate. These responses were not altered by the vasopressin receptor antagonist (β-mercapto-β,β-cyclopentamethylenepropionyl1,O-me-Tyr2,Arg8)-vasopressin but eliminated by the ganglionic blocker chlorisondamine. Second, optogenetic activation of OVLT neurons significantly elevated renal, splanchnic, and lumbar sympathetic nerve activity. Third, single-unit recordings revealed optogenetic activation of the OVLT significantly increased the discharge of bulbospinal, sympathetic neurons in the rostral ventrolateral medulla. Lastly, chronic chemogenetic activation of OVLT neurons for 7 days significantly increased 24-hour fluid intake and mean arterial blood pressure. When the 24-hour fluid intake was clamped at baseline intakes, chemogenetic activation of OVLT neurons still produced a similar increase in arterial blood pressure. Neurogenic pressor activity assessed by the ganglionic blocker chlorisondamine was greater at 7 days of OVLT activation versus baseline. Collectively, these findings indicate that acute or chronic activation of OVLT neurons produces a sympathetically mediated hypertension.

摘要

终板器血管周围器官(OVLT)中的神经元感知细胞外 NaCl 和血管紧张素 II 浓度,以调节体液平衡和动脉血压。前脑室腹侧第三脑室区域或 OVLT 的损伤可减弱多种形式的神经源性高血压。然而,OVLT 神经元直接调节交感神经活动以产生高血压的程度尚不清楚。因此,本研究通过使用多方面的方法,包括光遗传学、单细胞和多纤维神经记录以及化学遗传学,来检验这一假设。首先,在清醒的 Sprague-Dawley 大鼠(250-400g)中,OVLT 神经元的光遗传学激活导致动脉血压和心率呈频率依赖性增加。这些反应不受血管加压素受体拮抗剂(β-巯基-β,β-环戊基甲基丙二酰基 1,O-甲-Tyr2,Arg8)-血管加压素的影响,但被神经节阻滞剂氯苯那敏消除。其次,OVLT 神经元的光遗传学激活显著增加了肾脏、内脏和腰部交感神经活动。第三,单细胞记录显示,OVLT 的光遗传学激活显著增加了延髓头侧腹外侧区的延髓传出、交感神经元的放电。最后,OVLT 神经元的慢性化学遗传学激活 7 天显著增加了 24 小时液体摄入量和平均动脉血压。当将 24 小时液体摄入量固定在基线摄入量时,OVLT 神经元的化学遗传学激活仍会导致动脉血压的类似增加。与基线相比,OVLT 激活 7 天时的神经原性升压活性评估的神经节阻滞剂氯苯那敏更大。总之,这些发现表明,OVLT 神经元的急性或慢性激活会产生交感神经介导的高血压。

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