Institute of Anatomy, Faculty of Medicine, Lithuanian University of Health Sciences, Kaunas, Lithuania.
J Anat. 2023 Oct;243(4):630-647. doi: 10.1111/joa.13877. Epub 2023 Apr 21.
The acknowledged hypothesis of the cause of arterial hypertension is the emerging disbalance in sympathetic and parasympathetic regulations of the cardiovascular system. This disbalance manifests in a disorder of sustainability of endogenous autonomic and sensory neural substances including calcitonin gene-related peptide (CGRP). This study aimed to examine neurochemical alterations of intrinsic cardiac ganglionated nerve plexus (GP) triggered by arterial hypertension during ageing in spontaneously hypertensive rats of juvenile (prehypertensive, 8-9 weeks), adult (early hypertensive, 12-18 weeks) and elderly (persistent hypertensive, 46-60 weeks) age in comparison with the age-matched Wistar-Kyoto rats as controls. Parasympathetic, sympathetic and sensory neural structures of GP were analysed and evaluated morphometrically in tissue sections and whole-mount cardiac preparations. Both the elevated blood pressure and the evident ultrasonic signs of heart failure were identified for spontaneously hypertensive rats and in part for the aged control rats. The amount of adrenergic and immunoreactive to CGRP neural structures was increased in the adult group of spontaneously hypertensive rats along with the significant alterations that occurred during ageing. In conclusion, the revealed chemical alterations of GP support the hypothesis about the possible disbalance of efferent and afferent heart innervation and may be considered as the basis for the emergence and progression of arterial hypertension and perhaps even as a consequence of hypertension in the aged spontaneously hypertensive rats. The determined anatomical changes in the ageing Wistar-Kyoto rats suggest this breed being as inappropriate for its use as control animals for hypertension studies in older animal age.
动脉高血压成因的公认假说为心血管系统的交感和副交感调节出现失衡。这种失衡表现为包括降钙素基因相关肽(CGRP)在内的内源性自主和感觉神经物质的可持续性紊乱。本研究旨在检查在衰老过程中,自发性高血压大鼠(幼年、成年和老年)的内在心脏神经节丛(GP)的神经化学变化,与年龄匹配的 Wistar-Kyoto 大鼠作为对照。在组织切片和心脏全层标本中分析和评估了 GP 的副交感、交感和感觉神经结构,并进行形态计量学评估。自发性高血压大鼠和部分老年对照组大鼠均出现血压升高和超声心动图心力衰竭的明显迹象。与年龄相关的变化一起,成年自发性高血压大鼠的肾上腺素能和对 CGRP 免疫反应性神经结构数量增加。总之,GP 中发现的化学变化支持心脏传出和传入神经支配可能出现失衡的假说,并可能被视为动脉高血压出现和进展的基础,甚至可能是老年自发性高血压大鼠高血压的后果。在衰老的 Wistar-Kyoto 大鼠中确定的解剖变化表明,该品种不适合作为老年动物高血压研究的对照动物。