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1.
Diabetes Metab ; 35(5): 364-70, 2009 Nov.
Article in English | MEDLINE | ID: mdl-19648048

ABSTRACT

AIM: This study aimed to investigate the role played by sympathovagal balance in arterial stiffness, a common feature of insulin resistance and type 2 diabetes. METHODS: We investigated the relationship between autonomic nervous system activity and arterial stiffness in Zucker diabetic fatty rats (ZDF: Gmi-fa/fa) and their age-matched controls (lean: ?/fa). Using simultaneous catheterization of the proximal and distal aorta, we measured intra-arterial blood pressure (BP), heart rate (HR), their variability (spectral analysis) and aortic pulse wave velocity (PWV) in a series of at least six conscious rats aged 6, 12, 18 and 24 weeks. RESULTS: BP and PWV increased with age (P<0.001) in both strains with no differences between strains, despite the insulin resistance already present at 6 weeks in ZDF rats. HR was significantly lower (P<0.001) in ZDF than in lean rats. In ZDF compared with lean rats, the low-frequency (LF) component of the systolic BP variations and the LF/high-frequency (HF) component of the pulse interval (PI) variation ratio were reduced (P<0.01 and P<0.05, respectively), while the HF component of the PI (HF-PI) variation was raised (P<0.05). PWV was negatively correlated with HF-PI (r=-0.37, P<0.01), but not with biochemical parameters. HF-PI was an independent variable explaining the variation in PWV. CONCLUSION: During the development of disease of ZDF rats, sympathovagal balance might account for the lack of increase in PWV.


Subject(s)
Arteries/physiopathology , Atherosclerosis/physiopathology , Autonomic Nervous System/physiopathology , Diabetes Mellitus, Type 2/physiopathology , Aging , Animals , Atherosclerosis/etiology , Diabetes Mellitus, Type 2/complications , Disease Models, Animal , Disease Progression , Elasticity , Fourier Analysis , Hemodynamics , Male , Monitoring, Ambulatory , Rats , Rats, Zucker , Statistics as Topic , Vagus Nerve/physiology
2.
Arch Mal Coeur Vaiss ; 97(7-8): 749-52, 2004.
Article in French | MEDLINE | ID: mdl-15506059

ABSTRACT

A sympathetic hyperactivity is a common feature in hypertension, type 2 diabetes (T2D), ageing and obesity-induced hypertension. This increase in sympathetic activity may lead to an elevation of arterial rigidity. By contrast, cardiac parasympathetic impairment is observed in these pathologies. Recently we showed in a model of rats with massive obesity (ventromedial hypothalamic lesions) that an enhanced vagal activity may be protective against hypertension. The aim of the present study was to evaluate the influence of an increase in sympathetic activity and a change in vagal activity on arterial rigidity and hypertension in T2D patients. Fourteen hypertensive T2D patients aged 54 +/- 2 years were compared to 22 elderly normotensive subjects (75 +/- 1 years: 11 controls and 11 T2D) and 34 middle aged normotensive subjects (43 +/- 1 years; 17 controls and 17 T2D). Cardiovascular vagosympathetic activity was investigated by spectral analysis of heart rate (HR) and blood pressure (BP) (Finapres) during 6 min at a controlled breathing rate (12 cycles/min). BP and the low frequencies of systolic BP (LF-SBP) were significantly (p<0.01) higher in hypertensive T2D and elderly patients. Pulse pressure (PP) and the high frequencies of HR (HF-HR) were lower in hypertensive T2D patients. PP was positively correlated to LF-SBP (r=0.58; p=0.03) only in hypertensive T2D patients. Diastolic BP was negatively correlated to HF-HR in elderly control subjects (r=-0.63; p=0.03) but not in hypertensive T2D patients. The present results suggest that: sympathetic nervous system activity is enhanced in subjects over 70 years without any aggravating effect of T2D and in middle-aged hypertensive patients with type 2 diabetes; the increase in pulse pressure, an index of arterial rigidity, in elderly subjects may result from sympathetic override; the decrease in the cardiac sympathovagal balance, mainly due to a high vagal activity, may be protective against the occurrence of hypertension in patients with type 2 diabetes.


Subject(s)
Hypertension/etiology , Hypertension/physiopathology , Obesity/complications , Sympathetic Nervous System/physiology , Vagus Nerve/physiology , Age Factors , Aged , Arteries/physiology , Blood Pressure , Case-Control Studies , Female , Heart Rate , Humans , Male , Middle Aged , Vascular Resistance
3.
Arch Mal Coeur Vaiss ; 94(8): 941-3, 2001 Aug.
Article in French | MEDLINE | ID: mdl-11575236

ABSTRACT

Several studies have well demonstrated that obesity is associated with changes in cardiovascular vagosympathetic activity. The aim of the present work was to evaluate this activity in normotensive and in mildly hypertensive obese patients, and to correlate this activity with clinical and biological indexes of insulin resistance. Heart rate (HR) and systolic blood pressure (sBP) were examined by spectral analysis in 70 normotensive obese patients (group 1), 32 mildly hypertensive obese patients (group 2), and 21 controls. The high frequency peak of HR variations at a controlled breathing rate (vagal activity) was significantly reduced in both groups (p < 0.001). The mid frequency peak of sBP in the standing position (sympathetic activity) was similar in both groups and in the control group. In groups 1 and 2, the high frequency peak correlated negatively with age (p = 0.005 and 0.034 respectively). In group 1, the mid frequency peak correlated positively with fat mass, fasting plasma insulin and triglyceride levels, and insulin resistance index (p < or = 0.03). In group 2, the mid frequency peak correlated positively with fasting insulin and insulin resistance index (p = 0.006 and 0.007 respectively). This study shows that, in obese patients: 1. cardiac vagal activity is reduced in normotensive and mildly hypertensive subjects; 2. vascular sympathetic activity is unchanged in means but may be increased as a consequence of adiposity, hyperinsulinemia and insulin resistance, and this increase is likely to be involved in the increase of blood pressure.


Subject(s)
Hypertension/complications , Insulin Resistance , Obesity/complications , Adult , Blood Pressure , Female , Heart Rate , Humans , Male , Middle Aged , Sympathetic Nervous System/physiology , Vasoconstriction
4.
Arch Mal Coeur Vaiss ; 94(8): 944-6, 2001 Aug.
Article in French | MEDLINE | ID: mdl-11575237

ABSTRACT

An increase in arterial rigidity is associated with a poor cardiovascular prognosis. Several studies have suggested that an increase in sympathetic activity may be involved in essential hypertension. We have recently shown that vagal control of heart rate (HR) variations during standardised tests is altered in normotensive obese and diabetic patients. The aim of the present study was to compare cardiovascular vagosympathetic activity in obese and type 2 diabetic patients, either normotensive or hypertensive, and to investigate the relationship between pulse pressure (an index of arterial rigidity) and sympathetic activity in this population. Seventy normotensive obese and 32 mildly hypertensive obese patients, 18 normotensive type 2 diabetic patients and 14 mildly hypertensive type 2 diabetic patients were compared with 21 control subjects. Finapres studied HR and blood pressure variations. In the four groups, during a 6-min period at a controlled breathing rate, the high frequency peak of HR variations was significantly reduced (p < 0.001). The mid-frequency peak of systolic BP variations in the standing position, which depends on sympathetic activity, did not differ significantly between the four groups and control subjects. In obese and diabetic hypertensive patients, this peak correlated significantly with pulse pressure measured in the lying position (r = 0.379; p = 0.043 and r = 0.81; p < 0.0001, respectively). This study 1, confirms that vagal control of HR variations is reduced to a similar extent in obese and diabetic patients; and 2, suggests that cardiovascular sympathetic activity is relatively increased in these patients without significant difference between normotensive and hypertensive patients, but interestingly that the increase in arterial rigidity is associated with a higher sympathetic activity.


Subject(s)
Diabetes Mellitus, Type 2/complications , Heart Rate/physiology , Hypertension/complications , Obesity/complications , Sympathetic Nervous System/physiology , Vagus Nerve/physiology , Adult , Cardiovascular Physiological Phenomena , Female , Humans , Male , Middle Aged , Prognosis , Vascular Resistance
5.
Am J Physiol Heart Circ Physiol ; 281(3): H1113-21, 2001 Sep.
Article in English | MEDLINE | ID: mdl-11514277

ABSTRACT

Recent results in normotensive Wistar-Kyoto (WKY) rats show that nonlinear method may be more specific to quantify sympathetic and parasympathetic activities than the low (LF) and high frequencies (HF) spectral powers of blood pressure (BP) and R-R interval (RR). The present study extends this conclusion to spontaneously hypertensive rats (SHR). Blood pressure was recorded for 30 min before and after intravenous injection of saline, hexamethonium, atropine, atenolol, or prazosin. Mean level, standard deviation (SD), spectral LF and HF components, and three nonlinear indexes (percentage of recurrence, percentage of determinism, and length index of the recurrence plot method) were used to analyze the BP and RR signals. In conscious SHR, sympathetic but not parasympathetic blockade reduced BP level and LF-BP, and increased nonlinear indexes of BP. RR increased after beta-sympathetic and ganglionic blockade, decreased after parasympathetic blockade, and remained unchanged after alpha(1)-sympathetic blockade. SD-RR decreased after ganglionic and alpha(1) blockade, whereas HF-RR increased after beta-sympathetic blockade. The effects on nonlinear indexes of RR are clear and consistent: only alpha(1)-blockade increased the indexes. Our nonlinear indexes may be useful to investigate cardiovascular functions in normotension and hypertension.


Subject(s)
Autonomic Agents/pharmacology , Autonomic Nervous System/drug effects , Blood Pressure/drug effects , Heart Rate/drug effects , Adrenergic alpha-Antagonists/pharmacology , Animals , Autonomic Nervous System/physiology , Diastole , Ganglionic Blockers/pharmacology , Injections, Intravenous , Male , Parasympatholytics/pharmacology , Rats , Rats, Inbred SHR , Rats, Inbred WKY , Sympatholytics/pharmacology , Systole
6.
J Hypertens ; 18(11): 1645-50, 2000 Nov.
Article in English | MEDLINE | ID: mdl-11081778

ABSTRACT

OBJECTIVE: To evaluate the degree of cardiac hypertrophy in patients with end-stage renal disease (ESRD) in comparison with that in patients with uncomplicated hypertension and in patients with peripheral vascular disease (PVD), at the same values of mean blood pressure. DESIGN: Thirty-six ambulatory hypertensive patients were investigated, 11 with ESRD, 14 with PVD and 11 with uncomplicated hypertension, matched for age, sex, mean arterial pressure and antihypertensive drug treatment. METHODS: Cardiac mass was determined using M-mode echocardiography together with measurement of systemic blood pressure and the ratio between ankle and arm systolic blood pressures. RESULTS: At the same mean arterial pressure, patients with ESRD developed a greater degree of cardiac hypertrophy in comparison with those with uncomplicated hypertension (P < 0.01) and patients with PVD (P < 0.05). The pulse pressure was significantly greater in patients with ESRD than in those with uncomplicated hypertension (P< 0.01) and those with PVD (P< 0.05). Multiple regression analysis showed that only pulse pressure was positively correlated to cardiac mass (r= 0.62, P< 0.001), suggesting a predominant impact of pulse pressure on left ventricular mass in patients with ESRD. CONCLUSIONS: In patients with chronic uraemia, left ventricular hypertrophy seems to be strongly and independently associated with pulse pressure.


Subject(s)
Blood Pressure/physiology , Cardiomegaly/physiopathology , Hypertension, Renal/physiopathology , Kidney Failure, Chronic/physiopathology , Uremia/physiopathology , Cardiomegaly/complications , Female , Humans , Hypertension, Renal/complications , Kidney Failure, Chronic/complications , Male , Middle Aged , Peripheral Vascular Diseases/complications , Peripheral Vascular Diseases/physiopathology , Uremia/complications
7.
Clin Exp Pharmacol Physiol ; 27(9): 715-23, 2000 Sep.
Article in English | MEDLINE | ID: mdl-10972539

ABSTRACT

1. Hypertensive conduit arteries are thicker and stiffer than those of normotensive controls. Whether they are specifically sensitive to central sympathoinhibition has never been investigated. 2. The effects of acute (24 h infusion) and chronic (4 week infusion) treatments with clonidine (0.01 and 0.1 mg/kg per day) and flesinoxan (1 and 3 mg/kg per day) on carotid artery diameter were investigated in spontaneously hypertensive rats. At the end of treatment, blood pressure (BP) was recorded in the rats while they were conscious. Rats were then anaesthetized for carotid artery diameter measurements using an ultrasonic echotracking device. 3. In conscious rats, clonidine significantly decreased BP and heart rate (HR) following acute but not chronic treatment. In contrast, flesinoxan significantly decreased BP following both the acute and chronic treatment. In anaesthetized animals, the two agents have opposite effects on isobaric carotid artery diameter, with a decrease under clonidine and an increase under flesinoxan. After 4 weeks infusion, the reactivity of aortic rings was studied in organ chambers. Flesinoxan, but not clonidine, caused the relaxation of potassium chloride precontracted aortic segments. 4. The results indicate that although clonidine and flesinoxan are centrally acting antihypertensive agents, the drug-induced changes in isobaric carotid diameter may be influenced by local factors independent of the central action of the two drugs.


Subject(s)
Adrenergic alpha-Agonists/pharmacology , Carotid Arteries/drug effects , Clonidine/pharmacology , Piperazines/pharmacology , Serotonin Receptor Agonists/pharmacology , Sympathetic Nervous System/drug effects , Sympatholytics/pharmacology , Adrenergic alpha-2 Receptor Agonists , Animals , Antihypertensive Agents/pharmacology , Aorta, Abdominal/drug effects , Blood Pressure/drug effects , Carotid Arteries/anatomy & histology , Carotid Arteries/physiopathology , Drug Administration Schedule , Heart Rate/drug effects , Hypertension/drug therapy , Hypertension/physiopathology , Infusions, Intravenous , Male , Norepinephrine/pharmacology , Potassium Chloride/pharmacology , Rats , Rats, Inbred SHR , Receptors, Serotonin/physiology , Receptors, Serotonin, 5-HT1
8.
Cardiovasc Drugs Ther ; 14(3): 303-7, 2000 Jun.
Article in English | MEDLINE | ID: mdl-10935152

ABSTRACT

The effects of estrogen replacement therapy in menopausal women are more obvious on bones than on the cardiovascular system. The optimal estrogen dosage may differ in these different parts of the body. In hypertensive rats, low doses have been shown to reduce arterial collagen and stiffness, whereas higher dosages are required for osteoprotection. From 4 to 20 weeks of age, female spontaneously hypertensive rats (SHRs) were divided into four groups: without ovariectomy, under placebo or 17 beta-estradiol (10 micrograms/kg/day), and with ovariectomy under either placebo or 17 beta-estradiol (same dosage). Serial tail systolic blood pressure measurements were performed, and histomorphometry of the thoracic aorta was determined at the end of the study. Under estrogen, blood pressure was unchanged, whereas the aortic wall-to-lumen ratio was increased, particularly in the presence of ovariectomy. The elastin to collagen ratio was significantly decreased, due both to a decrease in elastin and an increase in collagen density, with no change in media thickness. The latter findings were not observed when ovariectomy was performed. Independent of changes in wall stress, high-dose estrogen increases the aortic extracellular matrix in female SHRs. This increase may be reversed in the presence of ovariectomy, suggesting that estrogen was not the only gonadal factor responsible for altered vascular structure and function.


Subject(s)
Estradiol/therapeutic use , Hemodynamics/drug effects , Osteoporosis/prevention & control , Animals , Aorta, Thoracic/metabolism , Aorta, Thoracic/pathology , Blood Pressure/drug effects , Body Weight/drug effects , Elastin/metabolism , Estradiol/administration & dosage , Extracellular Matrix/drug effects , Extracellular Matrix/metabolism , Female , Hormone Replacement Therapy , Myocardium/metabolism , Ovariectomy , Rats , Rats, Inbred SHR
9.
Eur J Pharmacol ; 374(1): 49-58, 1999 Jun 11.
Article in English | MEDLINE | ID: mdl-10422640

ABSTRACT

The contribution of tyrosine kinase activity to vasoreactivity in normotensive Wistar-Kyoto (WKY) and spontaneously hypertensive (SHR) rats was investigated on isolated aortic preparations by the use of two tyrosine kinase inhibitors: methyl-2,5-dihydroxycinnamate (30 microM) and genistein (30 microM). The pretreatment of endothelium denuded aorta with methyl-2,5-dihydroxycinnamate reduced the sensitivity of the rings to noradrenaline to a larger extent in SHR than in WKY. The relaxing effects evoked by methyl-2,5-dihydroxycinnamate and genistein on the sustained contraction induced by endothelin-1 were also more pronounced in SHR denuded rings. Furthermore, in presence of methyl-2,5-dihydroxycinnamate, the endothelium-independent contractile responses to equipotent doses of cyclopiazonic acid were more depressed in SHR than in WKY. In WKY and SHR endothelium-intact aortas contracted with either phenylephrine or endothelin-1, carbachol and cyclopiazonic acid evoked endothelium derived relaxing factor (EDRF)/nitric oxide (NO)-dependent relaxations which were reduced by pretreatment of the rings with methyl-2,5-dihydroxycinnamate or genistein. These inhibitory effects were larger in WKY rings and more important on the cyclopiazonic acid response. In addition, sodium orthovanadate (30 microM) potentiated the noradrenaline-mediated contractions of endothelium-denuded SHR rings and reduced the cyclopiazonic acid-induced relaxation of endothelium-intact WKY rings. The present study suggests a regulatory role for tyrosine kinase in the smooth muscle contraction and the endothelium-dependent relaxation in WKY and SHR aortas and demonstrates the existence of a different relationship in the effect of tyrosine kinase inhibitors on vasoreactivity between SHR and WKY. We propose that an increase in the tyrosine kinase activity in SHR could lead to an enhanced reactivity of Ca2+-linked contractile mechanisms. In addition, our results suggest a link between the loss of tyrosine kinase activity and the altered endothelium-dependent relaxation associated with hypertension.


Subject(s)
Aorta/drug effects , Hypertension/physiopathology , Protein-Tyrosine Kinases/physiology , Vasoconstriction/drug effects , Vasodilation/drug effects , Animals , Aorta/physiology , Calcium/metabolism , Carbachol/pharmacology , Endothelin-1/pharmacology , Indoles/pharmacology , Male , Protein Tyrosine Phosphatases/antagonists & inhibitors , Protein Tyrosine Phosphatases/physiology , Protein-Tyrosine Kinases/antagonists & inhibitors , Rats , Rats, Inbred SHR , Rats, Inbred WKY
10.
Am J Physiol ; 275(4): H1290-7, 1998 10.
Article in English | MEDLINE | ID: mdl-9746478

ABSTRACT

Because the use of spectral powers of blood pressure (BP) and R-R interval (RR) in the low (LF) and high frequencies (HF) to quantify sympathetic and parasympathetic activities is still under debate, we questioned whether nonlinear methods may give better results. The BP signal was recorded for 30 min before and after intravenous injection of hexamethonium (20 mg/kg), atropine (0.5 mg/kg), atenolol (1 mg/kg), and prazosin (1 mg/kg) in conscious, normotensive Wistar-Kyoto rats. Three nonlinear indexes [percentage of recurrence, percentage of determinism, and length index (Lmax)] extracted from the recurrence plot method were used to analyze the BP signal. Sympathetic but not parasympathetic blockade reduced BP level and its LF component. RR increased and decreased after beta- and alpha-blockades, respectively. Hexamethonium increased HF, and atropine reduced LF, of RR. Sympathetic blockade and, in particular, alpha-sympathetic blockade increased nonlinear indexes of BP. In contrast, parasympathetic blockade by atropine increased nonlinear indexes of RR. These results suggest that, compared with spectral indexes, nonlinear indexes may be more specific markers of sympathetic and parasympathetic tones.


Subject(s)
Blood Pressure/physiology , Parasympathetic Nervous System/physiology , Sympathetic Nervous System/physiology , Animals , Atenolol/pharmacology , Atropine/pharmacology , Blood Pressure/drug effects , Diastole , Hexamethonium/pharmacology , Male , Parasympathetic Nervous System/drug effects , Prazosin/pharmacology , Rats , Rats, Inbred WKY , Reference Values , Sympathetic Nervous System/drug effects , Systole
11.
Clin Sci (Lond) ; 95(3): 261-7, 1998 Sep.
Article in English | MEDLINE | ID: mdl-9730844

ABSTRACT

1. Coronary ischaemic disease and congestive heart failure are the principal causes of mortality in patients with peripheral vascular disease. Whether cardiac hypertrophy is present and even more pronounced in peripheral vascular disease than in other populations has never been explored.2.Twenty-five hypertensive patients were investigated, 11 without and 14 with peripheral vascular disease, matched for age, sex, mean arterial pressure and antihypertensive drug treatment. Cardiac mass was determined using echocardiography together with measurement of systemic blood pressure, ratio between ankle systolic pressure (ASP) and brachial systolic pressure (BSP), and standard biochemical parameters including natriuresis per 24 h.3. At the same mean arterial pressure, patients with peripheral vascular disease had a significantly higher cardiac mass (157+/-12 versus 116+/-6 g/m2; P<0.01), pulse pressure (81+/-5 versus 55+/-4 mmHg; P<0.01) and natriuresis (180+/-17 versus 144+/-6 mmol/24h; P<0. 01) than controls. Using univariate correlations, cardiac mass was positively associated with pulse pressure, mean arterial pressure and natriuresis, and negatively with the ASP/BSP ratio. On the basis of multivariate regression analysis, only natriuresis was positively correlated to cardiac mass.4. Patients with peripheral vascular disease develop a higher degree of cardiac hypertrophy in comparison with hypertensive subjects with the same level of mean arterial pressure. Sodium intake rather than mechanical factors seems to be the major modulating factor which influences the degree of cardiac hypertrophy.


Subject(s)
Cardiomegaly/etiology , Hypertension/complications , Peripheral Vascular Diseases/complications , Aged , Blood Pressure Determination , Cardiomegaly/diagnosis , Cardiomegaly/urine , Cross-Sectional Studies , Echocardiography , Electrocardiography , Female , Humans , Hypertension/diagnosis , Hypertension/urine , Male , Middle Aged , Peripheral Vascular Diseases/diagnosis , Peripheral Vascular Diseases/urine , Sodium/urine , Sodium, Dietary/administration & dosage , Statistics, Nonparametric
12.
Am J Physiol ; 274(5): H1667-73, 1998 05.
Article in English | MEDLINE | ID: mdl-9612378

ABSTRACT

The aim of the present work was to obtain insights into the pathophysiology of cardiovascular deconditioning (CVD) induced by tail suspension (TS) in the rat: during TS, when central venous pressure (CVP) has been normalized (E. Martel, P. Champéroux, P. Lacolley, S. Richard, M. Safar, and J. L. Cuche. J. Appl. Physiol. 80: 1390-1396, 1996), and during simulated orthostatism (SO), when transient episodes of hypotension and bradycardia are disclosed, bradycardia with SO represents a response that seems peculiar to the rat compared with humans. According to basic physiology, a reduced activity of the sympathetic system induced by increased CVP was suspected but was not supported by data obtained through spectral analysis of blood pressure (BP) and heart rate (HR) variability or measurements of plasma catecholamine concentration during TS. Nonetheless, indirect evidence was obtained. During SO, plasma catecholamine concentration was lower in TS rats than in controls, suggesting a reduced synthesis of catecholamines, itself secondary to reduced activity of the sympathetic system. Furthermore, after 48 h of TS, the number of binding sites and affinity of alpha-receptors in rat aorta were increased, compatible with a reduced level of neurotransmitter in the synaptic cleft. A second series of experiments was carried out to study hypotension and bradycardia in TS rats during SO. Hypersensitivity of serotonergic mechanisms was suspected. Two 5-HT3 receptor antagonists (ondansetron and MDL-72222) blocked hypotension and restored tachycardia, basic features of orthostatic adaptation of the circulatory system. Response to the 5-HT3 receptor agonist was measured through dose-response curves of BP and HR after injection of 2-methylserotonin. After low doses, hypotension (10 micrograms/kg) and bradycardia (3 and 10 micrograms/kg) were significantly greater in 48-h TS rats than in controls. Thus CVD in the rat induced by TS appears to implicate at least two mechanisms: reduced activity of the sympathetic system and hypersensitivity of serotonergic mechanisms.


Subject(s)
Cardiovascular Deconditioning/physiology , Hindlimb Suspension , Animals , Blood Pressure/physiology , Catecholamines/blood , Heart Rate/physiology , Male , Rats , Rats, Wistar , Receptors, Adrenergic, alpha/physiology , Receptors, Serotonin/physiology , Receptors, Serotonin, 5-HT3
13.
J Appl Physiol (1985) ; 84(5): 1795-800, 1998 May.
Article in English | MEDLINE | ID: mdl-9572832

ABSTRACT

In spontaneously hypertensive rats (SHR), chronic infusion of clonidine failed to decrease blood pressure and blood pressure variability. We used nonlinear methods to get a deeper insight on the effects of clonidine on blood pressure dynamics. For 24 h and 4 wk, clonidine (0.1 mg . kg-1 . day-1 sc) was infused by minipumps in the conscious SHRs, and, for comparison, a vehicle was infused in SHRs and in Wistar-Kyoto rats. Blood pressure was recorded for 30 min before and after treatments. We used the Lyapunov exponent, approximated by the inverse of the lmax index derived from the recurrence plot method, to characterize nonlinear dynamics. Before treatment, lmax index of blood pressure was lower (P < 0.01) in the SHRs than in the Wistar-Kyoto rats. Clonidine significantly increased lmax (P < 0.01) to the level observed in normotensive rats, at 24 h and up to 4 wk after infusion. We conclude that clonidine has a significant chronic effect on blood pressure dynamics, as evidenced by nonlinear methods. Our study also suggests that the mechanisms governing blood pressure variations are nonlinear.


Subject(s)
Blood Pressure/drug effects , Clonidine/pharmacology , Nonlinear Dynamics , Animals , Antihypertensive Agents/pharmacology , Infusions, Parenteral/methods , Male , Rats , Rats, Inbred SHR
14.
J Hypertens Suppl ; 16(1): S39-44, 1998 Jan.
Article in English | MEDLINE | ID: mdl-9534096

ABSTRACT

BACKGROUND: Hypertension is often associated with multiple metabolic abnormalities included in the insulin resistance syndrome. In hypertensive individuals, the ratio between ankle and brachial systolic blood pressure (ABI) is considered to be an independent cardiovascular risk factor. Insulin resistance has not been studied in relation to ABI ratio in men with essential hypertension and who are moderately overweight. OBJECTIVE: To identify whether a decrease in the ABI ratio is associated with the degree of abdominal obesity and, hence, with the biochemical characteristics of resistance to insulin. METHODS: In 166 overweight men with mild-to-moderate essential hypertension, insulinaemia was measured using radioimmunoassay. The ABI ratio was measured by using a pressure cuff of appropriate diameter, a standard mercury sphygmomanometer and a Doppler probe. Patients with diabetes or arteriosclerosis obliterans of the lower limbs, or both, were excluded from the study. RESULTS: The ABI ratio was significantly associated with the degree of abdominal obesity, but also with plasma triglycerides and cholesterol, low high-density lipoprotein cholesterol, plasma glucose and insulin. In a multiple regression analysis, the ABI ratio was significantly and negatively associated with only two variables: age and plasma insulin. This result was independent of age and drug treatment of hypertension. CONCLUSION: Because alterations in the ABI ratio may be considered markers of the changes in the structure and function of the arteries of lower limbs, the study provides evidence that plasma insulin, independently of atherosclerotic occlusive lesions, can significantly influence the status of conduit arteries of the lower limbs.


Subject(s)
Ankle/blood supply , Arm/blood supply , Blood Pressure/physiology , Hypertension/complications , Hypertension/physiopathology , Insulin/blood , Obesity/complications , Adult , Humans , Male , Middle Aged
15.
J Cardiovasc Pharmacol ; 30(2): 241-4, 1997 Aug.
Article in English | MEDLINE | ID: mdl-9269953

ABSTRACT

The effects of two centrally acting antihypertensive agents, clonidine (0.1 mg/kg/day s.c.) and flesinoxan (1 mg/kg/day s.c.), on short-term blood pressure variability (BPV) were investigated in conscious spontaneously hypertensive rats (SHRs). The drugs were infused subcutaneously during 24 h and 4 weeks by osmotic minipumps. BPV was characterized by spectral analysis. In conscious SHRs, clonidine significantly and preferentially reduced the low frequency (LF; 0.25-0.75 Hz) oscillations of mean arterial pressure (MAP) in short-term (24 h) and long-term (4 weeks) treatments but significantly decreased MAP level only in short-term treatments. In contrast, flesinoxan significantly reduced MAP level whatever the duration of infusion but decreased LF-MAP only in short-term treatments. These results show that centrally mediated inhibition of sympathetic tone by stimulation of either alpha2-adrenoceptors or 5-HT1A (serotonin) receptors can reduce BPV. This effect is independent of the modifications in BP level. The effects of the drugs on baroreceptors may also contribute to the decrease in BPV. The dual properties of clonidine (alpha2-adrenoceptors and imidazoline receptors) may account for its differential effects on BP level and BPV.


Subject(s)
Adrenergic alpha-Agonists/pharmacology , Antihypertensive Agents/pharmacology , Blood Pressure/drug effects , Clonidine/pharmacology , Hypertension/drug therapy , Piperazines/pharmacology , Adrenergic alpha-2 Receptor Agonists , Adrenergic alpha-Agonists/administration & dosage , Animals , Antihypertensive Agents/administration & dosage , Heart Rate/drug effects , Hypertension/genetics , Hypertension/physiopathology , Imidazoline Receptors , Injections, Subcutaneous , Male , Piperazines/administration & dosage , Rats , Rats, Inbred SHR , Receptors, Drug/agonists , Time Factors
16.
Hypertension ; 29(4): 992-8, 1997 Apr.
Article in English | MEDLINE | ID: mdl-9095089

ABSTRACT

Common carotid artery (CCA) hypertrophy has long been recognized in the neonatal period of development in spontaneously hypertensive rats (SHR), but the mean circumferential and shear stresses acting on the arterial wall have never been investigated in vivo. We investigated intra-arterial blood pressure in conscious rats, CCA diameter (echotracking techniques), blood flow velocity (pulsed Doppler), wall thickness (histomorphometry), and ganglionic blockade (hexamethonium) in Wistar rats and SHR at 5 and 12 weeks of age. During this interval, weight gain was identical in the strains, whereas the increase in wall thickness and blood pressure was greater in SHR. CCA diameter was identical at week 5 and increased similarly at week 12 in both strains. During ganglionic blockade, a larger diameter was observed in SHR at week 5 for the same BP level, whereas equivalent values were observed at week 12. Blood flow velocity decreased with age but to a significantly greater extent in SHR. Mean circumferential stress and shear stress index were identical in both strains at week 12. However, from weeks 5 to 12, mean circumferential stress increased with age similarly in both strains, whereas the age-related decrease in mean shear stress index was much greater in SHR than Wistar rats. Thus, despite a higher blood pressure, SHR exhibit the same carotid diameter as Wistar rats during early development. Because the kinetics of shear stress are different in both strains, altered flow-dilatation mechanisms, and possibly resulting endothelial dysfunction, may be involved in the diameter changes.


Subject(s)
Carotid Artery, Common/physiopathology , Hypertension/physiopathology , Rats, Inbred SHR , Age Factors , Animals , Blood Pressure , Carotid Artery, Common/diagnostic imaging , Carotid Artery, Common/pathology , Hemodynamics , Hypertension/pathology , Hypertrophy , Laser-Doppler Flowmetry , Male , Rats , Rats, Wistar , Stress, Mechanical , Ultrasonography
17.
Life Sci ; 60(6): 357-67, 1997.
Article in English | MEDLINE | ID: mdl-9031681

ABSTRACT

The aim of the present study was to investigate the possible role of erythrocytes in the metabolic clearance of catecholamines (CAs) in the rat. Intravenous infusion of exogenous CAs (dopamine -DA-, norepinephrine -NE-, or epinephrine -Epi-) was carried out at increasing doses to cover a range of plasma concentrations from the lower to the upper physiological and to pharmacological levels. Whatever the mechanism(s) underlying the CAs erythrocyte/plasma balance: 1. it seemed more efficient at lower concentrations of CAs; 2. it reached an apparent plateau where plasma and erythrocyte concentrations were not statistically different; 3. finally, saturation was suggested when further increase in plasma concentration was associated with a lower response in erythrocytes. This series of experiments confirms previous reported results with human erythrocytes and suggests that rat erythrocytes could transport CAs from their sites of release to their sites of elimination. In a second series of experiments, the intra-erythrocyte metabolism of CAs was investigated. DA was strikingly increased in plasma and in erythrocytes 2 hours after 1,2-dimethyl-3-hydroxy-4-pyridone (CP20), 100 mg/kg i.p., known to inhibit catechol-O-methyl transferase. Our data demonstrate an increase in glucuro-conjugated DA in vivo (24 hours after CP20 injection) as well as in vitro (3 hours incubation at 37 degrees C), suggesting activation of the glucuroconjugating pathway. Increased glucuroconjugated DA after in vitro incubation demonstrates intra-erythrocyte synthesis while increased concentration in Ringer-Hepes medium demonstrates an inside-out transport of glucuro-conjugate. These data are the first evidence in favour of an intra-erythrocyte glucuro-conjugation of CAs in the rat.


Subject(s)
Catecholamines/blood , Erythrocytes/metabolism , Animals , Blood Pressure/drug effects , Catecholamines/administration & dosage , Catecholamines/pharmacokinetics , Deferiprone , Dopamine/administration & dosage , Dopamine/analogs & derivatives , Dopamine/blood , Dopamine/pharmacokinetics , Epinephrine/administration & dosage , Epinephrine/blood , Epinephrine/pharmacokinetics , Heart Rate/drug effects , Infusions, Intravenous , Male , Metabolic Clearance Rate , Norepinephrine/administration & dosage , Norepinephrine/blood , Norepinephrine/pharmacokinetics , Pyridones/pharmacology , Random Allocation , Rats , Rats, Wistar
18.
J Cardiovasc Pharmacol ; 26(4): 666-73, 1995 Oct.
Article in English | MEDLINE | ID: mdl-8569231

ABSTRACT

We studied the effects of centrally mediated reduction of sympathetic outflow on the mechanical properties of the carotid arterial wall in spontaneously hypertensive rats (SHR) as compared with matched Wistar-Kyoto rats (WKY). Ascending aortic pressure and flow were recorded in open-chest anesthetized rats, and the systemic arterial compliance (SAC) was calculated. Intravenous injection of rilmenidine induced a transient increase in blood pressure (BP) in WKY and SHR, followed by a long-lasting reduction in SHR, together with a decrease in cardiac output (CO) and heart (HR) and a significant increase in SAC. Serial measurements of internal carotid artery diameter made with a newly described echo-tracking technique showed a significant, rapid, and long-lasting constriction in both strains. In this set of experiments, the carotid compliance was determined from the arterial volume-pressure relation under control conditions and after administration of intravenous (i.v.) rilmenidine. In both WKY and SHR, carotid compliance increased, but the increase was observed only at the higher transmural pressure ranges and not at the operating systemic BP of the corresponding animals. Simultaneous recordings of the carotid arterial diameter made with the echo-tracking technique indicated that these compliance changes occurred in the presence of carotid arterial constriction at any given value of transmural pressure. Distensibility was increased in a higher pressure range: from 100 to 200 mm Hg transmural pressure. The centrally mediated antihypertensive agent rilmenidine produced carotid arterial constriction independent of BP changes and, in in vivo in situ carotid preparations, arterial constriction was associated with a decrease in the stiffness of the arterial wall.


Subject(s)
Antihypertensive Agents/pharmacology , Carotid Arteries/drug effects , Hypertension/drug therapy , Oxazoles/pharmacology , Analysis of Variance , Animals , Blood Pressure/drug effects , Cardiac Output/drug effects , Disease Models, Animal , Heart Rate/drug effects , Injections, Intravenous , Rats , Rats, Inbred SHR , Rats, Inbred WKY , Rilmenidine , Vascular Resistance/drug effects
19.
J Auton Nerv Syst ; 54(1): 41-8, 1995 Jul 14.
Article in English | MEDLINE | ID: mdl-7594210

ABSTRACT

The aim of the present study was to investigate a possible physiological equilibrium, assessed by statistically significant correlations, between pre-junctional mechanisms that regulate both release and reuptake of norepinephrine (NE) and post-junctional mechanisms that participate in the regulation of the smooth muscle cell and thus in the regulation of blood pressure. This study was carried out in pithed and electrically stimulated (2.5 Hz) rats to obtain an experimentally controlled release of NE. A radio-enzymatic assay was used to measure plasma concentrations of NE, index of NE release and levels of its deaminated metabolites 3,4-dihydroxyphenyl glycol (DHPG) and 3,4-dihydroxymandelic acid (DOMA). DHPG is known to be an index of NE reuptake and deamination while the physiological significance of DOMA remains unclear. Our results demonstrate a statistically significant correlation between plasma NE concentration and blood pressure on one hand, and between plasma NE and DHPG concentrations on the other. These correlations support our working hypothesis and suggest a physiological equilibrium between pre- and post-junctional phenomena in the control of blood pressure. During 2.5-Hz stimulation, plasma DHPG concentration was increased while plasma DOMA remained unchanged. This is consistent with activation of the reduction pathway and the consequent formation of DHPG by aldehyde reduction, while the oxidation pathway mediated by aldehyde dehydrogenase does not appear to play a major role in the presynaptic metabolism of reuptaken NE in the present experimental conditions. Further investigations are needed to investigate the apparent dissociation between the two enzymatic pathways involved in the second step of the deamination process.


Subject(s)
Blood Pressure/physiology , Dopamine/metabolism , Electric Stimulation , Epinephrine/metabolism , Muscle, Smooth, Vascular/metabolism , Norepinephrine/metabolism , 3,4-Dihydroxyphenylacetic Acid/metabolism , Animals , Decerebrate State , Dopamine/blood , Epinephrine/blood , Heart Rate/drug effects , Norepinephrine/blood , Rats , Rats, Wistar , Time Factors
20.
Clin Exp Hypertens ; 16(6): 779-98, 1994 Nov.
Article in English | MEDLINE | ID: mdl-7858559

ABSTRACT

The present experiment was performed to investigate the haemodynamic effects of 1-(2,5-dimethoxy-4-iodophenyl)-2-aminopropane (DOI) and alpha-methyl-5-hydroxytryptamine (alpha-methyl-5-HT) in the anaesthetised normotensive rat. DOI (1-300 micrograms/kg i.v.) increased mean arterial pressure (MAP), total peripheral resistance (TPR) and decreased cardiac output (CO) and heart rate (HR). DOI increased all vascular resistances investigated (hindquarters, mesenteric and renal). Alpha-methyl-5-HT (10-300 micrograms/kg i.v.) dose-dependently increased MAP, TPR, all regional vascular resistances and decreased CO and HR. The bradycardia induced by alpha-methyl-5-HT was suppressed by bivagotomy. Both DOI and alpha-methyl-5-HT were more effective on renal vascular bed than hindquarters and mesenteric vascular beds. The effects of DOI and alpha-methyl-5-HT were antagonised by spiperone (10 or 100 micrograms/kg i.v.) and LY 53857 (10 micrograms/kg i.v.). Intracerebroventricular administration of DOI (100 micrograms/kg) increased MAP, TPR, regional vascular resistances and did not change HR and CO. Pretreatment with xylamidine (10 micrograms/kg i.v.), a selective peripheral 5-HT2 receptor antagonist, blocked i.v. and i.c.v. effects of DOI. These results suggest that: 1) the increase in MAP induced by DOI and alpha-methyl-5-HT is due to an increase in TPR. All regional vascular beds and in particular the renal vascular bed participate in the increase of TPR. 2) Peripheral--and may be--central 5-HT2 receptors seem to be implicated in the control of regional vascular resistances. 3) Cardiac effects of alpha-methyl-5-HT are baroreflexly-mediated whereas those of DOI are--at least in part--centrally mediated.


Subject(s)
Amphetamines/pharmacology , Hemodynamics/drug effects , Serotonin Receptor Agonists/pharmacology , Serotonin/analogs & derivatives , Amphetamines/administration & dosage , Animals , Dose-Response Relationship, Drug , Ergolines/pharmacology , Injections, Intravenous , Injections, Intraventricular , Male , Rats , Rats, Wistar , Regional Blood Flow/drug effects , Renal Circulation/drug effects , Serotonin/administration & dosage , Serotonin/pharmacology , Serotonin Antagonists/pharmacology , Serotonin Receptor Agonists/administration & dosage , Spiperone/pharmacology , Splanchnic Circulation/drug effects
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