Key result
Exercise training in spontaneously hypertensive rats increased PVN GAD65 expression and restored GABAA receptor function, thereby strengthening GABAergic modulation of sympathetic outflow.
Why the study?
The mechanisms underlying exercise training-induced increases in GABA levels and reductions in sympathetic activity in hypertension remained unclear.
Does exercise training restore GABAA receptor function and reduce sympathetic modulation in hypertensive rats?
Does exercise training restore GABAA receptor function and reduce sympathetic modulation in hypertensive rats?
Exercise training reduces sympathetic outflow in hypertension by increasing GAD65 expression and restoring GABAA receptor function in the paraventricular hypothalamic nucleus.
May support GABAergic mechanisms for exercise benefits in hypertension; leaves open human translation.
GABAergic inhibitory input within the paraventricular hypothalamic nucleus (PVN) plays a key role in restraining sympathetic outflow. Although experimental evidence has shown depressed GABAA receptor function plus sympathoexcitation in hypertension and augmented GABA levels with reduced sympathetic activity after exercise training (T), the mechanisms underlying T-induced effects remain unclear. Here we investigated in T and sedentary (S) SHR and WKY: (1) time-course changes of hemodynamic parameters and PVN glutamic acid decarboxylase (GAD) isoforms’ expression; (2) arterial pressure (AP) and heart rate (HR) responses, sympathetic/parasympathetic modulation of heart and vessels and baroreflex sensitivity to GABAA receptor blockade within the PVN. SHR-S versus WKY-S exhibited higher AP and HR, increased sympathetic reduced parasympathetic modulation, smaller baroreflex sensitivity, and reduced PVN GAD65 immunoreactivity. SHR-T and WKY-T showed prompt maintained increase (2–8 weeks) in GAD65 expression (responsible for GABA vesicular pool synthesis), which occurred simultaneously with HR reduction in SHR-T and preceded MAP fall in SHR-T and resting bradycardia in WKY-T. There was no change in GAD67 expression (mainly involved with GABA metabolic pool). Resting HR in both groups and basal MAP in SHR were negatively correlated with PVN GAD65 expression. Normalized baroreflex sensitivity and autonomic control observed only in SHR-T were due to recovery of GABAA receptor function into the PVN since bicuculline administration abolished these effects. Data indicated that training augments in both groups the expression/activity of GABAergic neurotransmission within presympathetic PVN neurons and restores GABAA receptors′ function specifically in the SHR, therefore strengthening GABAergic modulation of sympathetic outflow in hypertension.
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Ferreira‐Junior et al. (2019) studied Hypertension. Exercise training vs. Sedentary was evaluated on Hemodynamic parameters, PVN GAD isoforms' expression, and autonomic modulation. Exercise training in spontaneously hypertensive rats increased PVN GAD65 expression and restored GABAA receptor function, thereby strengthening GABAergic modulation of sympathetic outflow.
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