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July 17, 2008AJP Regulatory Integrative and Comparative Physiology

Endotoxemia causes central downregulation of sympathetic vasomotor tone in healthy humans

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Why the study?

Does an LPS bolus alter muscle sympathetic nerve activity and cardiovascular regulation in young, healthy volunteers?

Population

18 young, healthy volunteers

Comparison

LPS bolus (4 ng/kg body wt) vs Placebo (saline)

Design

RCT, randomly received

Follow-up

90 min

Authors

FSFriedhelm SaykJohannes Gutenberg University MainzAVAlexander VietheerHaukeland University HospitalBSBernhard SchaafWitten/Herdecke University

Discussion

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Implication

LPS suppresses MSNA and raises heart rate in healthy volunteers; extends RCT evidence on sympathetic and baroreflex changes in experimental endotoxemia.

Structured PICO

Does an LPS bolus alter muscle sympathetic nerve activity and cardiovascular regulation in young, healthy volunteers?

P
Population
18 young, healthy volunteers
I
Intervention
LPS bolus (4 ng/kg body wt)
C
Comparator
Placebo (saline)
O
Outcome
Muscle sympathetic nerve activity (MSNA) and cardiovascular regulation (heart rate, blood pressure) at 90 minsurrogate

Experimental endotoxemia in healthy humans rapidly suppresses postsynaptic sympathetic nerve activity to the muscle vascular bed and alters baroreflex function, providing insight into the cardiovascular effects of early sepsis.

Cite This Study

Sayk et al. (2008) studied this question.

synapsesocial.com/papers/6a72ebd82986fd6ce1154a24https://doi.org/10.1152/ajpregu.90444.2008
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Experimental human endotoxemia increases cardiac regularity1996 · 230 citations
  2. 2Sympathetic activity and blood pressure increases with bladder distension in humans.1989 · 204 citations
  3. 3Endotoxin Effects on Markers of Autonomic Nervous System Function in the Piglet: Implications for SIDS2004 · 16 citations
  4. 4To Dip or Not to Dip2007 · 92 citations
  5. 5Endotoxin induces metabolic dysregulation of vascular tone1993 · 5 citations