Key result
Muscle acidosis attenuated the P2X-mediated pressor response (P<0.05 for pH 5.5 vs 7.4) but enhanced the TRPV1-mediated pressor response (P<0.05 for pH 4.5 vs 7.4) in decerebrate rats.
Muscle acidosis attenuates P2X-mediated pressor responses but enhances TRPV1 responses, likely via acid-sensing ion channel mechanisms, suggesting pH modulates receptor responsiveness in exercising muscle.
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These rat findings caution against clinical extrapolation; extends mechanistic insights but leaves open relevance to human exercise pressor reflex.
Activation of purinergic P2X receptors and transient receptor potential vanilloid type 1 (TRPV1) on muscle afferent nerve evokes the pressor response. Because P2X and TRPV1 receptors are sensitive to changes in pH, the aim of this study was to examine the effects of muscle acidification on those receptor-mediated cardiovascular responses. In decerebrate rats, the pH in the hindlimb muscle was adjusted by infusing acidic Ringer solutions into the femoral artery. Dialysate was then collected using microdialysis probes inserted into the muscles, and pH was measured. The interstitial pH was 7.53+/-0.01, 7.22+/-0.02, 6.94+/-0.04, and 6.59+/-0.03 in response to arterial infusion of the Ringer solution at pH 7.4, 6.5, 5.5, and 4.5, respectively. Femoral arterial injection of alpha,beta-methylene-ATP (P2X receptor agonist) in the concentration of 0.25 mM (volume, 0.15-0.25 ml; injection duration, 1 min) at the infused pH of 7.4, 6.5, and 5.5 increased mean arterial pressure (MAP) by 29+/-2, 24+/-3, and 21+/-3 mmHg, respectively (P<0.05, pH 5.5 vs. pH 7.4). When pH levels in the infused solution were 7.4, 6.5, 5.5, and 4.5, capsaicin (1 microg/kg), a TRPV1 agonist, was injected into the artery. This elevated MAP by 29+/-4, 33+/-2, 35+/-3, and 40+/-3 mmHg, respectively (P<0.05, pH 4.5 vs. pH 7.4). Furthermore, blocking acid-sensing ion channel (ASIC) blunted pH effects on TRPV1 response. Our data indicate that 1) muscle acidosis attenuates P2X-mediated pressor response but enhances TRPV1 response; 2) exaggerated TRPV1 response may require lower pH in muscle, and the effect is likely to be mediated via ASIC mechanisms. This study provides evidence that muscle pH may be important in modulating P2X and TRPV1 responsiveness in exercising muscle.
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Gao et al. (2007) studied this question. Muscle acidification vs. pH 7.4 was evaluated on Mean arterial pressure (MAP) response to P2X and TRPV1 agonists (p=<0.05). Muscle acidosis attenuated the P2X-mediated pressor response (P<0.05 for pH 5.5 vs 7.4) but enhanced the TRPV1-mediated pressor response (P<0.05 for pH 4.5 vs 7.4) in decerebrate rats.
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