Why the study?
Baroreceptor- and chemoreceptor-denervated SHR exhibit impaired autonomic circuitry and worse cardiovascular function, but whether sinoaortic denervation modifies central renin-angiotensin system expression/activity and how exercise training affects this remained unknown.
Does exercise training improve cardiovascular control and alter Ang II/Ang-(1-7) balance in sinoaortic denervated spontaneously hypertensive rats?
Does exercise training improve cardiovascular control and alter Ang II/Ang-(1-7) balance in sinoaortic denervated spontaneously hypertensive rats?
Exercise training improves autonomic control of circulation in sinoaortic denervated spontaneously hypertensive rats by altering the Ang II/Ang-(1-7) balance in the paraventricular nucleus, despite not reducing mean arterial pressure.
Hypothesis-generating for exercise effects on central Ang balance in baroreflex failure; requires human studies before clinical consideration.
Previous studies have shown that baroreceptors- and chemoreceptors-denervated SHR exhibit impaired central autonomic circuitry and worsening of the cardiovascular function. It was also known that exercise training (T) ameliorates the autonomic control of the circulation. In the present study we sought to investigate whether sinoaortic denervation (SAD) is able to modify the expression/activity of the renin-angiotensin system (RAS) within brain autonomic areas and the effects induced by T. SHR submitted to SAD or SHAM surgery were trained or kept sedentary (S) for 8 weeks. Femoral artery and vein were chronically cannulated for hemodynamic/autonomic recordings and baroreflex testing (phenylephrine and sodium nitroprusside, i.v). Ang II and Ang (1-7) protein expression (immunofluorescence assays) were quantified within autonomic and neuroendocrine nuclei of the hypothalamic paraventricular nucleus (PVN). SAD-S vs. SHAM-S exhibited large increase in Ang II availability into the ventromedial, dorsal cap and magnocellular PVN nuclei, which are accompanied by augmented sympathetic activity, elevated arterial pressure variability and higher MAP. There was no change in Ang-(1-7) content within these nuclei. In contrast, T largely augmented Ang-(1-7) immunofluorescence in all nuclei, reduced and normalized Ang II availability and ameliorated the autonomic control of the circulation in SAD rats, but did not reduce MAP levels. Data showed that tonic baroreceptors and chemoreceptors' activity is essential to maintain lower Ang II levels within PVN nuclei. In the absence of afferent signaling, exercise training is still efficient to alter Ang II/Ang-(1-7) balance thus improving cardiovascular control even in the presence of high-pressure levels.
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Raquel et al. (2022) studied this question.
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