Key result
Concomitant lesions of A1 and A2 medullary noradrenergic neurons abolished the recovery of mean arterial pressure (64.2 vs 104.9 mmHg, p<0.05) induced by hypertonic saline infusion after hypotensive hemorrhage.
Why the study?
The contribution of medullary noradrenergic neurons to hypertonic saline infusion-induced cardiovascular response following hypotensive hemorrhage was unclear.
Does the lesion of medullary noradrenergic neurons (A1 and A2) prevent hypertonic saline infusion-induced hemodynamic recovery in rats with hypotensive hemorrhage?
Does the lesion of medullary noradrenergic neurons (A1 and A2) prevent hypertonic saline infusion-induced hemodynamic recovery in rats with hypotensive hemorrhage?
Absolute Event Rate: 64.2% vs 104.9%
p-value: p=<0.05
Concomitant integrity of A1 and A2 medullary noradrenergic neurons is essential for hypertonic saline infusion-induced cardiovascular recovery during hypovolemic hemorrhage.
A1/A2 integrity is essential for hypertonic saline efficacy in rodent hemorrhage; leaves open translation to human hypovolemic shock.
Despite being involved in homeostatic control and hydro-electrolyte balance, the contribution of medullary (A1 and A2) noradrenergic neurons to the hypertonic saline infusion (HSI)-induced cardiovascular response after hypotensive hemorrhage (HH) remains to be clarified. Hence, the present study sought to determine the role of noradrenergic neurons in HSI-induced hemodynamic recovery in male Wistar rats (290–320 g) with HH. Medullary catecholaminergic neurons were lesioned by nanoinjection of antidopamine-β-hydroxylase–saporin (0.105 ng·nl−1) into A1, A2, or both (LES A1; LES A2; or LES A1+A2, respectively). Sham rats received nanoinjections of free saporin in the same regions (SHAM A1; SHAM A2; or SHAM A1+A2, respectively). After 15 days, rats were anesthetized and instrumented for cardiovascular recordings. Following 10 min of stabilization, HH was performed by withdrawing arterial blood until mean arterial pressure (MAP) reaches 60 mmHg. Subsequently, HSI was performed (NaCl 3 M; 1.8 ml·kg−1, i.v.). The HH procedure caused hypotension and bradycardia and reduced renal, aortic, and hind limb blood flows (RBF, ABF, and HBF). The HSI restored MAP, heart rate (HR), and RBF to baseline values in the SHAM, LES A1, and LES A2 groups. However, concomitant A1 and A2 lesions impaired this recovery, as demonstrated by the abolishment of MAP, RBF, and ABF responses. Although lesioning of only a group of neurons (A1 or A2) was unable to prevent HSI-induced recovery of cardiovascular parameters after hemorrhage, lesions of both A1 and A2 made this response unfeasible. These findings show that together the A1 and A2 neurons are essential to HSI-induced cardiovascular recovery in hypovolemia. By implication, simultaneous A1 and A2 dysfunctions could impair the efficacy of HSI-induced recovery during hemorrhage.
No takes yet. Share an insight, caveat, or question.
Marques et al. (2021) studied Hypotensive hemorrhage (n=43). Concomitant lesion of A1 and A2 medullary noradrenergic neurons vs. Sham lesion (saporin) was evaluated on Mean arterial pressure (MAP) 30 minutes after hypertonic saline infusion (p=<0.05). Concomitant lesions of A1 and A2 medullary noradrenergic neurons abolished the recovery of mean arterial pressure (64.2 vs 104.9 mmHg, p<0.05) induced by hypertonic saline infusion after hypotensive hemorrhage.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: