Key result
Orally administered acetylcholine lowered blood pressure in spontaneously hypertensive rats by acting on gastrointestinal M3 muscarinic receptors to increase afferent vagal nerve activity, which decreased sympathetic nervous activity.
Why the study?
Although eggplant powder rich in acetylcholine reduces blood pressure, the mechanisms underlying the antihypertensive effects of low-dose orally administered acetylcholine were not fully understood.
Does low-dose orally administered acetylcholine reduce blood pressure and sympathetic nervous activity in spontaneously hypertensive rats?
Does low-dose orally administered acetylcholine reduce blood pressure and sympathetic nervous activity in spontaneously hypertensive rats?
p-value: p=<0.05
Oral acetylcholine lowers blood pressure in hypertensive rats via a gastrointestinal M3 muscarinic receptor-mediated autonomic reflex, suggesting potential as a non-absorbable antihypertensive supplement.
Animal data suggest oral acetylcholine as potential non-absorbable antihypertensive; leaves open human translation and safety.
Acetylcholine (ACh) acts as a neurotransmitter and neuromodulator. A small dose of eggplant powder rich in ACh (equivalent to 22 g fresh eggplant/d) has been shown to reduce blood pressure (BP) in individuals with higher BP. Here, we investigated the mechanisms underlying the antihypertensive effects of low-dose orally administered ACh in spontaneously hypertensive rats (SHRs). The effects of ACh on BP and sympathetic nervous activity (SNA), including lumbar SNA (LSNA) and renal SNA (RSNA), were evaluated by subjecting conscious SHRs to a telemetry method. Single oral administration of ACh decreased LSNA and lowered BP. Repeated oral administration of ACh for 30 d decreased RSNA and suppressed the elevated BP. Noradrenaline levels in the urine also decreased. However, vagotomy and co-administration of M3 muscarinic ACh receptor antagonist reversed the BP-lowering effect; the dynamics of non-absorbable orally administered ACh was revealed using stable isotope-labeled ACh. In conclusion, ACh acts on the gastrointestinal M3 muscarinic ACh receptor to increase afferent vagal nerve activity, which decreases SNA by autonomic reflex, suppressing noradrenaline release and lowering BP. This study suggests the use of exogenous ACh as an antihypertensive food supplement for controlling the autonomic nervous system, without absorption into the blood.
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Yamaguchi et al. (2022) studied Hypertension. Acetylcholine vs. Pure water was evaluated on Blood pressure (SBP and DBP) and sympathetic nervous activity (p=<0.05). Orally administered acetylcholine lowered blood pressure in spontaneously hypertensive rats by acting on gastrointestinal M3 muscarinic receptors to increase afferent vagal nerve activity, which decreased sympathetic nervous activity.
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