Key result
PVN CRH knockdown blunts stress-induced systolic blood pressure elevation in preclinical models.
Why the study?
The mechanisms underlying the elevation of blood pressure during acute stress, particularly the link to neuroendocrine neurons releasing corticotropin-releasing hormone, remain unclear.
Does central PVN CRH knockdown or systemic CRHR1 antagonism attenuate acute restraint stress-induced blood pressure elevation and neuroendocrine activation in male rats?
Does central PVN CRH knockdown or systemic CRHR1 antagonism attenuate acute restraint stress-induced blood pressure elevation and neuroendocrine activation in male rats?
This preclinical study demonstrates that CRH signaling in the hypothalamic paraventricular nucleus coordinates sympathetic activation and blood pressure elevation during acute stress, identifying the central CRH-CRHR1 axis as a potential target for stress-related hypertension.
Answers are grounded in this paper and cite their sources.
PVN CRH mediates stress BP elevation in rats; leaves open whether CRHR1 targeting merits human trials for stress hypertension.
Acute stress triggers autonomic responses, characterized by increases in arterial blood pressure and sympathetic nerve activity, and a neuroendocrine response, characterized by an increase in corticosterone level. However, the mechanisms underlying elevation of blood pressure during stress remain unclear. In this study, we investigated the link between neuroendocrine neurons releasing corticotropin-releasing hormone (CRH) and elevation of blood pressure during acute restraint stress. In Sprague-Dawley rats, restraint stress increased blood pressure. Selected time points during restraint showed increased serum corticosterone (CORT) and norepinephrine (NE) concentrations, consistent with activation of the HPA axis and sympathetic nerve activity. CRH knockdown in the PVN significantly blunted the rise in blood pressure during restraint stress and post-restraint CORT and NE levels. In addition, pretreatment with the CRHR1 antagonist antalarmin attenuated the restraint-induced HR response and reduced post-restraint CORT and NE levels. Blood pressure responses were numerically smaller after antalarmin, but the treatment × stress interactions for SBP, DBP, and MAP were not significant. In summary, these data suggested that CRH signaling mediates stress-induced blood pressure responses through coordination of the HPA axis and sympathetic nervous system. Our findings highlight the CRH-CRHR1 axis as a potential target for preventing cardiovascular complications associated with acute stress.
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Liang et al. (2026) studied Acute restraint stress-induced blood pressure elevation (n=10). CRISPR/Cas9-mediated CRH knockdown in the paraventricular nucleus (PVN) and systemic CRHR1 antagonism (antalarmin) vs. Control AAV9 vector lacking Crf-targeting sasgRNA; vehicle control was evaluated on Systolic blood pressure (SBP) during 2-hour acute restraint stress following PVN CRH knockdown (p=0.0010). CRISPR/Cas9-mediated CRH knockdown in the PVN blunted acute restraint stress-induced systolic blood pressure elevation in male rats.
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