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October 1, 2001Journal of Hypertension60 citations

Sympathetic modulation of blood pressure variability

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CJClaude JulienSMSimon C. MalpasHSHarald M. Stauss

Key Result

Sympathetic modulation of vascular tone is limited by alpha-adrenoceptor signal transduction into cells rather than an intrinsic inability of cells to contract and relax at higher rates.

Structured PICO

P
Population
Preclinical models including rabbit kidney, rat iliac circulation, and isolated rat vascular smooth muscle cells
E
Exposure
Sympathetic nervous activity (SNA) at various frequencies
O
Outcome
Vascular responsiveness (vasoconstriction and vasodilation)surrogate

The review clarifies that the frequency-dependent vascular response to sympathetic activity is primarily limited by alpha-adrenoceptor signal transduction.

Abstract

Although sympathetic nervous activity (SNA) displays oscillations synchronous with the heart beat and respiration, and between 0.1-0.4 Hz, it is apparent that each of these frequencies does not have the same effect on the vasculature. Frequencies above 1 Hz do not produce oscillations in the vasculature but instead contribute to the mean level of vasoconstriction. Slower oscillations in SNA result in a cycle of vasoconstriction and vasodilation within the vasculature, the amplitude of which, generally decreases with increasing frequency. Some studies indicate that, within the same species, differences exist in the frequency responses between vascular beds, such as the skin and gut. This differential responsiveness is also found between the medullary and cortical vasculature regions of the rabbit kidney. Low-pass filter properties have been described in the iliac circulation of rats, and evidence has been provided that noradrenaline reuptake mechanisms are not the frequency limiting step of the vasculature response. Recent studies on isolated rat vascular smooth muscle cells suggest that sympathetic modulation of vascular tone is limited by the alpha-adrenoceptor signal transduction into the cells and not by an intrinsic inability of the cells to contract and relax at higher rates.

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Cite This Study

Julien et al. (2001) conducted a review in Blood pressure variability. Sympathetic nervous activity (SNA) was evaluated. Sympathetic modulation of vascular tone is limited by alpha-adrenoceptor signal transduction into cells rather than an intrinsic inability of cells to contract and relax at higher rates.

synapsesocial.com/papers/6a2209e600d082f62f96fad4https://doi.org/10.1097/00004872-200110000-00002
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