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Hypertension. 1996;27:939-948

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(Hypertension. 1996;27:939-948.)
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Articles

Differential Alteration of Neuronal and Cardiovascular Responses to Adenosine Microinjected Into the Nucleus Tractus Solitarius of Spontaneously Hypertensive Rats

Abdel A. Abdel-Rahman; Shiying Tao

From the Department of Pharmacology, East Carolina University, School of Medicine, Greenville, NC.


*    Abstract
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*Abstract
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down arrowMethods
down arrowResults
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Abstract We previously reported that adenosine elicited site-dependent neuronal and cardiovascular responses in two subareas of the nucleus tractus solitarius (NTS) of normotensive rats. Pressor and tachycardic responses were obtained from the rostral NTS (adenosine pressor system), and depressor and bradycardic responses were obtained from the caudal NTS (adenosine depressor system). In both areas, adenosine inhibited the firing rate of barosensitive neurons. The present study investigated whether spontaneously hypertensive rats (SHR) exhibit abnormal neuronal and cardiovascular responses mediated by the adenosine pressor and depressor systems within the NTS. Male SHR and Wistar-Kyoto rats (WKY) were anesthetized with urethane and prepared for blood pressure and heart rate recording, stereotaxic microinjection of adenosine into the NTS, and extracellular recording of single-unit neuronal activity of NTS neurons. Chemical identification of the targeted neuronal pool was made by L-glutamate (5 nmol) and confirmed by histology. SHR exhibited significantly higher mean arterial pressure and firing rate of caudal NTS neurons (45.0±4.5 versus 27.3±4.7 spikes per 2.5 seconds, P<.05) but similar heart rate and neuronal firing rate of rostral NTS neurons compared with WKY. Adenosine (0.1, 1, and 10 nmol) elicited dose-related neuronal and cardiovascular responses in both strains. However, SHR exhibited differential alterations in both adenosine systems. Compared with WKY, SHR exhibited attenuated pressor, tachycardic, and neuronal responses mediated by the adenosine pressor system and exaggerated depressor, bradycardic, and neuronal responses mediated by the adenosine depressor system. In both strains, the responses elicited by adenosine were virtually abolished by theophylline (10 mg/kg IV), suggesting that these responses were mediated by adenosine receptors in the NTS. Furthermore, the theophylline-evoked increase in blood pressure was twofold higher in SHR (15.0±1.7 versus 6.9±1.5 mm Hg, P<.05); larger but nonsignificant increases in heart rate and neuronal firing rate also were evident in SHR compared with WKY. These findings suggest differential alterations in adenosine pressor and depressor systems in the NTS of SHR, which may be implicated in the pathophysiology of this model of hypertension.


Key Words: adenosine • nucleus tractus solitarius • rats, inbred, SHR


*    Introduction
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up arrowAbstract
*Introduction
down arrowMethods
down arrowResults
down arrowDiscussion
down arrowReferences
 
The NTS exhibits the highest density of adenosine uptake sites in the central nervous system1 2 and represents the primary site for first-order neuronal input from baroreceptor afferents.3 4 5 6 Previous studies including our own have shown that adenosine microinjected into the NTS elicits hypotensive and bradycardic responses.7 8 9 10 11 These responses involved an inhibitory action of adenosine on barosensitive neurons in the NTS.11 Interestingly, both neuronal and cardiovascular responses elicited by adenosine mimicked (caudal) or contrasted (rostral) those elicited by L-glutamate depending on the targeted neuronal pool within the NTS.11 In virtually all central areas studied, adenosine has been shown to inhibit neuronal firing rate.12 13

Hypertension modifies the responsiveness to vasoactive agents. The SHR exhibits significantly greater hypotensive responses to centrally acting drugs and opioids compared with the WKY.14 Surprisingly, a recent study by Tseng et al15 has shown that adenosine microinjected into brain stem nuclei elicited attenuated hypotensive and bradycardic responses in SHR compared with WKY. No consideration was given in that study15 to potential differences in pressor responses to adenosine between the two strains. More importantly, the neuronal responses that precede the cardiovascular responses elicited by adenosine microinjected into these subareas of the NTS have not been studied in the SHR.

The present study compared the neuronal and cardiovascular responses elicited by adenosine microinjected into the pressor (rostral) and depressor (caudal) areas of the NTS of SHR and WKY. Whether these responses were blocked by the adenosine receptor blocker theophylline was also investigated. Finally, the neuronal and cardiovascular changes that followed blockade of adenosine receptors are indicative of the magnitude of involvement of central adenosine receptors in the tonic control of BP.11 This study also investigated whether these mechanisms are altered in SHR.


*    Methods
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up arrowIntroduction
*Methods
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General Procedure
A total of 14 male SHR and 12 WKY (Charles River, Raleigh, NC) at 12 weeks old were used in the study. The rats were anesthetized with urethane (1.25 to 1.5 g/kg IP, Sigma Chemical Co). The trachea and left femoral artery and vein were cannulated. The arterial catheter was connected to a pressure transducer (Gould Instruments), and phasic arterial pressure was displayed on a polygraph (Grass model 7D). HR was computed from the BP pulse by a Grass tachograph and displayed on another channel of the polygraph. Rectal temperature was maintained between 37°C and 38°C. The rats were placed in a stereotaxic frame (David Kopf Instruments) in a prone position. A limited occipital craniotomy was conducted to expose the posterior atlanto-occipital membrane and caudal medulla, and the region of the obex was then revealed by delicate dissection. Methods used were in accordance with institutional guidelines. All protocols were approved by the Institutional Animal Care and Use Committee.

Microinjection and Single-Unit Recording Procedure
For microinjection and single-unit recording, a probe, modified from that described by other researchers,16 17 was fabricated as in our previous study.11 The probe consisted of a three-barreled glass micropipette (World Precision Instruments Inc) with a tip diameter of 40 to 60 µm and a metal microelectrode. The platinum or stainless steel microelectrode (Fred Haer Co) with a 5-µm exposed fine tip was glued to the glass micropipette. A similar probe that consisted of a microinjector of a similar tip size glued to a recording micropipette has been described.17 After stabilization of arterial pressure and HR at basal levels, the probe was introduced unilaterally into the NTS according to the atlas of Pellegrino et al18 as in our previous study.11 With the calamus scriptorius as the reference and the bite bar at 20 mm below the interaural line, the following coordinates were used: mediolateral, 0.6 mm; anteroposterior, 0.6 mm; and dorsoventral, 0.5 to 0.8 mm, as described by other researchers.19 The pipettes were filled with a test dose of L-glutamate and varying concentrations of adenosine freshly prepared in ACSF, with the final pH adjusted to between 7.2 and 7.3. ACSF of the following composition (mmol/L) was used: NaCl 123, CaCl2 0.86, KCl 3, MgCl2 0.89, NaHCO3 25, NaH2PO4 0.50, and Na2HPO4 0.25, aerated with 95% O2/5% CO2, pH 7.4, as described by Tseng et al.20 Drug solutions injected intravenously were dissolved in 0.9% NaCl solution. All drugs and chemicals were purchased from Sigma Chemical Co.

Action potentials were amplified by a preamplifier (A-M Systems), with low and high filters set at 100 and 5 kHz, respectively. The amplified signals were displayed continuously on a Tektronix storage oscilloscope and also monitored with a loudspeaker. Neuronal action potentials were discriminated and counted (every 2.5 seconds) by a spike processor (D 130, Digitimer, Medical Systems Corp). The output of the spike processor was displayed as a time histogram on a third channel of the polygraph, along with arterial pressure and HR as in our previous study.11

Site Identification and Histology
The sites of microinjection and recording were chemically identified at the beginning and in most cases at the end of the experiment by microinjection of a test dose (5 nmol) of L-glutamate. After a responsive site was identified by observation of depressor and bradycardic responses to L-glutamate, the probe remained in this site throughout the experiment. Three-barreled micropipettes were used for microinjection of drugs or dye (fast green) into the NTS. For the lower doses of adenosine or the test dose of glutamate, the volume injected was approximately 50 nL delivered over 15 seconds. The maximal volume injected for delivery of the high dose of adenosine was 120 nL. Accordingly, the site of microinjection for postmortem histological verification was marked by microinjection of 120 nL of the dye. Equal volumes of ACSF microinjected into the NTS had no significant effects on neuronal and hemodynamic variables.11 At the conclusion of an experiment, the rat was killed by an overdose of pentobarbital; the brain was removed, frozen, and cut on a freezing microtome. Sections of 40 µm of the brain stem were stained with cresyl violet, and verification of the injection site was made by histology as in our previous study11 and as shown in Fig 1Down.



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Figure 1. Schematic representations of injection sites in rostral (top) and caudal (bottom) NTS of SHR (left) and WKY (right). Maps and coordinates (from bregma) are taken from the atlas of Pellegrino et al.18 For chemical identification, microinjection of a test dose of L-glutamate into all indicated sites elicited expected depressor and bradycardic responses. These responses were preceded by increases and decreases in neuronal firing rates when injections were made in rostral and caudal NTS, respectively, as in our previous study.11 CUL indicates nucleus cuneatus lateralis; NTST, nucleus tractus spinalis nervi trigemini; TCS, corticospinal tract; X, nucleus of the vagus nerve; and XII, nucleus of the hypoglossal nerve.

Protocol and Experimental Groups
In all experiments, the measured variables—arterial pressure, HR, and NTS single-unit firing rate—were allowed to stabilize at baseline levels. Responses were expressed as change from basal levels in absolute units for arterial pressure (millimeters of mercury) and HR (beats per minute) and as percentage of control for NTS neuronal firing rate. For electrophysiological measurements, a control value of at least 30 seconds was considered 100%. The window discriminator was set to display the number of action potentials every 2.5 seconds; ie, a minimum of 15 readouts was taken before drug administration as in our previous study.11

Neuronal and Hemodynamic Responses Before and After Adenosine Receptor Blockade
Dose-response curves depicting neuronal and cardiovascular responses elicited by adenosine were generated by microinjection of adenosine (0.1, 1, 10 nmol) after chemical identification of the injection site in both rat strains. Because L-glutamate elicits depressor and bradycardic responses when microinjected into the rostral and caudal NTS,10 11 15 it was not possible to determine whether the tip of the probe was located in the rostral or caudal NTS at the beginning of the experiment. However, the location of the tip can be ascertained by observation of the neuronal responses elicited by L-glutamate that consist of increases (rostral) and decreases (caudal) as in our previous findings.11 Increases and decreases in neuronal firing rate elicited by L-glutamate indicated location of the probe tip in the rostral and caudal NTS, respectively, as later verified by histology.11 On the basis of these criteria, the three adenosine doses were microinjected into the rostral (6 SHR and 6 WKY) or caudal (8 SHR and 6 WKY) NTS; adequate time was allowed between doses for recovery. The ability of theophylline to block neuronal and hemodynamic responses to adenosine microinjected into the two NTS subareas of SHR and WKY was investigated. The dose-response curves depicting the neuronal and cardiovascular responses elicited by adenosine were generated in the same rats after administration of 10 mg/kg theophylline IV. Our previous findings demonstrated that the neuronal and cardiovascular responses elicited by adenosine were not influenced by time.11 Therefore, we performed no control experiments in the present study. Because of the difficulty of dissolving theophylline in ACSF at a concentration that would yield an adequate dose of the antagonist when microinjected into the NTS, the drug was injected intravenously at a dose of 10 mg/kg. This theophylline dose adequately blocked adenosine receptors in our previous study.11 At least 10 minutes were allowed before the second dose-response curve for adenosine was constructed. During this period, the neuronal and hemodynamic changes reflected the contribution of central adenosine receptors to tonic control of BP and HR. In our previous study,11 we conducted a control experiment for theophylline in which a water-soluble adenosine receptor blocker, 8-(p-sulfophenyl)theophylline (2.5 mg/kg), that does not cross the blood-brain barrier21 22 did not cause significant neuronal or cardiovascular responses.

Statistical Analyses
Data are presented as mean±SE change from basal values. Absolute units for changes in mean arterial pressure (millimeters of mercury) and HR (beats per minute) and percentage of basal control values for neuronal firing rate determined before drug administration for each rat are presented. Mean arterial pressure (MAP) was calculated as MAP=DBP+(SBP-DBP)/3, where DBP is diastolic BP and SBP is systolic BP. Group differences between SHR and WKY were analyzed by unpaired t test. This applied to differences in baseline BP, HR, and neuronal firing rate as well as neuronal and cardiovascular responses elicited by theophylline. Repeated-measures ANOVA was used for factorial experiments (dose-response curves) as well as Dunnett's procedure for post hoc multiple comparisons among means.23


*    Results
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up arrowIntroduction
up arrowMethods
*Results
down arrowDiscussion
down arrowReferences
 
Baseline Data and Cardiovascular and Neuronal Responses to L-Glutamate
Pretreatment values for mean arterial pressure, HR, and NTS single-unit firing rate for SHR and WKY are presented in Table 1Down. Mean arterial pressure of SHR was significantly higher than that of WKY, but baseline HR did not differ for the groups used for microinjection studies in both areas of the NTS (Table 1Down). Furthermore, the caudal NTS neuronal firing rate was significantly (P<.05) higher in SHR than in WKY (Table 1Down). On the other hand, the rostral NTS neuronal firing rate was similar in SHR and WKY (Table 1Down). A test dose (5 nmol) of L-glutamate was routinely microinjected at the beginning of the experiment for chemical identification of the injection site. In both strains, chemical stimulation by L-glutamate (5 nmol) elicited depressor and bradycardic responses that were preceded by either excitatory or inhibitory neuronal responses. Histological verification of the microinjection sites revealed that excitatory and inhibitory neuronal responses to L-glutamate occurred as a result of microinjection into the rostral and caudal NTS, respectively (Fig 1Up).


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Table 1. Baseline Mean Arterial Pressure, Heart Rate, and Firing Rate of Rostral and Caudal NTS of SHR and WKY

Dose-Related Cardiovascular and Neuronal Responses Elicited by Adenosine Microinjected Into Rostral and Caudal NTS of SHR and WKY
In WKY, adenosine (0.1, 1, 10 nmol) elicited dose-related neuroinhibitory responses when microinjected into the rostral (n=6) and caudal (n=6) NTS (Fig 2ADown). As shown in Fig 2Down, these neuronal responses were associated with dose-related pressor and tachycardic versus depressor and bradycardic responses when adenosine was microinjected into the rostral and caudal NTS, respectively. By contrast, SHR exhibited significantly (P<.05) greater neuronal responses when adenosine was microinjected into the caudal compared with the rostral NTS (Fig 3ADown). Nonetheless, similar to WKY, SHR exhibited site-dependent cardiovascular responses when adenosine was microinjected into the two NTS subareas (Fig 3Down), ie, increases (rostral) and decreases (caudal) in BP and HR (Fig 3BDown and 3CDown).



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Figure 2. Line graphs compare dose-related neuronal (A) and cardiovascular (B and C) responses elicited by adenosine microinjected into rostral ({blacktriangleup}) and caudal ({triangleup}) NTS of WKY. Data are mean±SE; n is number of rats. FR indicates firing rate; MAP, mean arterial pressure. *P<.05.



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Figure 3. Line graphs compare dose-related neuronal (A) and cardiovascular (B and C) responses elicited by adenosine microinjected into rostral ({bullet}) and caudal ({circ}) NTS of SHR. Data are mean±SE; n is number of rats. Abbreviations are as in Fig 2Up legend. *P<.05.

Figs 4Down and 5Down compare the neuronal and cardiovascular responses elicited by adenosine (0.1, 1, 10 nmol) microinjected into the rostral and caudal NTS, respectively, of SHR and WKY. Compared with WKY, SHR exhibited attenuated neuronal (Fig 4ADown), tachycardic (Fig 4BDown), and pressor (particularly with the higher dose; Fig 4CDown) responses elicited by adenosine microinjected into the rostral NTS. By contrast, the dose-related neuronal (Fig 5ADown), bradycardic (Fig 5BDown), and depressor (Fig 5CDown) responses elicited by adenosine microinjected into the caudal NTS were significantly (P<.05) greater in SHR than in WKY.



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Figure 4. Line graphs compare dose-related neuroinhibitory (A), tachycardic (B), and pressor (C) responses elicited by adenosine microinjected into rostral NTS of WKY ({triangleup}) and SHR ({bullet}). Data are mean±SE; n is number of rats. Abbreviations are as in Fig 2Up legend. *P<.05.



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Figure 5. Line graphs compare dose-related neuroinhibitory (A), bradycardic (B), and depressor (C) responses elicited by adenosine microinjected into caudal NTS of WKY ({triangleup}) and SHR ({bullet}). Data are mean±SE; n is number of rats. Abbreviations are as in Fig 2Up legend. *P<.05.

Neuronal and Cardiovascular Effects of Theophylline in SHR and WKY
In both strains, regardless of the NTS subarea studied, systemic administration of theophylline (10 mg/kg) virtually abolished the neuronal and cardiovascular responses elicited by adenosine. As shown in Figs 6Down and 7Down, a significant attenuation of the dose-related responses elicited by adenosine microinjected into the rostral and caudal NTS, respectively, of SHR occurred after theophylline. Similar results were obtained with theophylline in WKY (Figs 8Down and 9Down). It is notable that theophylline elicited in both strains excitatory neuronal and cardiovascular responses, as illustrated in Fig 10Down (middle panels). The neuronal responses that preceded the cardiovascular responses consisted of increases in neuronal firing rates when recordings were made from rostral or caudal NTS. These neuronal and cardiovascular responses elicited by theophylline tended to be greater in SHR (Fig 10Down, middle panels). However, because variations existed in these responses, the differences between the neuronal and HR responses obtained in both strains were not significant (Table 2Down). Nonetheless, the pressor response elicited by intravenous theophylline was significantly (P<.05) greater in SHR than in WKY (Table 2Down). These findings indicate that adenosine receptors exert a greater tonic inhibitory influence on BP in SHR than in WKY.



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Figure 6. Line graphs compare dose-related neuroinhibitory (A), tachycardic (B), and pressor (C) responses elicited by adenosine microinjected into rostral NTS of SHR before ({circ}) and after ({bullet}) systemic theophylline (TP, 10 mg/kg) administration. Data are mean±SE; n is number of rats. Abbreviations are as in Fig 2Up legend. *P<.05.



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Figure 7. Line graphs compare dose-related neuroinhibitory (A), bradycardic (B), and depressor (C) responses elicited by adenosine microinjected into caudal NTS of SHR before ({circ}) and after ({bullet}) systemic theophylline (TP, 10 mg/kg) administration. Data are mean±SE; n is number of rats. Abbreviations are as in Fig 2Up legend. *P<.05.



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Figure 8. Line graphs compare dose-related neuroinhibitory (A), tachycardic (B), and pressor (C) responses elicited by adenosine microinjected into rostral NTS of WKY before ({triangleup}) and after ({blacktriangleup}) systemic theophylline (TP, 10 mg/kg) administration. Data are mean±SE; n is number of rats. Abbreviations are as in Fig 2Up legend. *P<.05.



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Figure 9. Line graphs compare dose-related neuroinhibitory (A), bradycardic (B), and depressor (C) responses elicited by adenosine microinjected into caudal NTS of WKY before ({triangleup}) and after ({blacktriangleup}) systemic theophylline (TP, 10 mg/kg) administration. Data are mean±SE; n is number of rats. Abbreviations are as in Fig 2Up legend. *P<.05.



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Figure 10. Representative tracings of single-unit firing rate of caudal NTS neurons, BP, and HR responses elicited by unilateral microinjection of 10 nmol adenosine into caudal NTS of SHR (left) and WKY (right) before (top) and after (bottom) systemic theophylline (10 mg/kg) administration (middle). Note the greater neuronal and cardiovascular effects obtained in SHR compared with WKY induced by adenosine (top) and theophylline (middle). Injections are indicated by arrows. Bottom panels show that theophylline virtually abolished neuronal and cardiovascular responses elicited by adenosine in both strains.


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Table 2. Effect of Theophylline on Mean Arterial Pressure, Heart Rate, and Firing Rate of NTS Neurons of SHR and WKY


*    Discussion
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up arrowAbstract
up arrowIntroduction
up arrowMethods
up arrowResults
*Discussion
down arrowReferences
 
The present study investigated the neuronal and cardiovascular responses elicited by adenosine microinjected into the pressor (rostral) and depressor (caudal) areas of the NTS of SHR and WKY. In addition to confirming reported cardiovascular7 8 9 10 11 15 and neuronal11 responses observed in normotensive rats, results of the current study demonstrate for the first time the neuronal and cardiovascular responses elicited by adenosine microinjected into the two subareas of the NTS in SHR.

Microinjection of adenosine into the NTS elicited site-dependent cardiovascular responses. Increases and decreases in BP and HR followed microinjection of adenosine into the rostral and caudal NTS, respectively. Nonetheless, adenosine inhibited the firing rate of both neuronal pools. These findings in WKY confirm and extend our previous findings in another strain of normotensive rats, the Sprague-Dawley rat.11 Results from the present study and our previous study11 showed that the neuronal responses preceded the cardiovascular ones. In our previous study,11 only the middle dose (1 nmol) of adenosine was microinjected into the rostral NTS of Sprague-Dawley rats. Microinjection of a lower and a higher dose allowed the conclusion that the neuronal and cardiovascular responses elicited by adenosine in this area (adenosine pressor system) are dose related.

It is prudent to note that measurement of neuronal responses in the present study and in our previous study11 has strengthened our knowledge of the role of two distinct neuronal pools of the NTS in BP and HR regulation. Reliance on observation of the cardiovascular responses elicited by L-glutamate as a chemical marker as in other studies, including our own,10 11 15 may not lead to a precise definition of which neuronal pool of the NTS has been targeted. The present study and others10 11 15 have shown that L-glutamate microinjected as a chemical marker elicits hypotensive and bradycardic responses regardless of whether the site was the rostral or caudal NTS. Furthermore, this study, in agreement with our previous study,11 shows that the neuronal responses that preceded the similar cardiovascular responses elicited by L-glutamate consisted of increases and decreases in firing rates when microinjections were made into the rostral and caudal NTS, respectively. The current study was not intended to investigate the neuronal and cardiovascular effects of L-glutamate. Nonetheless, it is important to comment on these responses because the type of cardiovascular response elicited by adenosine, excitatory or inhibitory, seems to be determined at least partially by the type of targeted neuronal pool. More importantly, these neurons have been considered barosensitive because they responded to baroreceptor activation and unloading in our previous study.11 The rostral NTS neurons are excited, whereas those of the caudal NTS are inhibited, by L-glutamate. Adenosine elicited dose-related inhibition of both neuronal pools. However, the subsequent cardiovascular responses were opposite (rostral) and similar (caudal) to those elicited by L-glutamate. Other researchers have shown that adenosine may inhibit12 24 25 or enhance10 the release of L-glutamate. The current findings suggest that within the two NTS subareas studied, adenosine-glutamate interaction leads to opposite (rostral) or similar (caudal) cardiovascular responses.

It is well accepted that hypertension alters the cardiovascular responses to centrally administered agents.14 15 26 27 28 Consistent with this view, results of the present study demonstrate that the hypotensive and bradycardic responses elicited by adenosine microinjected into the caudal NTS are exaggerated in SHR. More importantly, we demonstrate for the first time that the neuroinhibitory responses recorded at the injection site are also enhanced in SHR. This finding may suggest an alteration in adenosine receptor sensitivity in SHR. Notably, the enhanced neuroinhibitory and depressor responses accompanied significantly higher baseline BP and neuronal firing rate in SHR. However, whether the enhanced responses are a cause of or result from hypertension cannot be ascertained from our findings.

Our findings do not agree with those recently reported by Tseng et al.15 These authors reported attenuated hypotensive and bradycardic responses elicited by adenosine microinjected into the NTS of SHR compared with WKY. The reasons for this apparent discrepancy are not known. It is notable, however, that in the study by Tseng et al,15 the rats referred to as SHR were in effect normotensive based on their baseline mean arterial pressure level (112±8 versus 156±6 mm Hg in our study). No matter what the reason or reasons for an apparent "normotensive" level of BP for their SHR might be (strain, depth of anesthesia, etc), the main feature of SHR, the higher BP, was not evident in their rats. As discussed earlier, the higher level of BP in SHR is a major contributor to the enhanced hypotensive responses to centrally acting substances.14 Therefore, it is plausible to explain the contradictory findings of the present study and that of Tseng et al15 at least partially on the basis of the significant difference in baseline BP values.

It is interesting to note that the responsiveness of the two neuronal pools of the NTS and the consequent cardiovascular responses are differentially altered in SHR. Results of the present study show that the pressor response, expressed as a percentage of baseline, and tachycardic response elicited by adenosine microinjected into the rostral NTS were attenuated in SHR compared with WKY. That these cardiovascular responses were preceded by smaller decreases in the firing rate of the rostral NTS neurons suggests a subsensitivity of these neurons to adenosine in SHR. These findings may implicate adenosine receptors in the NTS in the pathophysiology of hypertension in SHR. A hypoactive adenosine pressor system (rostral neurons) and hyperactive adenosine depressor system (caudal neurons) in the NTS of SHR are expected to guard against further exacerbation of hypertension in this animal model. Our functional findings on the adenosine pressor system are indicative of reduced affinity or number of adenosine receptors in the rostral NTS. In agreement with this view is the finding that the affinity of central adenosine A1 receptors is decreased in SHR.29 It must be remembered that the pressor response elicited by adenosine is mediated by A1 receptors.30 Interestingly, Matias et al29 attempted to explain the attenuated depressor response elicited by adenosine microinjected into the NTS of SHR on the basis of the decreased affinity of the adenosine A1 receptor in the central nervous system of SHR. Such an alteration in A1 receptors in SHR29 cannot explain the attenuated hypotensive responses obtained in SHR reported recently15 because adenosine-evoked decreases in BP and HR are mediated by A2 receptors in the NTS.30 Indeed, these enhanced responses shown in the present study in SHR may suggest increased affinity or number of A2 receptors in the NTS. However, it is also possible that the higher baseline BP in SHR influenced the responses to adenosine.

Although no binding studies have investigated this possibility, two findings of the present study may support this hypothesis. First, the electrophysiological responses of the rostral NTS neurons involved in the A1 receptor–mediated pressor and tachycardic responses30 agree with the biochemical evidence that showed a decreased affinity of central A1 receptors in SHR.29 With this in mind, one can see that it is possible the enhanced adenosine-mediated electrophysiological responses obtained in the caudal NTS (adenosine depressor system) are indicative of a higher affinity or upregulation of A2 receptors and may explain the enhanced cardiovascular responses in SHR. Second, the greater pressor and tachycardic responses elicited by the nonselective adenosine receptor blocker theophylline in SHR compared with WKY are consistent with this view.

It is possible that the theophylline-evoked pressor response was peripherally mediated because it was administered systemically and that the neuronal responses were secondary to increases in BP. In support of the latter possibility was the finding that a greater increase in BP evoked by theophylline in SHR was associated with a larger increase in neuronal firing rate. Nonetheless, it is also likely that the neuronal responses occurred first as a result of blockade of central adenosine receptors and triggered the cardiovascular responses. The following findings support the view that theophylline-evoked cardiovascular responses are mediated at least in part as a consequence of blockade of central adenosine receptors: (1) As in our previous study,11 the increases in neuronal firing rate preceded the increases in BP and HR; (2) An increase in sympathetic neural activity preceded the increases in BP and HR.11 If the neural and neuronal responses were secondary to peripherally mediated increases in BP, a decrease instead of increase in neuronal firing rate would be expected.11 Furthermore, two lines of evidence support the view that the neuronal and cardiovascular responses elicited by theophylline were mediated centrally. First, theophylline-evoked increases in neuronal firing rate, BP, and HR obtained in this study and in our previous study11 were absent after blockade of peripheral adenosine receptors by 8-(p-sulfophenyl)theophylline,11 a polar adenosine receptor blocker that does not cross the blood-brain barrier.21 Other researchers31 32 have shown that acute administration of another water-soluble adenosine receptor blocker, 1,3-dipropyl-8-sulfophenylxanthine, also failed to increase BP. Second, systemic theophylline, but not the water-soluble analogue,11 blocked the neuronal and cardiovascular responses elicited by adenosine microinjected into the caudal NTS. Finally, microinjection of the water-soluble analogue into the caudal NTS virtually abolished the neuronal and cardiovascular responses elicited by adenosine in the same area.11 Taken together, these findings support the view that blockade of central adenosine receptors contributed at least partially to the neuronal and cardiovascular responses elicited by theophylline. The possibility still exists, however, that the greater responses obtained in SHR may be due to the higher baseline BP in this strain.

Reported findings including our own have implicated adenosine in the modulation of baroreceptor function. The evidence is based on the ability of adenosine receptor blockers to attenuate the baroreceptor HR response in experimental animals9 33 and humans.34 Furthermore, our previous study has yielded direct electrophysiological evidence that showed a neuromodulatory action of adenosine on barosensitive neurons in the NTS.11 The use of nonselective adenosine receptor blockers in reported studies9 34 precludes a conclusion about whether A1 or A2 receptors in the NTS mediate the action of adenosine on baroreflexes. It is tempting to speculate, on the basis of findings of the present and reported studies, that this role is played by A1 receptors. Results of the present study demonstrated that SHR exhibit a hypofunctional adenosine pressor system that is modulated by A1 receptors in the NTS.30 This finding coincides with an approximately 50% attenuation of baroreceptor HR response in SHR compared with age-matched WKY.35 Further support for this notion is based on our recent finding which demonstrated that an oligodeoxynucleotide targeting the A1 receptors microinjected into the NTS of conscious normotensive rats attenuated their baroreceptor HR response by approximately 50%.36

In conclusion, findings of the present study support the view that differential alterations in the adenosine pressor and depressor systems exist in SHR. Whereas the rostral NTS neurons involved in the A1-mediated pressor and tachycardic responses are hypofunctional, those located in the caudal NTS and involved in A2-mediated depressor and bradycardic responses are hyperfunctional in SHR compared with WKY. Whether these neuronal and subsequent cardiovascular alterations are the cause of or result from hypertension is not known. Nonetheless, in established hypertension these alterations in both adenosine pressor and depressor systems seem to function as a safeguard against the further exacerbation of hypertension.


*    Selected Abbreviations and Acronyms
 
ACSF = artificial cerebrospinal fluid
BP = blood pressure
HR = heart rate
NTS = nucleus tractus solitarius
SHR = spontaneously hypertensive rat(s)
WKY = Wistar-Kyoto rat(s)


*    Acknowledgments
 
This work was supported by Public Health Service grant AA07839 from the National Institute on Alcohol Abuse and Alcoholism.


*    Footnotes
 
Reprint requests to Abdel A. Abdel-Rahman, PhD, Department of Pharmacology, East Carolina University, School of Medicine, Greenville, NC 27858.

Received September 20, 1995; first decision October 31, 1995; accepted December 11, 1995.


*    References
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up arrowAbstract
up arrowIntroduction
up arrowMethods
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*References
 
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