(Hypertension. 2000;35:126.)
© 2000 American Heart Association, Inc.
Scientific Contributions |
From the Department of Pharmacology, Monash University, Clayton, Victoria, Australia.
Correspondence to Dr Andrew J. Lawrence, Department of Pharmacology, Monash University, Wellington Road, Clayton, Victoria 3168, Australia. E-mail andrew.lawrence{at}med.monash.edu.au
| Abstract |
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Key Words: stress hypertension tachycardia
| Introduction |
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Central control of the cardiovascular system is achieved via a complex network of interconnected nuclei. Although the basic control is primarily mediated at the level of the medulla oblongata, significant supramedullary modulation also occurs.4 For example, the locus ceruleus makes up a large portion of the central noradrenergic system, which is thought to play an important role in the initiation of the stress response3 and can regulate sympathetic outflow.5
The involvement of stress in the pathophysiology of hypertension has always been suspected, although there is a lack of clear evidence documenting a direct link between stress and hypertension. Nevertheless, the hypertensive state seems to result in differential responses compared with normotensive counterparts; spontaneously hypertensive rats (SHR) show a greater increase in heart rate (HR) and blood pressure (BP) after air jet stress than do Wistar-Kyoto (WKY) rats.6 More recently, an experimental paradigm was described in which normotensive rats that had been implanted with radiotelemetric probes to monitor HR and body temperature were exposed to restraint stress.7 This type of study offers the advantage of removing additional stresses, such as the necessity to tether animals to obtain functional correlates of the stress response.
In the present study, we used the same experimental paradigm to investigate the cardiovascular effects of restraint stress in the SHR and WKY rats. The aims of the present study were to delineate any change in HR and BP in the SHR and WKY rats during acute and chronic restraint stress and to thereby determine whether the ability to cope differs between the strains.
| Methods |
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Experimental Design
Age-matched (15 to 16 weeks old) male WKY rats (n=15) and SHR
(n=15) were divided into 3 groups (n=5 per group): (1) control (no
stress), (2) acute stress (60 minutes), and (3) chronic stress (60
minutes daily for 10 days). Rats subjected to restraint were housed
singularly, whereas control rats maintained social contact. Previous
studies have demonstrated that isolation housing of adult rats per se
is not stressful; indeed, rats need to be isolated from weaning
to show signs of stress/anxiety.8 The stress imposed
involved confining rats inside aerated Perspex tubes (6 cm in diameter;
Plastic Labs) for 60 minutes between 9 AM and noon. This
procedure of restraint stress was performed once for the acute study
and for 10 consecutive days for the chronic study, as previously
described by Sweerts et al.9
In the group of rats undergoing chronic restraint stress, radiotelemetric probes (TA11-PAC40; Data Sciences International) were implanted into the abdominal aorta, with the animals under methohexitone sodium (60 mg/kg IP) anesthesia, 10 days before the stress regimen. Rats were housed separately, with the home cage placed on a receiver (RLA-1020; Data Sciences International), and each rat was observed and handled daily during the 10-day recovery period. On the next day, a 2-hour baseline measurement of HR, systolic BP (SBP), diastolic BP (DBP), and locomotor activity was recorded between 9 AM and noon with use of the telemetry system. For the next 10 consecutive days, rats experienced restraint for 60 minutes (at the same time for each rat between 9 AM and noon), during which cardiovascular measurements were taken for 10 seconds every minute (at 500 Hz) beginning 30 minutes before and ending 30 minutes after the restraint period. Mean arterial pressure (MAP) was calculated as [(SBP-DBP)/3]+DBP. Behavior was observed and noted throughout the 2-hour period.
Statistical Analysis
All data are represented as mean±SEM. Telemetry
data were collected every minute, and changes in HR and MAP (both
maximum and duration) were determined for each restraint period, with
the average of the initial 30-minute prerestraint period used as
baseline. The area under the curve (AUC) was calculated to provide an
indication of the duration of the response. AUC data were compared with
the use of 1-way ANOVA with repeated measures for analysis
between the restraint stress days in each strain and 2-way ANOVA with
repeated measures for analysis between the strains. Post hoc
testing with a Dunnett or Newman-Keuls test was performed as
appropriate. Changes in maximum responses were analyzed in a
similar fashion. In all cases, P<0.05 was considered
significant.
| Results |
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On day 1 (acute stress), in both strains of rat, there were immediate increases in HR and MAP on the commencement of restraint stress (Figure 1). There were no significant differences between the strains with respect to maximal tachycardic and pressor responses on day 1 (Figure 2). In the WKY rats, at the end of the restraint period, HR and MAP values returned toward resting values but remained above baseline until the end of the first restraint session. However, in the SHR, HR was labile during acute stress, and MAP plateaued and remained near maximum during the entire restraint period (Figure 1). Thus, the duration of HR and MAP changes was significantly increased in the SHR compared with in the WKY rats (Figure 3).
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On repeated periods of restraint, there were no changes during days 1 to 10 in maximum tachycardia or pressor effects within strains, although the increase in MAP in the SHR was significantly greater than that of the WKY rats when analyzed during the 10-day period (Figure 2). In the WKY rats, with multiple experiences of restraint stress, there was no significant change in the duration (as indicated by the AUC) of stress-induced tachycardic or pressor responses (Figure 3). In the SHR group, the duration of stress-induced pressor response did not vary with repeated stress but was significantly greater than that seen in the WKY rats. Interestingly, there was a significant decrease in the duration of tachycardia as stress sessions progressed in the SHR (Figure 1), such that the duration of tachycardia in the SHR gradually decreased to levels similar to those of the WKY rats by day 7 (Figure 3). Hence, there was a significant difference between duration (AUC) for HR between the strains that was most evident in the earlier days of the regimen (days 1 to 6).
Behavioral Effects
The behavior exhibited by rats during restraint stress included
piloerection, pricked ears, tail stiffening, urination, defecation,
increased respiration, and vocalization. On release from restraint,
there was substantial activity (general exploration, rearing, grooming)
during the next 30 minutes. However, the amount of activity (movement
across a horizontal plane) from day 1 to 10 was not significantly
different within or between strains (data not shown).
| Discussion |
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The current data indicate that the WKY rats apparently coped more effectively with restraint stress than did the SHR. This interpretation is based on the findings that the duration of tachycardia did not change significantly as stress proceeded from acute to chronic in the WKY rats, whereas the duration of tachycardia was significantly longer in the SHR in the earlier stages of the stress regimen but gradually decreased to the levels of the WKY rats during 7 days. Similarly, the time courses of pressor responses exhibited by the WKY rats and SHR were markedly different during restraint stress, with MAP tending toward baseline during the restraint period only in the WKY rats. However, unlike HR alterations, the duration of restraint-induced hypertension within each strain did not vary from day 1 to 10. Interestingly, Chen and Herbert,7 using a similar form of restraint as that used in the present study, also reported that the duration of tachycardia decreased during chronic stress, but they used a different normotensive rat strain (Lister Hooded rats). However, the maximum changes in HR were markedly less than those in the present study, and no BP data were presented in that previous study.
Collectively, these observations demonstrate plasticity in HR during restraint stress and that hypertension per se may impair the ability to cope with progressive stress sessions, as demonstrated by the slow adaptation of stress-induced tachycardia in the SHR. However, there was no modulation of stress-induced pressor activity, which may reflect the fact that a number of factors are likely to regulate BP (eg, sympathetic activation, cardiac output, total peripheral resistance, structural remodeling) as opposed to the predominant neural influences that determine HR.
As noted earlier, HR is primarily under neural control, and as such, the present findings are clearly suggestive of a process of neuronal adaptation within brain nuclei that is associated with cardiovascular regulation. It would therefore be of interest to perform molecular/biochemical studies within rat brains after such stress paradigms in an attempt to determine neurochemical correlates for the observed physiological responses. Such a strategy clearly may be indicative of potential therapeutic targets for specific cardiovascular disorders characterized by dramatic changes in HR (eg, panic disorder, acute anxiety, sympathetic activation associated with depression).
In conclusion, it was found that the WKY rats are able to cope with restraint stress to the extent that HR and MAP almost normalize within the first encounter, whereas the SHR require multiple experiences before stress-induced tachycardia adapts to the levels of the WKY rats. Moreover, the mechanisms regulating such responses are likely to be highly specific. Therefore, although the observed cardiovascular changes occurring subsequent to restraint stress indicate the possibility of impaired coping mechanisms in the hypertensive state, it remains to be determined which neural circuits and transmitter systems are implicated in this process. Such information will clearly be of value in drug discovery programs.
| Acknowledgments |
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Received April 5, 1999; first decision April 26, 1999; accepted August 30, 1999.
| References |
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