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.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 PLoS+One
2017 ; 12
(11
): e0187956
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The pedunculopontine tegmentum controls renal sympathetic nerve activity and
cardiorespiratory activities in nembutal-anesthetized rats
#MMPMID29121095
Fink AM
; Dean C
; Piano MR
; Carley DW
PLoS One
2017[]; 12
(11
): e0187956
PMID29121095
show ga
Elevated renal sympathetic nerve activity (RSNA) accompanies a variety of complex
disorders, including obstructive sleep apnea, heart failure, and chronic kidney
disease. Understanding pathophysiologic renal mechanisms is important for
determining why hypertension is both a common sequelae and a predisposing factor
of these disorders. The role of the brainstem in regulating RSNA remains
incompletely understood. The pedunculopontine tegmentum (PPT) is known for
regulating behaviors including alertness, locomotion, and rapid eye movement
sleep. Activation of PPT neurons in anesthetized rats was previously found to
increase splanchnic sympathetic nerve activity and blood pressure, in addition to
altering breathing. The present study is the first investigation of the PPT and
its potential role in regulating RSNA. Microinjections of DL-homocysteic acid
(DLH) were used to probe the PPT in 100-?m increments in Nembutal-anesthetized
rats to identify effective sites, defined as locations where changes in RSNA
could be evoked. A total of 239 DLH microinjections were made in 18 rats, which
identified 20 effective sites (each confirmed by the ability to evoke a
repeatable sympathoexcitatory response). Peak increases in RSNA occurred within
10-20 seconds of PPT activation, with RSNA increasing by 104.5 ± 68.4% (mean ±
standard deviation) from baseline. Mean arterial pressure remained significantly
elevated for 30 seconds, increasing from 101.6 ± 18.6 mmHg to 135.9 ± 36.4 mmHg.
DLH microinjections also increased respiratory rate and minute ventilation. The
effective sites were found throughout the rostal-caudal extent of the PPT with
most located in the dorsal regions of the nucleus. The majority of PPT locations
tested with DLH microinjections did not alter RSNA (179 sites), suggesting that
the neurons that confer renal sympathoexcitatory functions comprise a small
component of the PPT. The study also underscores the importance of further
investigation to determine whether sympathoexcitatory PPT neurons contribute to
adverse renal and cardiovascular consequences of diseases such as obstructive
sleep apnea and heart failure.