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1-adrenergic receptor
supersensitivity contribute to autonomic dysreflexia?
Department of Physiology, University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma 73190
Quadriplegics often experience periods of
severe hypertension known as autonomic dysreflexia. Clinically, these
events have been well documented, but the mechanisms for mediating
autonomic dysreflexia remain unclear. We used a chronic rat model to
investigate the potential development of supersensitivity at
postsynaptic
1-adrenergic
receptors as a contributing factor to the exaggerated sympathetic
response characteristic of autonomic dysreflexia. Adult male Wistar and
Sprague-Dawley rats were anesthetized and given spinal transection at
T5. After 30 days, rats were
reanesthetized and arterial and venous catheters implanted. Twenty-four
hours later, colorectal distension (CRD) was used to evoke autonomic dysreflexia in conscious, spinalized rats. To gauge changes in
1-receptor sensitivity, we
assessed mean arterial pressure (MAP) in response to intravenous
phenylephrine (PE) infusions. No consistent differences were observed
between intact and spinalized rats. Therefore, supersensitivity of
1-receptors cannot completely account for the hypertensive bouts associated with autonomic
dysreflexia. In addition, while attempting to develop an appropriate
model for autonomic dysreflexia, we discovered that spinalized Wistar rats exhibited MAP responses characteristic of autonomic dysreflexia, whereas lesioned Sprague-Dawley rats did not, when subjected to CRD.
Thus Wistar rats provide a better animal model for autonomic dysreflexia.
hypertension; spinal cord injury; phenylephrine
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