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1 Department of Internal
Medicine and Institut National de la Santé et de la Recherche
Médicale Unit 337,
The aim of the
present work was to obtain insights into the pathophysiology of
cardiovascular deconditioning (CVD) induced by tail suspension (TS) in
the rat: during TS, when central venous pressure (CVP) has been
normalized (E. Martel, P. Champéroux, P. Lacolley, S. Richard, M. Safar, and J. L. Cuche. J. Appl.
Physiol. 80: 1390-1396, 1996), and during
simulated orthostatism (SO), when transient episodes of hypotension and
bradycardia are disclosed, bradycardia with SO represents a response
that seems peculiar to the rat compared with humans. According to basic
physiology, a reduced activity of the sympathetic system induced by
increased CVP was suspected but was not supported by data obtained
through spectral analysis of blood pressure (BP) and heart rate (HR)
variability or measurements of plasma catecholamine concentration
during TS. Nonetheless, indirect evidence was obtained. During SO,
plasma catecholamine concentration was lower in TS rats than in
controls, suggesting a reduced synthesis of catecholamines, itself
secondary to reduced activity of the sympathetic system. Furthermore,
after 48 h of TS, the number of binding sites and affinity of
-receptors in rat aorta were increased, compatible with a reduced
level of neurotransmitter in the synaptic cleft. A second series of
experiments was carried out to study hypotension and bradycardia in TS
rats during SO. Hypersensitivity of serotonergic mechanisms was
suspected. Two 5-HT3 receptor
antagonists (ondansetron and MDL-72222) blocked hypotension and
restored tachycardia, basic features of orthostatic adaptation of the
circulatory system. Response to the
5-HT3 receptor agonist was
measured through dose-response curves of BP and HR after injection of
2-methylserotonin. After low doses, hypotension (10 µg/kg) and
bradycardia (3 and 10 µg/kg) were significantly greater in 48-h TS
rats than in controls. Thus CVD in the rat induced by TS appears to
implicate at least two mechanisms: reduced activity of the sympathetic
system and hypersensitivity of serotonergic mechanisms.
spectral analysis; plasma catecholamines;
-adrenergic receptors; 2-methylserotonin; ondansetron; MDL-7222
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