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Moss Heart Center and Department of Internal Medicine, University of Texas Southwestern Medical Center, Dallas, Texas 75235-9034
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ABSTRACT |
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A previous study has shown increased Fos-like immunoreactivity (FLI), a marker of neural activation, in the nucleus of the solitary tract (NTS) and the ventrolateral medulla (VLM) after static muscle contraction elicited by electrical stimulation of L7 and S1 ventral roots of the spinal cord in anesthetized, baroreceptor-intact cats. Because the electrically induced static muscle contraction reflexly increased arterial blood pressure, the concomitant activation of the arterial baroreceptor reflex during static muscle contraction may have resulted in some of the FLI labeling that was observed in the medulla. The purpose of this study was to determine regions in the medulla that are activated by muscle contraction in the absence of arterial baroreceptor input. Electrical stimulation of L7 and S1 ventral roots of the spinal cord was used to elicit static muscle contraction, and FLI in the medulla was determined in barointact and barodenervated cats. In barointact contraction cats, FLI was observed in the lateral reticular nucleus (LRN), NTS, lateral tegmental field (FTL), subretrofacial nucleus (SRF), and A1 region of the medulla. In barodenervated contraction cats, FLI increased in the same regions; however, the number of FLI-labeled cells in the NTS, FTL, and A1 region was significantly less than in barointact contraction animals. No significant difference in the number of FLI-labeled cells was found in the LRN and SRF between the two groups. These results clearly demonstrate that cardiovascular regions in the medulla are activated by input from afferent activity originating in skeletal muscle independently of concomitant arterial baroreceptor reflex activation.
exercise pressor reflex; heart rate; nucleus of the solitary tract; ventrolateral medulla
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INTRODUCTION |
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STATIC MUSCLE CONTRACTION induced by stimulation of ventral roots increases c-Fos expression in the nucleus of the solitary tract (NTS) and in the ventrolateral medulla (VLM) (22). Also, Fos-labeled cells in the NTS and the VLM have been induced by electrical stimulation of the carotid sinus nerve and by elevation of arterial pressure (9, 32). Because induced static muscle contraction reflexly increases arterial blood pressure (24, 25, 27, 28), it is possible that the observed c-Fos expression was due to activation of the arterial baroreceptor reflex.
Neuroanatomic tracing studies using injections of horseradish peroxidase into the triceps surae of the cat have demonstrated that muscle afferents terminate in several laminae of the spinal cord as well as ascending to terminate in the NTS (17). In addition, it has been shown that excitatory neuronal responses were recorded from neurons in the NTS by electrical stimulation of the tibial nerve in the hindlimb of rats (37), and in the VLM by contraction of skeletal muscle (3, 4) and by electrical stimulation of the tibial nerve (34). These results indicate that afferent fibers from muscle terminate in the NTS and VLM (3, 4, 34, 37). Because induced static muscle contraction activates group III and group IV muscle afferents (18, 25), it is possible that c-Fos expression in the medulla resulted from direct activation by skeletal muscle afferent fibers.
In the present study, we examined Fos-like immunoreactivity (FLI) in the medulla induced by electrical stimulation of L7 and S1 ventral roots of the spinal cord, which elicited alternate static contraction of both hindlimb mucles in anesthetized cats. To determine whether specific regions of the medulla were activated by skeletal muscle receptors, a comparison was made between the number of FLI-labeled cells evoked by muscle contraction in barointact animals and the number of FLI-labeled cells evoked by muscle contraction in barodenervated animals. Thus the present study determined whether regions of the VLM and NTS were activated by muscle contraction in the absence of baroreceptor input. A preliminary report of these findings has been published (23).
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METHODS |
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General surgical preparation.
The experiments were performed on 12 anesthetized cats weighing
3.2-5.3 kg. The animals were anesthetized by inhalation of a
halothane-nitrous oxide-oxygen mixture. An endotracheal tube was
inserted into the trachea via a tracheotomy to maintain an open airway,
and a jugular vein and carotid artery were catheterized for drug
administration and measurement of arterial blood pressure, respectively. Anesthesia was then maintained with
-chloralose (80 mg/kg) injected intravenously. Throughout the experiment, supplemental
-chloralose (15 mg/kg iv) was given if the cats exhibited a corneal
reflex or if they withdrew a limb in response to a noxious stimulus.
Arterial blood gases and pH were periodically determined (Radiometer,
ABL-3, Copenhagen, Denmark) and were maintained within normal limits
(pH 7.30-7.40; PCO2 32-36
mmHg; PO2 > 80 mmHg) by adjusting
the ventilator (model 661, Harvard Apparatus, South Natick, MA) or
injecting a 1 M solution of sodium bicarbonate intravenously. Body
temperature was continuously monitored with a rectal probe and was
maintained between 37.0 and 38.5°C with a water-perfused heating
pad and an external heat lamp.
Experimental protocol.
The cats were allowed to stabilize for 4 h after surgery. Arterial
pressure (AP), HR, and muscle tension were measured during alternating
static contractions of the left and the right triceps surae muscles.
Contractions were induced by electrical stimulation of the
L7 and
S1 ventral roots for 2 min at
three times motor threshold, 30 Hz, and with 17-ms delay between
L7 and
S1 activation. Stimulus was
alternately administered to contralateral roots such that while one leg
was in a contracted state the other leg was resting. These 2-min
alternating contractions were performed for a total of 60 min. The
motor threshold was readjusted over the 60-min period of muscle
contraction to ensure that a significant increase in muscle tension
occurred with the ventral root stimulation. Three groups of animals
were studied: 1) barointact cats
that received electrical stimulation of the
L7 and
S1 ventral roots (barointact
contraction group, n = 5);
2) barodenervated cats that received
electrical stimulation of the ventral roots (barodenervated contraction
group, n = 4); and
3) barodenervated cats without electrical stimulation of the ventral roots (barodenervated control group, n = 3). In the barodenervated
cats, the denervation was accomplished by bilateral transection of the
vagus and the carotid sinus nerves. Denervation was evaluated by
measuring the increase in MAP while common carotid arteries were
briefly clamped (23 ± 4 mmHg before and 3 ± 1 mmHg after
denervation). Ninety minutes after the end of
L7 and
S1 ventral root stimulation, the
cats were perfused transcardially with 1 liter of saline followed by 1.5 liter of 4% paraformaldehyde in phosphate-buffered saline (PBS, pH = 7.4). Expression of c-fos gene is
induced within 30 min after neural activation, and the protein product
reaches maximal expression 60-90 min after the perturbation and
remains elevated for 2-5 h (29, 35). Additionally, robust c-Fos
expression in the medulla has been found at 90 min after the end of
static muscle contraction induced by the electrical stimulation of the ventral roots (22). Therefore, 90 min was the time used to perfuse the
brain in the present experiments. After perfusion, the brain was
removed and stored at 4°C in the same fixative solution for 2 h.
Finally, it was transferred to a 30% sucrose solution overnight to
prevent ice crystal formation. Coronal sections (25 µm) were cut on a
cryostat (model 2800 Frigocut-E, Cambridge Instruments) and placed
serially into four wells containing cryoprotectant, then kept in a
20°C freezer.
Immunocytochemistry. Tissue was removed from the cryoprotectant, then rinsed in PBS for 30 min. The sections were washed in PBS for 15 min followed by 0.5% hydrogen peroxide for 10 min to stop endogenous peroxidase activity. Sections were placed in PBS containing 1% normal goat serum and 0.1% Triton X-100 (PNT) for 15 min. They were then incubated in a primary Fos antibody (Santa Cruz Biotechnology, catalog no. sc-52; 1:10,000 dilution) for 48 h at 4°C. At the end of this incubation period, sections were rinsed in PBS and then in PNT for 15 min. The sections were incubated in biotinylated goat anti-rabbit immunoglobulin G (Vector Kit, 1:200) for 30 min, washed in PBS for 30 min, and incubated with avidin-biotinylated horseradish peroxidase complex (ABC) solution (Vector Kit, 1:50) for 30 min. After a serial rinse in PBS and tris(hydroxymethyl)aminomethane buffer, the c-Fos reaction product was made visible by incubating sections with hydrogen peroxide and 3,3'-diaminobenzidine (DAB). The sections were then washed in distilled water, mounted in PBS, and air-dried overnight. Subsequently, sections were cleared in baths containing increasing concentrations of alcohol and xylene. Histological mounting medium (Permount) was used to affix a coverslip. Sections were examined under a light microscope. The c-Fos reaction product appeared as dark brown staining in the cell nucleus. This specific staining was abolished by omission of the primary antibody.
Cell counts and statistical analysis. Tissue sections were examined under standard light microscope. The nuclei of activated cells showed the characteristic dark brown staining of oxidized DAB as c-Fos labeling. Two to three sections that most closely matched the standard stereotaxic planes of Berman's atlas (6) were selected for each of the brain structures in each animal. The structures were subdivided rostrocaudally by using known anatomic cytoarchitectural landmarks. The total number of labeled cells was counted in each region for each animal. This number was then divided by the total number of sections counted to provide a mean cell count per slice for each region as described elsewhere (20, 30).
A one-way repeated-measures analysis of variance was used for statistical comparison of changes in MAP and HR (across time, and intact vs. barodenervation) and cell count labeling with c-Fos per slice (barointact contraction vs. barodenervated contraction, or barodenervated contraction vs. barodenervated control). A Student-Newman-Keuls post hoc analysis was used to determine differences between groups. P < 0.05 was considered significant. All values are expressed as means ± SE.| |
RESULTS |
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Blood pressure and HR responses to static muscle contraction. Table 1 shows changes in MAP, HR, and tension after electrical stimulation of the L7 and S1 ventral roots of the spinal cord to induce static muscle contraction in barointact and barodenervated cats. The MAP and HR responses to induced muscle contraction were significantly increased above baseline over the first 40 min of muscle contraction in barointact and barodenervated cats. No significant difference in increases of MAP and HR was observed over 60 min of muscle contraction between the two groups.
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Distribution of FLI in the NTS.
FLI was observed in the NTS rostrocaudally from
1.2 to +0.6 mm
to the obex (slices caudal and rostral to the obex were designated as
negative and positive, respectively). FLI was found at these rostrocaudal areas of the NTS after stimulation of the
L7 and S1 ventral roots in barointact
animals. In barodenervated contraction cats, FLI also was seen at those
same areas of the NTS. The photomicrographs of sections for FLI
staining in the NTS at
0.6 mm to the obex are shown in Fig.
1. Figure
1A illustrates that only a few
Fos-positive neurons were scattered throughout the NTS in a
barodenervated control cat. Figure 1B
was taken from a barointact contraction cat. Fewer FLI-labeled cells
are seen in Fig. 1C, which was taken from a barodenervated contraction animal.
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1.2,
0.6, and
+0.6 mm to the obex) was significantly less in barodenervated
contraction animals compared with barointact contraction animals;
however, it was significantly higher than the number in barodenervated control animals without electrical stimulation of the ventral roots
(Fig. 3). The number of FLI-labeled cells in the NTS at
1.2,
0.6, and +0.6 mm to the obex in barodenervated
contraction animals was 43, 33, and 62% of the number of FLI-labeled
cells in the same areas of the NTS in barointact contraction animals, respectively.
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Distribution of FLI in the VLM.
FLI was observed in the VLM rostrocaudally from
0.6 to +4.1 mm
to the obex. Distinct FLI was seen in the VLM after ventral root
stimulation in barointact contraction cats. In a barodenervated control
group, a few Fos-positive neurons were scattered throughout the VLM
(Fig. 4A). Figure 4,
B and
C, shows low-power photomicrographs of
FLI staining in the subretrofacial nucleus (SRF) of the rostral VLM
obtained from barointact contraction and barodenervated contraction animals, respectively. Figure 4D shows
the same region illustrated in Fig. 4C
at a greater magnification.
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0.6 and +0.6 mm to the obex in
barodenervated contraction cats than in barointact contraction cats;
however, it was significantly more than in barodenervated control
animals (Fig. 6). Figure 6 also shows that no significant difference in
the number of FLI-labeled cells in the lateral reticular nucleus (LRN)
at
0.6 and +0.6 mm to the obex, and in the SRF at +3.3 and +4.1
mm to the obex, was found between barointact contraction and
barodenervated contraction groups; however, a significant difference
for the number of FLI-labeled cells was observed in the LRN at
0.6 and +0.6 mm to the obex and in the SRF at +3.3 and +4.1 mm
to the obex between barodenervation contraction and barodenervated
control cats (Fig. 6).
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DISCUSSION |
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Previous studies have shown that the medulla is a crucial area for the expression of the cardiovascular response to static muscle contraction (3, 4, 13-15). Recently, the determination of c-Fos activity has been used for identifying activated neurons during static muscle contraction in anesthetized cats and in conscious rats during treadmill exercise (16, 21, 22). FLI was found in the NTS and the LRN, FTL, SRF, and A1 region of the VLM after static muscle contraction induced by electrical stimulation of the L7 and S1 ventral roots of the spinal cord (22). The present study confirms the findings of FLI in the NTS and the LRN, FTL, SRF, and A1 region of the VLM being induced by static muscle contraction. In addition, studies performed in barodenervated cats suggest that the NTS and the LRN, FTL, SRF, and A1 region of the VLM are directly activated by input originating from static contraction-induced activation of skeletal muscle afferents.
The NTS is the site of primary synapse for afferent fibers projecting
from arterial baroreceptors to the brain stem (19). It has been
previously reported that FLI was induced in neurons within the NTS
after electrical stimulation of the carotid sinus nerve in rats (9),
and the number of FLI-labeled neurons induced by hypertension with the
infusion of phenylephrine was reduced within the NTS in rabbits after
sinoaortic denervation (32). In the present study, the number of
FLI-labeled cells in the NTS was reduced in barodenervated contraction
cats compared with barointact animals after electrical stimulation of
the L7 and
S1 ventral roots. This result
suggests that the elevated arterial pressure elicited by electrically
induced static muscle contraction in barointact contraction cats
increased the afferent input to the NTS from the baroreceptors in the
aortic arch and carotid sinuses. In a previous study (22), it was
reported that the number of c-Fos-labeled cells in the NTS (
0.6
mm to the obex) induced by static muscle contraction significantly
increases compared with barointact control animals (barointact cats
without electrical stimulation of ventral roots). In this study, the
number of c-Fos-labeled cells in the NTS at
0.6 mm to the obex
in barodenervated control cats (barodenervated cats without electrical
stimulation of ventral roots) is 9 ± 1, which is significantly
fewer than the number in barointact control cats (36 ± 5). This
result also indicates that neural input from baroreceptor afferents
activated neurons in the
NTS.
In addition, the NTS has been considered a terminating site for afferent fibers from skeletal muscle. A previous study using the horseradish peroxidase (HRP) tracing technique has demonstrated that afferent fibers from skeletal muscle have direct monosynaptic connections to the NTS, as well as forming second-order afferents in laminae I to laminae V that ascend to the NTS (17). These central projecting fibers from skeletal muscle may contribute to the cardiovascular adjustments during muscular exercise (17). Recently, an electrophysiological study has shown that electrical stimulation of the tibial nerve in the hindlimb resulted in excitatory neuronal responses in the NTS (37). In combination with our present finding that FLI in the NTS persisted after static contraction of skeletal muscle in the absence of arterial baroreceptor input, it appears that the neurons in the NTS may be activated by input from afferent fibers from skeletal muscle independently of concomitant activation of baroreceptor afferents.
Because baroreflex activity is altered by the elevation of arterial
pressure that occurs during static contraction of skeletal muscle (26),
cells in the NTS may be activated by inputs from arterial baroreceptors
and by inputs from muscle afferents. Because the primary synapses of
afferents projecting from arterial baroreceptors and from contracting
skeletal muscle are located within the NTS (17, 19), this site may be
one of the areas in the central nervous system that integrates
cardiovascular responses during muscle contraction. From the present
results, a large number of FLI-labeled cells (62%) still appeared in
the rostral NTS (+0.6 mm to the obex) in barodenervated contraction
cats; however, only 33% FLI-labeled cells occurred in the caudal NTS
(
0.6 mm to the obex) in barodenervated contraction cats after
static muscle contraction. This finding indicates that the projections
of inputs from muscle afferent fibers and of inputs from baroreceptors
may have different distributions in the NTS. That is, relatively more
inputs from muscle afferent activity may project to the rostral NTS,
and the caudal NTS may receive more inputs from baroreceptor activity. It has been reported that the dense Fos labeling induced by an increase
in blood pressure (intravenous infusion of phenylephrine) occurred
principally in the caudal NTS (30). This finding is consistent with
neuroanatomic studies showing that aortic, carotid, and vagal
baroreceptor fibers terminate densely in the caudal NTS (5, 31).
However, the possible mechanisms of this interaction for integrating
cardiovascular responses during muscular exercise in the NTS is not
known.
Electrolytic lesions, radioactive glucose labeling, and single-unit recording have shown that the LRN is involved in the expression of the pressor response to static muscle contraction (13-15). In the present study, the number of FLI-labeled cells in the LRN after electrical stimulation of the L7 and S1 ventral roots was similar between barointact and barodenervated cats. This finding indicates that the neurons in the LRN were likely activated by independent afferent input from contracting skeletal muscle.
It has been shown that electrical stimulation of the FTL increases sympathetic nerve discharge, and activity of neural cells in the FTL has been shown to be temporally correlated with sympathetic nerve discharge (10). Neurons in this region project to the intermediolateral columns of the spinal cord via connection with the neurons in the VLM (2, 10). Distinct FLI was expressed in this region after electrically induced muscle contraction, which indicated that this region may be involved in regulating the cardiovascular responses to static exercise. Furthermore, a fewer number of FLI-labeled cells was found in the FTL of barodenervated contraction cats than in barointact contraction cats. These results demonstrate that the activated neural cells in the FTL during static muscle contraction resulted partly from the input of baroreceptor activity because arterial blood pressure was elevated during static muscle contraction. An electrophysiological study has shown excitatory neural responses in the FTL during activation of the baroreceptor reflex (10).
Previous study has shown that the caudal VLM receives direct projections from regions of the NTS (1). Furthermore, functional evidence provides that the projection from the NTS to the caudal VLM is excitatory (11, 12, 38). In the present study, distinct FLI-labeled cells were found after static muscle contraction in the A1 region, which is a part of the caudal VLM. This finding indicates that the A1 region is a part of the overall system that is associated with the cardiovascular response induced during static muscle contraction. After barodenervation, static muscle contraction induced a fewer number of FLI-labeled cells in the A1 region. This clearly demonstrates that stimulation of baroreceptor afferents during static muscle contraction activated neural cells in the caudal VLM by the projection from the NTS (11, 12, 38). However, some neural cells in the A1 region were still activated during static muscle contraction in barodenervated cats. This finding suggests that afferent input from the contracting skeletal muscle activates the A1 region independently of input from arterial baroreceptors. However, it is not known whether these activated neurons in the A1 region in barodenervated cats originated from the NTS excitatory projection.
The SRF of the cat is known to play a crucial role in driving sympathetic vasomotor activity (8). Their neurons send direct neural projections to the intermediolateral columns (IML) of the spinal cord, where they form synaptic connections with spinal preganglionic nuclei to increase sympathetic activity (8). Previous studies have shown that neuronal cells in this region respond to static muscle contraction (3, 4). The majority of the neurons studied in this region have discharge activity correlated with sympathetic nerve activity and responded to static muscle contraction (4). Furthermore, some of these neurons were identified by antidromic activation techniques to send their axonal projections to the IML of the thoracic spinal cord (4). These results indicate that the SRF is involved in regulation of the pressor response to muscle contraction. In our previous study, distinct FLI-labeled cells in the SRF were induced by static contraction of skeletal muscle (22). Consistent with this previous study (22), FLI was also found in the SRF after static muscle contraction in the present study. The caudal VLM may receive direct projections from the baroreceptor afferent termination in the NTS and send projections to the rostral VLM (33). The evidence indicates that the projections from the NTS to the caudal VLM are excitatory (11, 12, 38), whereas the projections from the caudal VLM to the rostral VLM are inhibitory (7, 36, 38). In the present study, the number of FLI-labeled cells in the A1 region was significantly less in barodenervated contraction than in barointact contraction animals, which indicates that the inhibitory activity from the caudal VLM to the rostral VLM was decreased. It was thought that a large number of FLI-labeled cells would be found in the SRF in barodenervated contraction animals; however, no difference was found in the number of FLI-labeled cells in this region between barointact contraction and barodenervated contraction cats. It is possible that the decreased inhibitory activity from the caudal VLM to the rostral VLM may not cause an increase in the number of activated neural cells.
In summary, significant FLI was found in the NTS and in the regions of the VLM in barointact and barodenervated cats after static muscle contraction elicited by electrical stimulation of the L7 and S1 ventral roots of the spinal cord. These FLI-positive regions are known to be involved in cardiovascular regulation. However, fewer FLI-stained cells were found in the NTS, FTL, and A1 region in barodenervated contraction cats compared with barointact contraction animals. In the LRN and the rostral VLM (SRF) there were no differences in the number of FLI-labeled cells between these two groups. Because FLI still occurred in some areas of the NTS and the VLM after static contraction of the hindlimb muscles in the absence of baroreceptor afferent input, these cardiovascular control regions can be activated by input from afferent activity originating in skeletal muscle independently of concomitant activation of arterial baroreceptors.
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ACKNOWLEDGEMENTS |
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We express gratitude to James Jones, Julius Lamar, Jr., and Brian Treuhaft for technical assistance. We also thank Dr. James Richardson for expert advice, Dr. Dwight German for assistance in computer mapping of c-Fos in the medulla, and John Shelton for assistance in photography.
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FOOTNOTES |
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This study was supported by National Heart, Lung, and Blood Institute Project HL-06296 and the Lawson and Rogers Lacy Research Fund in Cardiovascular Diseases.
Address for reprint requests: J. H. Mitchell, Dept. of Internal Medicine, UT-Southwestern Medical Center, 5323 Harry Hines Blvd., Dallas, TX 75235-9034.
Received 22 July 1997; accepted in final form 19 November 1997.
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