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1Graduate School of Engineering Science and 2School of Health and Sport Sciences, Osaka University, Toyonaka, Osaka; and 3Institute of Health Science, Kyushu University, Kasuga, Fukuoka, Japan
Submitted 14 June 2005 ; accepted in final form 31 August 2005
| ABSTRACT |
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central command; mesencephalic locomotor region; sympathetic nervous system; renal blood flow; muscle blood flow
During static exercise in cats (7) and dynamic exercise in rats (34), baboons (18), and humans (21), the distribution of the cardiac output includes a decrease in blood flow to internal organs such as the kidney and an increase in blood flow to skeletal muscles. These responses are essential to maintain adequate blood pressure and to match an increased metabolic demand in the muscles. It is well known that sympathetic outflow elicits renal vasoconstriction and consequently decreases renal blood flow during exercise (33) and central command (22). On the other hand, although sympathetic outflow constricts skeletal muscle vessels (2, 3, 12, 34), muscle vasodilation and an increase in muscle blood flow abruptly occur at the onset of exercise (3) and are maintained during exercise (2, 3). Muscle contraction triggers the release of local vasodilator substances from muscle cells (8, 11, 41), red blood cells (9), and endothelial cells (11, 38). The vasodilation caused by the nonneural mechanisms counters the sympathetic vasoconstriction in the muscles [termed "functional sympatholysis" by Remensnyder et al. (36)]. Therefore, the local vasodilator mechanisms independent of a neural pathway are important contributors to blood flow distribution during exercise.
In addition to the nonneural vasodilator mechanisms, the neural mechanism can also be important in contributing to the blood flow distribution during exercise. It is hypothesized that if the sympathetic outflow to contracting muscles is less than that to internal organs during exercise the magnitude of sympathetic vasoconstriction would be less in the muscles than in the internal organs. Dean and Coote (5) reported that stimulation of the hypothalamus or the midbrain defense area shows different discharge patterns between renal and lumbar (which regulates hindlimb circulation) sympathetic nerve activities (RSNA and LSNA, respectively). However, they investigated neither the difference in sympathetic responses between RSNA and LSNA nor the magnitude of sympathetic vasoconstriction in the kidney and the skeletal muscles. Thus it was uncertain whether the hypothetical neural mechanism plays a role in blood flow distribution.
The present study was designed to test the presence of this hypothetical mechanism. We compared sympathetic and circulatory responses between kidney and hindlimb skeletal muscles during fictive locomotion (central command stimulation) in rats. Fictive locomotion was evoked by electrical stimulation of the mesencephalic locomotor region (MLR) of the precollicular decerebrate and paralyzed rat (1, 47). This preparation allowed us to rule out the effect of the vasodilator mechanisms exerted by muscle contraction and enabled us to focus on the neural role played by central command in regulating the cardiovascular system. We hypothesized that less sympathetic activation induces less vasoconstriction in the skeletal muscles than in the kidney during fictive locomotion.
Moreover, it was necessary to examine the sympathetic role to determine skeletal muscle vasomotor tone during stimulation of the MLR. Although various studies suggested that there is sympathetic vasoconstriction in skeletal muscles during exercise (2, 3, 12, 34), other studies reported that there are vasodilator neural components in the skeletal muscle sympathetic fibers (4, 10, 2426) that can contribute to muscle vasodilation. Therefore, to determine whether sympathetic outflow induces muscle vasoconstriction during fictive locomotion, the effect of lumbar sympathectomy (LS), which removed the hindlimb sympathetic outflow, on hindlimb muscle circulatory responses to stimulation of the MLR was also examined in a subset of rats.
| MATERIALS AND METHODS |
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Recording sympathetic nerve activities and blood flow.
In the control group of rats (n = 8), RSNA, LSNA, renal cortical blood flow (RCBF), and triceps surae muscle blood flow (TSMBF) on the left side were recorded. RSNA and LSNA were recorded by a method described in previous studies (28, 29, 50). To record RSNA, the left kidney was exposed retroperitoneally through a left flank incision. A bundle of renal nerve fibers was carefully dissected from other connective tissues. A piece of laboratory film was placed under the isolated bundle, and two tips of a bipolar electrode to record RSNA were placed between the bundle and the film. These were embedded in a silicon gel. Once the gel was hardened, the silicon rubber was fixed to the surrounding tissue with a glue containing
-cyanoacrylate. To record LSNA, a midline abdominal incision was made, and the abdominal aorta and vena cava were pulled aside to expose the left lumbar sympathetic trunk. The lumbar sympathetic trunk at the L3L4 or L4L5 segment was carefully dissected from other connective tissues. LSNA at the L3L5 segment reflects the component regulating hindlimb muscle circulation (29). In a similar way to the RSNA recording, a piece of laboratory film was placed under the trunk at the L3L4 or L4L5 segment, the tips of a bipolar electrode were set between the film and the isolated trunk, and they were embedded in the silicon gel. RSNA and LSNA signals were amplified with a differential amplifier (MEG2100, Nihon Kohden) with a band-pass filter of 150 Hz in low-cut frequency and of 1 kHz in high-cut frequency and made audible.
The left RCBF was recorded by laser-Doppler flowmetry with a probe consisting of two glass fibers, one for insertion of the laser light and the other for detection of the reflection (FLO-C1, Omegawave). The probe was placed and stabilized vertically on the dorsal surface of the kidney. The RCBF was measured within a 1-mm radius from the tip of the probe. The left TSMBF was recorded by laser-Doppler flowmetry with a needle-type probe (ALF21, Advance). The probe was inserted in the left triceps surae muscles to a depth of
3 mm from the fascia and stabilized. The TSMBF was measured within a 1-mm radius from the tip of the probe.
Lumbar sympathectomy. In a subset of rats (n = 8), unilateral LS at the L3L5 segment was carried out. A midline abdominal incision was made, and the abdominal aorta and vena cava were pulled aside to expose the left lumbar sympathetic trunk. The trunk at the L3L5 segment was stripped and removed. In this group, AP, ECG, HR, and TSMBF were recorded.
Decerebration procedure. Decerebration at the precollicular level was carried out with a method described in a previous study (13). Dexamethasone (0.2 mg) was given intravenously to minimize brain edema. Immediately before the decerebration, the right carotid artery was occluded to reduce brain bleeding. The upper skull and dura mater were removed, and then cortical tissue was removed with aspiration. The brain was then sectioned vertically with a blade at the precollicular level. All neural tissue rostral to the section as well as the cortical tissues covering the cerebellum were aspirated. Small pieces of cotton gauze were set in the cranial vault to arrest bleeding, and then halothane anesthesia was withdrawn. The cranial vault was filled with mineral oil. To replace the blood lost during decerebration (approximately <1 ml), saline was given intravenously in an amount sufficient to maintain basal AP. A recovery period of 90 min was allowed before the experimental protocols to abolish the effects of anesthesia and to stabilize the preparation.
Experimental design. After the recovery period, the junction of the superior and inferior colliculus was searched to find the site of the MLR with electrical stimulation at 30- to 40-µA current intensity (60 Hz, 1-ms duration) with a glass-coded tungsten microelectrode connected to an electronic stimulator via an isolator (SS 202J, Nihon Kohden) [see method described by Bedford et al. (1)]. The electrode was designated as the cathode, and the anode was placed in exposed skin tissue in the head wound. The site of the MLR was at the border of the inferior and superior colliculus (1), 0.50.7 mm anterior, 1.82.0 mm lateral, and 4.04.5 mm deep from the surface junction of the colliculi. The determination of the site of the MLR was affirmed from the physiological criteria as follows: 1) threshold of locomotion with reciprocal limb movement <30 µA, 2) stimulus-bound locomotion, and 3) graded activity of locomotion and gait changes with increased stimulation current (1).
After determination of the site of the MLR, we paralyzed the rat with an intravenous infusion of vecuronium bromide (1 mg/kg). After 30 s of baseline data collection, we electrically stimulated the MLR for 30 s at 20-, 30-, and 40-µA current intensity. The order of the current intensities was random. A period (
5 min) between each recording was allowed. At the conclusion of the experiments, the rat was killed humanely with an overdose of anesthesia (pentobarbital sodium), and the background noise signal of RSNA and LSNA and the artifacts of RCBF and TSMBF were recorded.
Data acquisition and statistical analysis. All measured variables were displayed continuously on a computer monitor and stored on a hard disk through analog-digital conversion (Powerlab/8s, AD Instruments) at a 1-kHz sampling rate. Recorded RCBF and TSMBF artifacts, which were <5% of the basal RCBF and TSMBF, were subtracted. Mean AP (MAP), HR, RCBF, and TSMBF were calculated beat by beat and then averaged over every 5 s. Signals of the sympathetic nerve activities were transformed into absolute value, integrated over every 1 s, subtracted by the 1-s integrated background noise, and averaged over every 5 s. The absolute values of the sympathetic activities and blood flows varied among rats. To quantify the sympathetic and blood flow responses to stimulation of the MLR, baseline values were obtained by taking mean values for 30 s immediately before stimulation and evaluating the mean as 100%, and then relative changes from baseline during and after stimulation were evaluated. Renal cortical vascular conductance (RCVC) and triceps surae muscle vascular conductance (TSMVC) were obtained by dividing RCBF by MAP and by dividing TSMBF by MAP, respectively, and then the relative changes from baseline were quantified with a method similar to sympathetic and blood flow response quantification.
The data are expressed as means ± SE. Baseline data were obtained from the averaged values for 30 s immediately before stimulation of the MLR. The baseline data were compared with a paired t-test between trials in the same group and with an unpaired t-test between the control and LS groups. One-way ANOVA was used to assess differences in the cardiovascular responses to stimulation of the MLR from baseline. When significant F ratios were found with the ANOVA procedure, post hoc analysis was performed with Dunnett's procedure to detect the significant difference. Multivariate ANOVA were used to assess differences in sympathetic, blood flow, and vascular conductance responses between kidney and skeletal muscles. When significant F ratios were found with the ANOVA procedure, post hoc analysis was performed with Tukey's procedure to detect significant difference. Linear regression analysis was used to examine the effect of current intensity for stimulation of the MLR on the responses and the effect of sympathetic activities on vascular conductance responses. The level of statistical significance was set at P < 0.05.
| RESULTS |
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| DISCUSSION |
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The significant correlation between LSNA and TSMVC at the early stage (010 s) of stimulation of the MLR disappeared at the late stage (2030 s). This should be due to an additional effect of a local vasodilator mechanism, that is, the endothelial response to the increases in blood pressure and/or flow in the muscles. Mechanical stimuli on the muscle microvessels exerted by the increase in blood pressure and/or flow, not by muscular activity, produce nitric oxide from endothelial cells, which induces smooth muscle hyperpolarization and then muscle vasodilation (10, 23, 39). It was reported that the endothelial vasodilator response to the mechanical stimuli became greater with stimulation duration increase in rats (23, 39). These findings suggest that the duration-dependent vasodilator capacity of endothelial response to the increase in blood pressure and/or flow impaired sympathetic vasoconstriction in the muscles and consequently abolished the correlation between LSNA and TSMVC at the late stage.
The present study indicates that sympathetic outflow during fictive locomotion induces muscle vasoconstriction. Stimulation of the MLR increased LSNA and decreased TSMVC in the control rats; on the other hand, it did not change TSMVC in the LS rats. Likewise, many studies have provided evidence that sympathetic outflow constricts vessels in the skeletal muscles during exercise (2, 3, 12, 34). In contrast, other studies have reported that there are vasodilator neural components in skeletal muscle sympathetic fibers (4, 10, 2426). If the effect of vasodilator components had countered that of vasoconstrictor components during stimulation of the MLR, muscle vasodilation could have occurred through sympathetic outflow in the present study. It is unclear whether stimulation of the MLR activated muscle sympathetic vasodilator fibers. However, because the slopes of the regression lines between sympathetic nerve activity and vascular conductance responses were the same between kidney and skeletal muscles at the early stage (010 s) of stimulation of the MLR, the sensitivity of vasoconstrictor response to sympathetic outflow in the muscles was suggested to be equal to that in the kidney. The contribution made by muscle sympathetic vasodilator components during stimulation of the MLR might be negligible.
Central command evoked by stimulation of the MLR increased RSNA, as previously reported in cats (15) and rats (22). Moreover, the present study showed that stimulation of the MLR also increases LSNA, reflecting hindlimb muscle sympathetic nerve activity (29). A series of studies by Hill and colleagues (16, 17), on the other hand, showed that stimulation of the MLR of the decerebrate cat did not increase sympathetic nerve activity of triceps surae muscles (16) but increased hindlimb skin sympathetic nerve activity (17). Their studies imply that the increases in LSNA during stimulation of the MLR in our experiments were mainly due to sympathetic activation of hindlimb skin, but not muscles, because LSNA includes both hindlimb skin and muscle sympathetic nerve activities. However, there are several pieces of evidence that disaffirm this implication. First, LS abolished the decreases in TSMVC during stimulation of the MLR, and the decreases in TSMVC were significantly correlated with the increases in LSNA at the early stage of stimulation of the MLR in the present study. Second, the skin is not a predominant organ in the hindlimb compared with the muscles. Third, Miki et al. (29) reported that LS at the L3L5 segment dramatically reduced the norepinephrine concentration in the common soleus muscles in daily life in rats. Thus LSNA should be a valid index of sympathetic nerve activity of triceps surae muscles in the present study, although the components of hindlimb skin sympathetic nerve activity in the LSNA could not be ruled out.
The present observation of increases in LSNA during stimulation of the MLR was different from that of Hill et al. (16), who reported no increase in sympathetic nerve activity of triceps surae muscles during stimulation. This inconsistency might be due to a species difference between cats and rats. Moreover, the effect of different magnitudes of central command activation could be considered. Hill et al. (16) used the lowest current intensity to evoke movement when they stimulated the MLR. In the present study, on the other hand, most of the intensities (2040 µA) evoked locomotion because the threshold to evoke locomotion was <30 µA at a maximum. Thus activation of central command would be greater in the present study than in the study by Hill et al. (16). Human studies have investigated the effect of exercise intensity to increase muscle sympathetic nerve activity (37, 4345). Nonischemic mild and moderate exercises, such as leg cycling at 2040% maximal oxygen uptake (37) and rhythmic handgrip exercise at 1050% maximal voluntary contraction (MVC) (44), were reported not to increase muscle sympathetic nerve activity. Moreover, Victor et al. (43) reported that 30% MVC static handgrip exercise increased muscle sympathetic nerve activity whereas 50% MVC attempted static handgrip exercise in partially paralyzed subjects did not increase the nerve activity. Victor et al. (45) also reported that intermittent handgrip exercise at 75% MVC increased muscle sympathetic nerve activity more than five times from muscle relaxation level and intermittent handgrip exercise after partial neuromuscular blockade, in which subjects attempted to continue to perform the exercise at 75% MVC, also increased the nerve activity more than three times. On the basis of these observations, light to moderate activation of central command should have a minor role in increasing muscle sympathetic nerve activity whereas intense activation of central command should increase the nerve activity, as Victor et al. (45) suggested. Thus activation of central command in the present study would be above a threshold that could increase muscle sympathetic nerve activity, whereas the lesser activation of central command in the study by Hill et al. (16) would not. Nevertheless, the increases in LSNA during stimulation of the MLR, whose maximal value was <35% on average, were relatively low compared with data observed in human studies.
In rats, renal sympathetic preganglionic neurons are located from T6 to L1 and are concentrated at T11 and T12 (19). On the other hand, lumbar sympathetic preganglionic neurons that regulate hindlimb muscle circulation have been suggested to be located at the L3L5 segment (29). Thus it is reasonable to consider that sympathetic outflows to kidney and hindlimb skeletal muscles were differentially regulated at the preganglionic level. The involvement of the supraspinal neural circuits that provide excitatory and inhibitory input to preganglionic neurons in the differential sympathetic outflow can also be pointed out. Neural drive from the MLR stimulates the medulla, an important region that regulates the sympathetic nervous system (6, 20). Several sites in the medulla, for example, the rostral ventrolateral medulla, rostral ventromedial medulla, and raphe, have been identified as having direct neural projections to the intermediolateral cell column in the spinal cord and as regulating sympathetic outflow differentially to various organs (40). It was demonstrated that stimulating or inhibiting one of these sites results in differential sympathetic responses at various organs (14, 27, 31, 35, 49). Although anatomic and/or functional interaction between these sites including the MLR has not been concluded, it is possible that the neural circuits containing them produced differential sympathetic outflow during stimulation of the MLR.
Morrison (30) has reviewed differential sympathetic outflow responses to several physiological stimuli, for example, heat stress, baroreceptor reflex, and pharmacological stimulation of a site in the central nervous system. Other studies have reported that central command contributes to differential sympathetic outflow between skin and skeletal muscles in cats (16, 17) and humans (46). The present study provides new insight into the effect of fictive locomotion (central command stimulation) on differential sympathetic outflow contributing to blood flow distribution. However, the effect of actual locomotion or exercise on the physiological phenomenon is unclear. Recently, Miki and colleagues (28, 29, 50) investigated the differential sympathetic outflow and its role in regulating circulation in daily life, with direct records of neural activities of the conscious rat. They reported that, at the transition from non-rapid eye movement (NREM) sleep to rapid eye movement (REM) sleep, RSNA decreased (28, 50) and renal blood flow increased (50) whereas LSNA increased and hindlimb blood flow decreased (29). Moreover, the changes in renal vascular conductance were dependent on the changes in RSNA through NREM sleep, REM sleep, and moving and grooming states (50). Their studies lead us to anticipate that differential sympathetic outflow also results in the blood flow distribution in actual exercise. Future studies are needed for better understanding the neural contribution to the blood flow distribution during exercise.
Limitations. Three limitations must be kept in mind when interpreting the present data. First, electrical stimulation might activate not only cell bodies but also fibers of the neural pathway in the MLR. Chemical stimulation, on the other hand, can stimulate only cell bodies. For example, picrotoxin, a GABA antagonist, was used in a previous study to stimulate the MLR (32). Nevertheless, cardiovascular responses to electrical stimulation of the MLR in the present study might be mainly due to cell body activation because a previous study (1) showed that injection of GABA into the MLR reduced pressor response to electrical stimulation of the MLR >70%.
Second, the correlation between the increases in LSNA and the decreases in TSMVC at the early stage of stimulation of the MLR was relatively weak, although it was statistically significant. This might be because LSNA includes both hindlimb skin and muscle sympathetic nerve activities, although LSNA should be a valid index of sympathetic nerve activity of triceps surae muscles in the present study. The components that were not related to regulation of triceps surae muscle circulation might weaken the correlation between LSNA and TSMVC.
Third, although it is well recognized that central command is a powerful neural drive to increase HR during exercise (42), stimulation of the MLR did not increase it in the present study. In this regard, previous studies have shown inconsistent results, increase (1, 1517, 32) and no change (22, 32) in HR during electrical or chemical stimulation of the MLR in cats and rats. We can only speculate that the neural drive originating in the MLR affects vasomotor tone greatly, compared with HR regulation.
In summary, we tested the hypothesis that less sympathetic activation to skeletal muscles than to internal organs induces different vasoconstriction between them during exercise. Stimulation of the MLR increased both RSNA and LSNA and decreased both RCVC and TSMVC. The changes in sympathetic and vascular conductance were less at the skeletal muscles than at the kidney and were significantly dependent on current intensity for stimulation. At the early stage of stimulation of the MLR (010 s), the decreases in vascular conductance were significantly correlated with the increases in sympathetic nerve activity at both kidney and skeletal muscles and the slopes of the regression lines were the same between them. The present data indicate that differential sympathetic outflow induced the corresponding vasoconstriction at kidney and skeletal muscles during fictive locomotion. This suggests that a neural mechanism mediated by central command contributes to the blood flow distribution by evoking differential sympathetic outflow during exercise. We conclude that the blood flow distribution during exercise is due to not only the action of nonneural vasodilator mechanisms in contracting skeletal muscles but also differential sympathetic outflow to internal organs and muscles.
| GRANTS |
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| ACKNOWLEDGMENTS |
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Present address of T. Yoshida: Graduate School of Medicine, Osaka University, Suita, Osaka, Japan.
| FOOTNOTES |
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The costs of publication of this article were defrayed in part by the payment of page charges. The article must therefore be hereby marked "advertisement" in accordance with 18 U.S.C. Section 1734 solely to indicate this fact.
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