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Am J Physiol Heart Circ Physiol (September 25, 2003). doi:10.1152/ajpheart.00824.2003
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Submitted on August 27, 2003
Accepted on September 22, 2003

Glucocorticoids Act in the Dorsal Hindbrain to Increase Arterial Pressure

Deborah A. Scheuer1*, Andrea G. Bechtold1, Sylvan S. Shank1, and Susan F. Akana2

1 Department of Pharmacology, University of Missouri, Kansas City, Kansas City, MO, USA
2 Department of Physiology, University of California, San Francisco, San Francisco, CA, USA

* To whom correspondence should be addressed. E-mail: scheuerd{at}umkc.edu.

Glucocorticoid receptors (GR) are present at a high density in the nucleus of the solitary tract (NTS), an area of the dorsal hindbrain (DHB) that is critical for blood pressure regulation. However, whether these receptors play any role in the regulation of blood pressure is unknown. We tested the hypothesis that glucocorticoids act in the DHB to increase arterial pressure using two experimental strategies. In one approach, we implanted pellets of corticosterone (Cort) or sham pellets onto the DHB over the NTS. Compared to rats with sham pellets, rats with DHB cort pellets had increased (P<0.05) mean arterial pressure (111±2 vs. 104±1 mmHg) and heart rate (355±9 vs. 326±5 beats per minute) after 4 days. In the second approach, we implanted subcutaneous Cort pellets to increase systemic Cort concentration, then subsequently implanted pellets of the GR antagonist Mifepristone (Mif; previously RU 38486) or sham pellets onto the DHB. Two days of DHB Mif treatment reduced (P<0.05) mean arterial pressure in these rats with elevated plasma Cort levels (118±2 vs. 108±1 mmHg for sham versus Mif DHB pellets). Cort and Mif pellets placed on the dura had no effects on arterial pressure or heart rate ruling out systemic cardiovascular effects of the steroids. DHB Cort treatment had no effects on plasma Cort concentration or adrenal weight, indicating the contents of the DHB Cort pellet did not diffuse into the systemic circulation or into forebrain areas that regulate plasma Cort concentration in concentrations sufficient to produce physiological effects. Immunohistochemistry for the occupied GR demonstrated that the Cort and Mif from the DHB pellets were delivered to the DHB with minimal diffusion to the ventral hindbrain or forebrain. We conclude that glucocorticoids act in the DHB to increase arterial pressure.




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