Article
Sympathoexcitation from the rostral ventrolateral medulla is mediated by spinal NMDA receptors

https://doi.org/10.1016/0361-9230(93)90217-YGet rights and content

Abstract

These studies examined the role of spinal N-methyl-D-aspartic acid (NMDA) receptors in mediating Sympathoexcitation evoked by stimulation of neurons in the rostral ventrolateral medulla (RVLM). In urethane-anesthetized rats, blood pressure, heart rate, and splanchnic sympathetic nerve activity (SNA) were recorded. The NMDA receptor antagonist D-2-amino-7-phosphonoheptanoic acid (D-AP7) was administered to the spinal cord via intrathecal (IT) catheter. Blockade of spinal NMDA receptors reduced arterial blood pressure, heart rate, and SNA. Spinal administration of D-AP7 markedly attenuated the pressor and sympathoexcitatory responses evoked by L-glutamate stimulation of the RVLM. The small increases in heart rate evoked by stimulation of the RVLM were not affected by IT administration of D-AP7. These results indicate that NMDA receptors in the spinal cord mediate the pressor and sympathoexcitatory responses evoked by activation of a bulbospinal pathway originating from the RVLM. Moreover, these data suggest that excitatory amino acid neurotransmitters and NMDA receptors in the spinal cord play an important role in the maintenance and regulation of SNA and cardiovascular function.

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Cited by (33)

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    Descending glutamatergic pathways from the rostral ventrolateral medulla (RVLM) are well-known to have a key role in the control of SPGN activity. Bazil and Gordon reported that intrathecal (i.t.) injection of D-2-amino-7-phosphonoheptanoic acid, a selective N-methyl-D-aspartate (NMDA) receptor antagonist, attenuated the pressor and sympathetic vasomotor responses triggered by RVLM activation [16,17]. In contrast, spinal cord NMDA receptors play a minor role in cardiovascular responses mediated by the stimulation of the paraventricular nucleus of the hypothalamus (PVN) [18].

  • Angiotensin 1-7 in the rostro-ventrolateral medulla increases blood pressure and splanchnic sympathetic nerve activity in anesthetized rats

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    The C1 adrenergic cell group is thought to be the primary source of innervation of the IML from the RVLM, but this is an area of contention (Lipski et al., 1995; Ruggiero et al., 1994; Schreihofer and Guyenet, 1997). There are catecholamines released at the spine (Head and Howe, 1987; Sevigny et al., 2008); however the principle excitatory neurotransmitter secreted by all RVLM vasomotor cells at the IML is glutamate (Bazil and Gordon, 1993; Llewellyn-Smith et al., 1998; Verberne et al., 1990). Since the 1970s, there has been increasing interest in the role of angiotensin peptides in the central nervous system (CNS) and central regulation of blood pressure and sympathetic nerve activity.

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    The potent inhaled anesthetics all cause dose-dependent depression of cardiovascular and respiratory system function (Steffey et al. 2015). NMDA receptors within the hypothalamus, medulla and thoracic spinal cord mediate sympathetic baroreceptor reflexes, and NMDA receptor antagonists selectively administered at these locations result in attenuation of inotropic, chronotropic and pressor responses (Gordon 1987; Jung et al. 1991; Soltis & DiMicco 1991; Hong & Henry 1992; Bazil & Gordon 1993). In addition, NMDA receptors stimulate phrenic inspiratory drive and peripheral chemoreceptor hypoxic ventilation, thus NMDA receptors in pontine-medullary neurons help regulate breathing pattern whereas their inhibition results in apneusis (Jung et al. 1991; Connelly et al. 1992; Fung et al. 1994; Chitravanshi & Sapru 1996; Ohtake et al. 1998).

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    Glutamate is contained both within catecholaminergic neurons in the RVL and in terminals in the spinal cord arising from the RVL [24, 26, 28]. Activation of the N-methyl-d-aspartate (NMDA) subtype of the glutamate receptor has been proposed to partially mediate the excitatory effects on SPNs caused by stimulation of the RVL [4, 7, 44]. However, these physiological studies have not determined the precise cellular mechanisms for the NMDA effects on the excitatory responses to RVL stimulation.

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Present address: American Cyanamid, Investigative Toxicology, North Middletown Road, Pearl River, NY 10965.

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