Alpha-Adrenergic Mechanisms in the Cardiovascular Hyperreactivity to Norepinephrine-Infusion in Essential Hypertension.


Journal

Frontiers in endocrinology
ISSN: 1664-2392
Titre abrégé: Front Endocrinol (Lausanne)
Pays: Switzerland
ID NLM: 101555782

Informations de publication

Date de publication:
2022
Historique:
received: 29 11 2021
accepted: 10 06 2022
entrez: 8 8 2022
pubmed: 9 8 2022
medline: 10 8 2022
Statut: epublish

Résumé

Essential hypertension (EHT) is characterized by cardiovascular hyperreactivity to stress but underlying mechanism are not fully understood. Here, we investigated the role of α-adrenergic receptors (α-AR) in the cardiovascular reactivity to a norepinephrine (NE)-stress reactivity-mimicking NE-infusion in essential hypertensive individuals (HT) as compared to normotensive individuals (NT). 24 male HT and 24 male NT participated in three experimental trials on three separate days with a 1-min infusion followed by a 15-min infusion. Trials varied in infusion-substances: placebo saline (Sal)-infusions (trial-1:Sal+Sal), NE-infusion without (trial-2:Sal+NE) or with non-selective α-AR blockade by phentolamine (PHE) (trial-3:PHE+NE). NE-infusion dosage (5 SBP and DBP reactivity to the three infusion-trials differed between HT and NT ( Our findings suggest a mediating role of α-AR in DBP hyperreactivity to NE-infusion in EHT. However, in SBP hyperreactivity to NE-infusion in EHT, the functioning of α-AR seems impaired suggesting that the SBP hyperreactivity in hypertension is not mediated by α-AR.

Identifiants

pubmed: 35937820
doi: 10.3389/fendo.2022.824616
pmc: PMC9355707
doi:

Substances chimiques

Adrenergic Agents 0
Norepinephrine X4W3ENH1CV
Phentolamine Z468598HBV

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

824616

Informations de copyright

Copyright © 2022 Walther, von Känel, Heimgartner, Zuccarella-Hackl, Stirnimann and Wirtz.

Déclaration de conflit d'intérêts

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

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Auteurs

Lisa-Marie Walther (LM)

Biological Work and Health Psychology, University of Konstanz, Konstanz, Germany.
Centre for the Advanced Study of Collective Behaviour, University of Konstanz, Konstanz, Germany.

Roland von Känel (R)

Department of Consultation-Liaison Psychiatry and Psychosomatic Medicine, University Hospital Zurich, University of Zurich, Zurich, Switzerland.

Nadja Heimgartner (N)

Division of Clinical Psychology and Psychotherapy, University of Basel, Basel, Switzerland.

Claudia Zuccarella-Hackl (C)

Department of Consultation-Liaison Psychiatry and Psychosomatic Medicine, University Hospital Zurich, University of Zurich, Zurich, Switzerland.

Guido Stirnimann (G)

Department of Visceral Surgery and Medicine, University Hospital Inselspital and University of Bern, Bern, Switzerland.

Petra H Wirtz (PH)

Biological Work and Health Psychology, University of Konstanz, Konstanz, Germany.
Centre for the Advanced Study of Collective Behaviour, University of Konstanz, Konstanz, Germany.

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Classifications MeSH