Dn. Maiorov et al., RELATIONSHIP BETWEEN SYMPATHETIC ACTIVITY AND ARTERIAL-PRESSURE IN CONSCIOUS SPINAL RATS, American journal of physiology. Heart and circulatory physiology, 41(2), 1997, pp. 625-631
Spinal cord injury disrupts regulation of arterial pressure, often res
ulting in episodic hypertension initiated by spinal reflexes. The cont
ribution of spinally generated sympathetic nerve activity (SNA) to con
trol of resting arterial pressure after cord injury is questionable. T
he mechanisms responsible for the reflex hypertension also are unresol
ved. One important question concerns whether or not this hypertension
is caused by large spinal sympathetic reflexes or by the known increas
ed vascular sensitivity to norepinephrine and limited effectiveness of
baroreceptor reflexes that occur after spinal cord injury. We evaluat
ed the relationship between renal SNA and mean arterial pressure (MAP)
in basal conditions and during reflex presser responses induced by co
lon distension in conscious rats for 1 wk after midthoracic spinal cor
d transection (SCT). One day after SCT, MAP (69 +/- 6 mmHg) and SNA (6
+/- 2 mu V . s) were lower than the MAP (92 +/- 4 mmHg) and SNA (18 /- 3 mu V . s) in the same anesthetized rats before SCT. At 6 days, MA
P increased to 94 +/- 6 mmHg, whereas SNA remained low (4 +/- mu V . s
). One day after SCT, colon distension increased MAP by 28 +/- 4 mmHg
and SNA by 35 +/- 6 mu V . s; these responses remained unchanged for 6
days. These data suggest that spinally generated SNA makes no apparen
t contribution to basal MAP. In contrast, afferent stimulation can pro
duce large excitatory spinal sympathetic reflexes that appear adequate
to cause substantial increases in arterial pressure.