ORIGINALRESEARCHARTICLE published:09January2013 doi:10.3389/fphys.2012.00490 Regulation of arterial pressure by the paraventricular nucleus in conscious rats: interactions among glutamate, GABA, and nitric oxide MarliC.Martins-Pinge1†,PatrickJ.Mueller2,3†,C.MichaelFoley2,3†,CherylM.Heesch2,3 and EileenM.Hasser2,3,4* 1DepartmentofPhysiologicalSciences,CenterofBiologicalSciences,StateUniversityofLondrina,Londrina,Brazil 2DepartmentofBiomedicalSciences,UniversityofMissouri,Columbia,MO,USA 3DaltonCardiovascularResearchCenter,UniversityofMissouri,Columbia,MO,USA 4DepartmentofMedicalPharmacologyandPhysiology,UniversityofMissouri,Columbia,MO,USA Editedby: Theparaventricularnucleus(PVN)ofthehypothalamusisanimportantsiteforautonomic JohnW.Osborn,University andneuroendocrineregulation.Experimentsinanesthetizedanimalsandinvitroindicate ofMinnesota,USA aninteractionamonggamma-aminobutyricacid(GABA),nitricoxide(NO),andglutamatein Reviewedby: thePVN.ThecardiovascularroleofthePVNandinteractionsoftheseneurotransmittersin RogerDampney,TheUniversity conscious animals have not been evaluated fully. In chronically instrumented conscious ofSydney,Australia MatthewZahner,PfizerGlobal rats, mean arterial pressure (MAP) and heart rate (HR) responses to microinjections R&D,USA (100nl) in the region of the PVN were tested. Bilateral blockade of ionotropic excitatory *Correspondence: aminoacid(EAA)receptors(kynurenicacid,Kyn)inthePVNproducedsmallbutsignificant EileenM.Hasser,Dalton decreases in MAP and HR. GABA receptor blockade (bicuculline,Bic), and inhibition of A CardiovascularResearchCenter, NO synthase [(NOS), N-(G)-monomethyl-L-arginine, L-NMMA] each increased MAP and 134ResearchParkDrive, UniversityofMissouri,Columbia, HR. The NOdonorsodiumnitroprusside(SNP) produced depressorresponsesthatwere MO65211-3300,USA. attenuatedbyBic.NOSinhibitionpotentiatedbothpressorresponsestotheselectiveEAA e-mail:[email protected] agonist, N-methyl-D-aspartic acid (NMDA), and depressor responses to Kyn. Increases †Presentaddress: in MAP and HR due to Bic were blunted by prior blockade of EAA receptors. Thus, MarliC.Martins-Pinge,Department pressorresponsestoGABAblockaderequireEAAreceptorsandGABAneurotransmission ofPhysiologicalSciences,Centerof BiologicalSciences,StateUniversity contributestoNOinhibition.TonicexcitatoryeffectsofglutamateinthePVNaretonically ofLondrina,Londrina,PR,Brazil. attenuated by NO. These data demonstrate that, in the PVN of conscious rats, GABA, CampusUniversitario,s/n,Rodovia glutamate, and NO interact in a complex fashion to regulate arterial pressure and HR CelsoGarciaCid,Km380,Portalde undernormalconditions. VersallesII,86051-990,Londrina, PR,Brazil. Keywords:autonomic,sympathetic,NMDA,PVN,hypothalamus PatrickJ.Mueller,Departmentof Physiology,WayneStateUniversity SchoolofMedicine,540E.Canfield, Detroit,MI48201,USA. C.MichaelFoley,CardiacSafety Scientist,SafetyAssessment, CovanceLaboratories,Inc.,3301 KinsmanBlvd.,Madison,WI53704, USA. INTRODUCTION (RVLM), regions critical in control of the sympathetic nervous The paraventricular nucleus (PVN) of the hypothalamus is a system(Badoer,1996;PynerandCoote,2000;Hardy,2001). critical site of integration for autonomic- and neuroendocrine- Nitricoxide(NO)hasbeenshowntoactasagaseousneuro- mediated cardiovascular responses (Swanson and Sawchenko, modulatorto influencesynapticfunctioninthecentral nervous 1983). In addition to its role in the hypothalamoneurohy- system (Bredt et al., 1990; Hirooka et al., 1996; Martins-Pinge pophysialsystem,thePVNisinvolvedinregulationoftheauto- etal.,1997;Zanzinger,1999).NOsynthase(NOS)isexpressedin nomicnervoussystem(PynerandCoote,2000;Pateletal.,2001; thePVN(Zhangetal.,1998;KantzidesandBadoer,2005;Mueller Li and Patel, 2003; Coote, 2004). Morphological and electro- et al., 2006) and NO appears to play a role in endocrine and physiological studies have shown that the PVN is reciprocally autonomicregulationofcardiovascularresponses.Invitrostud- connectedtoregionsofthebrainthatareinvolvedincardiovascu- iesindicatethat neuronalactivity withinthe PVNismodulated larregulation(Saperetal.,1976;SwansonandSawchenko,1983). by NO (Li et al., 2003; Stern, 2004). In addition, administra- Importantly,thePVNprojectstoboththeintermediolateralcell tion ofanNO donorinto thePVN decreasesrenal sympathetic column of the spinal cord and the rostral ventrolateral medulla nervedischarge,arterialpressure,andheartrate(HR;Hornetal., www.frontiersin.org January2013|Volume3|Article490|1 Martins-Pingeetal. NO,GABA,andGlutamateinPVN 1994;ZhangandPatel,1998).Conversely,microinjectionofNOS food(FormulabDiet,0.28%sodium,Purina,St.Louis,MO)ad blockersintothePVNproducespressorandsympathoexcitatory libitum. responses(ZhangandPatel,1998;Wangetal.,2005).Thesedata, primarilyfromanesthetizedanimals,suggestthatNOhasatonic INSTRUMENTATION effectwithinthePVNtoinhibitrestingsympatheticactivityand Initially, ratswereanesthetized withIsoflurane[AErane, Baxter, arterialpressure. Deerfield,IL(5%in100%O2,2Lperminuteforinductionand TheeffectsofNOwithinthePVNappeartoinvolveacomplex maintenanceat2–2.5%)],placedinastereotaxicapparatus(Kopf, interaction with the neurotransmitters glutamate and gamma- Tujunga,CA)andusingaseptictechniquebilateralguidecannu- aminobutyricacid(GABA).Ithasbeenproposedthatactivation lae(22gauge)directedtotheregionofthePVNwereimplanted. oftheNMDAsubtypeofionotropicglutamatereceptorsincreases Coordinates for cannulae placement were similar to previous release of NO in the PVN, which then negatively modulates work(Kenneyetal.,2001;Lietal.,2001;Zhangetal.,2002;Chen NMDA-mediated increases in sympathetic nerve discharge (Li andToney,2003):1.8mmposteriortobregma,0.5mmlateralto etal.,2001).DepressorandsympathoinhibitoryresponsestoNO midline,and7.6mmbelowthesurface,withtheincisorbarsetto donorsareblockedbytheGABA receptorantagonistbicuculline 5mmabovetheinterauralplaneandthecannulavertical.Studies A (Bic;ZhangandPatel,1998).Thisisconsistentwiththeconcept fromourlaboratorieshaveshownsimilarcoordinatestoproduce thatNOmaybluntresponsestoexogenousNMDAbyincreasing injectionssiteslocalizedtothePVN(Kvochinaetal.,2009;King GABAtransmission.However,itisnotknownwhetherendoge- etal.,2012).Ratswereallowedtorecoverfor12days,anesthetized nousNOtonicallymodulatesbasalexcitatoryeffectsofglutamate againwith Isofluraneand asepticallyinstrumented witharterial withinthePVN. and venous catheters for measurement of arterial pressure and TheroleofNOisknowntodifferdramaticallyduringdiffer- HRandinjectionofdrugs,respectively.Thecatheterswererouted entlevelsofneuronalactivityandunderavarietyofphysiological subcutaneouslytothenapeoftheneck,exteriorized,andsecured and pathophysiological conditions (Villar et al., 1994; DiCarlo to the skin with suture; catheters were filled with heparinized etal.,2002;Felderetal.,2003;LiandPatel,2003;Muelleretal., saline (100U/ml) and sealed with a stylet. Ratswere allowed to 2003,2006;Heeschetal.,2009).However,theinteractionsamong recoverfor2daysbeforethebeginningofexperiments. NO,GABA,andglutamatehavebeenstudiedprimarilyinanes- thetized animals (Zhang and Patel, 1998; Li et al., 2001; Patel EXPERIMENTALPROTOCOLS et al., 2001; Akine et al., 2003). Anesthesia is well-known to On the day of experimentation, arterial pressure, mean arte- alter neurotransmission, including both GABAergic and gluta- rial pressure (MAP), and HR were monitored (PowerLab; matergic neurotransmission (Franks and Lieb, 1982; Jin et al., ADInstruments, Colorado Springs, CO) for at least 30min to 2009; Olsen and Li, 2011), and autonomic and cardiovascu- ensure stable baseline parameters prior to any experimental larregulation (Schadt and Ludbrook, 1991; Moffitt et al., 1998, manipulation. Microinjections were made using stainless steel 1999; Araújo et al., 1999; Sakima et al., 2000; Machado, 2001). injectors (33 gauge) connected by PE tubing to a 0.5μl syringe Furthermore,anesthesiaalterscardiovascularresponsesmediated (Hamilton,Reno,NV).Injectorswerefilledwiththeappropriate bythePVN(Kannanetal.,1987,1989).Giventhisevidence,itis solutionandinserted intotheguidecannulaepriortoinjection. apparentthatGABA,glutamate,andNOfunctionmaydifferin Protocolsdesignedtoevaluatetoniceffectsofendogenoustrans- the conscious state. Therefore, it is critical to evaluate the rela- mitters utilized bilateral microinjections of appropriate agents tiverolesofGABA,glutamate,andNO,andtheirinteractions,in to block the effects of the specific transmitter. Because the time consciousanimalsinordertodeterminetheimportanceofthese courseoftheagonistsusedisrelativelyshort,protocolsexamin- transmittersinthePVNincontrolofthecardiovascularsystemin ing effects of agonists utilized unilateral microinjections. As in theconsciousstate. other studies (Chen and Toney, 2003; Chen et al., 2003; Li and This study in conscious rats tested the hypothesis that, in Pan,2007a),thePVNinitiallywasidentifiedinallratsbypressor regardtocontrolofarterialpressure,bothNOandGABAinthe responsestoBic(1mM)withmildornobehavioralresponse. PVN are tonically inhibitory, while glutamate is tonically exci- TonicexcitationofthePVN tatory. We also hypothesized that the tonic inhibitory effects of Tonic effects on MAP and HR of ionotropic glutamate recep- NOrequireGABAergicmechanismswithinthePVN.Finally,we tor activation in the PVN in conscious rats were evaluated by tested the hypothesis that endogenous NO modulates the tonic examiningresponsestobilateralmicroinjectionofkynurenicacid excitatoryeffectsofglutamate. [Kyn, 40mM;100nl,(LiandPan,2007a)],ageneralionotropic glutamate receptor antagonist. In control experiments, similar EXPERIMENTALPROCEDURES volumesofsaline(0.9%)wereinjectedbilaterally. Allprocedureswereperformedaccordingtotheguidelinesstated in the National Institutes of Health “Guide for the Care and TonicinhibitionofthePVN Use of Laboratory Animals.” All protocols were approved by These protocols examined the tonic effects of NO and GABA A the University of Missouri-Columbia Animal Care and Use receptor activation within the PVN on cardiovascular func- Committee. Twenty-nine maleSprague-Dawleyrats(280–350g, tion. Bilateral microinjections (100nl) of L-NMMA [N-(G)- Harlan Sprague Dawley, Indianapolis, IN) were used in these monomethyl-L-arginine,2mM(Lietal.,2001),aNOSinhibitor, studies.Theratswereallowedtoadaptinhouseforatleast1week orBic1mM,(Lietal.,2006)],aGABA receptorantagonist,were A beforeanyinstrumentation.Ratswereallowedaccesstowaterand madeinthePVNandhemodynamicresponsesmonitored. FrontiersinPhysiology|IntegrativePhysiology January2013|Volume3|Article490|2 Martins-Pingeetal. NO,GABA,andGlutamateinPVN Transmitterinteractions To examine the interactions among NO, GABA, and glutamate in the PVN of conscious rats, the response to manipulation of thedifferentreceptorsystemswasevaluatedinthepresenceand absence of other systems. Hemodynamic responses to unilat- eralmicroinjectionoftheNOdonorsodiumnitroprusside[SNP, 1M; 100nl, (Zhang and Patel, 1998) were evaluated alone and in the presence ofBic(1mM; 100nl), orsaline(0.9%; 100nl)]. Similarly, the effects of unilateral microinjections of the selec- tiveionotropicglutamatereceptoragonistN-methyl-D-aspartate [NMDA,1mM;100nl,(Lietal.,2001)]wereevaluatedaloneand inthepresenceoftheNOSinhibitorL-NMMA(2mM;100nl). To examine the interaction of tonic endogenous ionotropic glutamatereceptoractivationwithendogenousNO,theresponse tobilateralPVNinjectionofKyn(40mM,100nl)wasevaluated inthepresenceandabsenceofinhibitionofNOSwithL-NMMA (2mM; 100nl). Finally, the interaction of endogenous gluta- mateandGABAwasevaluated.Hemodynamiceffectsofbilateral FIGURE1|PVNinjectionsite.Brightfieldphotomicrograph(Left)indicates thelocationofaninjectionsitewithinthePVNofanindividualrat.100nlof blockade of GABA receptors by microinjection of Bic (1mM; A thedyePontamineskybluewasinjectedattheconclusionofall 100nl)wereexamined aloneandinthepresenceofblockadeof experiments.AschematicofthePVN(PaxinosandWatson,2007)is ionotropicglutamatereceptorswithKyn(40mM;100nl). superimposedforreference. Thetimeallowedforrecoveryfollowingtheinitialadministra- tion of a specific agent was based on previous studies showing recovery, as well as repeatable responses (Li et al., 2001; Chen drugs used for microinjection were relatively short-acting with andToney,2003;Chenetal.,2003). Thesecond administration recoverytypicallywithin30–45minorless. of each drug was made 5min after antagonist administration. A maximum of 3 drug administrations was performed in each ANALYSISOFDATA PVNanddrugswereappliedusingamicrosyringeconnectedby Allresultsareexpressedasmean±SEM.Responsestodrugsare PEtubingtoaninjector.Attheendoftheexperiment,Pontamine expressedasthedifferencebetweenthebasalvalueandthepeak skybluedye(2%;100nl)wasmicroinjectedintotheexperimen- increaseordecreasefollowingeachdoseofdrug.Student’stwo- tal site of the brain for subsequent histological estimation of tailed paired t-test was used for comparison of hemodynamic injectionsites. parametersbetween baselineconditionsandafterdrug.Wealso At the end of the experiment, rats were euthanized by over- used Student’s two-tailed paired t-test to compare the response doseofsodiumpentobarbital;guidecannulaeweredetachedfrom (change)totwodifferentdrugsortoagivendruginthepresence theircementedpositionontheskullandbrainswerefixedin4% and absence of another perturbation in the same rat. P<0.05 formaldehyde for at least 48h. Serial coronal sections (40μm) wasconsideredtoindicatestatisticalsignificance. were cut using a cryostat, thaw mounted on microscope slides and stained with 1% aqueous neutral red. Figure1 shows the RESULTS injectionsitewithinthePVNinonerat.Unfortunately,inmost BASELINEHEMODYNAMICPARAMETERS ratsremoving theguidecannulaepriorto fixationofthebrains There were no significant differences in baseline hemodynamic produced non-specific damage. However, injection tracts, the parametersbeforeanyprotocolsinvolvingmicroinjectionofsub- rostral-caudalspread ofthe dye and dye spotswere confined to stancesintothePVNinconsciousrats(Table1).Averagebaseline the brainparenchyma in regions consistent with PVN injection MAPwas117 ± 2mmHg, andHR was347± 4bpm(n=29). sitesreportedinpreviousstudiesfromourlaboratoriesandothers Asdescribedbyothers(Martinetal.,1991),aftermicroinjection (MartinandHaywood,1998;Kenneyetal.,2001;Lietal.,2001; ofBicandNMDAintothePVN,weoftenobservedmildbehav- Chenetal.,2003;Kvochinaetal.,2009;Kingetal.,2012). ioral responses, including alerting and facial grooming. These behaviorswerenotaggressiveandweredistinctly differentfrom DRUGS the defense responses described after activation ofthe posterior Bic methiodide, SNP, L-NMMA, and Kyn were obtained from hypothalamus(ShekharandDiMicco,1987;Wibleetal.,1988). Sigma Chemical (St. Louis, MO). NMDA was obtained from Tocris (St. Louis, MO). With the exception of Kyn, all drugs TONICIONOTROPICGLUTAMATERGICEXCITATIONWITHINTHEPVN were dissolved in sterile saline. Kyn was first dissolved in a few Figure2AisanoriginalrecordshowingMAPandHRresponses dropsof1NNaOHbeforebeingdilutedinsaline.Alldrugswere to bilateral microinjection of the broad spectrum excitatory pHadjustedto7.3–7.5andfilteredbeforemicroinjection.Doses amino acid (EAA) receptor antagonist, Kyn, in the PVN of a of drugs for microinjection were taken from previous studies conscious rat. Bilateral blockadeof ionotropic glutamate recep- (Martin et al., 1991; Zhang and Patel, 1998; Chen and Toney, torswithKyn(n=4)producedasmallbutsignificantdecrease 2001;Chenetal.,2003;Lietal.,2006;LiandPan,2007a,b).Most in MAP (−6 ± 2mmHg) and HR (−15 ± 3bpm); Table1. www.frontiersin.org January2013|Volume3|Article490|3 Martins-Pingeetal. NO,GABA,andGlutamateinPVN Table1|Meanarterialpressure(MAP)andheartrate(HR)beforeandafterdrugsmicroinjectedinthePVN. Groups Before After MAP(mmHg) HR(bpm) MAP(mmHg) HR(bpm) Bic(n=7) 119±6 346±9 141±5* 467±17* L-NMMA(n=6) 113±5 332±10 133±2* 410±23* Kyn(n=4) 128±6 371±7 121±4* 354±8* SNP(n=6) 120±2 344±16 107±3* 385±11* SNP(afterBic;n=6) 121±4 355±17 114±5* 395±21* Bic(afterKyn;n=6) 125±4 357±14 134±5* 408±15* Kyn(afterL-NMMA;n=4) 134±8 383±8 121±7* 354±14 NMDA(n=4) 124±2 361±12 135±2* 446±17* NMDA(afterL-NMMA;n=4) 124±3 364±5.1 142±2* 466±11* ∗p<0.05comparedtovaluesbeforemicroinjection. Bilateral microinjection of physiological saline (n=5) pro- NITRICOXIDEATTENUATESTONICGLUTAMATERGICEXCITATIONOF duced no significant effect on MAP (−1 ± 1mmHg) or HR THEPVN (−4±17bpm). As in the previous experiments, bilateral microinjection of Kyn into the PVN produced small but significant decreases in MAP TONICINHIBITIONWITHINTHEPVN and HR (Figure5). After a 45min recovery period, bilateral Originaltracingsofhemodynamicresponsestobilateralmicroin- microinjection of Kyn was repeated in the presence of bilateral jection of the GABA receptor antagonist, Bic, or the NOS NOS blockade (L-NMMA). The baseline MAP and HR 5min A inhibitor, L-NMMA, into the PVN of individual conscious rats after L-NMMA, immediately before the second Kyn microin- are shown in Figures2B,C, respectively. Group data (Figure3, jection, were not different from the baseline before Kyn alone Table1) indicate that bilateral disinhibition of the PVN by (Table1).L-NMMAenhancedthedepressoreffectofionotropic microinjection of Bic (n=7) produced a significant increase glutamatereceptorblockadeonMAPwithoutsignificantlyalter- in both MAP and HR. Bilateral blockade of NOS in the PVN ingtheHRresponses(Figure5). withL-NMMA(n=6)alsoinducedapressorresponseaccom- Unilateralmicroinjectionoftheionotropicglutamateagonist, panied by an increase in HR. The pressor responses to Bic and NMDA, into the PVN of conscious rats produced an increase L-NMMAwerenotsignificantlydifferent,buttheHReffectswere in MAP and HR (Figure6, Table1). Unilateral microinjection significantlygreaterforBic. of L-NMMA did not alter baseline cardiovascular parameters. However,duringNOSinhibitionthepressorresponsetoNMDA was significantly augmented (Figure6), consistent with a role ACTIVATIONOFGABA RECEPTORSCONTRIBUTESTOINHIBITORY A of NO to bluntthe excitatory effects ofNMDAreceptor activa- EFFECTSOFNITRICOXIDEINTHEPVNOFCONSCIOUSRATS tion.ThetachycardiainresponsetoNMDAwasnotsignificantly Initially,responsestotwoconcentrationsoftheNOdonor,SNP, alteredbyL-NMMA. were determined and repeatability of the response to multiple injections of SNP was tested. Unilateral microinjection of SNP TONICGLUTAMATERGICINPUTCONTRIBUTESTOEXCITATIONOFTHE (0.5Mand1M;n=5)intothePVNproducedrapiddose-related PVNDUETOGABA RECEPTORBLOCKADE decreasesinMAP(−11±2mmHgand−17±3mmHg,respec- A Figure7 contains mean data demonstrating responses to bilat- tively). The depressor response was associated with tachycardia eral Bic before and after ionotropic glutamate receptor block- (51±15and54±3bpm,respectively). Responsestounilateral ade. Bilateral PVN microinjection of Bic produced significant microinjection of SNP (0.5M) were repeatable and not altered increases in MAP and HR. After recovery, Kyn was injected after microinjection of saline into the PVN (MAP: −8 ± 2 vs. bilaterally, and 5min later Bic was injected a second time. −10±2mmHg;HR:45±5vs.32±8). Following ionotropic glutamate receptor blockade, the pressor In separate rats (n=6) responses to SNP (1M) were deter- andtachycardicresponsestoBicweresignificantlyattenuated. mined before and after injection of Bic (Figure4, Table1). UnilateralblockadeofGABA receptorswithBicinitiallytended DISCUSSION A toproducesmallincreasesinMAPandHR;however,5minlater PURPOSE hemodynamicparametershadreturnedtocontrol.Importantly, Thisstudywasdesignedtoexamine,inconsciousrats,theinflu- baseline MAP and HR before injection of SNP alone or injec- ence of the PVN on arterial pressure and HR and to evaluate tionafterunilateralBicwerenotstatistically different(Table1). potential interactions of NO, glutamate, and GABA in mediat- InthepresenceofBic,theMAPresponsetoSNPwasattenuated ingtheseeffects.Wealsotestedthehypothesisthatendogenously by∼50%(Figure4).ThetachycardicresponseproducedbySNP releasedNObluntsthetonicexcitatoryeffectsofglutamatewithin wasnotalteredbypreviousBicmicroinjection. the PVN. The use of conscious rats is an important aspect of FrontiersinPhysiology|IntegrativePhysiology January2013|Volume3|Article490|4 Martins-Pingeetal. NO,GABA,andGlutamateinPVN FIGURE3|EffectsofbilateralblockadeintheregionofthePVNof GABAAreceptors(bicuculline;Bic,1mM;openbars;n=7),orNO synthase(NOS)(L-NMMA;2mM,filledbars;n=6)onMAPandHRin separategroupsofconsciousrats.BilateralmicroinjectionofbothBicand L-NMMAsignificantlyincreasedMAPandHR.ThepressorresponsetoBic andL-NMMAwassimilar,whilethetachycardicresponsetoL-NMMAwas significantlylessthantheresponsetoBic(∗p≤0.05). ofGABAandNOappeartobesynergistic. Finally,thesestudies FIGURE2|Originalrecordsfromindividualconsciousratsshowingthe arterialpressure(AP),MeanAP(MAP),andheartrate(HR)responses demonstrateforthefirsttimethatunderbasalconditionsinthe tobilateralmicroinjections(100nl)intothePVNof:(A)Kynurenicacid consciousrat,endogenousNOattenuatesthetonicpressoreffects (Kyn,40mM);(B)Bicuculline(Bic,1mM);(C)L-NMMA(2mM). ofglutamatewithintheregionofthePVN. InthePVNanumberofexcitatoryandinhibitoryneurotrans- mitters converge to influence neuronal activity (Swanson and these studies in that anesthesia is well-known to alter neuro- Sawchenko, 1983). Studies in vitro and in anesthetized animals transmission, autonomicand cardiovascularfunction. Blockade suggestaninteractionamongglutamate,GABA,andNOinreg- ofionotropic glutamatereceptors with Kyn inthe regionof the ulation of the PVN (Horn et al., 1994; Zhang and Patel, 1998; PVNproducedasmallbutsignificantdecreaseinMAPandHR, Stern, 2004). The current experiments indicate that an interac- suggestingthat,inconsciousrats,ionotropicglutamatergictrans- tion between glutamate and GABA, as well as an interaction of mission in the PVN participates in tonic excitatory drive to the NOwithbothglutamateandGABA,contributestoPVNcontrol vasculature and heart. Furthermore, the increase in MAP and ofarterialpressureinconsciousrats.Takentogether,thedatasug- HRduetobilateralblockadeofeitherGABA receptorsorinhi- gest that in conscious rats the influence of the PVN on arterial A bition of NOS indicates that in the conscious state, similar to pressure and HR reflects a complex balance among a variety of anesthetized animals,thePVNisundertonicinhibitionbyboth excitatory and inhibitory inputs. A schematic of these potential GABA via GABA receptors and by NO. The inhibitory effects interactionsisshowninFigure8andwillbedescribedbelow. A www.frontiersin.org January2013|Volume3|Article490|5 Martins-Pingeetal. NO,GABA,andGlutamateinPVN FIGURE5|EffectsofbilateralPVNblockadeofionotropicglutamate receptorsusingkynurenicacid(Kyn,40mM)alone(openbars)orafter bilateralinhibitionofNOSwithL-NMMA(2mM,filledbars)in consciousrats(n=4).BilateralmicroinjectionofKynproducedsmallbut significantdecreasesinMAPandHR.PriorinjectionofL-NMMA FIGURE4|MAPandHReffectsofunilateralmicroinjectionoftheNO significantlyenhanceddepressorresponsestoKyn(∗p≤0.05)withno donorsodiumnitroprusside(SNP,1.0M)intothePVNofconscious significanteffectonHRresponses. rats(n=6).SNPwasinjectedbefore(openbars)andafter(filledbars) blockadeofGABAAreceptorswithbicuculline(Bic,1mM).SNPalone producedsignificantdecreasesinMAP,accompaniedbytachycardia.Bic significantlyattenuatedthedepressoreffectofSNP(∗p≤0.05)without support for tonic GABAergic inhibition in conscious rats and alteringthetachycardia. also indicates that the region of the PVN is under tonic inhi- bition dueto NO in the conscious state (Figure8B). Similarto experiments in anesthetized animals (Zhang and Patel, 1998), TONICEFFECTSOFTHEPVN bilateralmicroinjectionoftheNOSblockerL-NMMAincreased ThePVNisacriticalsiteofneuroendocrineintegrationandplays MAPandHR.Inthepresentstudy,wealsoinvestigatedthecon- an important role in modulating sympathetic tone and arterial tribution of EAAs in the region of the PVN to maintenance of pressure under a variety of physiological and pathophysiologi- basalarterialpressureandintheresponsetoinhibitionofGABA A calconditionsincludingheartfailure,diabetes,andhypertension receptorsinconsciousrats.Inourexperiments,bilateralblockade (PatelandZhang,1996;MartinandHaywood,1998;Patel,2000; of ionotropic glutamate receptors produced a small but signifi- DiCarloetal.,2002;Felderetal.,2003;LiandPatel,2003;Mueller cant reduction in arterial pressure and HR, suggesting that the etal.,2006;Heeschetal.,2009).However,itsroleinbasalcardio- balanceofinputsissuchthatEAAsprovideasmalltonicexcita- vascularcontrolisnotentirelyclear,althoughitlikelyreflectsthe toryeffectwithinthePVN,whichcontributestomaintenanceof integrationofbothexcitatoryandinhibitoryinfluences.Bilateral basalarterialpressureandHR(Figure8C).Similarexperiments inhibition of GABA receptors with Bic in the PVN region of in anesthetized rats (Chen et al., 2003) and conscious rabbits A conscious(Martinetal.,1991)oranesthetized(ZhangandPatel, (Badoer et al., 2002) showed that blockade of ionotropic EAA 1998; Chen and Toney, 2003; Chen et al., 2003) rats increases receptors in the PVN had no significant effect onbaseline arte- MAPandHR,suggestingthatthePVNisundertonicGABAergic rial pressure. The difference in these studies may be due to the inhibition (Figure8A). The current study provides additional presence ofanesthesia, unilateralversusbilateralinjections, and FrontiersinPhysiology|IntegrativePhysiology January2013|Volume3|Article490|6 Martins-Pingeetal. NO,GABA,andGlutamateinPVN FIGURE6|MAPandHReffectsofunilateralmicroinjectionofthe FIGURE7|EffectsofbilateralblockadewithinthePVNofGABAA selectiveionotropicglutamatereceptoragonistN-methyl-D-aspartic receptorswithbicuculline(Bic,1mM)onMAPandHRinconscious acid(NMDA,1mM)intothePVNofconsciousrats(n=4).NMDAwas rats(n=6)alone(openbars)orafterblockadeofionotropicglutamate injectedbefore(openbars)andafter(filledbars)blockadeofNOSwith receptorswithkynurenicacid(Kyn,40mM;filledbars).Bilateral L-NMMA(2mM).NMDAaloneproducedsignificantincreasesinMAPand microinjectionofBicaloneproducedsignificantincreasesinMAPandHR. HR.PressorresponsestoNMDAweresignificantlyenhancedbyprior PressorandtachycardicresponsestoBicweresignificantlyattenuatedby injectionofL-NMMA(∗p≤0.05). priormicroinjectionofKyn(∗p≤0.05). possiblespeciesdifferences.Alternatively,aspreviouslysuggested (Badoer et al., 2002), the PVN may exert both excitatory and sympathoinhibitoryeffectsofNOintheconsciousstatearecon- inhibitory effects onsympathetic nerveactivity, andtherelative sistent with previouswork examining responses to SNP(Zhang influenceoftheseeffectsmayvarydependingonspeciesandstate andPatel,1998)orNOSblockade(Mastelarietal.,2011)inthe oftheanimal.Nevertheless, thecurrentdataareconsistentwith PVN. Other studies in conscious Wistar rats reported no effect the hypothesis that the relatively small tonic excitatory effects (Hashiguchi et al., 1997) or pressor responses (Busnardo et al., exerted by the PVN involve, at least in part, ionotropic gluta- 2010)toPVNmicroinjectionofNOdonors.Whilethereasonsfor matergic transmission. Other potential sources of excitation in thisdiscrepancyarenotclear,differencesincludingdrugconcen- the PVN (Figure8D) were not evaluated in the current experi- trationandstraincouldcontribute.Takentogether,theprepon- ments.However,previousstudiesinanesthetizedratssuggestthat deranceofevidencesuggeststhatNOisaninhibitorymodulator angiotensin II also contributes to excitation of the PVN under of cardiovascular control in the PVN in both conscious and bothphysiologicalandpathophysiologicalconditions(Chenand anesthetized animals. Microinjection of SNP into the region of Toney,2003;FreemanandBrooks,2007). the PVN was associated with tachycardia in the present exper- iments rather than bradycardia as previously reported (Zhang NITRICOXIDEANDGABA and Patel, 1998; Wang et al., 2005). The mechanism for this UnilateralmicroinjectionoftheNOdonorSNPintotheregionof tachycardia is not completely clear. It is possible that it was a thePVNofconsciousratsdecreasedMAP,andblockadeofNOS baroreflex-mediatedresponsetothedecreaseinarterialpressure. withL-NMMA-inducedpressorandtachycardicresponses.These Alternatively, itmaybeadirecteffectofSNPinthePVNrather www.frontiersin.org January2013|Volume3|Article490|7 Martins-Pingeetal. NO,GABA,andGlutamateinPVN our GABA receptor blockadewas not complete in the current A study. Nonetheless, it appears that in conscious rats, NO exerts primarily an inhibitory role in the PVN and this inhibition is dependentatleastinpartonGABA.However,itispossiblethat thecontributionofGABAtoNO-mediatedeffectsmaybelessin consciouscomparedtoanesthetizedanimals. NITRICOXIDEANDGLUTAMATE ExcitatoryresponsestoactivationoftheNMDAsubtypeofglu- tamate receptors in the region of the PVN were significantly enhanced by prior blockade of NOS. These data in conscious ratsextendpreviousfindingsinanesthetizedrats(Lietal.,2001) demonstratingthattheexcitatory effectsofexogenouslyadmin- isteredNMDAinthePVNarebluntedbyNO(Figure8,dashed line).Althoughnotspecificallyexaminedinourstudy,thiseffect ofNOmayalsoinvolveaneffectmediatedbyGABA(Figure8E) ratherthanmodulationofglutamatergicsignaling,asNOappears to increase directly glutamate release (Horn et al., 1994) and AMPA-mediated currents (Roychowdhury et al., 2006) in the PVN. The effects ofNO to modulate GABA function appearto predominate, possiblydueto greater tonic GABAergicinputon FIGURE8|Schematicrepresentationofpotentialinteractionsof PVNneurons. inhibitoryandexcitatoryinputstothePVN.Thecellintheschematic WealsoexaminedtheinfluenceofNOontheeffectsoftonic representsaPVNneuroninvolvedincontrolofsympatheticnervous endogenous ionotropic glutamate receptor mechanisms within systemactivity.Asdescribedinthetext,thisneuronreceivesinhibitory influencesduetoGABA,viaGABAAreceptors(A),andNO(B),which thePVN.TheNOSinhibitorL-NMMAenhancedthedepressor appearstoexertitseffectsatleastinpartthroughGABA(E).Excitatory response to bilateral inhibition of ionotropic glutamate recep- inputsincludebothexcitatoryaminoacid(EAA,C)andnon-ionotropicEAA tors with Kyn. Importantly, the depressor response to Kyn was receptormediated(non-EAA)(D)inputs.NO,likelyactingthroughGABA, enhancedeventhoughL-NMMAwouldbeexpected toincrease bothbluntstheresponsetoactivationofNMDAreceptors,andtonically arterial pressure over the same time period. These data sug- inhibitstheeffectsofongoingEAAexcitation. gestthatinconsciousratsnotonlydoesNOblunttheresponse toexogenouslyadministered NMDA,buttheendogenous,tonic excitatory effects of glutamate in the PVN also are under tonic thanbaroreflex-mediated, becausealthoughthedepressoreffect negativemodulationbyendogenousNO.Toourknowledge,this ofSNPwasdiminishedinthepresenceofBic,thetachycardiawas is the first demonstration of an effect of endogenous NO on unchanged.Thus,thetachycardialikelywasnotdependentonthe tonic EAA-mediated excitation within the PVN. Since we also magnitude of the depressor response. Furthermore, it does not found that the pressor response to exogenous NMDAis poten- appeartorequireGABA receptors,becauseitwasnotalteredby A tiated following blockade of NOS, tonic effects of endogenous pretreatmentwithBic. NO also may involve the NMDA subtype of glutamate recep- Full expression of the depressor effect of NO in the PVN tors.Thus,theoveralleffectofNOwithinthePVNisinhibitory, regionofawakeratsappearstorequireGABAergictransmission (Figure8E), since responses to SNP were attenuated ∼50% by sinceNOattenuatestonicexcitationduetobothexogenousand tonic endogenous glutamate, and facilitates inhibitory GABA Bic.Inpreviousworkinanesthetized animals(ZhangandPatel, neurotransmission. 1998), Bic abolished responses to SNP. Thus, it appears that in theabsenceofanesthesia,aportionoftheresponsetoNOdonors is independent of GABA. Another possibility may be related to GABAANDGLUTAMATE the dose of Bic used. In the present study, we used a relatively EndogenousGABAandglutamatealsoappeartointeractinthe low dose of Bic (1mM). As reported by others (Martin et al., PVN of conscious rats. Bilateral removal of GABAA receptor- 1991),weobservedthatBicinjectionintothePVNofconscious mediated inhibition in the region of the PVN produced pres- rats resulted in mild behavioral responses (such as licking and sor and tachycardic responses, effects observed in other studies grooming).Wefoundthathigherdosestendedtoelicitlocomotor usingconsciousrats(Martinetal.,1991;deAbreuetal.,2009). activitythatinterferedwithmeasurementsofarterialpressureand Experimentsinanesthetizedanimalssuggestthatthisresponseis HR.Therefore, wechoseadosewithinthelowerrangeofthose due to an unmasking of excitatory inputs, including glutamate previouslyusedinanefforttocircumventthisconcern.Itispos- and angiotensin II (Chen and Toney, 2003; Chen et al., 2003; siblethatthisrelativelylowdoseofBicdidnotcompletelyblock LiandPan,2007a).Inthecurrentstudy,excitatoryresponsesto GABAAreceptors.Althoughpreviousstudiesinanesthetizedrats GABAA blockade were blunted during inhibition of ionotropic indicate that cardiovascular responses to 40mM and 1mM Bic glutamatereceptors.Thesedatasuggestthatintheconsciousrat, microinjectedintothePVNweresimilar(ZhangandPatel,1998; glutamate provides a substantial portion of the excitation that Lietal.,2006),wecannotcompletelyeliminatethepossibilitythat is evident when GABAA inhibition is removed (Figure8C), or FrontiersinPhysiology|IntegrativePhysiology January2013|Volume3|Article490|8 Martins-Pingeetal. NO,GABA,andGlutamateinPVN glutamatergicinputsmaybetonicallyinhibitedbyGABA.Inthis responsesinthePVN,disinhibition(Bic)orexcitation(NMDA) regard, following Bic in the PVN, release of glutamate and the producedpressorresponseswithlimitedbehavioralactivation.In frequencyofglutamatergicEPSCsareincreased(Lietal.,2006). addition, our coordinates are consistent with those used previ- Alternatively,GABAergicneuronsintheregionofthePVNmay ously by us, in which injection sites were confirmed (Kvochina be excited tonically by glutamate. Althoughsimultaneous disfa- et al., 2009; King et al., 2012). Collectively, this evidence sug- cilitation due to Kyn could contribute to the blunted response gests that responses were due primarily to changes in neuronal toBic,thismostlikelyinvolvesaninteractionbetweenglutamate activationintheregionofthePVN. and GABA as previously suggested (Chen et al., 2003) because the minor effects of Kyn alone are not sufficient to account for SUMMARY the magnitude of the diminished response. Future experiments The combined data from these studies in conscious rats is are required to evaluate the cellular mechanisms of these inter- consistent with previous work in anesthetized animals and actions, aswellasapotential roleforothertransmitters suchas suggests that the PVN is under tonic excitation due to endoge- angiotensinII. nous activation of ionotropic glutamate receptors. In addi- tion, both NO and GABA have tonic inhibitory effects in LIMITATIONS the region of the PVN in conscious rats and this inhibi- As with any study our conclusions have certain caveats that tion masks the majority of tonic glutamatergic excitation. must be taken into consideration. For example, in the cur- Importantly, we found that in conscious rats, endogenous NO rent study we measured arterial pressure and HR in conscious appears to tonically blunt the ongoing activation of the PVN rats. It is most likely that responses to microinjections are due by EAAs. The nature of these tonic effects involves a com- primarily to changes in sympathetic nervous system activity. plex interaction among glutamatergic, GABAergic, and NO Although this assumptionis consistent with previousstudiesin mechanisms. anesthetized animals (Zhang and Patel, 1998; Li et al., 2001), numerous neural and humoral factors influence arterial pres- ACKNOWLEDGMENTS sure, and the influence of the PVN on sympathetic activity The authors would like to acknowledge the outstanding tech- may vary depending on the specific sympathetic nerve evalu- nical expertise of Sarah A. Friskey. We would also like to ated. Therefore, future experiments are necessary to confirm thank the Neurohumoral Control of the Circulation group the involvement of the sympathetic nervous system, includ- at the Dalton Cardiovascular Research Center for valuable ing effects on sympathetic activity to specific regions, vs. other input on this project. This study was supported by the neurohumoralfactors. National Institutes of Health HL 55306 and HL 64669 Also,becauseofnon-specificdamageduringremovalofguide (Eileen M. Hasser). This investigation was conducted in cannulae, we cannot say unequivocally that all injections were a facility constructed with support from Research Facilities centeredinthePVN.However,injectionsiteswereconfinedtothe Improvement Program Grant Number CO6 RR-16498 from brainparenchyma, andthe primarycardiovascularregionnear- the National Center for Research Resources, National Institutes esttheinjectionswasinfactthePVN.Inallrats,consistentwith ofHealth. REFERENCES oxide synthase indicating a neural Chen,Q.H.,andToney,G.M.(2003). hypertensive rats. Brain Res. 955, Akine,A.,Montanaro,M.,andAllen,A. role for nitric oxide. Nature 347, Responses to GABA-A receptor 153–160. M.(2003).Hypothalamicparaven- 768–770. blockade in the hypothalamic Felder, R. 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