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1Department of Medicine, Division of Cardiology, Pennsylvania State University College of Medicine, Hershey; and 2Lebanon Veterans Affairs Medical Center, Lebanon, Pennsylvania
Submitted 6 June 2005 ; accepted in final form 29 September 2005
Reflex cardiovascular responses to contracting skeletal muscle are mediated by mechanical and metabolic stimulation of thin-fiber muscle afferents. Diprotonated phosphate (H2PO4) excites those thin-fiber nerves and evokes the muscle pressor reflex. The receptors mediating this response are unknown. Thus we examined the role played by purinergic receptors, vanilloid type 1 receptors (VR1), and acid-sensing ion channels (ASIC) in mediating H2PO4-evoked pressor responses. Phosphate and blocking agents were injected into the arterial blood supply of the hindlimb muscles of 53 decerebrated rats. H2PO4 (86 mM, pH 6.0) increased mean arterial pressure by 25 ± 2 mmHg, whereas monoprotonated phosphate (HPO42, pH 7.5) had no effect. Pyridoxalphosphate-6-azophenyl-2',4'-disulfonic acid (a purinergic receptor antagonist, 2 mM) did not block the response. However, capsazepine (a VR1 antagonist, 1 mg/kg) attenuated the reflex by 60% and amiloride (an ASIC blocker, 6 µg/kg) by 52%. Of note, the H2PO4-induced pressor response was attenuated by 87% when both capsazepine and amiloride were injected before the H2PO4. In conclusion, VR1 and ASIC mediate the pressor response due to H2PO4. The H2PO4-evoked response was greater when VR1 and ASIC blockers were given simultaneously than when the respective blockers were given separately. Our laboratory's previous study has shown that H+ stimulates ASIC (but not VR1) on thin-fiber afferent nerves in evoking the reflex response. Thus VR1 and ASIC are likely to play a coordinated and interactive role in processing the muscle afferent response to H2PO4. Furthermore, the physiological mechanisms mediating the response to H+ and H2PO4 are likely to be different.
hydrogen ion; thin-fiber afferent nerve; muscle reflex
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