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Blood pressure regulation XI: overview and future research directions

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Abstract

While the importance of regulating arterial blood pressure within a ‘normal’ range is widely appreciated, the definition of ‘normal’ and the means by which humans and other species regulate blood pressure under various conditions remain hotly debated. The effects of diverse physiological, pathological and environmental challenges on blood pressure and the mechanisms that attempt to maintain it at an optimal level are reviewed and critically analyzed in a series of articles published in this themed issue of the European Journal of Applied Physiology. We summarize here the major points made in these reviews, with emphasis on unifying concepts of regulatory mechanisms and future directions for research.

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Abbreviations

MAP:

Mean arterial pressure

NTS:

Nucleus tractus solitarii

ROS:

Reactive oxygen species

NO:

Nitric oxide

Ang II:

Angiotensin II

References

  • Aslan M, Ryan TM, Adler B, Townes TM, Parks DA, Thompson JA, Tousson A, Gladwin MT, Patel RP, Tarpey MM, Batinic-Haberle I, White CR, Freeman BA (2001) Oxygen radical inhibition of nitric oxide-dependent vascular function in sickle cell disease. Proc Natl Acad Sci USA 98:15215–15220

    Article  CAS  PubMed  Google Scholar 

  • Atkinson G, Batterham KK, Taylor CE, Jones H (2014) Blood pressure regulation VII: the “morning surge” in blood pressure: measurement issues and clinical significance. Eur J Appl Physiol

  • Bristow JD, Brown EB, Cunningham DJC, Howson MG, Petersen ES, Pickering TG, Sleight P (1971) Effect of bicycling on the baroreflex regulation of pulse interval. Circ Res 28:582–592

    Google Scholar 

  • Calbet JA, Jensen-Urstad M, van Hall G, Holmberg HC, Rosdahl H, Saltin B (2004) Maximal muscular vascular conductances during whole body upright exercise in humans. J Physiol 558:319–331

    Article  CAS  PubMed  Google Scholar 

  • Cannon WB (1929) Organization for physiological homeostasis. Physiol Rev 9:399–431

    Google Scholar 

  • Chapleau MW (2012) Baroreceptor reflexes. In: Robertson D, Biaggioni I, Burnstock G, Low P, Paton J (eds) Primer on the autonomic nervous system. Academic Press, Loss Angeles, pp 161–165

    Chapter  Google Scholar 

  • Eiken O, Mekjavic IB, Kolegard R (2014) Blood pressure regulation V: in vivo mechanical properties of precapillary vessels as affected by long-term pressure loading and unloading. Eur J Appl Physiol

  • Fadel PJ, Raven PB (2012) Human investigations into the arterial and cardiopulmonary baroreflexes during exercise. Exp Physiol 97:39–50

    Article  PubMed Central  PubMed  Google Scholar 

  • Fisher JP, Fadel PJ (2010) Therapeutic strategies for targeting excessive central sympathetic activation in human hypertension. Exp Physiol 95:572–580

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  • Fisher JP, Young CN, Fadel PJ (2009) Central sympathetic overactivity: maladies and mechanisms. Auton Neurosci 148:5–15

    Article  PubMed Central  PubMed  Google Scholar 

  • Grassi G, Seravalle G, Dell’Oro R, Facchini A, Ilardo V, Mancia G (2004) Sympathetic and baroreflex function in hypertensive or heart failure patients with ventricular arrhythmias. J Hypertens 22:1747–1753

    Article  CAS  PubMed  Google Scholar 

  • Halliwill JR, Sieck DC, Romero SA, Buck TM, Ely MR (2014) Blood pressure regulation X: what happens when the muscle pump is lost? Post-exercise hypotension and syncope. Eur J Appl Physiol

  • Ichinose M, Maeda S, Narihiko K, Nishiyasu T (2014) Blood pressure regulation II: what happens when one system must serve two maters: oxygen delivery and pressure regulation? Eur J Appl Physiol

  • Jiang H, Rummage JA, Stewart CA, Herriott MJ, Kolosova I, Kolosov M, Leu RW (1996) Evidence for endogenous C1q modulates TNF-alpha receptor synthesis and autocrine binding of TNF-alpha associated with lipid A activation of murine macrophages for nitric oxide production. Cell Immunol 170:34–40

    Article  CAS  PubMed  Google Scholar 

  • Joyner MJ, Limberg JK (2014) Blood pressure regulation #1: every adaptation is an integration? Eur J Appl Physiol

  • Kenney WL, Stanhewicz AE, Bruning RS, Alexander LM (2014) Blood pressure regulation III: what happens when one system must serve two maters: temperature and pressure regulation? Eur J Appl Physiol

  • Korner PI (2007) Essential hypertension and its causes: neural and non-neural mechanisms. Oxford University Press, Oxford

    Google Scholar 

  • Leal AK, Murphy MN, Iwamoto GA, Mitchell JH, Smith SA (2012) A role for nitric oxide within the nucleus tractus solitarii in the development of muscle mechanoreflex dysfunction in hypertension. Exp Physiol 97:1292–1304

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  • Leal AK, Mitchell JH, Smith SA (2013) Treatment of muscle mechanoreflex dysfunction in hypertension: effects of l-arginine dialysis in the nucleus tractus solitarii. Exp Physiol

  • Manolio TA, Burke GL, Savage PJ, Sidney S, Gardin JM, Oberman A (1994) Exercise blood pressure response and 5-year risk of elevated blood pressure in a cohort of young adults: the CARDIA study. Am J Hypertens 7:234–241

    Article  CAS  PubMed  Google Scholar 

  • Matthews CE, Pate RR, Jackson KL, Ward DS, Macera CA, Kohl HW, Blair SN (1998) Exaggerated blood pressure response to dynamic exercise and risk of future hypertension. J Clin Epidemiol 51:29–35

    Article  CAS  PubMed  Google Scholar 

  • Mekjavic IB, Eiken O (2006) Contribution of thermal and nonthermal factors to the regulation of body temperature in humans. J Appl Physiol 100:2065–2072

    Article  PubMed  Google Scholar 

  • Melcher A, Donald DE (1981) Maintained ability of carotid baroreflex to regulate arterial pressure during exercise. Am J Physiol 241:H838–H849

    CAS  PubMed  Google Scholar 

  • Miyai N, Arita M, Miyashita K, Morioka I, Shiraishi T, Nishio I (2002) Blood pressure response to heart rate during exercise test and risk of future hypertension. Hypertension 39:761–766

    Article  CAS  PubMed  Google Scholar 

  • Monahan KD, Eskurza I, Seals DR (2004) Ascorbic acid increases cardiovagal baroreflex sensitivity in healthy older men. Am J Physiol Heart Circ Physiol 286:H2113–H2117

    Article  CAS  PubMed  Google Scholar 

  • Nightingale AK, Blackman DJ, Field R, Glover NJ, Pegge N, Mumford C, Schmitt M, Ellis GR, Morris-Thurgood JA, Frenneaux MP (2003) Role of nitric oxide and oxidative stress in baroreceptor dysfunction in patients with chronic heart failure. Clin Sci (Lond) 104:529–535

    Article  CAS  Google Scholar 

  • Norsk P (2014) Blood pressure regulation IV: pressure regulation when the gravitational load is minimal (weightlessness). Eur J Appl Physiol

  • Padilla J, Jenkins NT, Laughlin MH, Fadel PJ (2014) Blood pressure regulation VIII: resistance vessel tone and implications for a pro-atherogenic conduit artery endothelial cell phenotype. Eur J Appl Physiol

  • Paton JF, Waki H (2009) Is neurogenic hypertension related to vascular inflammation of the brainstem? Neurosci Biobehav Rev 33:89–94

    Article  CAS  PubMed  Google Scholar 

  • Pescatello LS, Franklin BA, Fagard R, Farquhar WB, Kelley GA, Ray CA (2004) American College of Sports Medicine position stand. Exercise and hypertension. Med Sci Sports Exerc 36:533–553

    Article  PubMed  Google Scholar 

  • Rowell LB (1974) Human cardiovascular adjustments to exercise and thermal stress. Physiol Rev 54:75–159

    CAS  PubMed  Google Scholar 

  • Taylor JA, Tan CO (2014) Blood pressure regulation VI: elevated sympathetic outflow with human ageing- hypertensive or homeostatic? Eur J Appl Physiol

  • Tzeng Y-C, Ainslie PN (2014) Blood pressure regulation IX: cerebral autoregulation under blood pressure challenges. Eur J Appl Physiol

  • Waki H, Gouraud SS, Maeda M, Paton JF (2008) Specific inflammatory condition in nucleus tractus solitarii of the SHR: novel insight for neurogenic hypertension? Auton Neurosci 142:25–31

    Article  CAS  PubMed  Google Scholar 

  • Waki H, Gouraud SS, Maeda M, Raizada MK, Paton JF (2011) Contributions of vascular inflammation in the brainstem for neurogenic hypertension. Respir Physiol Neurobiol 178:422–428

    Article  CAS  PubMed  Google Scholar 

  • Walgenbach SC, Donald DE, Melcher A (1981) Inhibition of carotid pressor response by left aortic depressor nerve in dogs. Am J Physiol 240:H555–H560

    CAS  PubMed  Google Scholar 

  • Yamauchi M, Kimura H (2008) Oxidative stress in obstructive sleep apnea: putative pathways to the cardiovascular complications. Antioxid Redox Signal 10:755–768

    Article  CAS  PubMed  Google Scholar 

  • Zubcevic J, Waki H, Raizada MK, Paton JF (2011) Autonomic-immune-vascular interaction: an emerging concept for neurogenic hypertension. Hypertension 57:1026–1033

    Article  CAS  PubMed Central  PubMed  Google Scholar 

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Acknowledgments

Research performed in the Chapleau laboratory related to the topics discussed was supported by funding provided by the NIH (P01 HL14388) and the U.S. Department of Veterans Affairs (1 I01 BX001414) and in the Raven laboratory was supported by funding provided by the NIH (RO-1 grant #s HL045547 and R-21 Grant # HL106431).

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Correspondence to Peter B. Raven.

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Communicated by Nigel A.S. Taylor.

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Raven, P.B., Chapleau, M.W. Blood pressure regulation XI: overview and future research directions. Eur J Appl Physiol 114, 579–586 (2014). https://doi.org/10.1007/s00421-014-2823-z

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  • DOI: https://doi.org/10.1007/s00421-014-2823-z

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