[PP.LB02.15] RENAL DENERVATION NORMALIZES SYMPATHETIC VASOMOTOR ACTIVITY AND PRODUCES DIFFERENTIAL EFFECTS ON THE ARTERIAL BARORECEPTOR FUNCTION IN THE GOLDBLATT RENOVASCULAR HYPERTENSION

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Abstract

Objective:

Sympathetic nerve activity is increased in renovascular hypertension. Renal denervation has shown promise in the treatment of patients with resistant hypertension to drug therapy, although the mechanisms underlying reduction in blood pressure remains uncertain. The aim of this study was to evaluate the effects of unilateral renal denervation (H+DnX) on efferent post-ganglionic sympathetic nerve activity to renal (rSNA) and lumbar (lSNA) sympathetic nerves in Goldblatt hypertensive rats (2K1C).

Design and method:

The baroreceptor sensitivity to rSNA, lSNA, heart rate (HR) and the cardiovascular autonomic function (by power spectral density analysis) were evaluated ten days after renal denervation. Denervation of clipped kidney (DnX – all visible bundles nerves were dissected – 10% phenol) was performed 5 weeks after clipping (gap width 0.2 mm). The rSNA and barorreceptor reflex control to rSNA was performed in the innervated contralateral kidney.

Results:

Ten days after DnX, blood pressure (BP) was significantly reduced (16%) in the 2K1C rats compared to 2K1C undenervated (H). DnX normalized rSNA (CT: 110 ± 8, n = 14; 2K1C:150 ± 8, n = 12; 2K1C DnX:89 ± 7, pps n = 8) and lSNA (CT: 137 ± 8, n = 8; 2K1C: 202 ± 7, n = 11; 2K1C DnX:131 ± 7, pps n = 8) in the 2K1C rats. DnX significantly improved the baroreceptor function for rSNA (CT: −2.3 ± 0.2, n = 11; 2K1C: −0.7 ± 0.1, n = 8; 2K1C DnX: −1.5 ± 0.2, pps/mmHg n = 5) and tachycardic response (CT: −3.9 ± 0.5, n = 7; 2K1C: −1.9 ± 0.1, n = 8; 2K1C DnX: −3.3 ± 0.4, bpm/mmHg n = 8), but not for lSNA in 2K1C rats. Furthermore, DnX significantly increased the high frequency (HF) component (CT: 1.4 ± 1, n = 10; 2K1C: 3.4 ± 2 n = 9; 2K1C DnX: 7.6 ± 3, ms2 n = 9) but not the very low frequency (VLF) and low frequency (LF) components (VLF = CT: 2.7 ± 1, n = 10; 2K1C: 13 ± 7, n = 9; 2K1C DnX: 9 ± 5, ms2 n = 8 / LF = CT: 2 ± 0.6, n = 9; 2K1C: 5 ± 3, n = 11; 2K1C DnX: 6 ± 4, ms2 n = 9) which remained elevated in the 2K1C rats.

Conclusions:

The results show that renal denervation normalized sympathetic vasomotor activity and increased the HF component of spectral analysis accompanied by a non uniform improvement in the arterial baroreceptor function. Whether the baroreceptor function sensitivity improvement induced by DnX is a cause or a consequence of BP reduction remains to be determined. Supported by FAPESP and CAPES.

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