PMID- 28270592 OWN - NLM STAT- MEDLINE DCOM- 20171207 LR - 20240324 IS - 2051-817X (Electronic) IS - 2051-817X (Linking) VI - 5 IP - 5 DP - 2017 Mar TI - Evidence that remodeling of insular cortex neurovascular unit contributes to hypertension-related sympathoexcitation. LID - 10.14814/phy2.13156 [doi] LID - e13156 AB - The intermediate region of the posterior insular cortex (intermediate IC) mediates sympathoexcitatory responses to the heart and kidneys. Previous studies support hypertension-evoked changes to the structure and function of neurons, blood vessels, astrocytes and microglia, disrupting the organization of the neurovascular unit (NVU). In this study, we evaluated the functional and anatomical integrity of the NVU at the intermediate IC in the spontaneously hypertensive rat (SHR) and its control the Wistar-Kyoto (WKY). Under urethane anesthesia, NMDA microinjection (0.2 mmol/L/100 nL) was performed at the intermediate IC with simultaneous recording of renal sympathetic nerve activity (RSNA), heart rate (HR) and mean arterial pressure (MAP). Alterations in NVU structure were investigated by immunofluorescence for NMDA receptors (NR1), blood vessels (70 kDa FITC-dextran), astrocytes (GFAP), and microglia (Iba1). Injections of NMDA into intermediate IC of SHR evoked higher amplitude responses of RSNA, MAP, and HR On the other hand, NMDA receptor blockade decreased baseline RSNA, MAP and HR in SHR, with no changes in WKY Immunofluorescence data from SHR intermediate IC showed increased NMDA receptor density, contributing to the SHR enhanced sympathetic responses, and increased in vascular density (increased number of branches and endpoints, reduced average branch length), suggesting angiogenesis. Additionally, IC from SHR presented increased GFAP immunoreactivity and contact between astrocyte processes and blood vessels. In SHR, IC microglia skeleton analysis supports their activation (reduced number of branches, junctions, endpoints and process length), suggesting an inflammatory process in this region. These findings indicate that neurogenic hypertension in SHR is accompanied by marked alterations to the NVU within the IC and enhanced NMDA-mediated sympathoexcitatory responses likely contributors of the maintenance of hypertension. CI - (c) 2017 The Authors. Physiological Reports published by Wiley Periodicals, Inc. on behalf of The Physiological Society and the American Physiological Society. FAU - Marins, Fernanda R AU - Marins FR AD - Departamento de Fisiologia e Biofisica, INCT, Instituto de Ciencias Biologicas, Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil. FAU - Iddings, Jennifer A AU - Iddings JA AD - Department of Physiology, Augusta University, Augusta, Georgia. FAU - Fontes, Marco A P AU - Fontes MA AD - Departamento de Fisiologia e Biofisica, INCT, Instituto de Ciencias Biologicas, Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil. FAU - Filosa, Jessica A AU - Filosa JA AD - Department of Physiology, Augusta University, Augusta, Georgia jfilosa@augusta.edu. LA - eng GR - R01 HL089067/HL/NHLBI NIH HHS/United States PT - Journal Article PL - United States TA - Physiol Rep JT - Physiological reports JID - 101607800 RN - 0 (Excitatory Amino Acid Agonists) RN - 0 (Glial Fibrillary Acidic Protein) RN - 6384-92-5 (N-Methylaspartate) SB - IM MH - Animals MH - Arterial Pressure/drug effects/physiology MH - Astrocytes/metabolism MH - Cerebral Cortex/drug effects/*physiology MH - Excitatory Amino Acid Agonists/pharmacology MH - Glial Fibrillary Acidic Protein/metabolism MH - Heart Rate/drug effects/physiology MH - Hypertension/*physiopathology MH - Kidney/*innervation MH - N-Methylaspartate/pharmacology MH - Neurovascular Coupling/drug effects/*physiology MH - Rats MH - Rats, Inbred SHR MH - Rats, Inbred WKY MH - Sympathetic Nervous System/drug effects/*physiology PMC - PMC5350170 OTO - NOTNLM OT - Hypertension OT - Insular cortex (IC) OT - NMDA receptors OT - neurovascular unit (NVU) EDAT- 2017/03/09 06:00 MHDA- 2017/12/08 06:00 PMCR- 2017/03/07 CRDT- 2017/03/09 06:00 PHST- 2017/01/13 00:00 [received] PHST- 2017/01/18 00:00 [accepted] PHST- 2017/03/09 06:00 [entrez] PHST- 2017/03/09 06:00 [pubmed] PHST- 2017/12/08 06:00 [medline] PHST- 2017/03/07 00:00 [pmc-release] AID - 5/5/e13156 [pii] AID - PHY213156 [pii] AID - 10.14814/phy2.13156 [doi] PST - ppublish SO - Physiol Rep. 2017 Mar;5(5):e13156. doi: 10.14814/phy2.13156.