Neurocirculatory regulation in cortisol-induced hypertension

Clin Exp Hypertens A. 1989;11(8):1425-39. doi: 10.3109/10641968909038174.

Abstract

Effects of chronic glucocorticoid treatment on arterial baroreflex function and on cardiac beta- and vascular alpha-adrenoceptor-mediated responses were assessed in conscious, unrestrained Wistar-Kyoto rats. Cortisol (25 mg/kg/day) was administered for seven days using a subcutaneous reservoir pump. Arterial baroreflex-cardiac sensitivity was assessed by examining the relationship of the cardiac interbeat interval to the mean arterial blood pressure during phenylephrine or nitroprusside challenge; baroreflex-sympathoneural sensitivity was assessed from the ratio of the increase in the arterial norepinephrine concentration to the decrease in mean arterial pressure at 15 min during intravenous infusion of nitroprusside; cardiac beta-adrenoceptor-mediated responsiveness was estimated from heart rate responses to bolus-injected isoproterenol; and vascular alpha-adrenoceptor-mediated responsiveness was estimated from peak mean arterial pressure responses to bolus-injected phenylephrine. Cortisol treatment increased mean arterial pressure, decreased heart rate, and increased heart rate responses to isoproterenol, whereas baroreflex-vagal sensitivity, baroreflex-sympathoneural sensitivity, and pressor responses to phenylephrine were unaffected. The results indicate that hypertension due to chronic cortisol administration is not associated with decreased sensitivity of the baroreceptor-cardiac reflex. Baroreflex-sympathoneural sensitivity and alpha 1-adrenoceptor responsiveness also remain normal, whereas beta-adrenoceptor responsiveness is increased. The findings suggest that the pattern of neurocirculatory adjustment in glucocorticoid hypertension differs from that seen in other forms of hypertension.

MeSH terms

  • Animals
  • Blood Circulation / physiology*
  • Blood Pressure
  • Catecholamines / blood
  • Heart Rate
  • Hydrocortisone / pharmacology*
  • Hypertension / blood
  • Hypertension / chemically induced
  • Hypertension / physiopathology*
  • Male
  • Methoxyhydroxyphenylglycol / analogs & derivatives
  • Methoxyhydroxyphenylglycol / blood
  • Nervous System / physiopathology*
  • Nitroprusside / pharmacology
  • Phenylephrine / pharmacology
  • Rats
  • Rats, Inbred WKY
  • Receptors, Adrenergic, beta / physiology

Substances

  • Catecholamines
  • Receptors, Adrenergic, beta
  • Nitroprusside
  • Phenylephrine
  • Methoxyhydroxyphenylglycol
  • 3,4-dihydroxyphenylglycol
  • Hydrocortisone