Journal of Traditional Chinese Medicine >
Effect of electroacupuncture on hypertensive and sympathetic excitability mechanism mediated by the paraventricular nucleus of the hypothalamus in spontaneous hypertensive rats
Received date: 2024-06-03
Accepted date: 2024-09-27
Online published: 2025-05-21
Supported by
Doctoral Research Fund Project of Qilu Hospital of Shandong University (Qingdao): Mechanistic Study on the Improvement of Vertigo Caused by Posterior Circulation Ischemia by Acupuncture through Regulating Cerebral Blood Flow in Rats with Posterior Circulation Ischemia Vertigo(QDKY2023BS19);National Natural Science Foundation of China: From Microrna 9 Regulate P2X7 Receptor of Microglia in Paraventricular Nucleus of Hypothalamus to Explore the Effect of Electroacupuncture on Sympathetic Nerve Excitability in Spontaneously Hypertensive Rats(82074553)
OBJECTIVE: To investigate the mechanism of electroacupuncture of sympathetic nerve activity and blood pressure reduction in the hypothalamic paraventricular nucleus (PVN) of spontaneous hypertensive rats (SHRs).
METHODS: A total of 64 male SHRs were divided into four groups: model, sham-operated (Sham), electro-acupuncture (EA), and N-methyl-D-aspartate receptor antagonist and electroacupuncture (NRA + EA). In addition, 16 Wistar-Kyoto rats were used as controls. PVN stereotaxic surgery was performed in both the Sham and NRA + EA groups, while the EA and NRA + EA groups received 14 d of electroacupuncture. Blood pressure (BP) and heart rate (HR) were measured the day before the intervention and every other day. After 14 d of intervention, the rats in each group were tested for renal sympathetic nerve activity (RSNA). The associated factor levels were determined using Western blotting, reverse transcription-polymerase chain reaction (RT-PCR), enzyme-linked immunosorbent assay (ELISA) and immunofluorescence assays.
RESULTS: In comparison to the model group, the EA and NRA + EA groups had significantly lower BP, HR, and RSNA (P < 0.01). The expression of N-methyl-D-aspartate receptor (NMDAR), angiotensin II (Ang II), angiotensin II type 1 (AT1), tumor necrosis factor-α, interleukin-1β, norepinephrine and arginine vasopressin was significantly lower in the EA and NRA + EA groups (P < 0.01). Moreover, the antihypertensive effect of NRA+EA group outperformed to the EA group.
CONCLUSIONS: Electroacupuncture effectively reduced the BP and sympathetic nerve excitability in SHRs. The mechanism was linked to the inhibition of NMDAR-mediated Ang II /AT1 and the inflammatory response in PVN.
Jiao SUN , Yueming WANG , Jian LYU , Xin LIU , Bingnan YUE , Yinyin LI , Jipeng LIU , Yize SUN , Qingguo LIU , Liu YAN . Effect of electroacupuncture on hypertensive and sympathetic excitability mechanism mediated by the paraventricular nucleus of the hypothalamus in spontaneous hypertensive rats[J]. Journal of Traditional Chinese Medicine, 2025 , 45(3) : 586 -596 . DOI: 10.19852/j.cnki.jtcm.2025.03.013
| 1. | Heidenreich PA, Bozkurt B, Aguilar D, et al. 2022 AHA/ACC/HFSA guideline for the management of heart failure: executive summary: a report of the American College of Cardiology/American Heart Association Joint Committee on clinical practice guidelines. Circulation 2022; 145: e876-94. |
| 2. | Gill D, Georgakis MK, Koskeridis F, et al. Use of genetic variants related to antihypertensive drugs to inform on efficacy and side effects. Circulation 2019; 140: 270-9. |
| 3. | Zhang M, Zhu Y, Wang J, Li Y, Hua Z. Association between acupuncture and grade 1 hypertension: a systematic review and Meta-analysis. Complement Ther Clin Pract 2022; 49: 101649. |
| 4. | Zhang J, Lyu T, Yang Y, et al. Acupuncture at LR3 and KI3 shows a control effect on essential hypertension and targeted action on cerebral regions related to blood pressure regulation: a resting state functional magnetic resonance imaging study. Acupunct Med 2021; 39: 53-63. |
| 5. | Guo Q, Liu Q, Sun D, et al. Twirling reinforcing-reducing manipulation-central mechanism underlying antihypertensive effect on spontaneous hypertension in rats. J Tradit Chin Med 2018; 38: 391-8. |
| 6. | Bi Q, Wang C, Cheng G, et al. Microglia-derived PDGFB promotes neuronal potassium currents to suppress basal sympathetic tonicity and limit hypertension. Immunity 2022; 55: 1466-82.e9. |
| 7. | Savi? B, Murphy D, Japund?i?-?igon N. The paraventricular nucleus of the hypothalamus in control of blood pressure and blood pressure variability. Front Physiol 2022; 13: 858941. |
| 8. | Sohn R, Jenei-Lanzl Z. Role of the sympathetic nervous system in mild chronic inflammatory diseases: focus on osteoarthritis. Neuroimmunomodulation 2023; 30: 143-66. |
| 9. | Gao N, Wang H, Xu X, Yang Z, Zhang T. Angiotensin II induces cognitive decline and anxiety-like behavior via disturbing pattern of theta-gamma oscillations. Brain Res Bull 2021; 174: 84-91. |
| 10. | Underwood CF, Burke PGR, Kumar NN, et al. Upregulated angiotensin Ia receptors in the hypothalamic paraventricular nucleus sensitize neuroendocrine vasopressin release and blood pressure in a rodent model of polycystic kidney disease. Neuroendocrinology 2022; 112: 1200-13. |
| 11. | Sun HJ, Chen D, Han Y, et al. Relaxin in paraventricular nucleus contributes to sympathetic overdrive and hypertension via PI3K-Akt pathway. Neuropharmacology 2016; 103: 247-56. |
| 12. | 12. Liu CY, Xie DP, Liu KJ, et al. Oxytocin microinjected into dorsal motor nucleus of the vagus excites gallbladder motility via NMDA receptor-NO-cGMP pathway. Brain Res 2005; 1032: 116-22. |
| 13. | Ji Z, Liang J, Wu J, et al. Effects of electroacupuncture at Taichong (LR3) and Baihui (GV20) on cardiac hypertrophy in rats with spontaneous hypertension. J Tradit Chin Med 2019; 39: 502-8. |
| 14. | Shao R, Wang X, Xu T, Xia Y, Cui D. The balance between AIM2-associated inflammation and autophagy: the role of CHMP2A in brain injury after cardiac arrest. J Neuroinflammation 2021; 18: 257. |
| 15. | Lu P, Liang LW, Xu AL, et al. Pro-inflammatory cytokines in the paraventricular nucleus mediate the adipose afferent reflex in rats. Pflugers Arch 2020; 472: 343-54. |
| 16. | Kalavi K, Jorjani O, Faghihi MA, Mowla SJ. Cytokine gene expression alterations in human macrophages infected by leishmania major. Cell J 2021; 22: 476-81. |
| 17. | Maenosono R, Fukushima T, Kobayashi D, et al. Unplanned hemodialysis initiation and low geriatric nutritional risk index scores are associated with end-stage renal disease outcomes. Sci Rep 2022; 12: 11101. |
| 18. | Gonzalez JE, Cooke WH. Acute effects of electronic cigarettes on arterial pressure and peripheral sympathetic activity in young nonsmokers. Am J Physiol Heart Circ Physiol 2021; 320: H248-55. |
| 19. | Wang Y, Hu H, Yin J, et al. TLR4 participates in sympathetic hyperactivity Post-MI in the PVN by regulating NF-κB pathway and ROS production. Redox Biol 2019; 24: 101186. |
| 20. | Zhang RM, McNerney KP, Riek AE, Bernal-Mizrachi C. immunity and hypertension. Acta Physiol (Oxf) 2021; 231: e13487. |
| 21. | Ma H, Chen SR, Chen H, et al. α2δ-1 is essential for sympathetic output and NMDA receptor activity potentiated by angiotensin Ⅱ in the hypothalamus. J Neurosci 2018; 38: 6388-98. |
| 22. | Li B, Deng S, Sang B, et al. Revealing the neuroimaging mechanism of acupuncture for poststroke aphasia: a systematic review. Neural Plast 2022; 2022: 5635596. |
| 23. | Luo X, Huang J, Yu J, et al. Effect of Taichong (LR 3) acupuncture in spontaneously hypertensive rats. J Tradit Chin Med 2019; 39: 74-80. |
| 24. | Tan YY, Wang YY, Zhang Q. Electroacupuncture of "Quchi" (LI 11) Inhibits the elevation of arterial blood pressure and abnormal sympathetic nerve activity in hypertension rats. Zhen Ci Yan Jiu 2016; 41: 144-9. |
| 25. | Yang JW, Ye Y, Wang XR, et al. Acupuncture attenuates renal sympathetic activity and blood pressure via Beta-Adrenergic receptors in spontaneously hypertensive rats. Neural Plast 2017; 2017: 8696402. |
| 26. | De Matsukawa K, Iwamoto GA, Mitchell JH, et al. Exaggerated renal sympathetic nerve and pressor responses during spontaneously occurring motor activity in hypertensive rats. Am J Physiol Regul Integr Comp Physiol 2023; 324: R497-512. |
| 27. | Collister JP, Taylor-Smith H, Drebes D, et al. Angiotensin Ⅱ-induced hypertension is attenuated by overexpressing Copper/Zinc superoxide dismutase in the brain organum vasculosum of the lamina terminalis. Oxid Med Cell Longev 2016; 2016: 3959087. |
| 28. | Al-Atta A, Spray L, Mohammed A, Shmeleva E, Spyridopoulos I. Arginine vasopressin plays a role in microvascular dysfunction after ST-Elevation myocardial infarction. J Am Heart Assoc 2023; 12: e030473. |
| 29. | Shi Z, Madden CJ, Brooks VL. Arcuate neuropeptide Y inhibits sympathetic nerve activity via multiple neuropathways. J Clin Invest 2017; 127: 2868-80. |
| 30. | Qiao X, Zhou JJ, Li DP, et al. Src kinases regulate glutamatergic input to hypothalamic presympathetic neurons and sympathetic outflow in hypertension. Hypertension 2017; 69: 154-62. |
| 31. | Zhang H, Zhou JJ, Shao JY, et al. Hypothalamic corticotropin-releasing hormone contributes to hypertension in spontaneously hypertensive rats. J Neurosci 2023; 43: 4513-24. |
| 32. | Stern JE, Son S, Biancardi VC, Zheng H, et al. Astrocytes contribute to angiotensin Ⅱ stimulation of hypothalamic neuronal activity and sympathetic outflow. Hypertension 2016; 68: 1483-93. |
| 33. | Mohammed M, Berdasco C, Lazartigues E. Brain angiotensin converting enzyme-2 in central cardiovascular regulation. Clin Sci (Lond) 2020; 134: 2535-47. |
| 34. | Wang M, Pan W, Xu Y, et al. Microglia-mediated neuroinflammation: a potential target for the treatment of cardiovascular diseases. J Inflamm Res 2022; 15: 3083-94. |
| 35. | Zhou X, Yang H, Song X, et al. Central blockade of the AT1 receptor attenuates pressor effects via reduction of glutamate release and downregulation of NMDA/AMPA receptors in the rostral ventrolateral medulla of rats with stress-induced hypertension. Hypertens Res 2019; 42: 1142-51. |
| 36. | Pekas EJ, Shin J, Headid RJ, et al. Combined anthocyanins and bromelain supplement improves endothelial function and skeletal muscle oxygenation status in adults: a double-blind placebo-controlled randomised crossover clinical trial. Br J Nutr 2021; 125: 161-71. |
| 37. | Chen J, Chu Y, Gao M, et al. Cardiac sympathetic afferent ablation to prevent ventricular arrhythmia complicating acute myocardial infarction by inhibiting activated astrocytes. J Cell Mol Med 2022; 26: 4805-13. |
| 38. | Gong X, Hu H, Qiao Y, et al. The involvement of renin-angiotensin system in lipopolysaccharide-induced behavioral changes, neuroinflammation, and disturbed insulin signaling. Front Pharmacol 2019; 10: 318. |
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