Dissociation of hypothalamic noradrenergic activity and sympathoadrenal reponses to recurrent hypoglycemia.

Autor: de Vries, Martin G., Lawson, Marcus A., Beverly, J. Lee
Předmět:
Zdroj: American Journal of Physiology: Regulatory, Integrative & Comparative Physiology; May2004, Vol. 286, pR910-R915, 6p, 1 Diagram, 1 Chart, 2 Graphs
Abstrakt: This study evaluated whether attenuation of sympathoadrenal responses to recurrent hypoglycemia is mediated by diminished noradrenergic activity in the hypothalamus. Male Sprague-Dawley rats received either once daily insulin (1.0 units/kg) injections or an equal administration of saline for 3 days. Both groups received an administration of insulin on the fourth day, during which blood glucose and plasma catecholamines were determined, and extracellular norepinephrine (NE) in the ventromedial hypothalamus (VMH) or paraventricular hypothalamic nucleus (PVN) was monitored with microdialysis. The peak response of plasma epinephrine to insulin-induced hypoglycemia (nadir ×3.2 mmol/l) was significantly reduced during the fourth hypoglycemic episode (774 ± 134 pg/ml) compared with the first episode (2,561 ± 410 pg/ml, P < 0.001). Baseline levels of extracellular NE were elevated ∼25% (P = 0.07) in the VMH and ∼46% (P = 0.03) in the PVN after multiple hypoglycemic episodes. There was no difference in noradrenergic activity during the first or fourth hypoglycemic episode in either brain area. The reduced sympathoadrenal output after recurrent hypoglycemia is likely postsynaptic from hypothalamic NE release or is mediated via a collateral pathway. [ABSTRACT FROM AUTHOR]
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