The chronic infusion of hexamethonium and phenylephrine to effectively clamp sympathetic vasomotor tone. A novel approach

J Pharmacol Toxicol Methods. 1999 Nov;42(3):135-47. doi: 10.1016/s1056-8719(00)00051-4.

Abstract

There are several ways to assess the sympathetic nervous system (i.e. , nerve recording, sympathectomy, etc.), each of which has its own limitations. The present study was conducted to establish a standard, testable chronic ganglionic blockade protocol with a fixed level of adrenergic vasomotor tone. Rats were instrumented with radio telemetry pressure transducers and venous catheters for continuous measurement of arterial pressure and infusion of pharmacologic agents, respectively. After 3 days of control measurements, rats were infused for 9 days with a continuous dose of the ganglionic blocking agent, hexamethonium and the alpha-adrenergic agonist, phenylephrine. In this way, sympathetic tone was effectively "clamped," which maintained a normal level of arterial pressure. Control pressure between hexamethonium + phenylephrine (HEX + PE) treated rats (101+/-2 mm Hg) and saline (VEHICLE) treated rats (101+/-2 mmHg) was not different. By day 9 of the infusion, there was no difference in arterial pressure between groups (VEHICLE: 101+/-3 mm Hg, HEX + PE: 103+/-3 mm Hg) or from the control period, although heart rate was significantly less in HEX + PE rats (VEHICLE: 406+/-9 beats/min vs. HEX + PE: 343+/-6 beats/min). The effectiveness of this technique was validated by measuring cardiac baroreceptor reflex sensitivity, as well as the pressor response to the direct ganglionic stimulating agent, 1, 1-dimethyl-4-phenylpiperazinium iodide (DMPP). Compared to VEHICLE rats, HEX + PE rats showed no tachycardic response to depressor stimuli and an absence of a pressor response to DMPP. We conclude that this protocol is a useful technique to chronically, yet reversibly, block the sympathetic nervous system in experimental settings.

Publication types

  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Adrenergic alpha-Agonists / pharmacology*
  • Animals
  • Autonomic Nerve Block*
  • Baroreflex / drug effects
  • Blood Pressure / drug effects
  • Dimethylphenylpiperazinium Iodide / pharmacology
  • Drinking / drug effects
  • Eating / drug effects
  • Ganglionic Blockers / pharmacology*
  • Heart Rate / drug effects
  • Hexamethonium / pharmacology*
  • Infusions, Intravenous
  • Male
  • Phenylephrine / pharmacology*
  • Rats
  • Rats, Sprague-Dawley
  • Renin / blood
  • Sodium / metabolism
  • Vasomotor System / drug effects*
  • Vasomotor System / physiology

Substances

  • Adrenergic alpha-Agonists
  • Ganglionic Blockers
  • Phenylephrine
  • Hexamethonium
  • Dimethylphenylpiperazinium Iodide
  • Sodium
  • Renin