4.7 Article

Portal Osmopressor Mechanism Linked to Transient Receptor Potential Vanilloid 4 and Blood Pressure Control

Journal

HYPERTENSION
Volume 55, Issue 6, Pages 1438-U261

Publisher

LIPPINCOTT WILLIAMS & WILKINS
DOI: 10.1161/HYPERTENSIONAHA.110.151860

Keywords

Trpv4; blood pressure; osmopressor; sympathetic nervous system; baroreflex

Funding

  1. National Institutes of Health [P01 HL056693, R01 HL071784, U54 NS065736, K23 RR020783, UL1 RR024975]

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Human subjects with impaired baroreflex function cannot buffer rises or falls in blood pressure ( BP), thus allowing BP effects of endogenous or environmental stimuli that previously escaped detection to emerge dramatically. Studies in these patients led us to discover that water ingestion induced a robust increase in BP and vascular resistance. Here, using a mouse model of baroreflex impairment, we show that the increase in blood pressure after water ingestion is mediated through sympathetic nervous system activation and that the osmosensitive transient receptor potential vanilloid 4 channel (Trpv4) is an essential component of the response. Although portal osmolality decreases after water ingestion in both wild-type and Trpv4(-/-) mice, only the wild-type animals show a pressor response. The same volume of physiological saline does not elicit an increase in BP, suggesting osmolality as the stimulus. The osmopressor response to water, and Trpv4 thus represent new factors now implicated in the physiology of BP regulation. (Hypertension. 2010;55:1438-1443.)

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