Abstract
Background-Impairment of the arterial baroreflex causes orthostatic hypotension. Arterial baroreceptor sensitivity degrades with age. Thus, an impaired baroreceptor plays a pivotal role in orthostatic hypotension in most elderly patients. There is no effective treatment for orthostatic hypotension. The aims of this investigation were to develop a bionic baroreceptor (BBR) and to verify whether it corrects postural hypotension. Methods and Results-The BBR consists of a pressure sensor, a regulator, and a neurostimulator. In 35 Sprague-Dawley rats, we vascularly and neurally isolated the baroreceptor regions and attached electrodes to the aortic depressor nerve for stimulation. To mimic impaired baroreceptors, we maintained intracarotid sinus pressure at 60 mm Hg during activation of the BBR. Native baroreflex was reproduced by matching intracarotid sinus pressure to the instantaneous pulsatile aortic pressure. The encoding rule for translating intracarotid sinus pressure into stimulation of the aortic depressor nerve was identified by a white noise technique and applied to the regulator. The open-loop arterial pressure response to intracarotid sinus pressure (n=7) and upright tilt-induced changes in arterial pressure (n=7) were compared between native baroreceptor and BBR conditions. The intracarotid sinus pressure-arterial pressure relationships were comparable. Compared with the absence of baroreflex, the BBR corrected tilt-induced hypotension as effectively as under native baroreceptor conditions (native,-39±5 mm Hg; BBR,-41±5 mm Hg; absence,-63±5 mm Hg; P<0.05). Conclusions-The BBR restores the pressure buffering function. Although this research demonstrated feasibility of the BBR, further research is needed to verify its long-term effect and safety in larger animal models and humans.
| Original language | English |
|---|---|
| Pages (from-to) | 1278-1285 |
| Number of pages | 8 |
| Journal | Circulation |
| Volume | 126 |
| Issue number | 10 |
| DOIs | |
| Publication status | Published - Sep 4 2012 |
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All Science Journal Classification (ASJC) codes
- Physiology (medical)
- Cardiology and Cardiovascular Medicine
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Bionic baroreceptor corrects postural hypotension in rats with impaired baroreceptor. / Hosokawa, Kazuya; Ide, Tomomi; Tobushi, Tomoyuki; Sakamoto, Kazuo; Onitsuka, Ken; sakamoto, takafumi; Fujino, Takeo; Saku, Keita; Sunagawa, Kenji.
In: Circulation, Vol. 126, No. 10, 04.09.2012, p. 1278-1285.Research output: Contribution to journal › Article
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TY - JOUR
T1 - Bionic baroreceptor corrects postural hypotension in rats with impaired baroreceptor
AU - Hosokawa, Kazuya
AU - Ide, Tomomi
AU - Tobushi, Tomoyuki
AU - Sakamoto, Kazuo
AU - Onitsuka, Ken
AU - sakamoto, takafumi
AU - Fujino, Takeo
AU - Saku, Keita
AU - Sunagawa, Kenji
PY - 2012/9/4
Y1 - 2012/9/4
N2 - Background-Impairment of the arterial baroreflex causes orthostatic hypotension. Arterial baroreceptor sensitivity degrades with age. Thus, an impaired baroreceptor plays a pivotal role in orthostatic hypotension in most elderly patients. There is no effective treatment for orthostatic hypotension. The aims of this investigation were to develop a bionic baroreceptor (BBR) and to verify whether it corrects postural hypotension. Methods and Results-The BBR consists of a pressure sensor, a regulator, and a neurostimulator. In 35 Sprague-Dawley rats, we vascularly and neurally isolated the baroreceptor regions and attached electrodes to the aortic depressor nerve for stimulation. To mimic impaired baroreceptors, we maintained intracarotid sinus pressure at 60 mm Hg during activation of the BBR. Native baroreflex was reproduced by matching intracarotid sinus pressure to the instantaneous pulsatile aortic pressure. The encoding rule for translating intracarotid sinus pressure into stimulation of the aortic depressor nerve was identified by a white noise technique and applied to the regulator. The open-loop arterial pressure response to intracarotid sinus pressure (n=7) and upright tilt-induced changes in arterial pressure (n=7) were compared between native baroreceptor and BBR conditions. The intracarotid sinus pressure-arterial pressure relationships were comparable. Compared with the absence of baroreflex, the BBR corrected tilt-induced hypotension as effectively as under native baroreceptor conditions (native,-39±5 mm Hg; BBR,-41±5 mm Hg; absence,-63±5 mm Hg; P<0.05). Conclusions-The BBR restores the pressure buffering function. Although this research demonstrated feasibility of the BBR, further research is needed to verify its long-term effect and safety in larger animal models and humans.
AB - Background-Impairment of the arterial baroreflex causes orthostatic hypotension. Arterial baroreceptor sensitivity degrades with age. Thus, an impaired baroreceptor plays a pivotal role in orthostatic hypotension in most elderly patients. There is no effective treatment for orthostatic hypotension. The aims of this investigation were to develop a bionic baroreceptor (BBR) and to verify whether it corrects postural hypotension. Methods and Results-The BBR consists of a pressure sensor, a regulator, and a neurostimulator. In 35 Sprague-Dawley rats, we vascularly and neurally isolated the baroreceptor regions and attached electrodes to the aortic depressor nerve for stimulation. To mimic impaired baroreceptors, we maintained intracarotid sinus pressure at 60 mm Hg during activation of the BBR. Native baroreflex was reproduced by matching intracarotid sinus pressure to the instantaneous pulsatile aortic pressure. The encoding rule for translating intracarotid sinus pressure into stimulation of the aortic depressor nerve was identified by a white noise technique and applied to the regulator. The open-loop arterial pressure response to intracarotid sinus pressure (n=7) and upright tilt-induced changes in arterial pressure (n=7) were compared between native baroreceptor and BBR conditions. The intracarotid sinus pressure-arterial pressure relationships were comparable. Compared with the absence of baroreflex, the BBR corrected tilt-induced hypotension as effectively as under native baroreceptor conditions (native,-39±5 mm Hg; BBR,-41±5 mm Hg; absence,-63±5 mm Hg; P<0.05). Conclusions-The BBR restores the pressure buffering function. Although this research demonstrated feasibility of the BBR, further research is needed to verify its long-term effect and safety in larger animal models and humans.
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U2 - 10.1161/CIRCULATIONAHA.112.108357
DO - 10.1161/CIRCULATIONAHA.112.108357
M3 - Article
VL - 126
SP - 1278
EP - 1285
JO - Circulation
JF - Circulation
SN - 0009-7322
IS - 10
ER -