CALL FOR PAPERS Physiological and Molecular Mechanisms Implicated in the Neural Control of Circulation Responses of cardiac sympathetic nerve activity to changes in circulating volume differ in normal and heart failure sheep

Ramchandra R, Hood SG, Watson AM, May CN. Responses of cardiac sympathetic nerve activity to changes in circulating volume differ in normal and heart failure sheep. Am J Physiol Regul Integr Comp Physiol 295: R719–R726, 2008. First published July 16, 2008; doi:10.1152/ajpregu.00824.2007.—Factors controlling cardiac sympathetic nerve activity (CSNA) in the normal state and those causing the large increase in activity in heart failure (HF) remain unclear. We hypothesized from previous clinical findings that activation of cardiac mechanoreceptors by the increased blood volume in HF may stimulate sympathetic nerve activity (SNA), particularly to the heart via cardiocardiac reflexes. To investigate the effect of volume expansion and depletion on CSNA we have made multiunit recordings of CSNA in conscious normal sheep and sheep paced into HF. In HF sheep (n 9) compared with normal sheep (n 9), resting levels of CSNA were significantly higher (34 5 vs. 93 2 bursts/100 heart beats, P 0.05), mean arterial pressure was lower (76 3 vs. 87 2 mmHg; P 0.05), and central venous pressure (CVP) was greater (3.0 1.0 vs. 0.0 1.0 mmHg; P 0.05). In normal sheep (n 6), hemorrhage (400 ml over 30 min) was associated with a significant increase in CSNA (179 16%) with a decrease in CVP (2.7 0.7 mmHg). Volume expansion (400 ml Gelofusine over 30 min) significantly decreased CSNA (35 12%) and increased CVP (4.7 1.0 mmHg). In HF sheep (n 6) the responses of CSNA to both volume expansion and hemorrhage were severely blunted with no significant changes in CSNA or heart rate with either stimulus. In summary, these studies in a large conscious mammal demonstrate that in the normal state directly recorded CSNA increased with volume depletion and decreased with volume loading. In contrast, both of these responses were severely blunted in HF with no significant changes in CSNA during either hemorrhage or volume expansion.