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Am J Physiol Regul Integr Comp Physiol 280: R1162-R1168, 2001;
0363-6119/01 $5.00
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Vol. 280, Issue 4, R1162-R1168, April 2001

Brain angiotensin receptors and sympathoadrenal regulation during insulin-induced hypoglycemia

René H. Worck1,2, Dennis Staahltoft1, Thomas E. N. Jonassen1, Erik Frandsen3, Hans Ibsen2, and Jørgen S. Petersen1

1 Department of Pharmacology, The Panum Institute, University of Copenhagen, DK-2200 Copenhagen N; 2 Department of Medicine M, Glostrup Hospital, University of Copenhagen, DK-2600 Copenhagen; and 3 Department of Clinical Physiology and Nuclear Medicine, Glostrup Hospital, University of Copenhagen, DK-2600, Copenhagen, Denmark

Simultaneous blockade of systemic AT1 and AT2 receptors or converting enzyme inhibition (CEI) attenuates the hypoglycemia-induced reflex increase of epinephrine (Epi). To examine the role of brain AT1 and AT2 receptors in the reflex regulation of Epi release, we measured catecholamines, hemodynamics, and renin during insulin-induced hypoglycemia in conscious rats pretreated intracerebroventricularly with losartan, PD-123319, losartan and PD-123319, or vehicle. Epi and norepinephrine (NE) increased 60-and 3-fold, respectively. However, the gain of the reflex increase in plasma Epi (Delta plasma Epi/Delta plasma glucose) and the overall Epi and NE responses were similar in all groups. The ensuing blood pressure response was similar between groups, but the corresponding bradycardia was augmented after PD-123319 (P < 0.05 vs. vehicle) or combined losartan and PD-123319 (P < 0.01 vs. vehicle). The findings indicate 1) brain angiotensin receptors are not essential for the reflex regulation of Epi release during hypoglycemia and 2) the gain of baroreceptor-mediated bradycardia is increased by blockade of brain AT2 receptors in this model.

losartan; PD-123319; epinephrine; baroreflex


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Am J Physiol Regulatory Integrative Comp Physiol, April 1, 2002; 282(4): R937 - R939.
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