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Clinical Science (1980) 5 9 , 2 9 5 ~ ~ 2 9 7 ~ 295s Is substance P the transmitter at the first synapse of the baroreceptor reflex in rats and cats? G. HAEUSLER AND R. O S T E R W A L D E R Pharmaceutical Research Department of F. Hoflmann-La Roche and Co. Ltd, Basel, Switzerland Summary 1. Substance P, injected into a lateral brain ventricle of urethane-anaesthetized rats, caused dose-dependent increases in blood pressure and heart rate. 2. By contrast, exposure of the obex region of the medulla oblongata to pieces of filter paper soaked in substance P-containing solution resulted in falls of blood pressure and heart rate in both rats and cats. 3. A more precise application of substance P to the first synapse of the baroreceptor reflex by micro-injection into defined areas of the nucleus of the solitary tract also led to an activation of the baroreceptor reflex. 4. Capsaicin, which is known to release substance P from primary afferents, mimicked the sympatho-inhibitory and cardiovascular effects of substance P when applied locally to the nucleus of the solitary tract. 5. The results are compatible with a transmitter or neuromodulatory role for substance P at the first synapse of the baroreceptor reflex. Key words: baroreceptor reflex, capsaicin, neuromodulator, neurotransmitter, nucleus of the solitary tract, substance P. Introduction Evidence is accumulating that the undecapeptide substance P is a neurotransmitter in the mammalian central nervous system (for review see Nicoll, Schenker & Leeman, 1980). The Correspondence: Dr Guenther Haeusler, Pharmaceutical Research Department of F. Hoffmann-La Roche and Co. Ltd, CH-4002 Basel, Switzerland. release of substance P has been shown to be a calcium-dependent process (Jessel, 1978), and electrophysiological experiments have revealed potent excitatory effects of substance P in a variety of regions of the central nervous system (Henry, 1976; Guyenet & Aghajanian, 1977). Particularly convincing are findings on pain pathways suggesting a transmitter role of substance P at primary sensory afferents (Henry, 1976). This has prompted us to study a potential transmitter function of substance P in another type of primary sensory structure, namely the baroreceptor neurons. The transmitter released in the nucleus of the solitary tract from the endings of baroreceptor afferent fibres and mediating transmission at the first synapse of the baroreceptor reflex arc has not yet been identified. The present results are compatible with the notion that substance P is able to excite baroreceptor neurons in the nucleus of the solitary tract and that it is a transmitter/neuromodulator candidate at the first synapse of the baroreceptor reflex. Methods The experiments were carried out in male rats (Wistar origin, Fullinsdorf breeding unit) and cats (Fullinsdorf breeding unit) of either sex. The body weights were 250-300 g and 2.5-3.1 kg respectively. Urethane was used for anaesthesia; rats received 1 g/kg intraperitoneally, cats 0.9 g/kg intraperitoneally. In both species blood pressure was recorded from the left femoral artery. The pulse waves triggered a cardiotachometer, allowing the meaurement of heart rate. Preganglionic and post-ganglionic sympathetic nervous activities were measured only in cats. The method of recording and quantification was described previously (Haeusler, 1976). Substance P or capsaicin was injected into a 296s G . Haeusler and R . Osterwalder lateral brain ventricle of rats after securing their heads in a stereotaxic apparatus, and using the following co-ordinates (Konig & Klippel, 1963): anterior = 6.0, lateral = 1.5, vertical = 1.9. Local application of substance P or capsaicin to the nucleus of the solitary tract was carried out either with the use of filter papers or as micro-injections. For both types of application, the occipital bone of rats or cats was removed and free access to the obex region was obtained. Pieces of filter paper similar in shape and size to the rostro-caudal and medio-lateral dimensions of the nucleus of the solitary tract, and soaked in 2 pl of substance P- or capsaicin-containing solution, were gently placed upon the dorsal surface of the medulla at a region corresponding to the underlying nucleus of the solitary tract. For micro-injection, a combined cannulaelectrode with an outer diameter of 0.3 mm and an uninsulated tip of approximately 1 mm length was used to explore the region of the nucleus of the solitary tract by electrical stimulation. After identification of sites which responded to stimulation (8 Hz, 0.05 ms, 0.2-0.4 mA for 10 s) with a fall in blood pressure and heart rate by at least 20 mmHg and 30 beats/min respectively, substance P or capsaicin was micro-injected without changing the position of the cannula electrode. Results Urethane-anaesthetized rats responded to the injection of substance P (4, 8, 16 and 24 nmol) into a lateral brain ventricle with increases in blood pressure and heart rate. In contrast to the cardiovascular effects of substance P after intracerebroventricular injection, the local application of substance P to the obex region, with the aim of obtaining a preferential interaction of substance P with the nucleus of the solitary tract, resulted in pronounced falls in blood pressure, heart rate and spontaneous sympathetic nervous activity (the last measured only in cats). The exposure of the obex region to small pieces of filter paper soaked in 2 yl of a substance P solution (2 nmol/l), i.e. containing a total amount of 4 nmol of substance P, lowered blood pressure in rats from 102 f 3 to 85 2 3 mmHg (n = 6) and in cats from 100 & 4 to 82 k 3 mmHg (n = 6). Heart rate fell from 362 2 19 beats/min (rats) or 221 & 32 beats/ min (cats) by approximately 20%. Capsaicin (total amount 2 or 0.2 nmol), applied in the same way to the dorsal surface of the medulla oblongata and tested in groups of six rats and cats, produced sympatho-inhibitory and cardiovascular effects comparable with those observed after substance P. Although the cardiovascular effects of substance P applied locally to the nucleus of the solitary tract could be elicited six to eight times without any decrement, only the first application of capsaicin did so. The solvents (0.9% NaCl for substance P, and 0- 1% or 0.01% ethanol in 0.9% NaCl for capsaicin) were inactive. A combined cannula-electrode with an uninsulated tip allowed the identification of sites within the nucleus of the solitary tract which responded to electrical stimulation with decreases in blood pressure and heart rate. These sites were considered to contain the first synapse of the baroreceptor reflex. The highest incidence of successful stimulations was found close to the obex in the intermediate parts of the nucleus of the solitary tract. Subsequent micro-injection of substance P (5, 10 and 15 nmol contained in volumes of 2.5, 5.0 and 7.5 p l ) into these defined areas decreased spontaneous sympathetic nervous activity, blood pressure and heart rate of cats in a dose-dependent manner. Similar effects were observed in rats. Micro-injection of capsaicin (only rat experiments) again mimicked the effects of substance P. Among 53 sites of the obex region where substance P was micro-injected, virtually all substance P-responsive sites were located in the intermediate parts of the nucleus of the solitary tract. Other parts of the nucleus of the solitary tract (e.g. the rostra1 part), or those in close vicinity but outside this nucleus, were unresponsive. Micro-injection into the nucleus of the solitary tract of the solvents for substance P or capsaicin or micro-injection of luteinizing hormonereleasing hormone, which, like substance P, is a basic peptide of approximately similar molecular size, failed to affect blood pressure, heart rate and spontaneous sympathetic nervous activity. Discussion In contrast to the cardiovascular effects (hypertension, tachycardia) of substance P after intracerebroventricular injection, where substance P presumably reaches a great number of brain areas, local application of substance P to the nucleus of the solitary tract induced decreases in spontaneous sympathetic nervous activity, blood pressure and heart rate. These effects are compatible with an activation of the baroreceptor reflex at the level of its first synapse. Non-specific effects, possibly evoked by the technique of local application, appear unlikely in the light of the negative outcome of the control experiments. Since substance P has generally been found to be excitatory to neurons (Henry, 1976; Guyenet Substance P and the baroreceptor reflex & Aghajanian, 1977), the present results point to the presence of substance P receptor sites at baroreceptor neurons, probably at the secondorder neurons of the baroreceptor reflex. While this does not necessarily mean that these neurons are in fact innervated by substance P neurons, circumstantial evidence strongly suggests the presence of such an innervation: firstly, the nucleus of the solitary tract is densely supplied with substance P-containing nerve endings (Cuello & Kanazawa, 1978; Ljungdahl, Hokfelt & Nilsson, 1978); secondly, intracranial sectioning of the rootlets of glossopharyngeal and vagus nerves decreased the amount of substance P only in the intermediate and commissural regions of the nucleus of the solitary tract (Gillis, Helke, Hamilton, Norman & Jacobowitz, 1980), i.e. in those parts which contain the majority of baroreceptor afferent nerve terminals (Miura & Reis, 1969); thirdly, capsaicin, which is known to release substance P from nerve endings (Gamse, Molnar & Lembeck, 1979; Theriault, Otsuka & Jessel, 1979), mimicked the cardiovascular effects of substance P (present study). This last observation seems to indicate that the substance P-containing nerve endings are in close proximity to the perikarya of the second-order neurons of the baroreceptor reflex. 297s References CUELLO,A.C. & KANAZAWA,I. (1978) The distribution of substance P immunoreactive fibers in the rat central nervous system. Journal of Comparative Neurology, 178,129-156. GAMSE,R., MOLNAR,A. & LEMBECK, F. (1979) Substance P release from spinal cord slices by capsaicin. Life Sciences, 25, 629-636. GILLIS, R.A., HELKE,CJ., HAMILTON, B.L., NORMAN, W.P. & JACOBOWITZ. D.M. (1980) Evidence that substance P is a neurotransmitter of baro- and chemo-receptor afferents in nucleus tractus solitarius.Brain Research, 181,476-48 1. GUYENET, P.G. & AGHAJANIAN, G.K. (1977) Excitation of neurons in the nucleus locus coeruleus by substance P and related peptides. Brain Research, 136,178-184. HAEUSLER, G. 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