Efferent vagal fibre stimulation blunts nuclear factor-kappaB activation and protects against hypovolemic hemorrhagic shock

We investigated whether electrical stimulation (STIM) of efferent vagus nerves may suppress nuclear factor (NF)-kappaB activation and the inflammatory cascade in hemorrhagic (Hem) shock. Rats were subjected to bilateral cervical vagotomy (VGX) or sham surgical procedures. Hem shock was induced by in...

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Veröffentlicht in:Circulation (New York, N.Y.) N.Y.), 2003-03, Vol.107 (8), p.1189-1194
Hauptverfasser: Guarini, Salvatore, Altavilla, Domenica, Cainazzo, Maria-Michela, Giuliani, Daniela, Bigiani, Albertino, Marini, Herbert, Squadrito, Giovanni, Minutoli, Letteria, Bertolini, Alfio, Marini, Rolando, Adamo, Elena B, Venuti, Francesco S, Squadrito, Francesco
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container_end_page 1194
container_issue 8
container_start_page 1189
container_title Circulation (New York, N.Y.)
container_volume 107
creator Guarini, Salvatore
Altavilla, Domenica
Cainazzo, Maria-Michela
Giuliani, Daniela
Bigiani, Albertino
Marini, Herbert
Squadrito, Giovanni
Minutoli, Letteria
Bertolini, Alfio
Marini, Rolando
Adamo, Elena B
Venuti, Francesco S
Squadrito, Francesco
description We investigated whether electrical stimulation (STIM) of efferent vagus nerves may suppress nuclear factor (NF)-kappaB activation and the inflammatory cascade in hemorrhagic (Hem) shock. Rats were subjected to bilateral cervical vagotomy (VGX) or sham surgical procedures. Hem shock was induced by intermittent withdrawing of blood until mean arterial pressure stabilized within the range of 35 to 40 mm Hg. Application of constant voltage pulses to the caudal vagus ends (STIM; 5 V, 2 ms, 1 Hz for 12 minutes, 5 minutes after mean arterial pressure stabilization) increased survival time (VGX+Hem+Sham STIM=38+/-3 minutes; VGX+Hem+STIM >180 minutes), reverted the marked hypotension (VGX+Hem+Sham STIM=33+/-3 mm Hg; VGX+Hem+STIM=66+/-5 mm Hg), inhibited IkappaBalpha liver loss, and blunted the augmented NF-kappaB activity, decreased hepatic tumor necrosis factor (TNF)-alpha mRNA (VGX+Hem+Sham STIM=1.42+/-0.5 amount of TNF-alpha m-RNA; VGX+Hem+STIM=0.51+/-0.2 amount of TNF-alpha mRNA), and reduced plasma TNF-alpha (VGX+Hem+Sham STIM=190+/-24 pg/mL; VGX+Hem+STIM=87+/-15 pg/mL). Chlorisondamine, a nicotinic receptor antagonist, abated the effects of vagal stimulation. Our results show a parasympathetic inhibition of NF-kappaB by which the brain opposes NF-kappaB activation in the liver and modulates the inflammatory response during acute hypovolemic hemorrhagic shock.
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Rats were subjected to bilateral cervical vagotomy (VGX) or sham surgical procedures. Hem shock was induced by intermittent withdrawing of blood until mean arterial pressure stabilized within the range of 35 to 40 mm Hg. Application of constant voltage pulses to the caudal vagus ends (STIM; 5 V, 2 ms, 1 Hz for 12 minutes, 5 minutes after mean arterial pressure stabilization) increased survival time (VGX+Hem+Sham STIM=38+/-3 minutes; VGX+Hem+STIM &gt;180 minutes), reverted the marked hypotension (VGX+Hem+Sham STIM=33+/-3 mm Hg; VGX+Hem+STIM=66+/-5 mm Hg), inhibited IkappaBalpha liver loss, and blunted the augmented NF-kappaB activity, decreased hepatic tumor necrosis factor (TNF)-alpha mRNA (VGX+Hem+Sham STIM=1.42+/-0.5 amount of TNF-alpha m-RNA; VGX+Hem+STIM=0.51+/-0.2 amount of TNF-alpha mRNA), and reduced plasma TNF-alpha (VGX+Hem+Sham STIM=190+/-24 pg/mL; VGX+Hem+STIM=87+/-15 pg/mL). Chlorisondamine, a nicotinic receptor antagonist, abated the effects of vagal stimulation. Our results show a parasympathetic inhibition of NF-kappaB by which the brain opposes NF-kappaB activation in the liver and modulates the inflammatory response during acute hypovolemic hemorrhagic shock.</description><identifier>ISSN: 0009-7322</identifier><identifier>EISSN: 1524-4539</identifier><identifier>PMID: 12615800</identifier><identifier>CODEN: CIRCAZ</identifier><language>eng</language><publisher>United States: American Heart Association, Inc</publisher><subject>Animals ; Blood Pressure ; Efferent Pathways ; Electric Stimulation ; Hypovolemia - immunology ; Hypovolemia - metabolism ; Hypovolemia - physiopathology ; I-kappa B Proteins - metabolism ; Inflammation - genetics ; Inflammation - metabolism ; Inflammation - prevention &amp; control ; Liver - innervation ; Liver - metabolism ; Male ; Nerve Fibers - physiology ; NF-kappa B - antagonists &amp; inhibitors ; NF-KappaB Inhibitor alpha ; Rats ; Rats, Wistar ; RNA, Messenger - metabolism ; Shock, Hemorrhagic - immunology ; Shock, Hemorrhagic - metabolism ; Shock, Hemorrhagic - prevention &amp; control ; Survival Analysis ; Tumor Necrosis Factor-alpha - analysis ; Tumor Necrosis Factor-alpha - biosynthesis ; Tumor Necrosis Factor-alpha - genetics ; Vagus Nerve - physiology</subject><ispartof>Circulation (New York, N.Y.), 2003-03, Vol.107 (8), p.1189-1194</ispartof><rights>Copyright American Heart Association, Inc. Mar 4 2003</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/12615800$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Guarini, Salvatore</creatorcontrib><creatorcontrib>Altavilla, Domenica</creatorcontrib><creatorcontrib>Cainazzo, Maria-Michela</creatorcontrib><creatorcontrib>Giuliani, Daniela</creatorcontrib><creatorcontrib>Bigiani, Albertino</creatorcontrib><creatorcontrib>Marini, Herbert</creatorcontrib><creatorcontrib>Squadrito, Giovanni</creatorcontrib><creatorcontrib>Minutoli, Letteria</creatorcontrib><creatorcontrib>Bertolini, Alfio</creatorcontrib><creatorcontrib>Marini, Rolando</creatorcontrib><creatorcontrib>Adamo, Elena B</creatorcontrib><creatorcontrib>Venuti, Francesco S</creatorcontrib><creatorcontrib>Squadrito, Francesco</creatorcontrib><title>Efferent vagal fibre stimulation blunts nuclear factor-kappaB activation and protects against hypovolemic hemorrhagic shock</title><title>Circulation (New York, N.Y.)</title><addtitle>Circulation</addtitle><description>We investigated whether electrical stimulation (STIM) of efferent vagus nerves may suppress nuclear factor (NF)-kappaB activation and the inflammatory cascade in hemorrhagic (Hem) shock. Rats were subjected to bilateral cervical vagotomy (VGX) or sham surgical procedures. Hem shock was induced by intermittent withdrawing of blood until mean arterial pressure stabilized within the range of 35 to 40 mm Hg. Application of constant voltage pulses to the caudal vagus ends (STIM; 5 V, 2 ms, 1 Hz for 12 minutes, 5 minutes after mean arterial pressure stabilization) increased survival time (VGX+Hem+Sham STIM=38+/-3 minutes; VGX+Hem+STIM &gt;180 minutes), reverted the marked hypotension (VGX+Hem+Sham STIM=33+/-3 mm Hg; VGX+Hem+STIM=66+/-5 mm Hg), inhibited IkappaBalpha liver loss, and blunted the augmented NF-kappaB activity, decreased hepatic tumor necrosis factor (TNF)-alpha mRNA (VGX+Hem+Sham STIM=1.42+/-0.5 amount of TNF-alpha m-RNA; VGX+Hem+STIM=0.51+/-0.2 amount of TNF-alpha mRNA), and reduced plasma TNF-alpha (VGX+Hem+Sham STIM=190+/-24 pg/mL; VGX+Hem+STIM=87+/-15 pg/mL). Chlorisondamine, a nicotinic receptor antagonist, abated the effects of vagal stimulation. 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control</subject><subject>Survival Analysis</subject><subject>Tumor Necrosis Factor-alpha - analysis</subject><subject>Tumor Necrosis Factor-alpha - biosynthesis</subject><subject>Tumor Necrosis Factor-alpha - genetics</subject><subject>Vagus Nerve - physiology</subject><issn>0009-7322</issn><issn>1524-4539</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2003</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpd0M9LwzAUB_AiipvTf0GCB2-FNGn70qMOf8HAy-4lyV7Xbm1Sk3Qw_OeNbF48vfeFD18e7yKZZwXL07zg1WUyp5RWKXDGZsmN97sYSw7FdTLLWJkVgtJ58v3SNOjQBHKQW9mTplMOiQ_dMPUydNYQ1U8meGIm3aN0pJE6WJfu5TjKZxJDdzg5aTZkdDagjjp2dcYH0h5He7A9Dp0mLQ7WuVZu4-5bq_e3yVUje49357lI1q8v6-V7uvp8-1g-rdJRZDTVTUVLFIzDpqoAoJRKYYWgJKWFyJhoQOVMVKUWCDmDSnIKBVVKQYmgkS-Sx1NtvO5rQh_qofMa-14atJOvgdMyFyAifPgHd3ZyJp5Ws4wB5yX7RfdnNKkBN_XoukG6Y_33Uv4DxX11bA</recordid><startdate>20030304</startdate><enddate>20030304</enddate><creator>Guarini, Salvatore</creator><creator>Altavilla, Domenica</creator><creator>Cainazzo, Maria-Michela</creator><creator>Giuliani, Daniela</creator><creator>Bigiani, Albertino</creator><creator>Marini, Herbert</creator><creator>Squadrito, Giovanni</creator><creator>Minutoli, Letteria</creator><creator>Bertolini, Alfio</creator><creator>Marini, Rolando</creator><creator>Adamo, Elena B</creator><creator>Venuti, Francesco S</creator><creator>Squadrito, Francesco</creator><general>American Heart Association, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>U9A</scope><scope>7X8</scope></search><sort><creationdate>20030304</creationdate><title>Efferent vagal fibre stimulation blunts nuclear factor-kappaB activation and protects against hypovolemic hemorrhagic shock</title><author>Guarini, Salvatore ; Altavilla, Domenica ; Cainazzo, Maria-Michela ; Giuliani, Daniela ; Bigiani, Albertino ; Marini, Herbert ; Squadrito, Giovanni ; Minutoli, Letteria ; Bertolini, Alfio ; Marini, Rolando ; Adamo, Elena B ; Venuti, Francesco S ; Squadrito, Francesco</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-p810-cf906e8237d997776abbe9e7ba0058128f7b42896c8e74279a30750bbb76e7ce3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2003</creationdate><topic>Animals</topic><topic>Blood Pressure</topic><topic>Efferent Pathways</topic><topic>Electric Stimulation</topic><topic>Hypovolemia - immunology</topic><topic>Hypovolemia - metabolism</topic><topic>Hypovolemia - physiopathology</topic><topic>I-kappa B Proteins - metabolism</topic><topic>Inflammation - genetics</topic><topic>Inflammation - metabolism</topic><topic>Inflammation - prevention &amp; control</topic><topic>Liver - innervation</topic><topic>Liver - metabolism</topic><topic>Male</topic><topic>Nerve Fibers - physiology</topic><topic>NF-kappa B - antagonists &amp; 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Rats were subjected to bilateral cervical vagotomy (VGX) or sham surgical procedures. Hem shock was induced by intermittent withdrawing of blood until mean arterial pressure stabilized within the range of 35 to 40 mm Hg. Application of constant voltage pulses to the caudal vagus ends (STIM; 5 V, 2 ms, 1 Hz for 12 minutes, 5 minutes after mean arterial pressure stabilization) increased survival time (VGX+Hem+Sham STIM=38+/-3 minutes; VGX+Hem+STIM &gt;180 minutes), reverted the marked hypotension (VGX+Hem+Sham STIM=33+/-3 mm Hg; VGX+Hem+STIM=66+/-5 mm Hg), inhibited IkappaBalpha liver loss, and blunted the augmented NF-kappaB activity, decreased hepatic tumor necrosis factor (TNF)-alpha mRNA (VGX+Hem+Sham STIM=1.42+/-0.5 amount of TNF-alpha m-RNA; VGX+Hem+STIM=0.51+/-0.2 amount of TNF-alpha mRNA), and reduced plasma TNF-alpha (VGX+Hem+Sham STIM=190+/-24 pg/mL; VGX+Hem+STIM=87+/-15 pg/mL). Chlorisondamine, a nicotinic receptor antagonist, abated the effects of vagal stimulation. Our results show a parasympathetic inhibition of NF-kappaB by which the brain opposes NF-kappaB activation in the liver and modulates the inflammatory response during acute hypovolemic hemorrhagic shock.</abstract><cop>United States</cop><pub>American Heart Association, Inc</pub><pmid>12615800</pmid><tpages>6</tpages></addata></record>
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subjects Animals
Blood Pressure
Efferent Pathways
Electric Stimulation
Hypovolemia - immunology
Hypovolemia - metabolism
Hypovolemia - physiopathology
I-kappa B Proteins - metabolism
Inflammation - genetics
Inflammation - metabolism
Inflammation - prevention & control
Liver - innervation
Liver - metabolism
Male
Nerve Fibers - physiology
NF-kappa B - antagonists & inhibitors
NF-KappaB Inhibitor alpha
Rats
Rats, Wistar
RNA, Messenger - metabolism
Shock, Hemorrhagic - immunology
Shock, Hemorrhagic - metabolism
Shock, Hemorrhagic - prevention & control
Survival Analysis
Tumor Necrosis Factor-alpha - analysis
Tumor Necrosis Factor-alpha - biosynthesis
Tumor Necrosis Factor-alpha - genetics
Vagus Nerve - physiology
title Efferent vagal fibre stimulation blunts nuclear factor-kappaB activation and protects against hypovolemic hemorrhagic shock
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