Control of systemic and pulmonary blood pressure by nitric oxide formed through neuronal nitric oxide synthase.

Abstract:

:Nitric oxide formed by neuronal nitric oxide synthase (nNOS) in the brain, autonomic inhibitory (nitrergic) nerves, and heart plays important roles in the control of blood pressure. Activation of nitrergic nerves innervating the systemic vasculature elicits vasodilatation, decreases peripheral resistance, and lowers blood pressure. Impairment of nitrergic nerve function, as well as endothelial dysfunction, results in systemic and pulmonary hypertension and decreased regional blood flow. Blockade of nNOS activity in the brain, particularly the medulla and hypothalamus, causes systemic hypertension. Under hypertensive states, such as those in spontaneously hypertensive and Dahl salt-sensitive rats, the expression of the nNOS gene in the brain is increased; this appears to counteract the activated sympathetic function in the vasomotor center. The present article summarizes information concerning the modulation of systemic and pulmonary hypertension through nNOS-derived nitric oxide produced in the brain and periphery.

journal_name

J Hypertens

journal_title

Journal of hypertension

authors

Toda N,Ayajiki K,Okamura T

doi

10.1097/HJH.0b013e32832e8ddf

subject

Has Abstract

pub_date

2009-10-01 00:00:00

pages

1929-40

issue

10

eissn

0263-6352

issn

1473-5598

journal_volume

27

pub_type

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