303 Dynamic and Static Conditioning Pressures Evoke Equivalent Rapid Resetting in Rat Aortic Baroreceptors Michael C. Andresen and Mingyong Yang A recent study suggested that exposure of carotid sinus baroreceptors to pulsatile pressures for a period of minutes can decrease the static threshold pressure at which they begin to discharge; that is, the exposure can sensitize baroreceptors. Another study found that the rapid resetting of carotid sinus baroreceptors to elevated conditioning pressures was reduced or eliminated by pulsatile conditioning. In the present study, we tested the responses of aortic baroreceptors in an in vitro preparation to a range of static and dynamic conditioning pressures lasting 15 minutes. Slow test ramps of increasing pressure were used to assess static discharge properties (threshold and gain). To be accepted for analysis (n= 12), each baroreceptor had to successfully complete static and dynamic test sequences for at least three different conditioning mean arterial pressure levels. We measured aortic diameter simultaneously with pressure and baroreceptor discharge. Generally, we found no significant difference between the static pressure threshold measured before and after dynamic conditioning. The static pressure threshold was linearly related to the mean level of the conditioning pressure, and no differences in the slopes of these relations (a measure of the ability of a baroreceptor to rapidly reset) were found between static and dynamic conditioning. After dynamic conditioning, discharge rates returned to near control levels in all cases within a few seconds of the return to static conditioning. Two baroreceptors exposed to the vasodilator nitroprusside throughout the experiment showed similar results. Diameter measurements indicated no role of vessel diameter changes during dynamic or static conditioning. In conclusion, we found no evidence of a long-lasting sensitization of aortic baroreceptors by dynamic pressure inputs. The results of this study of aortic baroreceptors during static and dynamic conditions together with previous reports in conscious or intact animals suggest that the mean level of pressure is the primary determinant of the magnitude of the shift in the baroreceptor discharge curve during rapid resetting. (Circulation Research 1990;67:303-311) A rterial baroreceptors have long been known to respond to both the static level of a stimulus and the rate of change of the stimulus.1 However, some recent studies using dog carotid sinus preparations have suggested that exposing baroreceptors to pulsatile conditioning pressures may have two important additional effects on baroreceptors: postconditioning sensitization and attenuation or elimination of rapid resetting.2 In those studies, addition of pulsation to a steady conditioning pressure substantially lowered the static pressure threshold (Pth) for discharge with some examples decreasing From the Department of Physiology and Biophysics, University of Texas Medical Branch, Galveston, Tex. Supported in part by National Institutes of Health grant HL33436. Address for correspondence: Dr. Michael C. Andresen, Department of Physiology and Biophysics, University of Texas Medical Branch, Galveston, TX 77550. Received August 15, 1989; accepted March 13, 1990. threshold by more than 25 mm Hg.3 Under some conditions, the sensitizing effect of pulsatile pressure on arterial baroreceptors is reported to last for minutes after a return to static pressures.2 As a result, discharge rates were elevated relative to control static conditions at identical pressures in the postconditioning period. Effects of this magnitude are as large or larger than modulation of arterial baroreceptor discharge by smooth muscle or by a1-adrenergic excitation4 and would have important functional consequences on the reflex control of the circulation.5 Pulsatile conditioning has also been reported to attenuate or eliminate rapid resetting of baroreceptors.3'6 Rapid resetting refers to the shifts found in the pressure-discharge curves of baroreceptors after changes in conditioning mean arterial pressure (cMAP). These recent reports of a modification of rapid resetting by dynamic conditioning contrast to numerous earlier studies of baroreflexes and/or barore- 304 Circulation Research Vol 67, No 2, August 1990 ceptor afferents in animals7-9 and humans.10,1l Mean pressure was changed in these earlier experiments with a variety of techniques, but pressure stim-uli to the baroreceptors were cardiac generated and, therefore, pulsatile. The reason for the differences in findings is unclear. In the present study, we have evaluated the influence of pulse pressure on the ability of aortic baroreceptors to rapidly reset in our in vitro preparation. This preparation allowed us to carefully control experimental conditions and simultaneously record pressure, action potentials, and aortic diameter. Vessel wall mechanics clearly affect the absolute value of the baroreceptor discharge threshold during rapid resetting,12 and thus changes in diameter might contribute to baroreceptor responses during dynamic conditioning. Previous studies suggested that the resetting ratio (APth/AcMAP), a measure of the ability of a given baroreceptor to rapidly reset, differs substantially from baroreceptor to baroreceptor, even within the same animal.12 Therefore, we sought to define the rapid resetting process over a range of several cMAP levels for both static and dynamic cMAPs in each baroreceptor. Materials and Methods Male Sprague-Dawley rats (200-350 g; Harlan Sprague-Dawley, Inc., Indianapolis) were anesthetized with pentobarbital sodium (40 mg/kg i.p.). The methods for isolation and perfusion of rat aortic arch baroreceptors were identical to those described previously.'314 Briefly, after a midline thoracotomy, the left aortic nerve and aortic arch were surgically isolated. The aortic arch was cannulated at the innominate and descending aorta, and the preparation was removed from the animal and mounted in a temperature-regulated (370 C) Plexiglas perfusion dish. The aortic arch was covered with warm mineral oil and perfused with an oxygenated, buffered KrebsHenseleit solution13 at a mean pressure of 80 mm Hg. A roller pump produced a steady mean flow of 3 ml/min. An air-filled reservoir damped pump-induced pressure oscillations and regulated the mean level of perfusion pressure by a modified Starling resistor on the outflow. To measure vessel diameter, the aorta was positioned over a central glass window in the floor of the perfusion dish for projection of the aortic profile onto photodiode arrays of a custom-made highresolution (0.02%) photoelectronic caliper.1516 Aortic diameter just distal to the left subclavian artery was measured continuously throughout in all but four of the experiments (five baroreceptors). The aortic nerve was desheathed and split into fine filaments containing one or, in two cases, two active baroreceptors. Only regularly firing baroreceptors were tested further. The discharge properties of aortic baroreceptors were tested with slow ramps of pressure (<2 mm Hg/sec) from 20 to 150-180 mm Hg. When a single baroreceptor was isolated, perfusion was halted and pressure was lowered to 20 mm Hg for 30 seconds followed by a test ramp using the shaker-bellows-driver system (model 411, Ling Dynamic Systems, Yalesville, Conn.). We have previously shown that the pressure-discharge curves evoked by this ramp rate are very similar to the adapted discharge responses measured 30 seconds after step changes in pressure,13 and we use these ramp responses as a measure of the static discharge properties of the baroreceptor. By using ramps, we were able to precisely and repeatedly assess the threshold, suprathreshold gain, and saturation characteristics of each baroreceptor in the shortest possible time.16 Pressure, diameter, and the electroneurogram were recorded on FM magnetic tape for later analysis. Discharge frequency was measured as the instantaneous frequency (reciprocal of the interspike interval) by microcomputer (PDP 11/23, MDB Systems, Inc., Orange, Calif.). Discharge rate was measured as the number of spikes divided by a given time interval of measurement (generally 1 second or longer). For recordings from pairs of baroreceptors, spikes belonging to each neuron were sorted electronically (BAK, Rockville, Md.) and then processed by the computer.17 Pressure and diameter were sampled every 10 msec. Mean pressures, discharge frequencies/rates, and diameters were determined by computer averaging over 1-5-second time bins. After isolation of a single baroreceptor, ramp tests were repeated every 5 minutes to measure stability of the discharge properties. Thus, all experiments began at a static cMAP of 80 mm Hg. After at least three test ramps were completed during conditioning at a steady pressure of 80 mm Hg, a 4-Hz sinusoidal oscillation was added to the mean perfusion pressure using the shaker system. Pulse pressure was 40 mm Hg. The dynamic cMAP was continued for a total of 15 minutes. In half the cases, test ramps interrupted conditioning every 5 minutes. In the remainder, test ramps were given after 10 and 15 minutes. Following completion of both static and dynamic conditioning at a given cMAP, pressure was then stepped to a new cMAP at which the static and dynamic conditioning sequence was repeated. The range of cMAPs was from 50 to 140 mm Hg and included pressures in the subthreshold and maximum discharge regions of the steady-state pressure-discharge relations of the individual baroreceptors.'8 The order of cMAP presentation was random except that all experiments began at 80 mm Hg, and static conditioning always preceded dynamic conditioning at any given level. No cMAP steps were smaller than 20 mm Hg or larger than 60 mm Hg. To be accepted for analysis, each baroreceptor had to successfully complete static and dynamic test sequences for at least three different cMAP levels. Thus, all successful experiments were based on a minimum of 12 measurements of the complete baroreceptor discharge curve over 90 minutes. Rapid resetting of arterial baroreceptors results in parallel shifts of both the pressure-discharge and diameter-discharge curves.12,19-21 We used two methods to measure these curve shifts: 1) comparison of the Andresen and Yang Pulsatile Resetting of Aortic Baroreceptors entire pressure-discharge curves,7,8 or 2) comparison of threshold values when the shape of the pressuredischarge curve was unchanged. When threshold values were used, the first 10 points were averaged to avoid basing this important measure on the location of a single action potential.16 Equivalent comparisons were made on the basis of diameter-discharge curves. These threshold or location values were then plotted against cMAP, and these resetting relations were fitted with a linear function by least-squares regression. Resetting relations were described well by this linear function (r' exceeded 0.9 in all cases except one). The slope of these lines fit to the rapid resetting relation (APth/AcMAP) as used as a measure of the ability of a given baroreceptor to reset rapidly.12 For each baroreceptor, a relation was constructed for responses to static cMAPs and another for dynamic cMAPs. The slopes and locations of the two regressions in each experiment (static versus dynamic) were compared by analysis of covariance.22 Results Perfusion at suprathreshold, nonpulsatile, "static" pressures evoked a steady rate of action potentials from regularly discharging aortic baroreceptors (Figure 1). The even spacing of intervals between successive action potentials resulted in very small standard deviations of activity rates whether expressed as discharge rate (counts divided by counting time interval) or as the average instantaneous frequency17 (Figure 1). Addition of pulsations during the conditioning period generally either did not change or slightly increased the time-averaged, mean discharge rate of the baroreceptor (Figure 1). The addition of pulsations usually increased the average instantaneous frequency of baroreceptor action potentials (Figure 1), an effect resulting from the altered temporal distribution of action potentials during pulsation (Figure 2). On average in the case of Figures 1 and 2, simple counts across time showed no difference in discharge rate. The time-averaged instantaneous frequency of action potentials increased substantially after switching from static to dynamic conditioning. In other cases, however, discharge rate was elevated during dynamic conditioning (Figures 3 and 4). As has been observed previously,23-25 baroreceptor discharge responses to pulsatile pressures often occurred at pressure excursions somewhat below the Pth of that baroreceptor (Figure 3, lowest dynamic cMAP). However, at cMAPs well above Pth, discharge rates were often similar during static and dynamic stimuli at the same mean pressure (Figures 1 and 3). We never observed decreases in baroreceptor activity when we switched from static to dynamic stimuli, whether activity was expressed as mean instantaneous frequency or as mean discharge rate (counts). Return to static conditioning promptly returned the discharge rate and the instantaneous frequency to levels similar to those preceding dynamic conditioning (Figures 1-4). 305 ± C) 75- 5050 ... 2:- ll) LLI o 200, W E .......... e- 0- 1 00 0 0 * 100 200 T 30 0 400 5 560 TIME (sec) FIGURE 1. Baroreceptor activity during static and dynamic conditioning pressures. This figure displays 1-second averages of both the perfusion pressure (PRESS.) (bottom panel) and of two measures of baroreceptor action potential activity: the mean discharge rate (DISCH.) (counts of action potentials per 1-second bin, top panel) and the mean instantaneous frequency (FREQ.) (1-second averages of the reciprocals of the interspike intervals, middle panel). Pressure and frequency points are mean+±SD. Beginning at about 70 seconds, the aortic arch was pulsed sinusoidally around the mean conditioning pressure (4 Hz, 40 mm Hg pulse pressure) for a little more than 5 minutes. Note that, in this case, the average discharge rate was unchanged from the original static level both during and after dynamic conditioning. During the dynamic stimulus, however, mean instantaneous frequency was increased. Without careful attention, the precision of the measurement and manipulation of conditioning pressure may affect the conclusions drawn. Controlling pressure precisely enough was sometimes difficult across transitions between steady and dynamic conditioning periods. This may have resulted from imprecision in pressure measurements during the experiments or from small differences in the efficacy of the Starling resistor in controlling mean pressure at all levels of cMAP during dynamic stimuli. After digitization, when precision was better than 0.1%, small differences in MAP were sometimes clearly evident. Thus, some differences in discharge rate during conditioning occurred that could be attributed simply to small differences in MAP (Figure 5). Dynamic cMAP levels were set during the experiment by monitoring the minimum, maximum, and mean pressures on a pen recorder (filtered with a 3.2-second time constant) (Gould, Cleveland). At a chart paper scale of 4 mm Hg/mm, the practical pressure resolution was only about 2 mm Hg. Actual mean dynamic pressures measured by the computer were generally found to be within ±2 mm Hg of the static cMAP. For a baroreceptor with a static gain of 1 spike/sec/mm Hg measured with a slow ramp Circulation Research Vol 67, No 2, August 1990 306 AI 1 C) ci LUJ LU- zw- .I (i U1) LUJ ! E .E ~ '50-_ 1W 70 l 71 72 73 TIME (sec) 75 I C) B U1) n 50 25 * .. 75-_ cii 1U1 a: _s 25200, *--w*---. . .. . [I. . 2 ;* * . . . . . ... . *.:- 1 U1) LU ! E CY CL- F= - 150 100L- 379 i 380 * 381 382 TIME (sec) FIGURE 2. Details of the response of a single baroreceptor to the onset (panel A) and offset (panel B) of dynamic conditioning pressure (PRESS.). This figure replots portions of the data of Figure 1. Here, discharge (DISCH.) is the rate of action potential firing expressed as counts per second over successive 300-msec periods. Frequency (FREQ.) points are values (unaveraged) of the instantaneous frequency of action potential firing (reciprocal of the interval between successive pairs of action potentials). Note in the lower panels that baroreceptor retums to activity levels similar to those preceding dynamic conditioning within 1 second. (Table 1), the dynamic gain at 4 Hz would be expected to be at least two to three times higher.26 Thus, this small difference in mean pressure would be expected to produce a substantial change in mean discharge rate of ±4 to 6 spikes/sec but not as large as those observed in the carotid sinus.2 In practice, in our best experiments for which the dynamic cMAP was within 1 mm Hg of the static cMAP, mean discharge rates were the same or somewhat greater during dynamic cMAPs than at the equivalent static cMAP. Generally, we found very little difference between the Pth measured before and after dynamic conditioning. The value of these differences in Pth mea- sured after static conditioning compared with that measured after dynamic conditioning ranged from -5.4 to +4.8 mm Hg and averaged +0.11±0.40 mm Hg (mean+SEM) across all baroreceptor tests (n=38). The overwhelming majority (73.7%) of the differences in Pth produced by transitions between static and dynamic conditioning were less than 3 mm Hg (Figure 6). The baroreceptor discharge curves were superimposable in 24% of the observed cases. Twelve baroreceptors met or exceeded our minimum criteria (see "Materials and Methods") for a successful determination of rapid resetting ability to both static and dynamic conditioning (Table 1). In five cases tested, one cMAP level was sufficiently subthreshold for the particular baroreceptor that no discharge occurred during dynamic or static conditioning. All experiments included at least one cMAP level within the linear portion of the quasi-steady-state pressure-discharge curve generated by the control test ramp at the initial cMAP of 80 mm Hg. Five baroreceptors were exposed to one cMAP that was within the maximum discharge region of the pressure-response curve. Static conditioning produced a linear rapid resetting relation (Figure 7), as reported previously.12'18 The relations for rapid resetting to dynamic conditioning were similar (Figure 7). The slopes of the relations, the resetting ratios (APth/AcMAP), and the goodness of the linear fit (r2 values) were similar (p>0.50). In individual experiments, when small differences in Pth were induced by dynamic conditioning (Figure 6), similar changes in Pth tended to be produced at all cMAPs for that baroreceptor unit. Thus, when present, these small differences in Pth shifted the rapid resetting relation in a parallel manner to slightly higher or lower pressures (p<0.05), but they did not affect the resetting ratio, that is, the ability of the baroreceptor to reset. In only a few cases were there measurable changes in any of the pressure-diameter curves during conditioning. Diameter changes, when they occurred, followed no trends with cMAP or dynamic versus static conditioning and were generally not consistent or maintained during any given condition. Some of these changes in diameter may give rise to a portion of the observed variability in the rapid resetting relations (Figure 7, Table 1). To test whether subtle, immeasurable changes in smooth muscle activation could affect baroreceptors during dynamic conditioning, we tested rapid resetting to static and dynamic conditioning in two baroreceptors in the presence of the vasodilator nitroprusside (10-6 M). No differences in the resetting relations of these baroreceptors were found between static and dynamic conditioning (p>0.25). Discussion The ability of arterial baroreceptors and baroreflexes to rapidly reset after changes in the prevailing pressure has attracted considerable attention recently. For the Andresen and Yang Pulsatile Resetting of Aortic Baroreceptors LLJ CD 40. F I 20 . 0 -1 -- i20 0 -- 0 a 60 40 U1) 150, 100._. W~ LLJ t 50. 0 40 20 60 TIME (sec) B> 75 U) 50 U) > 25-.F cpCS 0 75 100 125 150 175 PRESSURE (mmHg) most part, these reports describe the rapid resetting in baroreceptor afferents as a parallel shifting of the pressure-discharge curve with no change in slope.7'18'19'21'27'28 The earliest afferent studies used a variety of anesthetized animals (rabbits,7 rats,29 and dogs27) and different techniques for manipulating blood pressure, including blood volume changes (hemorrhage or infusion), vasoactive drugs, aortic banding, and reservoir control systems. Similar parallel shifts have been observed in baroreflex relations for control of heart rate in conscious rabbits,7'8 rats,9 and humans.10"1 Under these circumstances, pressures were generated by the pumping action of the heart and, therefore, had pulse pressures of about 40 mm Hg and frequencies in the range of heart rates for the various species, roughly 1-6 Hz. These studies in relatively intact preparations have a rapid resetting process, which is similar in form and magnitude to that in studies using static conditioning in isolated in vitro preparations.12"18 In the past two years, several studies have reported that switching between static and dynamic pressures process 307 FIGURE 3. Relation between the rate of discharge found during dynamic conditioning and the static pressure-activity curve for that baroreceptor. For this case, the baroreceptor was exposed to dynamic conditioning mean arterial pressures (cMAPs) of 81, 115, and 145 mm Hg. Panel A: Three traces of connected points are given in each panel and represent the three different levels of dynamic cMAP. Mean arterialpressure (lower panel) and average discharge rate (upper panel, counts of action potentials every 2 seconds) are plotted against time. Solid circles display values during the final minute of a 5-minute period of dynamic conditioning (4 Hz, 40 mm Hg pulse pressure). At the arrow, the sinusoidal pulsation was tumed off, but pulseless MAP was maintained to record any transient changes after dynamic conditioning (open circles). At the lowest two cMAPs, discharge immediately dropped to zero at the end of sinusoidal conditioning. At the highest cMAP, discharge was about 40 spikes/sec, a rate that prevailed before, during, and after dynamic conditioning. Panel B: Increases in dynamic cMAP caused progressive resetting (parallel shifts) in the static pressure-activity curve of the baroreceptor. Pressureactivity curves (open circles) immediately after 10 minutes of conditioning at each of the three cMAPs are plotted as mean instantaneous frequency points (averaged over 0.5-second time bins) vs. mean pressure. For slow pressure ramps in which action potentials are evenly spaced, the mean instantaneous frequency is identical to the mean discharge rate expressed as counts per 1-second intervals.17 Large, solid circles are the mean discharge rates observed during the conditioning pulsatile perfusion at the three cMAP levels (primary data shown in Panel A, solid circles). At the two lowest dynamic cMAPs, activity values during perfusion were far to the left of the postdynamic pressure-activity curves for those cMAPs. The activity value during dynamic perfusion for the highest cMAP fell near the midpoint and directly on the pressure-activity curve for that cMAP (far right curve). If expressed as mean instantaneous frequency values during pulsatile perfusion, these activity values would have been higher (40, 105, and 110 spikes/sec, respectively) than the plotted discharge rate values. can have long-lasting effects on baroreceptor discharge properties and that these effects can modify the shifts in pressure threshold found during rapid resetting.2,3'30 Failure of some recent baroreflex studies to find rapid resetting in response to dynamic conditioning6'31 has led to speculation that afferent mechanisms might be involved. Other sites in the baroreflex arc, however, offer plausible potential mechanisms that might prevent the expression of resetting of afferent characteristics in baroreflex responses.5'32 The results of our study about the responses of rat aortic baroreceptors to dynamic stimuli present a clear contrast in several important aspects to observations recently reported for carotid sinus baroreceptors in dogs.3'23 First, the dynamic sensitivity of aortic baroreceptors at moderate frequencies was higher than the static sensitivity (slope of the pressureactivity curve) so that baroreceptor activity tended to increase during pulsatile conditioning. Thus, these aortic baroreceptor responses were similar to condi- Circulation Research Vol 67, No 2, August 1990 308 LI0::- z 4 Lli *000* a W LiiJ *e.e**. 000 0.- I0 20- z 20 0 40 '5 310 20 10 20 30 40 W 40 so TIME (sec) LLJ Lii I- 20..~~~~~~~~~~~ * 0 * 0 0 . 00*. 01 U,) 10- 25 Wl L~ 1800 1,0 I - z 0 20 40 10 20 so TIME (sec) FIGURE 5. Transition between dynamic and static conditioning mean arterial pressures in a single baroreceptor where mean pressure was not constant. Conditioning with a sinuso- E E W5cr_ V) LLI 0r 20 idal pressure lasted for five minutes. Figure displays mean discharge rate and pressure for the final seconds of dynamic conditioning. At the point marked 40 seconds, the sinusoidal pressure pulse was tumed off Mean pressure and discharge rate increased slightly when pulsations ceased. TIME (sec) FIGURE 4. Transition between dynamic and static conditioning mean arterial pressures (cMAPs) after 10 minutes of conditioning with a sinusoidal pressure in a single baroreceptor. This baroreceptor had the largest increase in instantaneous frequency observed in this study when sinusoidal pressure was added to the static cMAP ofperfusion. The figure displays the 1-second means of instantaneous frequency, discharge rate (counts/sec), and pressure for the final 30 seconds of the 10-minute dynamic conditioning period and the first 12 seconds after a return to static perfusion pressures. Note that mean pressure did not change, but discharge immediately fell to a lower steady rate when pulsation ceased. tions I, II, and III for the carotid sinus work23 in which some or all of the input pressure pulse was below Pth. However, we never observed a decreased mean discharge rate after the addition of our sinusoidal pulse at any cMAP, as was observed in carotid sinus baroreceptors when the minimum pressure of the dynamic stimulus ("diastolic" pressure) exceeded Pth (condition IV23). Those decreases in activity during pulsatile stimulation at moderately high mean pressures reduced the slope of the multifiber pressureactivity curve (Figure 7 in Reference 23) and of singlefiber baroreceptor curves (Figure 9 in Reference 23). For multifiber baroreceptor activity, it is not clear whether, or how much, the activity decreases reported (-20% to -25% in Reference 5) represent true declines in baroreceptor activity or simply failure to detect action potentials in an electroneurogram degraded by increases in voltage signal interactions during pulsatile inputs.17 Second, we found no substantial sensitization of aortic baroreceptors after dynamic conditioning. Increases in action potential rates did not change TABLE 1. Mean Baroreceptor Resetting Parameters Mean Pressure threshold* 104.0 (mm Hg) SEM 2.35 Baroreceptor gain* 0.983 0.097 (spikes/sec/mm Hg) Static resetting 0.2047 0.0252 APth/AcMAP* r2 0.9531 0.0099 4.9093 ADth/AcMAP (x 1,000)t 2.4591 r2 0.8385 0.1016 Dynamic resetting APth/AcMAP* 0.2316 0.0214 r2 0.9531 0.0111 ADth/AcMAP (x 1,000)t 4.2414 1.4095 r2 0.9033 0.0427 *Means based on 12 single-fiber baroreceptors. tAll diameter threshold (Dth) measures based on seven singlefiber baroreceptors. Andresen and Yang Pulsatile Resetting of Aortic Baroreceptors A 50 U/) 40. QI) Ocontrol * 120. UI) sinewavi P0 I o m 1 LE 20. 100. a 0- 01 a .0 309 _-*- -8 -6 -4 -2 0 2 4 6 80- 8 60 APth (mmHg) FIGURE 6. Differences in baroreceptor pressure threshold (APth) between measurements following static and dynamic conditioning mean arterial pressures (cMAPs). Pth was measured in each condition with an identical slow ramp of increasing pressure (see "Materials and Methods"). APth was calculated as the difference between Pth measured after dynamic conditioning with sine waves minus Pth measured after static conditioning. Since multiple measurements were made at each cMAP, we compared means of these measurements for a given condition. Borders of the histogram bars mark the range of case counting so that, for example, the bar at the far left represents those transitions where APth was a relative decrease in threshold of between -6 and -4 mm Hg during dynamic conditioning relative to static cAL4P. over time during the dynamic conditioning period and activity rates promptly fell to predynamic conditioning levels after a return to steady pressures. In fact, the distribution of the small changes in pressure threshold between postdynamic and poststatic conditions that we did observe suggests that desensitization (an increase in threshold) was as likely to result from dynamic conditioning as sensitization in rat aortic baroreceptors. Third, our rapid resetting relations show that equivalent rapid resetting occurs whether static or dynamic cMAP is used. The magnitude of the shift in pressure threshold over the range of pressures spanning subthreshold to maximum frequency portions of the baroreceptor response curves was linearly related to the mean pressure, as reported earlier.7,12"18 We found no consistent changes in pressure-diameter relations during baroreceptor resetting to static and dynamic cMAPs, and in experiments using preparations maximally dilated with nitroprusside, the results were similar. Several potentially important differences in experimental conditions exist between our study and those reporting postpulsatile sensitization of carotid sinus baroreceptors. First, we studied aortic arch baroreceptors of the rat. While some differences between these two sites in terms of smooth muscle content and distensibility may exist, direct comparisons of rapid resetting of simultaneously recorded aortic and carotid sinus baroreceptors to dynamic pressures in dogs showed no differences.28 Second, we used con- 140 100 cMAP (mmHg) Ocontrl 2, W 120.I. E E 1. Osinewave e *o'~~~~~~~~~~~~~0 U' . 00. e- a. 80 40 70 100 g I 130 1160 cMAP (mmHg) FIGURE 7. Rapid resetting relations for two different baroreceptors (panels A and B) for static and dynamic conditioning. Plots are ofpressure threshold (Pth) vs. the conditioning mean arterial pressure (cMAP). Pth was measured in response to a slow ramp of pressure. Points represent a single measurement of Pth after a period of static cMAP (open circles) or dynamic cMAP (solid circles). Dynamic conditioning used a 4-Hz sine wave with a 40 mm Hg pulse pressure at the mean. Flow through the aortic arch was maintained throughout the conditioning period. In these examples, three measurements were made under each condition, but overlap obscures many points where similar Pth values were found at a given cMAP. Lines are least-square fits to the data (static cMAP, solid line; dynamic cMAP, broken line). stant flow perfusion throughout the conditioning periods and had only brief intervals of zero flow during ramp tests lasting roughly 2 minutes. By constantly perfusing the lumen of the aorta with new, freshly gassed saline, we feel confident that vital extracellular conditions were maintained constant during the course of our experiments. It is not clear what effects might arise from nonperfusion for lengthy periods, although some studies suggest that baroreceptor discharge properties might be affected by accumulation of substances secreted by the endothelium33-35 or by flow per se.36 Third, we did not use acetate in our perfusate. Acetate is a normal constituent of arterial plasma but generally at low concentrations (about 0.07 mM in humans37) compared with the 20 mM used by Chapleau et al.3'23 At 310 Circulation Research Vol 67, No 2, August 1990 these levels, acetate would be expected to have three potentially important effects on baroreceptor, smooth muscle, or endothelial cells by the following mechanisms: 1) intracellular acidification by diffusion of the undissociated form across biological membranes along its concentration gradient and subsequent intracellular dissociation with proton release,38 2) decreases in calcium activity levels by complexing with acetate,39 and 3) vasodilation.37,40 Tests of equimolar substitution of 20 mM acetate for NaCl in our KrebsHenseleit solution on one aortic baroreceptor for 20 minutes showed, however, only minor vasodilation, modest decreases in pressure threshold (<5 mm Hg), and small (<20%) increases in the maximum discharge rate (unpublished observations). It is difficult to conclude whether any or all of these environmental factors are important to our negative findings or to the expression of postpulsatile sensitization and attenuation of rapid resetting. Some technical/analytical differences may also affect conclusions. We have measured the magnitude of rapid resetting by examining the entire pressureresponse curve of a given baroreceptor. Measures of the shifts in these baroreceptor response curves were based on either 10 points at the pressure threshold or shifts of the entire response curve consisting of between 1,200 and 3,000 data points. We made replicate measurements at each cMAP over 15 minutes and used at least three different cMAPs in each experiment. We believe the combination of replications, lengthy conditioning periods, and use of complete baroreceptor response curves assures us of reliable estimates of potential experimental variation and error in each experiment. In the resetting studies of Chapleau et al,3 in which attenuated resetting was observed, pressure ramps were used to elicit only threshold discharge, and replicate measures were not mentioned. Threshold pressure appears to have been measured as the pressure at which the first action potential occurred. We found that the method of measuring baroreceptor "activity" rates was critically important even in these single baroreceptors. Apparent rates of baroreceptor activity were often higher during dynamic stimuli when the same action potential records were analyzed by averaging instantaneous frequencies rather than by counting spikes over a fixed period. For instance, we found clear examples in which shifting from steady pressures to pulsatile pressures did not change the mean discharge rate measured as counts of action potentials per unit time, but average instantaneous frequency was increased. Others have also reported that average counts of spikes per second are unchanged over a range of pressure input frequencies.25,26 Because the temporal pattern of afferent action potentials invading central nervous system synapses may be a critical factor determining the efficacy of action potential trains to generate reflex responses,41-43 instantaneous frequency may better reflect important differences in baroreceptor input patterns to baroreflexes than averaged counts of discharge over time. In conclusion, our study does not provide support for the idea that pressure pulsations induce longlasting (seconds or longer) changes in static baroreceptor discharge properties. None of the differences in technique, protocol, or conditions appear to offer a ready explanation for the differences in the findings between this study and those reporting postpulsatile sensitization. It is possible that there may be unique differences in the carotid sinus of dogs that provide a sensitizing mechanism in that preparation. However, this study, together with studies in more intact systems, suggests that sensitization is not a fundamental or general property shared by all baroreceptors and species. Rapid resetting of aortic baroreceptors clearly occurred with exposure to dynamic conditioning and was quantitatively similar to static conditioning. Our study reaffirms that the level of mean arterial pressure is the most important determinant of rapid resetting and, therefore, is a critical influence on the absolute location of the baroreceptor pressure threshold. References 1. Landgren S: On the excitation mechanism of the carotid baroreceptors. Acta Physiol Scand 1952;25:2-34 2. Chapleau MW, Hajduczok G, Abboud FM: New insights into the influence of pulsatile pressure on the arterial baroreceptor reflex. Clin Exp Hypertens[AJ 1988;A10(suppl 1):179-191 3. Chapleau MW, Heesch CM, Abboud FM: Prevention or attenuation of baroreceptor resetting by pulsatility during elevated pressure. Hypertension 1987;9(suppl III):III-137-III-141 4. Andresen MC, Yang M: Arterial baroreceptor resetting: Contributions of chronic and acute processes. Clin Exp Pharmacol Physiol 1989;15(suppl):19-30 5. Chapleau MW, Hajduczok G, Abboud FM: Pulsatile activation of baroreceptors causes central facilitation of baroreflex. Am J Physiol 1989;256:H1735-H1741 6. Mendelowitz D, Scher AM: Pulsatile sinus pressure changes evoke sustained baroreflex responses in awake dogs. Am J Physiol 1988;255:H673-H678 7. Dorward PK, Andresen MC, Burke SL, Oliver JR, Korner PI: Rapid resetting of the aortic baroreceptors in the rabbit and its implications for short-term and longer term reflex control. Circ Res 1982;50:428-439 8. Burke SL, Dorward PK, Korner PI: Rapid resetting of rabbit aortic baroreceptors and reflex heart rate responses by directional changes in blood pressure. 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