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Pregnancy Prevents Hypertensive Remodeling of Cerebral Arteries: A Potential Role in the Development of Eclampsia

We investigated how hypertension during pregnancy affected passive structural (wall:lumen, wall stress) and active (myogenic activity) responses of the cerebral circulation. Female nonpregnant (NP; n=8) Sprague Dawley rats were compared with late-pregnant (LP; day 19 to 20, n=6) rats. Some animals w...

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Published in:Hypertension (Dallas, Tex. 1979) Tex. 1979), 2006-03, Vol.47 (3, Part 2 Suppl), p.619-626
Main Authors: Cipolla, Marilyn J, DeLance, Nicole, Vitullo, Lisa
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creator Cipolla, Marilyn J
DeLance, Nicole
Vitullo, Lisa
description We investigated how hypertension during pregnancy affected passive structural (wall:lumen, wall stress) and active (myogenic activity) responses of the cerebral circulation. Female nonpregnant (NP; n=8) Sprague Dawley rats were compared with late-pregnant (LP; day 19 to 20, n=6) rats. Some animals were treated with the NO synthase inhibitor nitro-l-arginine in their drinking water to raise blood pressure. LP rats (n=6) were treated for the last 7 days of pregnancy (last trimester) to mimic preeclampsia and compared with NP rats treated for the same duration (n=8). Active and passive responses were determined on isolated and pressurized third-order posterior cerebral arteries. Nitro-l-arginine treatment significantly raised blood pressure in both groups of animals that was associated with increased wall thickness and wall:lumen ratio in the NP hypertensive animals versus controls (P
doi_str_mv 10.1161/01.HYP.0000196948.15019.28
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Female nonpregnant (NP; n=8) Sprague Dawley rats were compared with late-pregnant (LP; day 19 to 20, n=6) rats. Some animals were treated with the NO synthase inhibitor nitro-l-arginine in their drinking water to raise blood pressure. LP rats (n=6) were treated for the last 7 days of pregnancy (last trimester) to mimic preeclampsia and compared with NP rats treated for the same duration (n=8). Active and passive responses were determined on isolated and pressurized third-order posterior cerebral arteries. Nitro-l-arginine treatment significantly raised blood pressure in both groups of animals that was associated with increased wall thickness and wall:lumen ratio in the NP hypertensive animals versus controls (P&lt;0.05). In contrast, this response to pressure was absent in LP animals, which had similar wall measurements. In addition, arteries from NP hypertensive animals had increased myogenic tone and pressure of forced dilatation compared with NP control animals (P&lt;0.01). Again, this response was lacking in the LP hypertensive animals that had similar tone and pressure of forced dilatation as normotensive controls. The increased tone and wall thickness decreased wall stress in the NP hypertensive animals, a response that did not occur in LP hypertensive animals. Because medial hypertrophy is considered a protective response to elevated blood pressure, these results suggest that hypertension in pregnancy may predispose the cerebral circulation to autoregulatory breakthrough and blood–brain–barrier disruption when blood pressure is elevated, as during eclampsia.</description><identifier>ISSN: 0194-911X</identifier><identifier>EISSN: 1524-4563</identifier><identifier>DOI: 10.1161/01.HYP.0000196948.15019.28</identifier><identifier>PMID: 16380541</identifier><identifier>CODEN: HPRTDN</identifier><language>eng</language><publisher>Philadelphia, PA: American Heart Association, Inc</publisher><subject>Animals ; Antihypertensive agents ; Arterial hypertension. 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Vascular system</subject><subject>Cardiovascular system</subject><subject>Cerebral Arteries - pathology</subject><subject>Cerebral Arteries - physiopathology</subject><subject>Eclampsia - etiology</subject><subject>Enzyme Inhibitors - pharmacology</subject><subject>Experimental diseases</subject><subject>Female</subject><subject>Gestational Age</subject><subject>Homeostasis</subject><subject>Hypertension - complications</subject><subject>Hypertension - pathology</subject><subject>Hypertension - physiopathology</subject><subject>Medical sciences</subject><subject>Microscopy, Video</subject><subject>Nitric Oxide Synthase - antagonists &amp; inhibitors</subject><subject>Nitroarginine - pharmacology</subject><subject>Pharmacology. Drug treatments</subject><subject>Pre-Eclampsia - chemically induced</subject><subject>Pre-Eclampsia - physiopathology</subject><subject>Pregnancy</subject><subject>Pregnancy Complications, Cardiovascular - physiopathology</subject><subject>Rats</subject><subject>Rats, Sprague-Dawley</subject><issn>0194-911X</issn><issn>1524-4563</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2006</creationdate><recordtype>article</recordtype><recordid>eNpFkFtv0zAUgC0EYqXwF5CFBG8JvsVx9laVsSJNoppAgifLSY7XgHOZnW7qv9_ZWql-8dHxdy7-CPnEWc655l8Zzzd_tznDwytdKZPzAqNcmFdkwQuhMlVo-ZosMKmyivM_F-RdSv8QV0qVb8kF19KwQvEFud9GuBvc0BwoRg8wzIluDhPEGYbUPQC9hX5sIXTDHR09XUOEOrpAVwjEDtIlXdHtiPDcYfZ2DEC7gc47oN-wWxinHp-eK6-a4Popde49eeNdSPDhdC_J7-9Xv9ab7Obn9Y_16iZrZKlVZmovGu-LWnnpVem0Zk6xonSi0EwIUXiJn9bSVdI0rlatUZopxlsnXOlbJZfky7HvFMf7PaTZ9l1qIAQ3wLhPVpdaVxpFLcnlEWzimFIEb6fY9S4eLGf2Wbhl3KJwexZuX4RbYbD442nKvu6hPZeeDCPw-QS41LjgI7ru0pkri0oIUyGnjtzjGFBt-h_2jxDtDlyYdy-jldAmE4xpJnGPDDNCySfYVJlq</recordid><startdate>200603</startdate><enddate>200603</enddate><creator>Cipolla, Marilyn J</creator><creator>DeLance, Nicole</creator><creator>Vitullo, Lisa</creator><general>American Heart Association, Inc</general><general>Lippincott</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>200603</creationdate><title>Pregnancy Prevents Hypertensive Remodeling of Cerebral Arteries: A Potential Role in the Development of Eclampsia</title><author>Cipolla, Marilyn J ; DeLance, Nicole ; Vitullo, Lisa</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3764-8bf2cff5b4f3f47a660a4057a25602225f350163a938cab4d8460401da2a7fd43</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2006</creationdate><topic>Animals</topic><topic>Antihypertensive agents</topic><topic>Arterial hypertension. 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Again, this response was lacking in the LP hypertensive animals that had similar tone and pressure of forced dilatation as normotensive controls. The increased tone and wall thickness decreased wall stress in the NP hypertensive animals, a response that did not occur in LP hypertensive animals. Because medial hypertrophy is considered a protective response to elevated blood pressure, these results suggest that hypertension in pregnancy may predispose the cerebral circulation to autoregulatory breakthrough and blood–brain–barrier disruption when blood pressure is elevated, as during eclampsia.</abstract><cop>Philadelphia, PA</cop><cop>Hagerstown, MD</cop><pub>American Heart Association, Inc</pub><pmid>16380541</pmid><doi>10.1161/01.HYP.0000196948.15019.28</doi><tpages>8</tpages></addata></record>
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identifier ISSN: 0194-911X
ispartof Hypertension (Dallas, Tex. 1979), 2006-03, Vol.47 (3, Part 2 Suppl), p.619-626
issn 0194-911X
1524-4563
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source EZB-FREE-00999 freely available EZB journals
subjects Animals
Antihypertensive agents
Arterial hypertension. Arterial hypotension
Biological and medical sciences
Blood and lymphatic vessels
Blood Pressure - drug effects
Blood-Brain Barrier
Cardiology. Vascular system
Cardiovascular system
Cerebral Arteries - pathology
Cerebral Arteries - physiopathology
Eclampsia - etiology
Enzyme Inhibitors - pharmacology
Experimental diseases
Female
Gestational Age
Homeostasis
Hypertension - complications
Hypertension - pathology
Hypertension - physiopathology
Medical sciences
Microscopy, Video
Nitric Oxide Synthase - antagonists & inhibitors
Nitroarginine - pharmacology
Pharmacology. Drug treatments
Pre-Eclampsia - chemically induced
Pre-Eclampsia - physiopathology
Pregnancy
Pregnancy Complications, Cardiovascular - physiopathology
Rats
Rats, Sprague-Dawley
title Pregnancy Prevents Hypertensive Remodeling of Cerebral Arteries: A Potential Role in the Development of Eclampsia
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