Abstract-We reported previously that simulating sleep apnea in rats by exposing them 7 hours per day to intermittent hypoxia/hypercapnia (IH) elevates plasma endothelin-1 and causes hypertension, which is reversed by an endothelin-1 antagonist. We hypothesized that in this model of sleep apnea-induced hypertension, vascular sensitivity to endothelin-1 is increased in combination with the elevated plasma endothelin-1 to cause the endothelin-1-dependent hypertension.In Key Words: rats Ⅲ arteries Ⅲ sleep apnea syndromes S leep apnea has been associated with many cardiovascular disease states, including the development of hypertension. 1 Although the mechanism(s) by which sleep apnea causes hypertension are not clearly defined, there are many potential contributors to the development of cardiovascular disease. Studies have shown that sleep apnea is associated with sympathetic activation, hyperleptinemia, insulin resistance, elevated angiotensin II and aldosterone levels, oxidative and inflammatory stress, endothelial dysfunction, and impaired baroreflex function and effects on renal function. 2 In addition, hypoxia per se increases plasma endothelin-1 (ET-1), 3 and patients with sleep apnea have elevated circulating ET-1, which may also contribute to the chronic increase in arterial pressure. 4 Indeed, previous studies have shown that rats exposed to intermittent hypoxia/hypercapnia (IH) to mimic the oxygen desaturation and CO 2 accumulation that occurs during sleep apnea have increased circulating plasma ET-1 and develop ET-1-dependent hypertension. 5 Thus, hypoxia-or stress-induced increases in ET-1 may be an important contributor to hypertension development in sleep apnea patients.Chronic elevations in circulating ET-1 have been demonstrated in other models of hypertension. 6,7 However, in studies in which vascular sensitivity to ET-1 has been evaluated, increases in circulating ET-1 are accompanied by desensitization and internalization of ET receptors. 8,9 We demonstrated previously that depressor responses to ET-1 antagonists in IH-exposed rats causes a profound depressor response that is not seen in Sham rats. 5 Thus, it is possible that unlike other models of ET-1-dependent hypertension, IH exposure leads to increases in ET-1 and ET-1-vascular sensitivity. Furthermore, the sympathetic nervous system has been suggested to play a major role in IH-induced hypertension as well, 10 so that increases in vascular sensitivity to adrenergic constriction might also be augmented. This study was therefore designed to examine vascular responses to the adrenergic agonist phenylephrine (PE), depolarizationinduced vasoconstriction by KCl, and constriction to ET-1. We hypothesized that small mesenteric arteries from IH rats would have a selective increase in constrictor sensitivity to ET-1 caused by alterations in signaling unique from that mediated by PE and KCl.
Methods
AnimalsMale Sprague Dawley rats (weighing 250 to 300 g) were used for all studies and exposed to IH as described previously. 5 Briefly, animals