The prevalence of hypertension is increased in winter and in cold regions of the world. Cold temperatures make hypertension worse and trigger cardiovascular complications (stroke, myocardial infarction, heart failure, etc.). Chronic or intermittent exposure to cold causes hypertension and cardiac hypertrophy in animals. The purpose of this review is to provide the recent advances in the mechanistic investigation of cold-induced hypertension (CIH). Cold temperatures increase the activities of the sympathetic nervous system (SNS) and the renin-angiotensin system (RAS). The SNS initiates CIH via the RAS. Cold exposure suppresses the expression of eNOS and formation of NO, increases the production of endothelin-1 (ET-1), up-regulates ET A receptors, but down-regulates ET B receptors. The roles of these factors and their relations in CIH will be reviewed.
Keywordscold-induced hypertension; cold-induced cardiac hypertrophy; cold; blood pressure; sympathetic nervous system; renin-angiotensin system; endothelin; mineralocorticoid receptor; eNOS; c-myc
INTRODUCTIONOf the four seasons, the cold winter has the highest mortality and morbidity from cardiovascular complications (1-10). The prevalence of hypertension is increased in cold regions or in winter (1,(4)(5)(6)(7)(8)(10)(11)(12). Cold winters increase the severity of hypertension and trigger myocardial infarction and stroke in hypertensive patients (1,2,4,8,(13)(14)(15)(16)(17). Therefore, it is important to study how cold temperatures cause cardiovascular diseases. Studies from our laboratory have shown that chronic exposure of rats to cold (5°C) for 1-3 weeks is accompanied by a significant elevation of resting (systolic, diastolic and mean) blood pressure (BP), tachycardia and cardiac hypertrophy (19)(20)(21)(22)(23). These signs characterize the development of the syndrome of hypertension during chronic exposure to cold, namely cold-induced hypertension (CIH). Chronic exposure to cold also induces hypertension in dogs, rabbits, sheep, and young oxen (24,25). The elevated BP of rats after 7 weeks of exposure to cold did not return to pre-cold exposure level even after discontinuance of cold treatment for 4 weeks (26). Thus, an elevation of BP induced by a longer period of cold exposure might not be reversible after return to a thermo-neutral temperature. Intermittent exposure of rats to cold also induced hypertension, with a sigmoid relationship between the hours per day exposed to cold and systolic BP (27). It should be mentioned that elevation of BP is an important cardiovascular response to cold exposure, which provides enhanced circulatory function for the increased non-shivering
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Author ManuscriptFront Biosci (Elite Ed). Author manuscript; available in PMC 2011 January 1.
Published in final edited form as:Front Biosci (Elite Ed). ; 2: 495-503.
NIH-PA Author ManuscriptNIH-PA Author Manuscript NIH-PA Author Manuscript thermogenesis and metabolic rate for the purpose to maintain body temperature. Indeed, rats are able to maintain their ...