A daptive changes have long been recognized to occur in the heart and vasculature in response to chronic hypertension. What might be less well-appreciated is the fact that chronically increased blood pressure is also associated with adaptive changes in neurons within the central nervous system (CNS). Changes in the properties of ligand-gated and voltage-gated channels have been described in a variety of neurons in a variety of central nuclei and in a variety of models of hypertension.Gamma-aminobutyric acid (GABA) is the main inhibitory neurotransmitter in virtually every region in the adult brain. Microinjections of GABA and GABA receptor subtypeselective agonists and antagonists have been performed within various cardiovascular-related regions of the CNS. In every cardiovascular-related region of the CNS tested, activation of GABA receptors alters cardiovascular function. This is likely attributable to the ubiquitous role of GABA within the CNS. GABAergic inhibition can be mediated by activation of receptors located in presynaptic and postsynaptic loci. Two major subtypes of the GABA receptor exist: the GABA A receptor is a pentameric, chloride ionophore that primarily mediates postsynaptic inhibition, 1 whereas the GABA B receptor is a G-protein-coupled receptor that can induce reductions in calcium conductance to mediate presynaptic inhibition and increases in potassium conductance to mediate postsynaptic inhibition. 2 GABAergic inhibition of central neurons can result in pressor or depressor responses depending on the central site being examined. Pressor responses are often assumed to be the result of GABAergic inhibition of neurons that reduce sympathetic discharge. Depending on the specific area being studied, GABA injections into the CNS can also alter vagal cardiac function and levels of vasoactive hormones such as vasopressin and angiotensin, in addition to changes in sympathetic outflow. 3,4 In addition to microinjection studies, in vivo and in vitro electrophysiological analyses of functionally identified neurons in cardiovascular-related CNS areas are useful in the analysis of mechanisms that underlie alterations in GABAergic neurotransmission in hypertensive animals. Because of space constraints this review selectively summarizes changes in GABAergic transmission in hypertensive rats that have recently been described in the nucleus of the solitary tract (NTS), the first integrative site for baroreceptor afferent inputs within the CNS.
Nucleus of the Solitary Tract and HypertensionWithin caudal regions of the NTS, microinjection of GABA A or GABA B receptor agonists increase arterial pressure, presumably attributable to GABAergic inhibition of NTS neurons receiving arterial baroreceptor afferent inputs. 4 -6 Furthermore, microinjection of GABA A or GABA B receptor antagonists lower arterial pressure, indicating that GABAergic inhibition via both receptor subtypes is a tonically active process within the NTS. 4,7 The pressor and sympatho-excitatory responses induced by the microinjection of GABA A re...