Peripheral Dopamine 2-Receptor Antagonist Reverses Hypertension in a Chronic Intermittent Hypoxia Rat Model

The sleep apnea-hypopnea syndrome (SAHS) involves periods of intermittent hypoxia, experimentally reproduced by exposing animal models to oscillatory PO<sub>2</sub> patterns. In both situations, chronic intermittent hypoxia (CIH) exposure produces carotid body (CB) hyperactivation genera...

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Main Authors: Elena Olea, Inmaculada Docio, Miguel Quintero, Asunción Rocher, Ana Obeso, Ricardo Rigual, Angela Gomez-Niño
Format: Article
Language:English
Published: MDPI AG 2020-07-01
Series:International Journal of Molecular Sciences
Subjects:
Online Access:https://www.mdpi.com/1422-0067/21/14/4893
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author Elena Olea
Inmaculada Docio
Miguel Quintero
Asunción Rocher
Ana Obeso
Ricardo Rigual
Angela Gomez-Niño
author_facet Elena Olea
Inmaculada Docio
Miguel Quintero
Asunción Rocher
Ana Obeso
Ricardo Rigual
Angela Gomez-Niño
author_sort Elena Olea
collection DOAJ
description The sleep apnea-hypopnea syndrome (SAHS) involves periods of intermittent hypoxia, experimentally reproduced by exposing animal models to oscillatory PO<sub>2</sub> patterns. In both situations, chronic intermittent hypoxia (CIH) exposure produces carotid body (CB) hyperactivation generating an increased input to the brainstem which originates sympathetic hyperactivity, followed by hypertension that is abolished by CB denervation. CB has dopamine (DA) receptors in chemoreceptor cells acting as DA-2 autoreceptors. The aim was to check if blocking DA-2 receptors could decrease the CB hypersensitivity produced by CIH, minimizing CIH-related effects. Domperidone (DOM), a selective peripheral DA-2 receptor antagonist that does not cross the blood-brain barrier, was used to examine its effect on CIH (30 days) exposed rats. Arterial pressure, CB secretory activity and whole-body plethysmography were measured. DOM, acute or chronically administered during the last 15 days of CIH, reversed the hypertension produced by CIH, an analogous effect to that obtained with CB denervation. DOM marginally decreased blood pressure in control animals and did not affect hypoxic ventilatory response in control or CIH animals. No adverse effects were observed. DOM, used as gastrokinetic and antiemetic drug, could be a therapeutic opportunity for hypertension in SAHS patients’ resistant to standard treatments.
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spelling doaj.art-1ba49b5c849f4e6286fe07391cc517932023-11-20T06:28:45ZengMDPI AGInternational Journal of Molecular Sciences1661-65961422-00672020-07-012114489310.3390/ijms21144893Peripheral Dopamine 2-Receptor Antagonist Reverses Hypertension in a Chronic Intermittent Hypoxia Rat ModelElena Olea0Inmaculada Docio1Miguel Quintero2Asunción Rocher3Ana Obeso4Ricardo Rigual5Angela Gomez-Niño6Departamento de Enfermería, Universidad de Valladolid, 47005 Valladolid, SpainDepartamento de Bioquímica, Biología Molecular y Fisiología, Universidad de Valladolid, 47005 Valladolid, SpainDepartamento de Bioquímica, Biología Molecular y Fisiología, Universidad de Valladolid, 47005 Valladolid, SpainInstituto de Biología y Genética Molecular, Consejo Superior de Investigaciones Científicas-Universidad de Valladolid, 47005 Valladolid, SpainInstituto de Biología y Genética Molecular, Consejo Superior de Investigaciones Científicas-Universidad de Valladolid, 47005 Valladolid, SpainInstituto de Biología y Genética Molecular, Consejo Superior de Investigaciones Científicas-Universidad de Valladolid, 47005 Valladolid, SpainInstituto de Biología y Genética Molecular, Consejo Superior de Investigaciones Científicas-Universidad de Valladolid, 47005 Valladolid, SpainThe sleep apnea-hypopnea syndrome (SAHS) involves periods of intermittent hypoxia, experimentally reproduced by exposing animal models to oscillatory PO<sub>2</sub> patterns. In both situations, chronic intermittent hypoxia (CIH) exposure produces carotid body (CB) hyperactivation generating an increased input to the brainstem which originates sympathetic hyperactivity, followed by hypertension that is abolished by CB denervation. CB has dopamine (DA) receptors in chemoreceptor cells acting as DA-2 autoreceptors. The aim was to check if blocking DA-2 receptors could decrease the CB hypersensitivity produced by CIH, minimizing CIH-related effects. Domperidone (DOM), a selective peripheral DA-2 receptor antagonist that does not cross the blood-brain barrier, was used to examine its effect on CIH (30 days) exposed rats. Arterial pressure, CB secretory activity and whole-body plethysmography were measured. DOM, acute or chronically administered during the last 15 days of CIH, reversed the hypertension produced by CIH, an analogous effect to that obtained with CB denervation. DOM marginally decreased blood pressure in control animals and did not affect hypoxic ventilatory response in control or CIH animals. No adverse effects were observed. DOM, used as gastrokinetic and antiemetic drug, could be a therapeutic opportunity for hypertension in SAHS patients’ resistant to standard treatments.https://www.mdpi.com/1422-0067/21/14/4893chronic intermittent hypoxiacarotid bodyhypertensiondopaminedomperidoneperipheral dopamine antagonist
spellingShingle Elena Olea
Inmaculada Docio
Miguel Quintero
Asunción Rocher
Ana Obeso
Ricardo Rigual
Angela Gomez-Niño
Peripheral Dopamine 2-Receptor Antagonist Reverses Hypertension in a Chronic Intermittent Hypoxia Rat Model
International Journal of Molecular Sciences
chronic intermittent hypoxia
carotid body
hypertension
dopamine
domperidone
peripheral dopamine antagonist
title Peripheral Dopamine 2-Receptor Antagonist Reverses Hypertension in a Chronic Intermittent Hypoxia Rat Model
title_full Peripheral Dopamine 2-Receptor Antagonist Reverses Hypertension in a Chronic Intermittent Hypoxia Rat Model
title_fullStr Peripheral Dopamine 2-Receptor Antagonist Reverses Hypertension in a Chronic Intermittent Hypoxia Rat Model
title_full_unstemmed Peripheral Dopamine 2-Receptor Antagonist Reverses Hypertension in a Chronic Intermittent Hypoxia Rat Model
title_short Peripheral Dopamine 2-Receptor Antagonist Reverses Hypertension in a Chronic Intermittent Hypoxia Rat Model
title_sort peripheral dopamine 2 receptor antagonist reverses hypertension in a chronic intermittent hypoxia rat model
topic chronic intermittent hypoxia
carotid body
hypertension
dopamine
domperidone
peripheral dopamine antagonist
url https://www.mdpi.com/1422-0067/21/14/4893
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