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Perirenal adipose afferent nerves sustain pathological high blood pressure in rats
Perirenal adipose afferent nerves sustain pathological high blood pressure in rats
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Perirenal adipose afferent nerves sustain pathological high blood pressure in rats
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Perirenal adipose afferent nerves sustain pathological high blood pressure in rats
Perirenal adipose afferent nerves sustain pathological high blood pressure in rats

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Perirenal adipose afferent nerves sustain pathological high blood pressure in rats
Perirenal adipose afferent nerves sustain pathological high blood pressure in rats
Journal Article

Perirenal adipose afferent nerves sustain pathological high blood pressure in rats

2022
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Overview
Hypertension is a pathological condition of persistent high blood pressure (BP) of which the underlying neural mechanisms remain obscure. Here, we show that the afferent nerves in perirenal adipose tissue (PRAT) contribute to maintain pathological high BP, without affecting physiological BP. Bilateral PRAT ablation or denervation leads to a long-term reduction of high BP in spontaneous hypertensive rats (SHR), but has no effect on normal BP in control rats. Further, gain- and loss-of-function and neuron transcriptomics studies show that augmented activities and remodeling of L1-L2 dorsal root ganglia neurons are responsible for hypertension in SHR. Moreover, we went on to show that calcitonin gene-related peptide (CGRP) is a key endogenous suppressor of hypertension that is sequestered by pro-hypertensive PRAT in SHRs. Taken together, we identify PRAT afferent nerves as a pro-hypertensive node that sustains high BP via suppressing CGRP, thereby providing a therapeutic target to tackle primary hypertension. The sympathetic nervous system can contribute to the development of hypertension, but the neurogenic mechanisms involved are incompletely understood. Here the authors report that afferent nerves in the perirenal adipose tissue (PRAT) contribute to the maintenance of high blood pressure, and PRAT ablation, denervation or upregulation of calcitonin gene-related peptide reduce blood pressure in hypertensive rats.