Diet-induced obesity severely impairs myelinated aortic baroreceptor reflex responses

Belinda H McCully1, Virginia L Brooks, Michael C Andresen

  • 1Department of Physiology and Pharmacology, Oregon Health & Science University, Portland, OR 97239, USA. houghtob@ohsu.edu

Insights

Diet-induced obesity impairs the central processing of aortic baroreceptor reflexes. Obesity-prone rats show abolished heart rate responses to aortic depressor nerve stimulation, indicating impaired autonomic control.

Area of Science:

  • Cardiovascular Physiology
  • Autonomic Nervous System Regulation
  • Obesity Pathophysiology

Background:

  • Diet-induced obesity (DIO) is known to attenuate arterial baroreflex function.
  • The specific mechanisms and central sites of action for this impairment remain largely unknown.

Purpose of the Study:

  • To investigate whether DIO impairs central aortic baroreceptor pathways.
  • To determine the impact of obesity on the processing of baroreflex signals originating from the aortic depressor nerve (ADN).

Main Methods:

  • Utilized Sprague-Dawley rats categorized as obesity-resistant (OR) and obesity-prone (OP) fed either control (CON) or high-fat diets.
  • Performed sinoaortic denervation and electrically stimulated the central end of the ADN to activate myelinated (A-fiber) or combined (A- and C-fiber) baroreceptors.
  • Assessed frequency-dependent depressor and bradycardic responses, and evaluated heart rate (HR) responses after pharmacological blockade of adrenergic and muscarinic receptors.

Main Results:

  • Obesity-prone rats exhibited a complete abolition of depressor and bradycardic responses to low-level A-fiber ADN stimulation, unlike CON and OR rats.
  • While maximal A-fiber activation elicited reflexes in all groups, OP rats showed significant deficits in bradycardia, which persisted after receptor blockade.
  • OP rats demonstrated attenuated bradycardia even with maximal ADN activation and direct vagal nerve stimulation, suggesting central processing deficits.

Conclusions:

  • Diet-induced obesity severely impairs the central processing of myelinated aortic baroreceptor signals controlling heart rate.
  • These impairments involve both parasympathetic nervous system (PNS) and sympathetic nervous system (SNS) reflex pathways.
  • The findings highlight a critical role for central autonomic pathways in mediating the cardiovascular consequences of obesity.