FUNCTIONAL IMAGING OF THE BRAINSTEM AND CORTICAL SITES OF BLOOD PRESSURE CONTROL IN HUMAN SUBJECTS IN HEALTH AND DISEASE
Funder
National Health and Medical Research Council
Funding Amount
$398,498.00
Summary
Disturbances in cardiovascular control underpin many diseases yet little is known about how the brain controls the heart and blood vessels. This project uses brain imaging (fMRI) and concurrent nerve recording in awake human subjects to increase our understanding of how normal blood pressure is maintained and how different disease states influence this control.
Network Interactions Between Cardiovascular Control Neurons In The Brainstem Underlie Sympathetic Tone
Funder
National Health and Medical Research Council
Funding Amount
$268,328.00
Summary
High blood pressure is a very significant risk factor for many common cardiovascular diseases. Blood pressure is normally tightly regulated by groups of neurons in the brainstem; although we know that this part of the brain becomes dysfunctional in patients with high blood pressure, we do not understand why. We have recently discovered that cardiovascular control neurons can influence each other. The project will determine the effect of such communication in the control of blood pressure.
The Splanchnic Anti-inflammatory Pathway: The Real Inflammatory Reflex
Funder
National Health and Medical Research Council
Funding Amount
$613,466.00
Summary
The brain strongly influences immune function through a neural reflex: the inflammatory reflex. This reflex was recently revised and a new model for its efferent arm, in stark contrast with the existing version, was proposed: the motor pathway of this reflex is purely sympathetic and travels through the splanchnic nerves. The aim of this project is to define the peripheral and central neural pathway of this reflex. Future improvements in health and medical knowledge will follow
Central Excitatory Pathways Of The Autonomic Nervous System
Funder
National Health and Medical Research Council
Funding Amount
$323,164.00
Summary
The central pathways of autonomic regulation are well known, but the functions of specific pathways in physiological settings remains an elusive goal. We will evaluate the role of two physiologically important autonomic pathways for sleep apnea and the circadian control of the body by genetically deleting the transmitter, glutamate, in transgenic mice. A greater understanding of these pathways is critical in unraveling autonomic nervous system function in health and disease.
ORIGIN AND REGULATION OF VAGAL PREGANGLIONIC NEURON SUBTYPES CONTROLLING AIRWAY SMOOTH MUSCLE TONE
Funder
National Health and Medical Research Council
Funding Amount
$438,700.00
Summary
The primary role of the airways is to allow the exchange of oxygen and carbon dioxide between the environment and the lungs. However, the airways are not merely a series of static tubes, but rather their size (or caliber) is subject to breath-by-breath alterations, thereby regulating gas exchange to match the body's demands. Regulation of airway caliber is achieved largely by subconscious changes in the tone of the muscle lining the airway wall. Airway muscle tone is primarily under the control ....The primary role of the airways is to allow the exchange of oxygen and carbon dioxide between the environment and the lungs. However, the airways are not merely a series of static tubes, but rather their size (or caliber) is subject to breath-by-breath alterations, thereby regulating gas exchange to match the body's demands. Regulation of airway caliber is achieved largely by subconscious changes in the tone of the muscle lining the airway wall. Airway muscle tone is primarily under the control of the parasympathetic division of the autonomic nervous system. Two distinct types of parasympathetic nerves innervate the airways: One type employs the neurotransmitter acetylcholine which causes airway muscle to contract and the airways to constrict, while the other type employs nitric oxide which evokes airway dilatation. The normal regulation of airway caliber is altered in a variety of inflammatory airways diseases. In asthma and chronic obstructive pulmonary disease (COPD) there is an increase in airway muscle tone (airway constriction) which compromises the normal movement of gasses and contributes to the morbidity and mortality of the diseases. There is a growing body of evidence to suggest that exaggerated airway muscle tone may in part result from dysfunction of either the contractile or relaxant parasympathetic nerves innervating the airways. However, at present very little is known about the parasympathetic pathways regulating airway caliber. A complete understanding of the mechanisms controlling airway smooth muscle tone is therefore essential to fully understanding possible role of autonomic dysfunction in the pathogenesis of obstructive airways diseases. The aim of this grant is to better define the physiological and anatomical properties of airway parasympathetic nerves in the brain stem.Read moreRead less
Investigation Of A Novel Sympathetic Vasomotor Pathway
Funder
National Health and Medical Research Council
Funding Amount
$354,586.00
Summary
Blood pressure is regulated by sympathetic nerves to the heart and blood vessels, and it is believed that overactive sympathetic nerves contribute to many cases of hypertension. Overactive sympathetic nerves also contribute to, and worsen the disease process, in heart failure as well as other cardiovascular diseases. The regulation of sympathetic nerves is thus central to the understanding and treatment of cardiovascular disorders. The present proposal is specifically relevant to the hypertensio ....Blood pressure is regulated by sympathetic nerves to the heart and blood vessels, and it is believed that overactive sympathetic nerves contribute to many cases of hypertension. Overactive sympathetic nerves also contribute to, and worsen the disease process, in heart failure as well as other cardiovascular diseases. The regulation of sympathetic nerves is thus central to the understanding and treatment of cardiovascular disorders. The present proposal is specifically relevant to the hypertension which accompanies airway obstruction during sleep (obstructive sleep apnoea - OSA). We plan to study a novel class of sympathetic nerves ('accessory' sympathetic nerves), which are likely to be centrally involved in the hypertension of OSA, and probably also other conditions where sympathetic nerve activity is pathologically raised. 'Accessory' sympathetic nerves can cause a long-lasting amplification of the activity in the 'regular' sympathetic nerve pathway, enhancing its actions on the heart and blood vessels. The brain pathways that drive 'accessory' sympathetic nerves are essentially unknown. We seek to find out those pathways, study how they amplify the activity in the 'regular' pathway and explore their significance in an animal model of OSA. The outcomes of this study will be first, essential basic knowledge of a novel, but probably important, mechanism whereby the brain controls the cardiovascular system in health and disease. Second, the relevance of that mechanism to a specific type of neurogenic hypertension will have been defined.Read moreRead less
PACAP: The Mechanism Underlying Sleep Apnoea-induced Hypertension
Funder
National Health and Medical Research Council
Funding Amount
$505,117.00
Summary
10% of Australians suffer from sleep apnoea; a cause of high blood pressure. Untreated, high blood pressure causes heart failure, kidney failure and stroke. A major cause of high blood pressure is an increased amount of nerve activity that controls the heart and blood vessels. In this proposal we will investigate how a brain chemical, called PACAP, affects nerve activity and blood pressure in a model of sleep apnoea. This information may lead to new and better treatments for high blood pressure.