Mechanisms mediating insulin-induced hypotension in rats. A role for nitric oxide and autonomic mediators

Acta Diabetol. 1996 Dec;33(4):263-8. doi: 10.1007/BF00571561.

Abstract

The mechanisms associated with insulin-induced cardiovascular inhibitory responses were evaluated in untreated normal rats and in normal rats pretreated with an antagonist of nitric oxide (NO) production (L-NAME), with cholinergic, alpha- and beta-adrenergic antagonists, or after ganglionic blockade. Male Wistar rats were anesthetized with a mixture of urethane and alpha-chloralose and placed on a electric heating pad. The femoral artery and vein were cannulated for measurements of mean arterial pressure (MAP), heart rate, plasma glucose, blood sampling, and intravenous injections. Intravenous injection of insulin (5.0 U/kg) in untreated rats resulted in a significant and sustained decrease in arterial blood pressure (average 24%) and in a slight decrease in heart rate. These cardiovascular responses were blocked by L-NAME and by the cholinergic antagonist atropine, suggesting an involvement of NO and the cholinergic receptors, or an effect of insulin on the central nervous system parasympathetic center. The ganglionic blocker hexamethonium attenuated the insulin-induced response. On the other hand, the hypotensive effect of insulin persisted after sympathetic blockade with the alpha-1 antagonist prazosin and the beta-1 antagonist atenolol. We conclude that the insulin-induced decrease in blood pressure is due to both increased cholinergic outflow and to NO production and that an enhanced sympathetic activity possibly mediated by a reactive release of norepinephrine or epinephrine modulates this response.

Publication types

  • Comparative Study
  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, Non-P.H.S.
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Animals
  • Antihypertensive Agents / pharmacology
  • Atenolol / pharmacology
  • Atropine / pharmacology
  • Autonomic Nervous System / drug effects
  • Autonomic Nervous System / physiology*
  • Blood Glucose / analysis
  • Blood Glucose / drug effects
  • Blood Glucose / metabolism
  • Blood Pressure / drug effects
  • Blood Pressure / physiology
  • Cohort Studies
  • Enzyme Inhibitors / pharmacology
  • Heart Rate / drug effects
  • Heart Rate / physiology
  • Hexamethonium / pharmacology
  • Hypoglycemic Agents / pharmacology*
  • Hypotension / chemically induced
  • Hypotension / physiopathology*
  • Insulin / pharmacology*
  • Male
  • NG-Nitroarginine Methyl Ester / pharmacology
  • Nitric Oxide / physiology*
  • Prazosin / pharmacology
  • Rats
  • Rats, Wistar

Substances

  • Antihypertensive Agents
  • Blood Glucose
  • Enzyme Inhibitors
  • Hypoglycemic Agents
  • Insulin
  • Nitric Oxide
  • Hexamethonium
  • Atenolol
  • Atropine
  • NG-Nitroarginine Methyl Ester
  • Prazosin