Systems physiology of the baroreflex during orthostatic stress: From animals to humans

Atsunori Kamiya, Toru Kawada, Masaru Sugimachi

Research output: Contribution to journalArticle

7 Citations (Scopus)

Abstract

The baroreflex is a key mechanism involved in the control of arterial pressure (AP) during orthostasis in humans. However, the baroreflex is a closed-loop feedback system, from baroreceptor pressure input to systemic AP, and therefore requires open-loop experiments to identify its system characteristics. The requirement limits our ability to identify baroreflex system characteristics in humans. Open-loop research in animals has revealed dynamic and static characteristics of the two baroreflex subsystems: the neural and peripheral arcs. The neural arc, from baroreceptor pressure input to sympathetic nerve activity (SNA), has high-pass dynamic characteristics, indicating that more rapid change in input AP causes greater response in SNA. In contrast, the peripheral arc, from SNA input to systemic AP, has low-pass characteristics. Orthostasis increases the gain of the neural arc, which compensates for the lower transfer gain of the peripheral arc and in turn maintains total baroreflex function. Here, I discuss the possibility that baroreflex subsystem characteristics identified in animals can be applicable to the human sympathetic response to orthostasis, with a focus on loading speed-dependence of orthostatic sympathetic activation.

Original languageEnglish
Article number00256
JournalFrontiers in Physiology
Volume5 JUL
DOIs
Publication statusPublished - 2014
Externally publishedYes

Keywords

  • Autonomic nervous system
  • Baroreflexes
  • Integrative physiology
  • Sympathetic nerve activity
  • Systems analysis

ASJC Scopus subject areas

  • Physiology
  • Physiology (medical)

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