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Publication : A cholinergic-sympathetic pathway primes immunity in hypertension and mediates brain-to-spleen communication.

First Author  Carnevale D Year  2016
Journal  Nat Commun Volume  7
Pages  13035 PubMed ID  27676657
Mgi Jnum  J:242367 Mgi Id  MGI:5905092
Doi  10.1038/ncomms13035 Citation  Carnevale D, et al. (2016) A cholinergic-sympathetic pathway primes immunity in hypertension and mediates brain-to-spleen communication. Nat Commun 7:13035
abstractText  The crucial role of the immune system in hypertension is now widely recognized. We previously reported that hypertensive challenges couple the nervous drive with immune system activation, but the physiological and molecular mechanisms of this connection are unknown. Here, we show that hypertensive challenges activate splenic sympathetic nerve discharge to prime immune response. More specifically, a vagus-splenic nerve drive, mediated by nicotinic cholinergic receptors, links the brain and spleen. The sympathetic discharge induced by hypertensive stimuli was absent in both coeliac vagotomized mice and in mice lacking alpha7nAChR, a receptor typically expressed by peripheral ganglionic neurons. This cholinergic-sympathetic pathway is necessary for T cell activation and egression on hypertensive challenges. In addition, we show that selectively thermoablating the splenic nerve prevents T cell egression and protects against hypertension. This novel experimental procedure for selective splenic denervation suggests new clinical strategies for resistant hypertension.
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