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The presence of substance P (SP) neurons in pathways known to be involved in the central control of the cardiovascular system has been studied with neuroanatomical and neurochemical techniques. SP-immunoreactive (SP-I) neurons are found in afferent baro- and chemoreceptor pathways which transmit information from peripheral receptors to the nucleus tractus solitarius. In addition, SP-I neurons located in the nucleus interfascicularis hypoglossi of the ventral medulla innervate the intermediolateral cell column, the site of origin of preganglionic sympthetic nerves. The role of these SP-I neurons in cardiovascular control remains to be determined.

Intravenous injection of prostacyclin (100 micrograms/kg) in rats resulted in a decrease of systolic blood pressure within 2 minutes. Concentrations of cAMP in 15 brain regions and nuclei were determined by radioimmunoassay. In lower brain stem nuclei, such as the nucleus of the solitary tract and the lateral reticular nucleus (A1 and C1 catecholaminergic cell groups) cAMP levels were depleted significantly, while in others, including the locus coeruleus and the periaqueductal central gray, cAMP levels did not show any alterations. Levels of cAMP were also depleted in some of the hypothalamic nuclei (periventricular, anterior hypothalamic, ventromedial), and in cerebral cortical areas. Lowered cAMP levels in brain areas might indicate lower cellular activity in cells participating in baroreceptor control mechanisms.

In our previous histological studies of the tympanic membrane, we reported the presence of encapsulated nerve corpuscles that are capable of detecting middle ear pressure. Based on these findings, the relation between sensory receptors in the tympanic membrane and tubal function was examined in a clinical study. Tubal function was tested during Valsalva maneuvers and its active equilibration. Function was recorded as a change of the static compliance of the tympanic membrane on an otoadmittance meter. To paralyze the sensory receptors in the tympanic membrane, iontophoresis was used to induce anesthesia of the drum. Forty ears of 20 subjects were tested. All ears were able to equalize positive middle ear pressure without or with a single swallowing. After anesthesia, 13 ears needed more than two swallows and 4 ears failed to equalize middle ear pressure in spite of repeated swallowings. As eustachian tube function changed following anesthesia of the tympanic membranes, a neural connection between sensory receptors in the tympanic membrane and tubal muscles is suggested.

The gene for atrial natriuretic factor is expressed within the adventitial cells of the rat aortic arch. Atrial natriuretic factor transcripts, similar in overall size (1100-1200 nucleotides) and 5'-termini to those found in the atria, were identified in the arch. Much lower levels (approximately 10-20%) of these transcripts were present in distal thoracic aorta. Atrial natriuretic factor peptide was localized by immunocytochemistry to the adventitia of the arch in regions thought to harbor the aortic baroreceptors. These data suggest a previously unsuspected role for the peptide in regulating systemic blood pressure through the baroreceptor reflex.

Relatively high concentrations of adrenocorticotropic hormone (ACTH), beta-endorphin and alpha-melanocyte-stimulating hormone (alpha-MSH) were determined by radioimmunoassay in the nucleus of the solitary tract (NTS) of rats. Dense networks of immunoreactive fibers for these peptides were most prominent in the commissural part of the nucleus, where immunostained perikarya (8-15 per section) were also seen in colchicine-treated rats. Moderate peptide levels and moderately dense immunoreactive networks of these peptides were found in the lateral reticular nucleus (including the A1 and A5-C1 catecholaminergic cell groups) and the nucleus ambiguus. Ten different types of surgical lesions or transections were performed in the hypothalamus and the lower brainstem to determine the origin of ACTH, beta-endorphin and alpha-MSH in the brainstem baroreceptor centers. Except the commissural part of the NTS, the baroreceptor areas receive ACTH, beta-endorphin and alpha-MSH innervations from both the hypothalamic arcuate cells and local neurons in the NTS. Fibers in the commissural part of the NTS seem to be of local origin. Hypothalamic fibers to the rostral part of the NTS and the vasomotor A5-C1 cell groups descend in both a medial (through the periaqueductal central gray) and a lateral (ventrolateral tegmental fibers) pathway, whereas fibers to the caudal lateral reticular nucleus (A1 cell group) and the nucleus ambiguus may run only in the lateral pathway. The descending fibers may decussate somewhere in the caudal hypothalamus-rostral midbrain, but caudal to that level they run and terminate ipsilaterally. Fibers from the ACTH-, beta-endorphin- and alpha-MSH-containing cells in the NTS form a bundle arching between the NTS and the ventrolateral medulla and partially (40-55%) innervate the vasomotor and the vasodepressor areas, as well as the nucleus ambiguus.