In: Anatomy and Physiology
REGULATION OF ARTERIAL BLOOD PRESSURE
Arterial blood pressure varies even under physiological conditions.
However, immediately it is brought back to normal level because of
the presence of well organized regulatory mechanisms in the body.
Body has four such regulatory mechanisms to maintain the blood
pressure within normal limits
A. Nervous mechanism or shortterm regulatory mechanism
B. Renal mechanism or longterm regulatory mechanism
C. Hormonal mechanism
D. Local mechanism.
NERVOUS MECHANISM FOR REGULATION OF BLOOD PRESSURE – SHORT-TERM
REGULATION
Nervous regulation is rapid among all the mechanisms involved in
the regulation of arterial blood pressure. When the pressure is
altered, nervous system brings the pressure back to normal within
few minutes. Although nervous mechanism is quick in action, it
operates only for a short period and then it adapts to the new
pressure. Hence, it is called shortterm regulation. The nervous
mechanism regulating the arterial blood pressure operates through
the vasomotor system. Vasomotor System
Vasomotor system includes three components:
1. Vasomotor center
2. Vasoconstrictor fibers
3. Vasodilator fibers.
MECHANISM OF ACTION OF VASOMOTOR CENTER IN THE REGULATION OF
BLOOD PRESSURE
Vasomotor center regulates the arterial blood pressure by causing
vasoconstriction or vasodilatation. However, its actions depend
upon the impulses it receives from other structures such as
baroreceptors, chemoreceptors, higher centers and respiratory
centers. Among these structures, baroreceptors and chemoreceptors
play a major role in the shortterm regulation of blood
pressure.
1. Baroreceptor Mechanism
Baroreceptors are the receptors, which give response to change in
blood pressure. Baroreceptors are also called
pressoreceptors.
Situation
Baroreceptors are situated in the carotid sinus and wall of the
aorta .
Functions
Role of baroreceptors when blood pressure increases
When arterial blood pressure rises rapidly, baro receptors are
activated and send stimulatory impulses to nucleus of tractus
solitarius through glassopharyngeal and vagus nerves. Now, the
nucleus of tractus solitarius acts on both vasoconstrictor area and
vasodilator areas of vasomotor center. It inhibits the
vasoconstrictor area and excites the vasodilator area.
Inhibition of vasoconstrictor area reduces vasomotor tone.
Reduction in vasomotor tone causes vasodilatation, resulting in
decreased peripheral resistance. Simultaneous excitation of
vasodilator center increases vagal tone .This decreases the rate
and force of contraction of heart, leading to reduction in cardiac
output. These two factors, i.e. decreased peripheral resistance and
reduced cardiac output bring the arterial blood pressure back to
normal level .
Role of baroreceptors when blood pressure decreases
The fall in arterial blood pressure or the occlusion of common
carotid arteries decreases the pressure in carotid sinus. This
causes inactivation of baroreceptors. Now, there is no inhibition
of vasoconstrictor center or excitation of vasodilator center.
Therefore, the blood pressure rises.
Information regarding blood pressure within the range of 50 to 200
mm Hg (mean arterial pressure) reaches the vasomotor center through
the carotid baro receptors. Information about the blood pressure
range of 100 to 200 mm Hg goes through aortic baroreceptors.
Both carotid and aortic baroreceptors are stimulated by the rising
pressure than the steady pressure and their response depends upon
the rate of increase in the blood pressure.
Since the baroreceptor mechanism acts against the rise in arterial
blood pressure, it is called pressure buffer mechanism or system
and the nerves from baroreceptors are called the buffer
nerves.
2. Chemoreceptor Mechanism
Chemoreceptors are the receptors giving response to change in
chemical constituents of blood. Peripheral chemoreceptors influence
the vasomotor center.
Situation
Peripheral chemoreceptors are situated in the carotid body and
aortic body.
Function
Peripheral chemoreceptors are sensitive to lack of oxygen, excess
of carbon dioxide and hydrogen ion concentration in blood. Whenever
blood pressure decreases, blood flow to chemoreceptors decreases,
resulting in decreased oxygen content and excess of carbon dioxide
and hydrogen ion. These factors excite the chemoreceptors, which
send impulses to stimulate vasoconstrictor center. Blood pressure
rises and blood flow increases. Chemoreceptors play a major role in
maintaining respiration rather than blood pressure .
Sinoaortic mechanism
Mechanism of action
chemoreceptors in carotid and aortic region constitute sinoaortic
mechanism. Nerves supplying the baroreceptors and chemoreceptors
are called buffer nerves because these nerves regulate the heart
rate , blood pressure and respiration .
LOCAL MECHANISM FOR REGULATION OF BLOOD PRESSURE
In addition to nervous, renal and hormonal mechanisms, some local
substances also regulate the blood pressure. The local substances
regulate the blood pressure by vasoconstriction or
vasodilatation.
LOCAL VASOCONSTRICTORS
Local vasoconstrictor substances are derived from vascular
endothelium. These substances are called endothelium-derived
constricting factors (EDCF). Common EDCF are endothelins (ET),
which are peptides with 21 amino acids. Three types of endothelins
ET1, ET2 and ET3 are identified so far.
Endothelins are produced by stretching of blood vessels. These
peptides act by activating phospholipase, which in turn activates
prostacyclin and thromboxane A2. These two substances cause
constriction of blood vessels and increase the blood
pressure.
LOCAL VASODILATORS
Local vasodilators are of two types: 1. Vasodilators of metabolic
origin 2. Vasodilators of endothelial origin.
Vasodilators of Metabolic Origin
Vasodilators of metabolic origin are carbon dioxide, lactate,
hydrogen ions and adenosine .
Vasodilators of Endothelial Origin
Nitric oxide (NO) is an endotheliumderived relaxing factor (EDRF).
It is synthesized from arginine. Nitric oxide synthesis is
stimulated by acetylcholine, bradykinin, VIP, substance P and
platelet breakdown products. As nitric oxide is a vasodilator,
deficiency of this leads to constant vasoconstriction and
hypertension.
Other functions of nitric oxide are penile erection with
vasodilatation and engorgement of corpora cavernosa, activation of
macrophages in brain, destruction of cancer cells and relaxation of
smooth muscles of gastrointestinal tract.
Types of nitric oxide
i. NO3 (nitrate)
ii. NO+ (nitrosonium cation)
iii. NO– (nitroxyl anion).