Circulation Journal Official Journal of the Japanese Circulation Society http://www. j-circ.or.jp ccumulating evidence indicates that the sympathetic nervous system plays an important role in the pathogenesis of hypertension. 1-3 Activation of the sympathetic nervous system is involved in the stages, clinical forms, 24-h blood pressure patterns, end-organ damage, and metabolic abnormalities of hypertension. 1-3 Although peripheral factors are also involved, the central nervous system (CNS) mechanisms are considered crucial. 3-7 The results of recent studies strongly suggest that central sympathetic outflow is increased in hypertension. 3-7 Increased oxidative stress is also involved in the pathogenesis of hypertension. 8 Although there have been many studies regarding target organ damage in hypertension, relatively few studies have addressed the role of oxidative stress in sympathetic nervous system activation. 9-11 Based on the role of angiotensin II (Ang II) in the generation of reactive oxygen species (ROS), the relationship between brain angiotensin and central sympathetic outflow has been examined. 12,13 Our group was the first to report that increased ROS generation in the brainstem contributes to the neural mechanisms of hypertension in hypertensive rats, 14 and we and other investigators have reported additional evidence to support this concept and the potential therapeutic aspects. 9-11 This review focuses on the role of oxidative stress within the brain in the neural pathogenesis of hypertension.
Increased Oxidative Stress in the Brain in HypertensionAmong the target organs of hypertensive vascular diseases, the brain is most affected by aging and oxidative stress. 15, 16 Cell membranes in the brain contain a high concentration of polyunsaturated fatty acids. These fatty acids are targeted by ROS, which elicit chain reactions of lipid peroxidation. Oxidative stress is determined by measuring levels of thiobarbituric acid-reactive substances (TBARS), end products of lipid peroxidation. The levels of TBARS reflect those of malondialedehyde, although the assay is not specific for malondialedehyde. 15,17 There are some important points, however, for assessing the levels of TBARS. 17 The medium used for tissue preparation needs to contain a chelating agent and an antioxidant, and conditions for the assay must be kept constant. Therefore, we used another method for assessing the ROS production, which is electron spin resonance (ESR) spectroscopy. The amount of ROS was quantified by monitoring the time-dependent decay of the amplitude of the ESR spectra produced by the nitroxide radical 4-hydroxy-2,2,6,6-tetramethyl-piperidine-N-oxyl (hydroxyl-TEMPO) as a spin probe. 9,14 The signal decay of ESR spectroscopy reflects oxidative stress more directly. Also, it has an advantage for in vivo study. 18 We evaluated oxidative stress in the brains of stroke-prone spontaneously hypertensive rats (SHRSP) compared with normotensive Wistar -Kyoto (WKY) rats. 9, 14 The rostral ventrolateral medulla (RVLM) is the major vaso...