Neuropeptide Y (NPY) is present in the brain, the adrenal medulla, and peripheral sympathetic nerves. This peptide is released together with catecholamines during sympathoadrenal activation. It possesses direct vasoconstrictor properties that are not dependent on simultaneous adrenergic activation. Moreover, it potentiates the vascular effect of several stimulatory substances and may contribute to the modulation of blood pressure responsiveness under a number of circumstances. NPY may alsoN europeptide Y (NPY) is a 36 amino acid peptide first isolated from porcine brain.1,2 It has been found to be widely distributed throughout the central and peripheral nervous system of a variety of mammals including man (for review see references 3-6). This peptide is co-stored with norepinephrine in perivascular nerve fibers. It has also been localized to the adrenal medulla. NPY has been shown to induce vasoconstriction through a direct effect. In addition, it has been recognized to potentiate the contractile response evoked by stimulation of aadrenoceptors.The vasoactive properties of NPY have been extensively studied during the last few years. In the present work, we intend to focus on the evidence suggesting a role for this newly discovered peptide in the regulation of vascular tone. be indirectly involved in the control of blood pressure through regulating the release of hormones with well-established actions on the cardiovascular system. Am J Hypertens 1988;1:193-199 KEY WORDS: Neuropeptide Y, sympathetic nervous system, catecholamines, renin-angiotensin system, blood pressure taining neurons located in areas physiologically involved in the regulation of the cardiovascular system, particularly at the level of the nucleus tractus solitarius.
CARDIOVASCULAR EFFECTS OF NPY7 ' 8 One group of investigators has shown that intraventricular administration of NPY causes in conscious as well as in anesthetized rats a hypotension accompanied by a bradycardia. 9,10 This type of hemodynamic response corresponds to what is expected to occur after central injection of a 2 -adrenergic agonists. It is therefore of interest that brain o^-adrenergic binding sites have been reported to increase in the presence of NPY.11 It has been suggested that NPY stimulates presynaptic receptors on norepinephrine and/or epinephrine nerve terminals, which may enhance the presynaptic û^-adrenoceptor function to inhibit norepinephrine release.12 The hypotension and bradycardia induced by intracisternal and intraventricular administration of NPY has however not been observed by all investigators.
1314NPY may even be responsible in rats for a dose-dependent pressor response and a tachycardia.14 Such effects could be prevented by pretreating intravenously with a-and /^-adrenoceptor blocking agents, suggesting that the cardiovascular response to centrally administered NPY is mediated by an activation of the sympathetic nervous system. Microinjection of NPY at a large dose into the nucleus tractus solitarius of rats decreases blood pressure and heart rate,...