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      Modeling the Afferent Dynamics of the Baroreflex Control System

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          Abstract

          In this study we develop a modeling framework for predicting baroreceptor firing rate as a function of blood pressure. We test models within this framework both quantitatively and qualitatively using data from rats. The models describe three components: arterial wall deformation, stimulation of mechanoreceptors located in the BR nerve-endings, and modulation of the action potential frequency. The three sub-systems are modeled individually following well-established biological principles. The first submodel, predicting arterial wall deformation, uses blood pressure as an input and outputs circumferential strain. The mechanoreceptor stimulation model, uses circumferential strain as an input, predicting receptor deformation as an output. Finally, the neural model takes receptor deformation as an input predicting the BR firing rate as an output. Our results show that nonlinear dependence of firing rate on pressure can be accounted for by taking into account the nonlinear elastic properties of the artery wall. This was observed when testing the models using multiple experiments with a single set of parameters. We find that to model the response to a square pressure stimulus, giving rise to post-excitatory depression, it is necessary to include an integrate-and-fire model, which allows the firing rate to cease when the stimulus falls below a given threshold. We show that our modeling framework in combination with sensitivity analysis and parameter estimation can be used to test and compare models. Finally, we demonstrate that our preferred model can exhibit all known dynamics and that it is advantageous to combine qualitative and quantitative analysis methods.

          Author Summary

          Many people have experienced lightheadedness when standing up, yet the exact cause of this phenomenon remains unknown. For some people, lightheadedness occurs because of anomalies in the blood pressure control system, which keeps blood flow and pressure at homeostasis. One way to explore this system is via mathematical modeling, which can offer valuable insights into the complex dynamic processes. This study develops a framework for modeling activity of the baroreceptor neurons. The models consist of three components reflecting three physiological mechanisms relating blood pressure to the baroreceptor firing rate: modulation of arterial blood pressure causes dilation of the arterial wall, stimulating mechanoreceptors within the baroreceptor nerve endings, emanating from the aortic arch and carotid sinus, which in turn modulates the firing rate of the baroreceptor neurons. This signal is integrated in the brain stem, stimulating baroreflex efferents to counteract the pressure increase. In this study, we review the main static and dynamic features of the baroreceptor firing activity, and show, using a combination of modeling techniques and rat aortic baroreceptor data, how to build a computationally efficient, yet biologically correct model. These models are important components for describing efferent responses, such as: heart rate, contractility or stroke volume.

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          Most cited references47

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          Baroreflex sensitivity and heart-rate variability in prediction of total cardiac mortality after myocardial infarction. ATRAMI (Autonomic Tone and Reflexes After Myocardial Infarction) Investigators.

          Experimental evidence suggests that autonomic markers such as heart-rate variability and baroreflex sensitivity (BRS) may contribute to postinfarction risk stratification. There are clinical data to support this concept for heart-rate variability. The main objective of the ATRAMI study was to provide prospective data on the additional and independent prognostic value for cardiac mortality of heart-rate variability and BRS in patients after myocardial infarction in whom left-ventricular ejection fraction (LVEF) and ventricular arrhythmias were known. This multicentre international prospective study enrolled 1284 patients with a recent ( 105 ms, BRS >6.1 ms per mm Hg). The association of low SDNN or BRS with LVEF below 35% carried a relative risk of 6.7 (3.1-14.6) or 8.7 (4.3-17.6), respectively, compared with patients with LVEF above 35% and less compromised SDNN (> or = 70 ms) and BRS (> or = 3 ms per mm Hg). ATRAMI provides clinical evidence that after myocardial infarction the analysis of vagal reflexes has significant prognostic value independently of LVEF and of ventricular arrhythmias and that it significantly adds to the prognostic value of heart-rate variability.
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            Lapicque's introduction of the integrate-and-fire model neuron (1907).

            L. Abbott (2000)
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              Long-term control of arterial blood pressure.

              A W Cowley (1992)
              Two concepts for the long-term regulation of arterial pressure were considered in this review, the neural control hypothesis and the volume regulation hypothesis. The role of the nervous system and fluid volume regulation are intertwined in a way that has made it difficult to experimentally evaluate their separate contributions in the long-term regulation of arterial pressure. Nevertheless, from a substantial body of work related to the neural control of cardiovascular function, it appears that the ability of the nervous system to control arterial pressure is limited to the detection and correction of rapid short-term changes of arterial pressure. A long and exhaustive search has yet yielded no new neural mechanisms beyond the classic sinoaortic baroreceptors that can detect changes of arterial pressure. The baroreceptor mechanisms are of great importance for the moment-to-moment stabilization of arterial pressure, but because they do not possess sufficient strength and because they reset in time to the prevailing level of arterial pressure, they cannot provide a sustained negative feedback signal to provide long-term regulation of arterial pressure in face of sustained stimuli. This is not to say that the nervous system cannot affect the long-term level of arterial pressure. A distinction is made here between the many factors that can influence the long-term level of pressure and those that actually serve to detect changes of pressure and serve to maintain the level of pressure within a narrow range over the period of our adult lifetime. In this sense, there is evidence that in genetically susceptible individuals, environmental stresses can influence the long-term level of arterial pressure via the central and peripheral neural autonomic pathways. It is inappropriate, however, to view the nervous system as a long-term controller of arterial pressure because there is yet no evidence that the CNS can detect changes of arterial pressure nor changes in total body sodium and water content over sustained periods whereby it could provide an adequate long-term normalization of such error signals. In contrast, evidence has grown in support of the renal pressure-diuresis volume regulation hypothesis for the long-term control of arterial pressure over the past decade. An enhanced understanding of the mechanisms of pressure diuresis-natriuresis coupled with studies exploring how changes of vascular volume can influence vascular smooth muscle tone provide a compelling basis for this hypothesis of long-term arterial pressure regulation. This overall concept is represented and summarized in Figure 12.(ABSTRACT TRUNCATED AT 400 WORDS)
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                Author and article information

                Contributors
                Role: Editor
                Journal
                PLoS Comput Biol
                PLoS Comput. Biol
                plos
                ploscomp
                PLoS Computational Biology
                Public Library of Science (San Francisco, USA )
                1553-734X
                1553-7358
                December 2013
                December 2013
                12 December 2013
                : 9
                : 12
                : e1003384
                Affiliations
                [1 ]Department of Mathematics, North Carolina State University, Raleigh, North Carolina, United States of America
                [2 ]Department of Science, Systems, and Models, Roskilde University, Roskilde, Denmark
                Indiana University-Purdue University Indianapolis, United States of America
                Author notes

                The authors have declared that no competing interests exist.

                Participated in design of models: AM JS JTO MSO. Participated in performing model simulations: AM JS JTO MSO. Participated in model analysis: AM JS JTO MSO. Participated in preparing the manuscript: AM JS JTO MSO.

                Article
                PCOMPBIOL-D-13-00893
                10.1371/journal.pcbi.1003384
                3861044
                24348231
                e1af96aa-a3a7-4ccb-bacd-0810ae85b948
                Copyright @ 2013

                This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

                History
                : 22 May 2013
                : 21 October 2013
                Page count
                Pages: 18
                Funding
                Olufsen and Mahdi were supported by NIH-NIGMS 1P50GM094503-01A0 sub-award to NCSU. Olufsen was supported by NSF-DMS Awards #1022688 and #1122424. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.
                Categories
                Research Article

                Quantitative & Systems biology
                Quantitative & Systems biology

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