- Han-Kyul Kim,
- Juan A. Estrada,
- Ayumi Fukazawa,
- Amane Hori,
- Gary A. Iwamoto,
- Scott A. Smith,
- Masaki Mizuno,
- Wanpen Vongpatanasin
https://doi.org/10.1152/ajpregu.00234.2024
The current investigation identifies that activation of the exercise pressor reflex (EPR) by hindlimb muscle contraction generates exaggerated pressor responses in a chronic kidney disease (CKD) animal model. This hypertensive response is accompanied by sympathetic overactivation during EPR stimulation, with both the muscle mechanoreflex activated by passive muscle stretch and the muscle metaboreflex stimulated by intra-arterial capsaicin administration, contributing to the heightened pressor effect. These findings suggest augmented EPR, mechanoreflex, and metaboreflex function in CKD.