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Department of Pharmacology, James H. Quillen College of Medicine, East Tennessee State University, Johnson City, Tennessee 37614
The purpose of this study was to
determine if endogenous tachykinins can cause bradycardia in the
isolated perfused guinea pig heart through stimulation of cholinergic
neurons. Capsaicin was used to stimulate release of tachykinins and
calcitonin gene-related peptide (CGRP) from cardiac afferents. A bolus
injection of 100 nmol capsaicin increased heart rate by 26 ± 7% from
a baseline of 257 ± 14 beats/min (n = 6, P < 0.01).
This positive chronotropic response was converted to a minor
bradycardic effect in hearts with 1 µM CGRP-(8
37) present to block
CGRP receptors. The negative chronotropic response to capsaicin was
markedly potentiated in another group of hearts with the further
addition of 0.5 µM neostigmine to inhibit cholinesterases. In this
group, capsaicin decreased heart rate by 30 ± 10% from a baseline of
214 ± 6 beats/min (n = 8, P < 0.05). This large
bradycardic response to capsaicin was inhibited by 1) infusion
of neurokinin A to desensitize tachykinin receptors or 2)
treatment with 1 µM atropine to block muscarinic receptors. The
latter observations implicate tachykinins and acetylcholine, respectively, as mediators of the bradycardia. These findings support
the hypothesis that endogenous tachykinins could mediate axon reflexes
to stimulate cholinergic neurons of the intrinsic cardiac ganglia.
cardiac afferents; capsaicin; neurokinin A; calcitonin gene-related peptide; intrinsic cardiac ganglia
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