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Am J Physiol Heart Circ Physiol (January 9, 2003). doi:10.1152/ajpheart.00730.2002
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Submitted on August 27, 2002
Accepted on December 20, 2002

Cardiac Enkephalins Interrupt Vagal Brady Cardia Via {delta}-2-Opioid Receptors in the Sinoatrial Node

Martin Farias III1, Keith E Jackson1, Darice Yoshishige1, and James L Caffrey1*

1 Integrative Physiology, University of North Texas Health Science Center, Fort Worth, TX, USA

* To whom correspondence should be addressed. E-mail: jcaffrey{at}hsc.unt.edu.

Local cardiac opioids appear to be important in determining the quality of vagal control of heart rate. Introduction of the endogenous opioid, methionine enkephalin-arginine-phenylalanine (MEAP) into the interstitium of the canine sinoatrial node by microdialysis attenuates vagally mediated bradycardia through a {delta}-opioid receptor mechanism. The following studies were conducted to test the hypothesis that a {delta}-2 opiate receptor subtype mediates the interruption of vagal transmission. Twenty mongrel dogs were anesthetized and instrumented with microdialysis probes inserted into the sinoatrial node. Vagal frequency responses were performed at 1, 2 and 3 Hz during vehicle infusion and during treatment with the native agonist (MEAP) and assorted {delta}-1 opioid (TAN-67 and DPDPE) and {delta}-2 (deltorphin II) agonists. The vagolytic effects of intranodal MEAP and deltorphin were then challenged with the {delta}-1 and {delta}-2 opioid receptor antagonists BNTX and naltriben, respectively. Although the positive control, deltorphin II was clearly vagolytic in each experimental group, TAN-67 and DPDPE were vagolytically ineffective in the same animals. In contrast, TAN-67 improved vagal bradycardia by 30-35 percent. Naltriben completely reversed the vagolytic effects of MEAP and deltorphin. BNTX was ineffective in this regard but did reverse the vagal improvement observed with TAN-67. These data support the hypothesis that the vagolytic effect of the endogenous opioid MEAP was mediated by {delta}-2 opioid receptors located in the sinoatrial node. These data also support the existence of vagotonic {delta}-1 opioid receptors also in the sinoatrial node.




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