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Am J Physiol Heart Circ Physiol (January 15, 2004). doi:10.1152/ajpheart.00768.2003
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Submitted on August 12, 2003
Accepted on January 14, 2004

Infarction alters both the distribution and noradrenergic properties of cardiac sympathetic neurons

Wei Li1, David Knowlton1, Donna M. Van Winkle2, and Beth A. Habecker1*

1 Department of Physiology and Pharmacology, Oregon Health & Science University, Portland, OR, USA
2 Department of Anesthesiology, Oregon Health & Science University, Portland, OR, USA; Department of Anesthesiology Service, Portland VA Medical Center, Portland, OR, USA

* To whom correspondence should be addressed. E-mail: habecker{at}ohsu.edu.

Regional changes occur in the sympathetic innervation of the heart following myocardial infarction (MI), including loss of norepinephrine (NE) uptake and depletion of neuronal NE. This apparent denervation is accompanied by increased cardiac NE spillover. One potential explanation for these apparently contradictory findings is that the sympathetic neurons innervating the heart are exposed to environmental stimuli that alter neuronal function. To understand the changes that occur in the innervation of the heart following MI, immunohistochemical, biochemical, and molecular analyses were carried out in the heart and stellate ganglia of control and MI rats. Immunohistochemistry with pan-neuronal markers revealed extensive denervation in the left ventricle below the infarct, but sympathetic nerve fibers were retained in the base of the heart. Western blot analysis revealed that tyrosine hydroxylase (TH) expression (normalized to a pan-neuronal marker) was increased significantly in the base of the heart and in the stellate ganglia, but decreased in the left ventricle below the MI. Norepinephrine transporter (NET) binding sites, normalized to total protein, were unchanged except in the left ventricle, where 3H-Nisoxetine binding was decreased. TH mRNA was increased significantly in the left and right stellate ganglia following MI, while NET mRNA was not. In the base of the heart, increased TH coupled with no change in the NE transporter may explain the increase in extracellular NE observed following MI. Coupled with substantial denervation in the left ventricle, these changes likely contribute to the onset of cardiac arrhythmias.




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