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Am J Physiol Heart Circ Physiol (August 29, 2008). doi:10.1152/ajpheart.522.2008
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Submitted on May 16, 2008
Revised on August 4, 2008
Accepted on August 19, 2008

Contrasting effects of intrinsic operation and extrinsic activation of presynaptic {alpha}2-adrenergic inhibition on sympathetic heart rate control

Tadayoshi Miyamoto1*, Toru Kawada2, Yusuke Yanagiya3, Tsuyoshi Akiyama3, Atsunori Kamiya3, Masaki Mizuno2, Hiroshi Takaki3, Kenji Sunagawa4, and Masaru Sugimachi5

1 Morinomiya University of Medical Sciences
2 National Cardiovascular Centre Research Institute
3 National Cardiovascular Center Research Institute
4 Kyushu University
5 National Cardiovascular Center

* To whom correspondence should be addressed. E-mail: miyamoto{at}morinomiya-u.ac.jp.

Presynaptic {alpha}2-adrenergic receptors are known to exert feedback inhibition on norepinephrine release from the sympathetic nerve terminals. To elucidate the dynamic characteristics of the inhibition, we stimulated the right cardiac sympathetic nerve according to a binary white noise signal while measuring heart rate (HR) in anesthetized rabbits (n=6). We estimated the transfer function from cardiac sympathetic nerve stimulation to HR and the corresponding step response of HR, with and without the blockade of presynaptic inhibition by yohimbine (1 mg/kg followed by 0.1 mg•kg-1•h-1 i.v.). We also examined the effect of the {alpha}2-adrenergic receptor agonist clonidine (0.3 and 1.5 mg•kg-1•h-1 i.v.) in different rabbits (n=5). Yohimbine increased the maximum step response (from 7.2 ± 0.8 to 12.2 ± 1.7 beats/min, mean ± SE, P<0.05) without significantly affecting the initial slope (0.93 ± 0.23 vs. 0.94 ± 0.22 beats•min-1•s-1). Higher-dose but not lower-dose clonidine significantly decreased the maximum step response (from 6.3 ± 0.8 to 6.8 ± 1.0 and 2.8 ± 0.5 beats/min, P<0.05) and also reduced the initial slope (from 0.56 ± 0.07 to 0.51 ± 0.04 and 0.22 ± 0.06 beats·min-1·s-1, P<0.05). Our findings indicate that presynaptic {alpha}2-adrenergic autoinhibition limits the maximum response without significantly compromising the rapidity of effector response. In contrast, pharmacologic augmentation of the presynaptic inhibition not only attenuates the maximum response but also results in a sluggish effector response.







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