Key result
In anesthetized rats, ivabradine did not significantly increase the high frequency gain ratio of the vagal heart rate transfer function when muscarinic potassium channels were blocked by tertiapin-Q.
Why the study?
Interactions between muscarinic potassium channels and hyperpolarization-activated cyclic nucleotide-gated channels in dynamic heart rate response to vagal nerve stimulation have not been fully elucidated.
Does ivabradine increase the high frequency gain ratio via an interaction with muscarinic potassium channels in anesthetized rats?
Does ivabradine increase the high frequency gain ratio via an interaction with muscarinic potassium channels in anesthetized rats?
The ivabradine-induced increase in the high frequency gain ratio of the vagal heart rate transfer function is dependent on the untethering of the hyperpolarizing effect of muscarinic potassium channels.
Requires intact muscarinic K+ channels for ivabradine vagal effects in rats; leaves open human translation.
Muscarinic potassium channels (IK,ACh) are thought to contribute to the high frequency (HF) dynamic heart rate (HR) response to vagal nerve stimulation (VNS) because they act faster than the pathway mediated by hyperpolarization-activated cyclic nucleotide-gated (HCN) channels. However, the interactions between the two pathways have not yet been fully elucidated. We previously demonstrated that HCN channel blockade by ivabradine (IVA) increased the HF gain ratio of the transfer function from VNS to HR. To test the hypothesis that IVA increases the HF gain ratio via an interaction with IK,ACh, we examined the dynamic HR response to VNS under conditions of control (CNT), IK,ACh blockade by tertiapin-Q (TQ, 50 nM/kg), and TQ plus IVA (2 mg/kg) (TQ + IVA) in anesthetized rats (n = 8). In each condition, the right vagal nerve was stimulated for 10 min with binary white noise signals between 0–10, 0–20, and 0–40 Hz. On multiple regression analysis, the HF gain ratio positively correlated with the VNS rate with a coefficient of 1.691 ± 0.151 (×0.01) (p < 0.001). TQ had a negative effect on the HF gain ratio with a coefficient of −1.170 ± 0.214 (×0.01) (p < 0.001). IVA did not significantly increase the HF gain ratio in the presence of TQ. The HF gain ratio remained low under the TQ + IVA condition compared to controls. These results affirm that the IVA-induced increase in the HF gain ratio is dependent on the untethering of the hyperpolarizing effect of IK,ACh.
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Kawada et al. (2021) studied this question. Ivabradine vs. Control and tertiapin-Q alone was evaluated on High frequency gain ratio of the transfer function from vagal nerve stimulation to heart rate. In anesthetized rats, ivabradine did not significantly increase the high frequency gain ratio of the vagal heart rate transfer function when muscarinic potassium channels were blocked by tertiapin-Q.
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