Key result
Atropine had no effect on coronary flow or cyclic AMP either alone or after isoproterenol stimulation, indicating basal muscarinic activity does not impede beta-adrenergic activation.
Why the study?
Does basal muscarinic activity impede beta-adrenergic activation in normal or thyroxine-induced hypertrophied rabbit hearts?
Does basal muscarinic activity impede beta-adrenergic activation in normal or thyroxine-induced hypertrophied rabbit hearts?
Basal muscarinic activity does not significantly influence cardiac function or signal transduction during beta-adrenergic stimulation in normal or thyroxine-induced hypertrophied rabbit hearts.
Answers are grounded in this paper and cite their sources.
Does not support muscarinic modulation of beta-adrenergic therapy in rabbits; leaves open human relevance pending clinical studies.
We tested the hypothesis that basal myocardial muscarinic receptor activity acts as a "brake" on beta-adrenergic activation and that this effect would be greater in hearts subjected to thyroxine (T4)-induced (0.5 mg/kg for 16 days) hypertrophy due to an increase in muscarinic receptor density. Twenty control and 20 T4-treated open-chest anesthetized New Zealand white rabbits were given isoproterenol (0.5 microg/kg/min, 10 min i.v.) and/or atropine (3 mg/kg bolus). Coronary blood flow (radioactive microspheres), aortic and left ventricular (LV) pressure, and wall thickening of the LV free wall were recorded. Hearts were quickly excised and stored in liquid nitrogen. Cyclic guanosine monophosphate (GMP) and cyclic adenosine monophosphate (AMP) were determined by radioimmunoassay. T4 increased heart weight/body weight ratio, blood pressures, and the first derivative of the maximal rate of increase of LV systolic pressure (dP/dt[max]). Isoproterenol increased heart rate in both groups. Atropine had no effects on hemodynamic parameters either alone or after stimulation with isoproterenol. At this dose, atropine completely blocked the depressant effects of acetylcholine (10 microg/kg). Isoproterenol increased the maximal time derivative of wall thickening (dWT/dt[max]) in control (from 11.0 +/- 1.0 to 16.4 +/- 1.5 mm/s) but not in T4 animals. T4 increased subepicardial (EPI) and subendocardial (ENDO) coronary blood flow. Isoproterenol increased coronary flow (control: EPI, from 173 +/- 11 to 346 +/- 28 ml/min/100 g; ENDO, from 197 +/- 15 to 364 +/- 30 ml/min/100 g; T4: EPI, from 314 +/- 45 to 459 +/- 43 ml/min/100 g; ENDO, from 339 +/- 48 to 458 +/- 43 ml/min/100 g). Cyclic AMP levels were higher in T4 animals. Isoproterenol increased cyclic AMP (control: EPI, from 540 +/- 82 pmol/g to 1,096 +/- 110; ENDO, 596 +/- 58 to 1,050 +/- 145 pmol/g; T4: EPI, from 882 +/- 107 pmol/g to 1,319 +/- 222; ENDO, from 954 +/- 134 to 1 ,409 +/- 261 pmol/g). Atropine, alone or after stimulation with isoproterenol, had no effect on coronary flow or cyclic AMP in either group. Cyclic GMP levels were unaffected by T4-induced hypertrophy or by any of the treatments in either group. Thus it appears that basal muscarinic activity does not significantly influence function or signal transduction either at baseline or during beta-adrenergic stimulation in controls or in T4-induced hypertrophy.
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Naim et al. (1997) studied Thyroxine-induced cardiac hypertrophy (n=40). Atropine and/or isoproterenol vs. Control (no T4) and baseline was evaluated on Hemodynamic parameters, coronary blood flow, and cyclic AMP/GMP levels. Atropine had no effect on coronary flow or cyclic AMP either alone or after isoproterenol stimulation, indicating basal muscarinic activity does not impede beta-adrenergic activation.
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