Key result
Pacing-induced heart failure in a porcine model significantly increased the mean event rate of high-magnitude neural cofluctuations in the stellate ganglion compared to controls (0.0012 vs 0.0002 evts/s).
Why the study?
Stellate ganglion neurons undergo pathological remodeling in heart failure, but their networking capabilities remain largely unknown, limiting the development of targeted therapies.
Standardized Mean Difference: 1.59
Absolute Event Rate: 0.0012% vs 0.0002%
p-value: p=0.011
Heart failure induces significant changes in stellate ganglion neural network processing, characterized by more frequent high-magnitude cofluctuations and greater variation in neural specificity to cardiac cycles.
Altered stellate ganglion activity in HF models is hypothesis-generating; human studies needed before clinical translation.
Stellate ganglia within the intrathoracic cardiac control system receive and integrate central, peripheral, and cardiopulmonary information to produce postganglionic cardiac sympathetic inputs. Pathological anatomical and structural remodeling occurs within the neurons of the stellate ganglion (SG) in the setting of heart failure (HF). A large proportion of SG neurons function as interneurons whose networking capabilities are largely unknown. Current therapies are limited to targeting sympathetic activity at the cardiac level or surgical interventions such as stellectomy, to treat HF. Future therapies that target the SG will require understanding of their networking capabilities to modify any pathological remodeling. We observe SG networking by examining cofluctuation and specificity of SG networked activity to cardiac cycle phases. We investigate network processing of cardiopulmonary transduction by SG neuronal populations in porcine with chronic pacing-induced HF and control subjects during extended in-vivo extracellular microelectrode recordings. We find that information processing and cardiac control in chronic HF by the SG, relative to controls, exhibits: (i) more frequent, short-lived, high magnitude cofluctuations, (ii) greater variation in neural specificity to cardiac cycles, and (iii) neural network activity and cardiac control linkage that depends on disease state and cofluctuation magnitude.
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Gurel et al. (2022) studied Heart failure (n=17). Heart failure (pacing-induced) vs. Control (healthy pigs) was evaluated on Mean event rate (ERMEAN) of high cofluctuations in stellate ganglion neural activity (d = 1.59, p=0.011). Pacing-induced heart failure in a porcine model significantly increased the mean event rate of high-magnitude neural cofluctuations in the stellate ganglion compared to controls (0.0012 vs 0.0002 evts/s).
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