Key result
Hypoxia and substrate depletion enhance norepinephrine-induced Purkinje fiber automaticity via alpha-2 adrenergic receptors.
Why the study?
The effects of norepinephrine on automaticity in cardiac Purkinje fibers under hypoxic glucose-free conditions and the role of alpha-adrenoceptors were unclear.
Does norepinephrine enhance automaticity in sheep cardiac Purkinje fibers under hypoxic glucose-free conditions via alpha-adrenoceptors?
Does norepinephrine enhance automaticity in sheep cardiac Purkinje fibers under hypoxic glucose-free conditions via alpha-adrenoceptors?
Alpha-adrenergic responsiveness (specifically alpha-2 subtype) appears enhanced during hypoxia and glucose deprivation in sheep Purkinje fibers, potentially influencing abnormal automaticity.
Alpha-2 antagonism may blunt enhanced automaticity during metabolic stress in Purkinje fibers; hypothesis-generating for ischemia-related arrhythmias and requires in vivo confirmation.
A period of drive in the presence of norepinephrine (NE) may be followed by the induction or acceleration of spontaneous activity. Experiments were carried out in sheep cardiac Purkinje fibers to determine whether the effects of NE on automaticity were modified during superfusion with hypoxic glucose-free Tyrode's solution and to assess the possible contribution of alpha-adrenergic influences on automaticity under these conditions. The following results were obtained: Low concentrations of NE (10(-7) and 3 X 10(-7)M) were able to induce automaticity after a period of drive in normal oxygenated (97% O2, 3% CO2) Tyrode's solution. Superfusion with hypoxic (97% N2, 3% CO2) glucose-free Tyrode's solution enhanced NE-induced automaticity. Practolol, in concentrations able to block the effects of NE in normal oxygenated solution, did not counteract the effects of NE in hypoxic glucose-free solution. Yohimbine, but not prazosin, antagonized the effects of NE in hypoxic glucose-free solution. At the same concentration, yohimbine did not affect transmembrane potentials or automaticity induced by isoproterenol. It is concluded that alpha-adrenergic responsiveness appears to be enhanced during superfusion in vitro with hypoxic glucose-free solution, and that alpha-adrenoceptors belonging to the alpha 2-subtype in sheep cardiac Purkinje fibers might influence abnormal automaticity, possibly through an effect on oscillatory potentials.
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Mugelli et al. (1986) studied this question. Norepinephrine in hypoxic glucose-free Tyrode's solution vs. Normal oxygenated Tyrode's solution was evaluated on Induction or acceleration of spontaneous activity (automaticity). Superfusion with hypoxic glucose-free solution enhanced norepinephrine-induced automaticity in sheep cardiac Purkinje fibers, an effect antagonized by yohimbine but not prazosin or practolol.
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