Muscarinic Receptor Activation Reduces Force and Arrhythmias in Human Atria Independent of IK,ACh

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningfagfællebedømt

  • Johannes Petersen
  • Liesa Castro
  • Anne K.P. Bengaard
  • Simon Pecha
  • Djemail Ismaili
  • Carl Schulz
  • Jascha Sahni
  • Anna Steenpass
  • Christian Meier
  • Hermann Reichenspurner
  • Jespersen, Thomas
  • Thomas Eschenhagen
  • Torsten Christ

In human hearts, muscarinic receptors (M-R) are expressed in ventricular and atrial tissue, but the acetylcholine-activated potassium current (IK,ACh) is expressed mainly in the atrium. M-R activation decreases force and increases electrical stability in human atrium, but the impact of IK,AChto both effects remains unclear. We used a new selective blocker of IK,AChto elaborate the contribution of IK,AChto M-R activation-mediated effects in human atrium. Force and action potentials were measured in rat atria and in human right atrial trabeculae. Cumulative concentration-effect curves for norepinephrine-induced force and arrhythmias were measured in the presence of carbachol (CCh; 1 µM) or CCh together with the IK,ACh-blocker XAF-1407 (1 µM) or in time-matched controls. To investigate the vulnerability to arrhythmias, we performed some experiments also in the presence of cilostamide (0.3 µM) and rolipram (1 µM), inhibiting PDE3 and PDE4. In rat atria and human right atrial trabeculae, CCh shortened the action potential duration persistently. However, the direct negative inotropy of CCh was only transient in human, but stable in rat atria. In rat and human atria, the negative inotropic effect was insensitive to blockage of IK,AChby XAF-1407. In the presence of cilostamide and rolipram about 40% of trabeculae developed arrhythmias when exposed to norepinephrine. CCh prevented these concentration-dependent norepinephrine-induced arrhythmias, again insensitive to XAF-1407. Maximum catecholamine-induced force was not depressed by CCh. In human atrium, the direct and the indirect negative inotropic effect of CCh are independent of IK,ACh. The same applies to the CCh-mediated suppression of norepinephrine/PDE-inhibition-induced arrhythmias.

OriginalsprogEngelsk
TidsskriftJournal of Cardiovascular Pharmacology
Vol/bind79
Udgave nummer5
Sider (fra-til)678-686
ISSN0160-2446
DOI
StatusUdgivet - 2022

Bibliografisk note

Funding Information:
Supported by the European Union's Horizon 2020 research and innovation program under the Marie Sklodowska-Curie grant (agreement no. 675351).

Publisher Copyright:
© 2022 Lippincott Williams and Wilkins. All rights reserved.

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