Impaired parasympathetic heart rate control in mice with a reduction of functional G protein βγ-subunits

2002 ◽  
Vol 282 (2) ◽  
pp. H445-H456 ◽  
Author(s):  
Josef Gehrmann ◽  
Michael Meister ◽  
Colin T. Maguire ◽  
Donna C. Martins ◽  
Peter E. Hammer ◽  
...  

Acetylcholine released on parasympathetic stimulation slows heart rate through activation of muscarinic receptors on the sinus nodal cells and subsequent opening of the atrial muscarinic potassium channel (KACh). KACh is directly activated by G protein βγ-subunits. To elucidate the physiological role of Gβγ for the regulation of heart rate and electrophysiological function in vivo, we created transgenic mice with a reduced amount of membrane-bound Gβ protein by overexpressing nonprenylated Gγ2-subunits in their hearts using the α-myosin heavy chain promoter. At baseline and after muscarinic stimulation with carbachol, heart rate and heart rate variability were determined with electrocardiogram telemetry in conscious mice and in vivo intracardiac electrophysiological studies in anesthetized mice. Reduction of the amount of functional Gβγ protein by >50% caused a pronounced blunting of the carbachol-induced bradycardia as well as the increases in time- and frequency-domain indexes of heart rate variability and baroreflex sensitivity that were observed in wild types. In addition, sinus node recovery time and inducibility of atrial arrhythmias were reduced in transgenic mice. Our data demonstrate in vivo that Gβγ plays a crucial role for parasympathetic heart rate control, sinus node automaticity, and atrial arrhythmia vulnerability.

1999 ◽  
Vol 90 (3) ◽  
pp. 681-692 ◽  
Author(s):  
Joel L. Parlow ◽  
Gerard Begou ◽  
Pierre Sagnard ◽  
Jean Marie Cottet-Emard ◽  
Jean Claude Levron ◽  
...  

Background Patients with essential hypertension show altered baroreflex control of heart rate, and during the perioperative period they demonstrate increased circulatory instability. Clonidine has been shown to reduce perioperative circulatory instability. This study documents changes in measures of heart rate control after surgery in patients with essential hypertension and determines the effects of clonidine on postoperative heart rate control in these patients. Methods Using a randomized double-blind placebo-controlled design, 20 patients with essential hypertension (systolic pressure >160 mm Hg or diastolic pressure >95 mm Hg for > or =1 yr) were assigned to receive clonidine (or placebo), 6 microg/kg orally 120 min before anesthesia and 3 microg/kg intravenously over 60 min before the end of surgery. The spontaneous baroreflex ("sequence") technique and analysis of heart rate variability were used to quantify control of heart rate at baseline, before induction of anesthesia, and 1 and 3 h postoperatively. Results Baroreflex slope and heart rate variability were reduced postoperatively in patients given placebo but not those given clonidine. Clonidine resulted in greater postoperative baroreflex slope and power at all frequency ranges compared with placebo (4.9+/-2.9 vs. 2.2+/-2.1 ms/mm Hg for baroreflex slope, 354+/-685 vs. 30+/-37 ms2/Hz for high frequency variability). Clonidine also resulted in lower concentrations of catecholamine, decreased mean heart rate and blood pressure, and decreased perioperative tachycardia and hypertension. Conclusions Patients with hypertension exhibit reduced heart rate control during the recovery period after elective surgery. Clonidine prevents this reduction in heart rate control. This may represent a basis for the improved circulatory stability seen with perioperative administration of clonidine.


2018 ◽  
Vol 114 (3) ◽  
pp. 623a
Author(s):  
Todd Herron ◽  
Brad Rosinski ◽  
Roberto Ramos Mondragon ◽  
Hassan Musa ◽  
Kamel Aoun ◽  
...  

Circulation ◽  
2004 ◽  
Vol 110 (19) ◽  
pp. 3115-3120 ◽  
Author(s):  
Alexander Bauer ◽  
Amy D. McDonald ◽  
Khurram Nasir ◽  
Leah Peller ◽  
Jeffrey J. Rade ◽  
...  

2005 ◽  
Vol 149 (6) ◽  
pp. 1137.e1-1137.e7 ◽  
Author(s):  
Robert P. Nolan ◽  
Markad V. Kamath ◽  
John S. Floras ◽  
Jill Stanley ◽  
Clement Pang ◽  
...  

2010 ◽  
Vol 11 (9) ◽  
pp. 1209-1221 ◽  
Author(s):  
Marcus Dörr ◽  
Carsten O Schmidt ◽  
Thomas Spielhagen ◽  
Alexa Bornhorst ◽  
Katharina Hentschel ◽  
...  

2007 ◽  
Author(s):  
E. S. Gevorkyan ◽  
S. M. Minasyan ◽  
N. N. Ksadjikyan ◽  
A. V. Dayan ◽  
TsI Adamyan

2017 ◽  
Vol 2 (6) ◽  
pp. 68-70
Author(s):  
S. Grechko ◽  
◽  
I. Trefanenko ◽  
O. Polishchuk ◽  
N. Turubarova-Leunova

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