Right atrium cholinergic deficit in septic rats

Abstract Heart rate variability (HRV) is mainly determined by the influence of both branches of the Autonomic Nervous System over the sinus node. Low HRV has been associated with a worse prognosis in patients with sepsis. The objective of this study was to explain the reduction in HRV during experim...

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Veröffentlicht in:Autonomic neuroscience 2014-02, Vol.180, p.17-23
Hauptverfasser: Contreras, Paola, Migliaro, Eduardo R, Suhr, Bruno
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Suhr, Bruno
description Abstract Heart rate variability (HRV) is mainly determined by the influence of both branches of the Autonomic Nervous System over the sinus node. Low HRV has been associated with a worse prognosis in patients with sepsis. The objective of this study was to explain the reduction in HRV during experimental sepsis in adult rats. We recorded the heart's electrical activity by telemetry in conscious unrestrained male rats before and 1 day after the induction of peritonitis ( N = 39) or sham peritonitis ( N = 15). Then, we analyzed the chronotropic responsiveness of the isolated heart to the autonomic neurotransmitters and determined catecholamine concentrations in blood plasma and acetylcholine and choline concentrations in the right atrium. The surviving septic rats ( N = 33) had increased heart rate (HR) and diminished HRV. Despite the higher HR in situ, the spontaneous basal HR in septic and sham isolated hearts was the same. The isolated septic hearts showed acetylcholine hypersensitivity (log (IC50 ,M) = − 7.2 ± 0.2 vs. − 6.0 ± 0.4, P = 0.025) and lower concentrations of choline in their right atriums (in nMol/mg protein: 0.6 ± 0.1 vs. 1.6 ± 0.6, P = 0.013). Norepinephrine concentration in blood plasma from septic rats was higher (in ng/ml: 29.2 ± 8.4 vs. 5.8 ± 4.1, P = 0.019). In conclusion, septic rats present a deregulation of the autonomic nervous system, not only sympathetic overexcitation but also parasympathetic dysfunction.
doi_str_mv 10.1016/j.autneu.2013.10.002
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Low HRV has been associated with a worse prognosis in patients with sepsis. The objective of this study was to explain the reduction in HRV during experimental sepsis in adult rats. We recorded the heart's electrical activity by telemetry in conscious unrestrained male rats before and 1 day after the induction of peritonitis ( N = 39) or sham peritonitis ( N = 15). Then, we analyzed the chronotropic responsiveness of the isolated heart to the autonomic neurotransmitters and determined catecholamine concentrations in blood plasma and acetylcholine and choline concentrations in the right atrium. The surviving septic rats ( N = 33) had increased heart rate (HR) and diminished HRV. Despite the higher HR in situ, the spontaneous basal HR in septic and sham isolated hearts was the same. The isolated septic hearts showed acetylcholine hypersensitivity (log (IC50 ,M) = − 7.2 ± 0.2 vs. − 6.0 ± 0.4, P = 0.025) and lower concentrations of choline in their right atriums (in nMol/mg protein: 0.6 ± 0.1 vs. 1.6 ± 0.6, P = 0.013). Norepinephrine concentration in blood plasma from septic rats was higher (in ng/ml: 29.2 ± 8.4 vs. 5.8 ± 4.1, P = 0.019). 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Low HRV has been associated with a worse prognosis in patients with sepsis. The objective of this study was to explain the reduction in HRV during experimental sepsis in adult rats. We recorded the heart's electrical activity by telemetry in conscious unrestrained male rats before and 1 day after the induction of peritonitis ( N = 39) or sham peritonitis ( N = 15). Then, we analyzed the chronotropic responsiveness of the isolated heart to the autonomic neurotransmitters and determined catecholamine concentrations in blood plasma and acetylcholine and choline concentrations in the right atrium. The surviving septic rats ( N = 33) had increased heart rate (HR) and diminished HRV. Despite the higher HR in situ, the spontaneous basal HR in septic and sham isolated hearts was the same. The isolated septic hearts showed acetylcholine hypersensitivity (log (IC50 ,M) = − 7.2 ± 0.2 vs. − 6.0 ± 0.4, P = 0.025) and lower concentrations of choline in their right atriums (in nMol/mg protein: 0.6 ± 0.1 vs. 1.6 ± 0.6, P = 0.013). Norepinephrine concentration in blood plasma from septic rats was higher (in ng/ml: 29.2 ± 8.4 vs. 5.8 ± 4.1, P = 0.019). In conclusion, septic rats present a deregulation of the autonomic nervous system, not only sympathetic overexcitation but also parasympathetic dysfunction.</description><subject>Acetylcholine</subject><subject>Acetylcholine - pharmacology</subject><subject>Advanced Basic Science</subject><subject>Animals</subject><subject>Atropine - pharmacology</subject><subject>Autonomic dysfunction</subject><subject>Choline - analysis</subject><subject>Cholinergic Fibers - physiology</subject><subject>Dose-Response Relationship, Drug</subject><subject>Heart - drug effects</subject><subject>Heart Atria - chemistry</subject><subject>Heart Atria - physiopathology</subject><subject>Heart Conduction System - drug effects</subject><subject>Heart Conduction System - physiopathology</subject><subject>Heart Rate - physiology</subject><subject>Heart rate variability</subject><subject>Male</subject><subject>Medical Education</subject><subject>Neurotransmitter Agents - blood</subject><subject>Norepinephrine - blood</subject><subject>Norepinephrine - pharmacology</subject><subject>Parasympathetic Nervous System - physiopathology</subject><subject>Peritonitis - physiopathology</subject><subject>Random Allocation</subject><subject>Rats</subject><subject>Rats, Wistar</subject><subject>Sepsis</subject><subject>Sepsis - physiopathology</subject><subject>Sympathetic Nervous System - physiopathology</subject><subject>Telemetry</subject><issn>1566-0702</issn><issn>1872-7484</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkU1r3DAQhkVJaD7af1CCj7l4d_RhyboUypK0gUAgac9CK48Sbb32VpIL-feR2U0PvexlZnh5Zwael5AvFBYUqFxuFnbKA04LBpQXaQHAPpBz2ipWK9GKkzI3UtaggJ2Ri5Q2ANCClh_JGRNMatGqc7J8DM8vubI5hmlbuZexDwPG5-CqDn1wIVdhqBLuclGizekTOfW2T_j50C_Jr9ubn6sf9f3D97vVt_vaiQZy3bYNtMwBaOYQxLqxgglJfaO01FR3XK5B-o6Vaj2XndXOUys5eLlWyiO_JNf7u7s4_pkwZbMNyWHf2wHHKRnaACjdMKqPW4UGJZSgUKxib3VxTCmiN7sYtja-Ggpmpmo2Zk_VzFRntVAta1eHD9N6i92_pXeMxfB1b8CC5G_AaJILODjsQkSXTTeGYx_-P-BKEMHZ_je-YtqMUxwKbkNNYgbM05zsHCzlBQMHzt8AwsedBg</recordid><startdate>20140201</startdate><enddate>20140201</enddate><creator>Contreras, Paola</creator><creator>Migliaro, Eduardo R</creator><creator>Suhr, Bruno</creator><general>Elsevier B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>7TK</scope></search><sort><creationdate>20140201</creationdate><title>Right atrium cholinergic deficit in septic rats</title><author>Contreras, Paola ; 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Low HRV has been associated with a worse prognosis in patients with sepsis. The objective of this study was to explain the reduction in HRV during experimental sepsis in adult rats. We recorded the heart's electrical activity by telemetry in conscious unrestrained male rats before and 1 day after the induction of peritonitis ( N = 39) or sham peritonitis ( N = 15). Then, we analyzed the chronotropic responsiveness of the isolated heart to the autonomic neurotransmitters and determined catecholamine concentrations in blood plasma and acetylcholine and choline concentrations in the right atrium. The surviving septic rats ( N = 33) had increased heart rate (HR) and diminished HRV. Despite the higher HR in situ, the spontaneous basal HR in septic and sham isolated hearts was the same. The isolated septic hearts showed acetylcholine hypersensitivity (log (IC50 ,M) = − 7.2 ± 0.2 vs. − 6.0 ± 0.4, P = 0.025) and lower concentrations of choline in their right atriums (in nMol/mg protein: 0.6 ± 0.1 vs. 1.6 ± 0.6, P = 0.013). Norepinephrine concentration in blood plasma from septic rats was higher (in ng/ml: 29.2 ± 8.4 vs. 5.8 ± 4.1, P = 0.019). In conclusion, septic rats present a deregulation of the autonomic nervous system, not only sympathetic overexcitation but also parasympathetic dysfunction.</abstract><cop>Netherlands</cop><pub>Elsevier B.V</pub><pmid>24269487</pmid><doi>10.1016/j.autneu.2013.10.002</doi><tpages>7</tpages></addata></record>
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subjects Acetylcholine
Acetylcholine - pharmacology
Advanced Basic Science
Animals
Atropine - pharmacology
Autonomic dysfunction
Choline - analysis
Cholinergic Fibers - physiology
Dose-Response Relationship, Drug
Heart - drug effects
Heart Atria - chemistry
Heart Atria - physiopathology
Heart Conduction System - drug effects
Heart Conduction System - physiopathology
Heart Rate - physiology
Heart rate variability
Male
Medical Education
Neurotransmitter Agents - blood
Norepinephrine - blood
Norepinephrine - pharmacology
Parasympathetic Nervous System - physiopathology
Peritonitis - physiopathology
Random Allocation
Rats
Rats, Wistar
Sepsis
Sepsis - physiopathology
Sympathetic Nervous System - physiopathology
Telemetry
title Right atrium cholinergic deficit in septic rats
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