Thoracic spinal neuron responses to repeated myocardial ischemia and epicardial bradykinin

Bradykinin has been strongly implicated as a mediator of cardiac nociception. During coronary artery occlusion, the content of bradykinin in coronary sinus blood increases. In non-cardiac tissues nociception to bradykinin exhibits tachyphylaxis, however, this phenomenon has not been rigorously studi...

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Veröffentlicht in:Brain research 1998-04, Vol.790 (1), p.293-303
Hauptverfasser: Gutterman, David D., Pardubsky, P.D., Pettersen, M., Marcus, M.L., Gebhart, G.F.
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Pardubsky, P.D.
Pettersen, M.
Marcus, M.L.
Gebhart, G.F.
description Bradykinin has been strongly implicated as a mediator of cardiac nociception. During coronary artery occlusion, the content of bradykinin in coronary sinus blood increases. In non-cardiac tissues nociception to bradykinin exhibits tachyphylaxis, however, this phenomenon has not been rigorously studied in the heart. This raises the question that repeated coronary occlusions may also result in tachyphylaxis, thereby reducing cardiac sensation on subsequent ischemic stimulation. We therefore examined the hypothesis that repetitive episodes of myocardial ischemia and of epicardial application of bradykinin demonstrate tachyphylaxis. Mongrel cats were anesthetized with α-chloralose and heart rate, arterial pressure, and thoracic spinal neuron firing rate were recorded during 60 s of anterior descending coronary occlusion or local epicardial application of bradykinin (10 μM). Neurons were identified by cutaneous receptive fields in the left shoulder area. Sixty-one of 93 neurons tested responded with an increase in firing rate to coronary artery occlusion only ( n=24), bradykinin only ( n=19) or to both ( n=18). On repetitive coronary occlusion, 14 of 25 neurons demonstrated tachyphylaxis compared to 12 of 15 tested with bradykinin ( p
doi_str_mv 10.1016/S0006-8993(98)00081-X
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During coronary artery occlusion, the content of bradykinin in coronary sinus blood increases. In non-cardiac tissues nociception to bradykinin exhibits tachyphylaxis, however, this phenomenon has not been rigorously studied in the heart. This raises the question that repeated coronary occlusions may also result in tachyphylaxis, thereby reducing cardiac sensation on subsequent ischemic stimulation. We therefore examined the hypothesis that repetitive episodes of myocardial ischemia and of epicardial application of bradykinin demonstrate tachyphylaxis. Mongrel cats were anesthetized with α-chloralose and heart rate, arterial pressure, and thoracic spinal neuron firing rate were recorded during 60 s of anterior descending coronary occlusion or local epicardial application of bradykinin (10 μM). Neurons were identified by cutaneous receptive fields in the left shoulder area. Sixty-one of 93 neurons tested responded with an increase in firing rate to coronary artery occlusion only ( n=24), bradykinin only ( n=19) or to both ( n=18). On repetitive coronary occlusion, 14 of 25 neurons demonstrated tachyphylaxis compared to 12 of 15 tested with bradykinin ( p&lt;0.05). Similar responses were observed in thoracic spinal neurons that projected to the brain. In neurons demonstrating tachyphylaxis, dorsal cervical cold block partially restored the neuronal activation to coronary occlusion but not to bradykinin. We conclude, based on neuronal responses to repetitive stimuli, that afferent spinal responses to coronary occlusion and bradykinin are different. These data suggest that bradykinin is not the sole mediator of myocardial ischemic pain. 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During coronary artery occlusion, the content of bradykinin in coronary sinus blood increases. In non-cardiac tissues nociception to bradykinin exhibits tachyphylaxis, however, this phenomenon has not been rigorously studied in the heart. This raises the question that repeated coronary occlusions may also result in tachyphylaxis, thereby reducing cardiac sensation on subsequent ischemic stimulation. We therefore examined the hypothesis that repetitive episodes of myocardial ischemia and of epicardial application of bradykinin demonstrate tachyphylaxis. Mongrel cats were anesthetized with α-chloralose and heart rate, arterial pressure, and thoracic spinal neuron firing rate were recorded during 60 s of anterior descending coronary occlusion or local epicardial application of bradykinin (10 μM). Neurons were identified by cutaneous receptive fields in the left shoulder area. Sixty-one of 93 neurons tested responded with an increase in firing rate to coronary artery occlusion only ( n=24), bradykinin only ( n=19) or to both ( n=18). On repetitive coronary occlusion, 14 of 25 neurons demonstrated tachyphylaxis compared to 12 of 15 tested with bradykinin ( p&lt;0.05). Similar responses were observed in thoracic spinal neurons that projected to the brain. In neurons demonstrating tachyphylaxis, dorsal cervical cold block partially restored the neuronal activation to coronary occlusion but not to bradykinin. We conclude, based on neuronal responses to repetitive stimuli, that afferent spinal responses to coronary occlusion and bradykinin are different. These data suggest that bradykinin is not the sole mediator of myocardial ischemic pain. The tachyphylaxis to repeated coronary artery occlusions may contribute to the clinical phenomenon of silent myocardial ischemia.</description><subject>Afferent</subject><subject>Animals</subject><subject>Autonomic</subject><subject>Autonomic Nervous System - physiology</subject><subject>Biological and medical sciences</subject><subject>Bradykinin - pharmacology</subject><subject>Cardiac pain</subject><subject>Cardiology. Vascular system</subject><subject>Cats</subject><subject>Cold Temperature</subject><subject>Coronary heart disease</subject><subject>Coronary Vessels - physiology</subject><subject>Electrophysiology</subject><subject>Heart</subject><subject>Heart Rate - drug effects</subject><subject>Ischemia</subject><subject>Ligation</subject><subject>Medical sciences</subject><subject>Myocardial Ischemia - physiopathology</subject><subject>Neural Inhibition - physiology</subject><subject>Neurons, Afferent - drug effects</subject><subject>Neurons, Afferent - physiology</subject><subject>Pain - physiopathology</subject><subject>Pericardium - drug effects</subject><subject>Pericardium - innervation</subject><subject>Reaction Time - physiology</subject><subject>Reflex</subject><subject>Reflex - physiology</subject><subject>Reperfusion</subject><subject>Spinal Cord - cytology</subject><subject>Spinal Cord - drug effects</subject><subject>Tachyphylaxis - physiology</subject><issn>0006-8993</issn><issn>1872-6240</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1998</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkE1r3DAQhkVpSbdpf0LAh1Lag9ORZcvSqZTQj0Agh6QQehFjaUzU2pIreQv776tkt3vNaXhnnpGGh7EzDuccuPx4AwCyVlqL91p9KEHx-u4Z23DVN7VsWnjONkfkJXuV868ShdBwwk50p4Xu-Ib9vL2PCa23VV58wKkKtE0xVInyEkOmXK2xhIVwJVfNu2gxOV84n-09zR4rDK6ixf_vDwnd7rcPPrxmL0acMr051FP24-uX24vv9dX1t8uLz1e1bRtYa5SqHVWvW3CNdCAlQYtDC3wYhOi6lgM2JQrQKAaFqMeBC2hoHHBsLXfilL3bv7uk-GdLeTVzOY6mCQPFbTa9Vr2UQj0JcikEyEYXsNuDNsWcE41mSX7GtDMczIN88yjfPJg1WplH-eau7J0dPtgOM7nj1sF2mb89zDFbnMaEwfp8xJqmk8D7gn3aY1Ss_fWUTLaegiXnE9nVuOifOOQfZrKhsw</recordid><startdate>19980420</startdate><enddate>19980420</enddate><creator>Gutterman, David D.</creator><creator>Pardubsky, P.D.</creator><creator>Pettersen, M.</creator><creator>Marcus, M.L.</creator><creator>Gebhart, G.F.</creator><general>Elsevier B.V</general><general>Elsevier</general><scope>IQODW</scope><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>7TK</scope><scope>7X8</scope></search><sort><creationdate>19980420</creationdate><title>Thoracic spinal neuron responses to repeated myocardial ischemia and epicardial bradykinin</title><author>Gutterman, David D. ; Pardubsky, P.D. ; Pettersen, M. ; Marcus, M.L. ; Gebhart, G.F.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c420t-a684f87940d26d066e04ab401bb3355410a2b40309a3b8aa9fb1302efbaf4c1d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1998</creationdate><topic>Afferent</topic><topic>Animals</topic><topic>Autonomic</topic><topic>Autonomic Nervous System - physiology</topic><topic>Biological and medical sciences</topic><topic>Bradykinin - pharmacology</topic><topic>Cardiac pain</topic><topic>Cardiology. Vascular system</topic><topic>Cats</topic><topic>Cold Temperature</topic><topic>Coronary heart disease</topic><topic>Coronary Vessels - physiology</topic><topic>Electrophysiology</topic><topic>Heart</topic><topic>Heart Rate - drug effects</topic><topic>Ischemia</topic><topic>Ligation</topic><topic>Medical sciences</topic><topic>Myocardial Ischemia - physiopathology</topic><topic>Neural Inhibition - physiology</topic><topic>Neurons, Afferent - drug effects</topic><topic>Neurons, Afferent - physiology</topic><topic>Pain - physiopathology</topic><topic>Pericardium - drug effects</topic><topic>Pericardium - innervation</topic><topic>Reaction Time - physiology</topic><topic>Reflex</topic><topic>Reflex - physiology</topic><topic>Reperfusion</topic><topic>Spinal Cord - cytology</topic><topic>Spinal Cord - drug effects</topic><topic>Tachyphylaxis - physiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Gutterman, David D.</creatorcontrib><creatorcontrib>Pardubsky, P.D.</creatorcontrib><creatorcontrib>Pettersen, M.</creatorcontrib><creatorcontrib>Marcus, M.L.</creatorcontrib><creatorcontrib>Gebhart, G.F.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Neurosciences Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>Brain research</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Gutterman, David D.</au><au>Pardubsky, P.D.</au><au>Pettersen, M.</au><au>Marcus, M.L.</au><au>Gebhart, G.F.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Thoracic spinal neuron responses to repeated myocardial ischemia and epicardial bradykinin</atitle><jtitle>Brain research</jtitle><addtitle>Brain Res</addtitle><date>1998-04-20</date><risdate>1998</risdate><volume>790</volume><issue>1</issue><spage>293</spage><epage>303</epage><pages>293-303</pages><issn>0006-8993</issn><eissn>1872-6240</eissn><coden>BRREAP</coden><abstract>Bradykinin has been strongly implicated as a mediator of cardiac nociception. During coronary artery occlusion, the content of bradykinin in coronary sinus blood increases. In non-cardiac tissues nociception to bradykinin exhibits tachyphylaxis, however, this phenomenon has not been rigorously studied in the heart. This raises the question that repeated coronary occlusions may also result in tachyphylaxis, thereby reducing cardiac sensation on subsequent ischemic stimulation. We therefore examined the hypothesis that repetitive episodes of myocardial ischemia and of epicardial application of bradykinin demonstrate tachyphylaxis. Mongrel cats were anesthetized with α-chloralose and heart rate, arterial pressure, and thoracic spinal neuron firing rate were recorded during 60 s of anterior descending coronary occlusion or local epicardial application of bradykinin (10 μM). Neurons were identified by cutaneous receptive fields in the left shoulder area. Sixty-one of 93 neurons tested responded with an increase in firing rate to coronary artery occlusion only ( n=24), bradykinin only ( n=19) or to both ( n=18). On repetitive coronary occlusion, 14 of 25 neurons demonstrated tachyphylaxis compared to 12 of 15 tested with bradykinin ( p&lt;0.05). Similar responses were observed in thoracic spinal neurons that projected to the brain. In neurons demonstrating tachyphylaxis, dorsal cervical cold block partially restored the neuronal activation to coronary occlusion but not to bradykinin. We conclude, based on neuronal responses to repetitive stimuli, that afferent spinal responses to coronary occlusion and bradykinin are different. These data suggest that bradykinin is not the sole mediator of myocardial ischemic pain. The tachyphylaxis to repeated coronary artery occlusions may contribute to the clinical phenomenon of silent myocardial ischemia.</abstract><cop>London</cop><cop>Amsterdam</cop><cop>New York, NY</cop><pub>Elsevier B.V</pub><pmid>9593951</pmid><doi>10.1016/S0006-8993(98)00081-X</doi><tpages>11</tpages></addata></record>
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subjects Afferent
Animals
Autonomic
Autonomic Nervous System - physiology
Biological and medical sciences
Bradykinin - pharmacology
Cardiac pain
Cardiology. Vascular system
Cats
Cold Temperature
Coronary heart disease
Coronary Vessels - physiology
Electrophysiology
Heart
Heart Rate - drug effects
Ischemia
Ligation
Medical sciences
Myocardial Ischemia - physiopathology
Neural Inhibition - physiology
Neurons, Afferent - drug effects
Neurons, Afferent - physiology
Pain - physiopathology
Pericardium - drug effects
Pericardium - innervation
Reaction Time - physiology
Reflex
Reflex - physiology
Reperfusion
Spinal Cord - cytology
Spinal Cord - drug effects
Tachyphylaxis - physiology
title Thoracic spinal neuron responses to repeated myocardial ischemia and epicardial bradykinin
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