Acute adenosine increases cardiac vagal and reduces sympathetic efferent nerve activities in rats

Exp Physiol. 2012 Jun;97(6):719-29. doi: 10.1113/expphysiol.2011.063925. Epub 2012 Feb 24.

Abstract

Adenosine is the first drug of choice in the treatment of supraventricular arrhythmias. While the effects of adenosine on sympathetic nerve activity (SNA) have been investigated, no information is available on the effects on cardiac vagal nerve activity (VNA). We assessed in rats the responses of cardiac VNA, SNA and cardiovascular variables to intravenous bolus administration of adenosine. In 34 urethane-anaesthetized rats, cardiac VNA or cervical preganglionic sympathetic fibres were recorded together with ECG, arterial pressure and ventilation, before and after administration of three doses of adenosine (100, 500 and 1000 μg kg(-1)). The effects of adenosine were also assessed in isolated perfused hearts (n = 5). Adenosine induced marked bradycardia and hypotension, associated with a significant dose-dependent increase in VNA (+204 ± 56%, P < 0.01; +275 ± 120%, P < 0.01; and +372 ± 78%, P < 0.01, for the three doses, respectively; n = 7). Muscarinic blockade by atropine (5 mg kg(-1), i.v.) significantly blunted the adenosine-induced bradycardia (-56.0 ± 4.5%, P < 0.05; -86.2 ± 10.5%, P < 0.01; and -34.3 ± 9.7%, P < 0.01, respectively). Likewise, adenosine-induced bradycardia was markedly less in isolated heart preparations. Previous barodenervation did not modify the effects of adenosine on VNA. On the SNA side, adenosine administration was associated with a dose-dependent biphasic response, including overactivation in the first few seconds followed by a later profound SNA reduction. Earliest sympathetic activation was abolished by barodenervation, while subsequent sympathetic withdrawal was affected neither by baro- nor by chemodenervation. This is the first demonstration that acute adenosine is able to activate cardiac VNA, possibly through a central action. This increase in vagal outflow could make an important contribution to the antiarrhythmic action of this substance.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adenosine / pharmacology*
  • Animals
  • Anti-Arrhythmia Agents / pharmacology*
  • Arrhythmias, Cardiac / drug therapy
  • Arrhythmias, Cardiac / physiopathology
  • Atropine / pharmacology
  • Blood Pressure / drug effects
  • Blood Pressure / physiology
  • Bradycardia / drug therapy
  • Bradycardia / physiopathology
  • Cardiovascular System / drug effects
  • Cardiovascular System / innervation
  • Cardiovascular System / physiopathology
  • Heart / drug effects*
  • Heart / innervation*
  • Heart / physiology
  • Heart Rate / drug effects
  • Hypotension / drug therapy
  • Hypotension / physiopathology
  • Neurons, Efferent / drug effects*
  • Neurons, Efferent / physiology
  • Rats
  • Rats, Sprague-Dawley
  • Sympathetic Nervous System / drug effects*
  • Sympathetic Nervous System / physiology
  • Sympathetic Nervous System / physiopathology
  • Vagus Nerve / drug effects*
  • Vagus Nerve / physiology
  • Vagus Nerve / physiopathology

Substances

  • Anti-Arrhythmia Agents
  • Atropine
  • Adenosine