NO-cGMP pathway increases the hyperpolarisation-activated current, I f , and heart rate during adrenergic stimulation

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Objectives: The role of the nitric oxide (NO)-cGMP pathway in the autonomic modulation of cardiac pacemaking is controversial and may involve an interplay between the L-type calcium current, I CaL , and the hyperpolarisation activated current, I f . We tested the hypothesis that following adrenergic stimulation, the NO-cGMP pathway stimulates phosphodiesterase 2 (PDE2) to reduce cAMP dependent stimulation of I f and heart rate (HR). Methods: In the presence of norepinephrine (NE, 1 μM), the effects of the NO donor sodium nitroprusside (SNP) were evaluated in sinoatrial node (SAN)/atria preparations and isolated SAN cells from adult guinea pigs. Results: Contrary to our hypothesis, SNP (10 and 100 μM, n=5) or the membrane permeable cGMP analogue, 8Br-cGMP (0.5 mM, n=6) transiently increased HR by 5±1, 12±1 and 12±2 beats/min, respectively. The guanylyl cyclase inhibitor 1H-(1,2,4)-oxadiazolo-(4,3-a)-quinoxalin-1-one (ODQ, 10 μM, n=5) abolished the increase in HR to SNP (100 μM) as did the I f blockers caesium chloride (2 mM, n=7) and 4-(N-ethyl-N-phenylamino)-1,2-dimethyl-6-(methylamino)-pyrimidinium chloride (ZD7288, 1 μM, n=7). Addition of SNP (10 μM) also transiently increased I f in SAN cells (n=5). After inhibition of PDE2 with erythro-9-(2-hydroxy-3-nonyl)-adenine (EHNA, 10 μM, n=5), the increase in HR to SNP in the presence of NE was significantly augmented and maintained. RT-PCR analysis confirmed the presence of PDE2 in addition to cGMP inhibited PDE3 mRNA in central SAN tissue. Conclusions: These results suggest that during adrenergic stimulation, activation of the NO-cGMP pathway does not decrease HR, but has a transient stimulatory effect that is I f dependent, and is limited in magnitude and duration by stimulation of PDE2. © 2001 Elsevier Science B.V. All rights reserved.




Herring, N., Rigg, L., Terrar, D. A., & Paterson, D. J. (2001). NO-cGMP pathway increases the hyperpolarisation-activated current, I f , and heart rate during adrenergic stimulation. Cardiovascular Research, 52(3), 446–453.

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