Cholinergic signaling exerts protective effects in models of sympathetic hyperactivity-induced cardiac dysfunction.

Cholinergic control of the heart is exerted by two distinct branches; the autonomic component represented by the parasympathetic nervous system, and the recently described non-neuronal cardiomyocyte cholinergic machinery. Previous evidence has shown that reduced cholinergic function leads to deleter...

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Main Authors: Mariana Gavioli, Aline Lara, Pedro W M Almeida, Augusto Martins Lima, Denis D Damasceno, Cibele Rocha-Resende, Marina Ladeira, Rodrigo R Resende, Patricia M Martinelli, Marcos Barrouin Melo, Patricia C Brum, Marco Antonio Peliky Fontes, Robson A Souza Santos, Marco A M Prado, Silvia Guatimosim
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2014-01-01
Series:PLoS ONE
Online Access:http://europepmc.org/articles/PMC4081111?pdf=render
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author Mariana Gavioli
Aline Lara
Pedro W M Almeida
Augusto Martins Lima
Denis D Damasceno
Cibele Rocha-Resende
Marina Ladeira
Rodrigo R Resende
Patricia M Martinelli
Marcos Barrouin Melo
Patricia C Brum
Marco Antonio Peliky Fontes
Robson A Souza Santos
Marco A M Prado
Silvia Guatimosim
author_facet Mariana Gavioli
Aline Lara
Pedro W M Almeida
Augusto Martins Lima
Denis D Damasceno
Cibele Rocha-Resende
Marina Ladeira
Rodrigo R Resende
Patricia M Martinelli
Marcos Barrouin Melo
Patricia C Brum
Marco Antonio Peliky Fontes
Robson A Souza Santos
Marco A M Prado
Silvia Guatimosim
author_sort Mariana Gavioli
collection DOAJ
description Cholinergic control of the heart is exerted by two distinct branches; the autonomic component represented by the parasympathetic nervous system, and the recently described non-neuronal cardiomyocyte cholinergic machinery. Previous evidence has shown that reduced cholinergic function leads to deleterious effects on the myocardium. Yet, whether conditions of increased cholinergic signaling can offset the pathological remodeling induced by sympathetic hyperactivity, and its consequences for these two cholinergic axes are unknown. Here, we investigated two models of sympathetic hyperactivity: i) the chronic beta-adrenergic receptor stimulation evoked by isoproterenol (ISO), and ii) the α2A/α2C-adrenergic receptor knockout (KO) mice that lack pre-synaptic adrenergic receptors. In both models, cholinergic signaling was increased by administration of the cholinesterase inhibitor, pyridostigmine. First, we observed that isoproterenol produces an autonomic imbalance characterized by increased sympathetic and reduced parasympathetic tone. Under this condition transcripts for cholinergic proteins were upregulated in ventricular myocytes, indicating that non-neuronal cholinergic machinery is activated during adrenergic overdrive. Pyridostigmine treatment prevented the effects of ISO on autonomic function and on the ventricular cholinergic machinery, and inhibited cardiac remodeling. α2A/α2C-KO mice presented reduced ventricular contraction when compared to wild-type mice, and this dysfunction was also reversed by cholinesterase inhibition. Thus, the cardiac parasympathetic system and non-neuronal cardiomyocyte cholinergic machinery are modulated in opposite directions under conditions of increased sympathetic drive or ACh availability. Moreover, our data support the idea that pyridostigmine by restoring ACh availability is beneficial in heart disease.
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spelling doaj.art-c2ca11c35bd142bfba48e8d39b5bbbb82022-12-22T03:02:49ZengPublic Library of Science (PLoS)PLoS ONE1932-62032014-01-0197e10017910.1371/journal.pone.0100179Cholinergic signaling exerts protective effects in models of sympathetic hyperactivity-induced cardiac dysfunction.Mariana GavioliAline LaraPedro W M AlmeidaAugusto Martins LimaDenis D DamascenoCibele Rocha-ResendeMarina LadeiraRodrigo R ResendePatricia M MartinelliMarcos Barrouin MeloPatricia C BrumMarco Antonio Peliky FontesRobson A Souza SantosMarco A M PradoSilvia GuatimosimCholinergic control of the heart is exerted by two distinct branches; the autonomic component represented by the parasympathetic nervous system, and the recently described non-neuronal cardiomyocyte cholinergic machinery. Previous evidence has shown that reduced cholinergic function leads to deleterious effects on the myocardium. Yet, whether conditions of increased cholinergic signaling can offset the pathological remodeling induced by sympathetic hyperactivity, and its consequences for these two cholinergic axes are unknown. Here, we investigated two models of sympathetic hyperactivity: i) the chronic beta-adrenergic receptor stimulation evoked by isoproterenol (ISO), and ii) the α2A/α2C-adrenergic receptor knockout (KO) mice that lack pre-synaptic adrenergic receptors. In both models, cholinergic signaling was increased by administration of the cholinesterase inhibitor, pyridostigmine. First, we observed that isoproterenol produces an autonomic imbalance characterized by increased sympathetic and reduced parasympathetic tone. Under this condition transcripts for cholinergic proteins were upregulated in ventricular myocytes, indicating that non-neuronal cholinergic machinery is activated during adrenergic overdrive. Pyridostigmine treatment prevented the effects of ISO on autonomic function and on the ventricular cholinergic machinery, and inhibited cardiac remodeling. α2A/α2C-KO mice presented reduced ventricular contraction when compared to wild-type mice, and this dysfunction was also reversed by cholinesterase inhibition. Thus, the cardiac parasympathetic system and non-neuronal cardiomyocyte cholinergic machinery are modulated in opposite directions under conditions of increased sympathetic drive or ACh availability. Moreover, our data support the idea that pyridostigmine by restoring ACh availability is beneficial in heart disease.http://europepmc.org/articles/PMC4081111?pdf=render
spellingShingle Mariana Gavioli
Aline Lara
Pedro W M Almeida
Augusto Martins Lima
Denis D Damasceno
Cibele Rocha-Resende
Marina Ladeira
Rodrigo R Resende
Patricia M Martinelli
Marcos Barrouin Melo
Patricia C Brum
Marco Antonio Peliky Fontes
Robson A Souza Santos
Marco A M Prado
Silvia Guatimosim
Cholinergic signaling exerts protective effects in models of sympathetic hyperactivity-induced cardiac dysfunction.
PLoS ONE
title Cholinergic signaling exerts protective effects in models of sympathetic hyperactivity-induced cardiac dysfunction.
title_full Cholinergic signaling exerts protective effects in models of sympathetic hyperactivity-induced cardiac dysfunction.
title_fullStr Cholinergic signaling exerts protective effects in models of sympathetic hyperactivity-induced cardiac dysfunction.
title_full_unstemmed Cholinergic signaling exerts protective effects in models of sympathetic hyperactivity-induced cardiac dysfunction.
title_short Cholinergic signaling exerts protective effects in models of sympathetic hyperactivity-induced cardiac dysfunction.
title_sort cholinergic signaling exerts protective effects in models of sympathetic hyperactivity induced cardiac dysfunction
url http://europepmc.org/articles/PMC4081111?pdf=render
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