Jh. Jiao et Aj. Baertschi, NEURAL CONTROL OF THE ENDOCRINE RAT-HEART, Proceedings of the National Academy of Sciences of the United Statesof America, 90(16), 1993, pp. 7799-7803
Although atrial stretch is the accepted stimulus for atrial natriureti
c factor (ANF), in vivo studies suggest a stretch-independent, neurall
y induced ANF release mechanism. Thus the hypothesis that cardiac nerv
es can stimulate ANF secretion was tested in the Langendorff-perfused,
paced rat heart. Venom from the scorpion Centruroides sculpturatus wa
s used to activate neuronal sodium channels, veratridine was added to
activate sodium channels (predominantly in myocytes), and electrical s
timulation was applied to the right atrial appendage. The efficacy of
nerve stimulation was verified by measurements of increased neuropepti
de Y in the effluent. ANF levels in the effluent increased by 120% ove
r baseline with 0.5 muM scorpion venom and by 88% with 0.5 muM veratri
dine (P < 0.01). Cardiac mechanics did not explain the large, concentr
ation-dependent ANF response to the scorpion venom, since changes in t
he left ventricular developed pressure were small, opposite to those i
nduced by veratridine, and unaffected by sympathectomy or adrenergic r
eceptor blockade. Prior chemical sympathectomy and adrenergic receptor
blockade almost abolished the ANF response to scorpion venom but hard
ly affected the ANF response to veratridine. Addition of 1 muM tetrodo
toxin abolished an ANF responses. Electrical stimulation of the atrial
appendage increased the ANF secretion by 60.2% (P < 0.02), in conjunc
tion with neuropeptide Y, whereas control stimulations were ineffectiv
e. These studies unequivocally demonstrate that stimulation of cardiac
sympathetic nerves potently stimulates ANF secretion.