Cyanide intoxication, which has been used as a model of energy depletion at
cardiac sympathetic nerve terminals, causes non-exocytotic release of nore
pinephrine (NE). However, the effect of cyanide intoxication on cardiac epi
nephrine (Epi) release remains unknown. Using cardiac microdialysis in the
rabbit, we measured dialysate Epi and NE concentrations as indices of myoca
rdial interstitial Epi and NE levels, respectively. Local administration of
sodium cyanide (30 mM) through the dialysis probe increased both Epi and N
E levels (from 11.3+/-2.3 to 32.3+/-4.4 pg/ml and from 33.6+/-6.1 to 389.0/-71.8 pg/ml, respectively, mean+/-S.E., P<0.01). Local desipramine (100 mu
M) administration suppressed the cyanide induced NE response without affec
ting the Epi response. In contrast, local omega-conotoxin GVIA (10 mu M) ad
ministration partially suppressed the cyanide induced NE response and total
ly abolished the Epi response. In conclusion, cyanide intoxication causes N
-type Ca2+ channel dependent exocytotic Epi release as well as inducing N-t
ype Ca2+ channel independent non-exocytotic NE release. (C) 2000 Elsevier S
cience B.V. All rights reserved.