Although preproenkephalin mRNA is abundant in the heart, the myocardial syn
thesis and processing of proenkephalin is largely undefined. Isolated worki
ng rat hearts were perfused to determine the rate of myocardial proenkephal
in synthesis, its processing into enkephalin-containing peptides, their sub
sequent release into the coronary arteries, and the influence of prior symp
athectomy. Enkephalin-containing peptides were separated by gel filtration
and quantified with antisera for specific COOH-terminal sequences. Proenkep
halin, peptide B, and [Met(5)]enkephalin-Arg(6)-Phe(7) (MEAP) comprised 95%
of the extracted myocardial enkephalins (35 pmol/g). Newly synthesized enk
ephalins, estimated during a 1-h perfusion with [C-14] phenylalanine (4 pmo
l . h(-1) . g wet wt(-1)), were rapidly cleared from the heart during a sec
ond isotope-free hour. Despite a steady release of enkephalins into the cor
onary effluent (4 pmol . h(-1) . g wet wt(-1)), enkephalin replacement appa
rently exceeded its release, and tissue enkephalins actually accumulated du
ring hour 2. In contrast to the tissue, methionine-enkephalin accounted for
more than half of the released enkephalin. Chemical sympathectomy produced
an increase in total enkephalin content similar to that observed after 2-h
control perfusion. This observation suggested that the normal turnover of
myocardial enkephalin may depend in part on continued sympathetic influence
s.