Stoyek Matthew R, Hortells Luis, Quinn T Alexander
Department of Physiology and Biophysics, Dalhousie University, Halifax, NS 15000, Canada.
Institute for Experimental Cardiovascular Medicine, University Heart Centre Freiburg-Bad Krozingen, 79110 Freiburg, Germany.
J Cardiovasc Dev Dis. 2021 Nov 4;8(11):149. doi: 10.3390/jcdd8110149.
The intracardiac nervous system (IcNS), sometimes referred to as the "little brain" of the heart, is involved in modulating many aspects of cardiac physiology. In recent years our fundamental understanding of autonomic control of the heart has drastically improved, and the IcNS is increasingly being viewed as a therapeutic target in cardiovascular disease. However, investigations of the physiology and specific roles of intracardiac neurons within the neural circuitry mediating cardiac control has been hampered by an incomplete knowledge of the anatomical organisation of the IcNS. A more thorough understanding of the IcNS is hoped to promote the development of new, highly targeted therapies to modulate IcNS activity in cardiovascular disease. In this paper, we first provide an overview of IcNS anatomy and function derived from experiments in mammals. We then provide descriptions of alternate experimental models for investigation of the IcNS, focusing on a non-mammalian model (zebrafish), neuron-cardiomyocyte co-cultures, and computational models to demonstrate how the similarity of the relevant processes in each model can help to further our understanding of the IcNS in health and disease.
心脏内神经系统(IcNS),有时被称为心脏的“小脑”,参与调节心脏生理学的许多方面。近年来,我们对心脏自主控制的基本认识有了大幅提高,IcNS越来越被视为心血管疾病的治疗靶点。然而,由于对IcNS解剖组织的了解不完整,介导心脏控制的神经回路中心脏内神经元的生理学和特定作用的研究受到了阻碍。希望对IcNS有更全面的了解能促进新型、高靶向性疗法的开发,以调节心血管疾病中IcNS的活动。在本文中,我们首先概述了源自哺乳动物实验的IcNS解剖结构和功能。然后,我们介绍了用于研究IcNS的替代实验模型,重点介绍了一种非哺乳动物模型(斑马鱼)、神经元-心肌细胞共培养模型和计算模型,以展示每个模型中相关过程的相似性如何有助于进一步加深我们对IcNS在健康和疾病中的理解。