毒蕈碱受体对慢性疼痛诱发心房颤动的调节作用

Muscarinic receptor regulation of chronic pain-induced atrial fibrillation.

作者信息

Gong Chao, Ding Yu, Liang Feng, Wu Shuang, Tang Xiruo, Ding Hongzhang, Huang Wenjing, Yu Xiaotong, Zhou Likun, Li Jun, Liu Shaowen

机构信息

Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.

Shanghai Jiao Tong University School of Medicine, Shanghai, China.

出版信息

Front Cardiovasc Med. 2022 Sep 15;9:934906. doi: 10.3389/fcvm.2022.934906. eCollection 2022.

Abstract

Atrial fibrillation (AF), one of the most common arrhythmias, is associated with chronic emotional disorder. Chronic pain represents a psychological instability condition related to cardiovascular diseases, but the mechanistic linkage connecting chronic pain to AF occurrence remains unknown. Wild-type C57BL/6J male mice were randomly divided into sham and chronic pain groups. Autonomic nerve remodeling was reflected by the increased atrial parasympathetic tension and muscarinic acetylcholine receptor M2 expression. AF susceptibility was assessed through transesophageal burst stimulation in combination with electrocardiogram recording and investigating AERP in Langendorff perfused hearts. Our results demonstrated the elevated protein expression of muscarinic acetylcholine receptor M2 in the atria of mice subjected to chronic pain stress. Moreover, chronic pain induced the increase of atrial PR interval, and atrial effective refractory periods as compared to the sham group, underlying the enhanced susceptibility of AF. Thus, autonomic cholinergic nerve may mediate mice AF in the setting of chronic pain.

摘要

心房颤动(AF)是最常见的心律失常之一,与慢性情绪障碍有关。慢性疼痛是一种与心血管疾病相关的心理不稳定状态,但慢性疼痛与房颤发生之间的机制联系尚不清楚。将野生型C57BL/6J雄性小鼠随机分为假手术组和慢性疼痛组。通过增加心房副交感神经张力和毒蕈碱型乙酰胆碱受体M2表达来反映自主神经重塑。通过经食管猝发刺激结合心电图记录并在Langendorff灌注心脏中研究心房有效不应期(AERP)来评估房颤易感性。我们的结果表明,遭受慢性疼痛应激的小鼠心房中,毒蕈碱型乙酰胆碱受体M2的蛋白表达升高。此外,与假手术组相比,慢性疼痛导致心房PR间期和心房有效不应期增加,这是房颤易感性增强的基础。因此,自主胆碱能神经可能在慢性疼痛情况下介导小鼠房颤。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/827c/9521049/06be98975811/fcvm-09-934906-g0001.jpg

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