Intrinsic innervation of the atrioventricular junction of the rat heart.

Alternate serial semithin and thin sections of the glutaraldehyde-fixed interatrial septum and atrioventricular junction of adult rat were examined in light and electron microscopes. The animals were pretreated with a false precursor of catecholamines, i.e., with 5-OH-dopamine, in order to differentiate the adrenergic component of the intrinsic nervous system. According to the light microscope data, two kinds of ganglia can be distinguished at the level of the interatrial septum. Those of the first kind are composed of large pale cells with voluminous nuclei. Those of the other kind resemble acinuslike clusters of small osmiophilic cells. Another small ganglion is invariably associated with the distal edge of the bundle of His. At the electron-microscope level, two types of ganglionic cells are found in the meshes of the peri- and intranodal plexus: 1) small neurons (10 microns) with richly developed neuropiles, and 2) large 5-OH-dopamine contrasted neurosecretory cells (up to 25 microns) containing electron-dense vesicles typical of sympathetic neurons. Numerous glomeruli with dendrodendritic and axodendritic connections are also found in the vicinity of the specialized tissue; and, in the nodal interstitium, several clusters of small chromaffin cells (5 microns) and a network of multipolar satellite cells similar to the interstitial cells of Cajal can be distinguished. Our data suggest that the microanatomical and cytological organization of the terminal innervation of the node of Aschoff-Tawara and of the bundle to His resembles that of the myenteric plexus. The physiological significance of these ultrastructural data for the local control of electrophysiological properties of the atrioventricular junction is briefly considered.