“…Further, studies in rats have shown that i) vagal nerve stimulation leads to greater cardiac effects in female than male rats, presumably due to a higher level of ACh release following nerve activation (Du et al, 1994), that ii) the enzymatic breakdown of ACh occurs slower in newborn female than male rats (Loy and Sheldon, 1987), and that iii) the synthesis and clearance of neurotransmitters, including ACh, in both the heart and vasculature are regulated by sex hormones (Dart et al, 2002). Intriguingly, a recent study (Leung et al, 2021) explored sex differences in the rat intrinsic cardiac nervous system, which includes the network of the intracardiac ganglia and interconnecting neurons that receive inputs from both local afferent and extrinsic autonomic (vagal and sympathetic) nerves (Achanta et al, 2020). The authors found that female rat hearts had fewer neurons and lower packing density than males, which may explain some of the sex differences observed at a functional level (Leung et al, 2021).…”