Studies performed on cats have shown that the antifibdUatory effect of 13-endorphin under acute myocardial ischemia is mediated by afferent pathways of the vagus nerves and sympathetic components of arrhythmogenesis. This effect is associated with the ability of 13-endorphin to change the impulse activity of cardiovascular and integrative neurons of the nodose ganglion.
Key Words: ~-endorphin, vagus nerves, nodose ganglion, myocardial ischemia, cardiac adrenergic reactivityClinical and experimental data point to a relationship between the severity of ischemic heart disease and the decrease in the plasma level of 13-endorphin (BE). A moderate increase in the BE content is generally associated with good prognosis in patients with myocardial ischemia [1,2,5]. Our previous studies revealed a protective effect of BE in respect of the development of isehemic ventricular fibrillation. Bilateral vagotomy abolished this effect [9]. Vagotomy interrupts the conduction of impulses over afferent and efferent pathways of the vagus nerves CON). Therefore, it is unclear what a pathway mediates the antifibrillatory effects of BE. Cardiac afferent systems play an important role in the pathogenesis of ischemic ventricular fibrillation. This work was designed to determine the role of vagal afferents in the antiarrhythmic effect of BE.
MATERIALS AND METHODSExperiments (n=82) were performed on male and female eats weighing 2-4 kg narcotized with Nembutal (40 mg/kg intraperitoneally). Myocardial ischemia was induced by ligation of the left circumflex coronary artery at the site of its origin from the main branch. The development of arrhythmia was observed during 15-min arterial occlusion and 15-min Russian State Medical University, Moscow reperfusion. Under these conditions idioventricular rhythm, ventricular tachycardia, and ventricular fibrillation were observed in 72%, 28%, and 55% of animals, respectively [7]. Electrocardiogram and blood pressure in the femoral artery were recorded with a BIOKOMB-8 polyphysiograph (ORLON/ EMG). Single and multiple extrasystoles, ventricular taehyeardia, and ventricular fibrillation were considered in the analysis of arrhythmia.In the lust series of experiments, 8 cats were subjected to coronary artery occlusion accompanied by the injection of BE under differentiated blockade of the impulse conduction along myelinated VN fibers induced by cooling VN to 6"C [11]. Cervical VNs were separated from the sympathetic nerves and placed on a special nerve-cooling device equipped with a thermistor registering the nerve temperature. These nerves were thoroughly isolated from surrounding tissues. The nerve temperature was lowered using a cooling liquid which was pumped with a vacuum device 5 min before coronary artery occlusion and during ischemia and 15-min reperfusion. In the second series of experiment, 10 cats were subjected to similar procedures without administering BE. In the third series of experiments (24 animals), the pulse activity of the nodose ganglion neurons was extracellularly registered with a ...