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Am J Physiol Heart Circ Physiol 290: H1353-H1361, 2006. First published December 9, 2005; doi:10.1152/ajpheart.00930.2005
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Regulation of Cardiovascular Functions by Eicosanoids and Other Lipid Mediators

Thromboxane A2-induced arrhythmias in the anesthetized rabbit

Michael J. Wacker,1 Shaun R. Best,1 Lisa M. Kosloski,1 Christopher J. Stachura,1 Rory L. Smoot,1 Charles B. Porter,2 and James A. Orr1

1Department of Molecular Biosciences, University of Kansas, Lawrence; and 2Department of Medicine, University of Kansas Medical Center, Kansas City, Kansas

Submitted 30 August 2005 ; accepted in final form 7 December 2005

Experiments were conducted in the anesthetized rabbit to investigate mechanisms for arrhythmias that occur after left atrial injection of the thromboxane A2 (TxA2) mimetic U-46619. Arrhythmias were primarily of ventricular origin, dose dependent in frequency, and TxA2 receptor mediated. The response was receptor specific since arrhythmias were absent after pretreatment with a specific TxA2 receptor antagonist (SQ-29548) and did not occur in response to another prostaglandin, PGF2{alpha}. Alterations in coronary blood flow were unlikely the cause of these arrhythmias because coronary blood flow (as measured with florescent microspheres) was unchanged after U-46619, and there were no observable changes in the ECG-ST segment. In addition, arrhythmias did not occur after administration of another vasoconstrictor (phenylephrine). The potential involvement of autonomic cardiac efferent nerves in these arrhythmias was also investigated because TxA2 has been shown to stimulate peripheral nerves. Pretreatment of animals with the beta-adrenergic receptor antagonist propranolol did not reduce the frequency of these arrhythmias. Pretreatment with atropine or bilateral vagotomy resulted in an increased frequency of arrhythmias, suggesting that parasympathetic nerves may actually inhibit the arrhythmogenic activity of TxA2. These experiments demonstrate that left atrial injection of U-46619 elicits arrhythmias via a mechanism independent of a significant reduction in coronary blood flow or activation of the autonomic nervous system. It is possible that TxA2 may have a direct effect on the electrical activity of the heart in vivo, which provides significant implications for cardiac events where TxA2 is increased, e.g., after myocardial ischemia or administration of cyclooxygenase-2 inhibitors.

autonomic nervous system; coronary blood flow; prostaglandin F2{alpha}; phenylephrine; SQ-29548; U-46619



Address for reprint requests and other correspondence: M. J. Wacker, Dept. of Molecular Biosciences, 1200 Sunnyside Ave., Univ. of Kansas, Lawrence, KS 66045 (e-mail address: mjwacker{at}ku.edu)







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