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Publication : Cardiomyocyte-secreted acetylcholine is required for maintenance of homeostasis in the heart.

First Author  Roy A Year  2013
Journal  FASEB J Volume  27
Issue  12 Pages  5072-82
PubMed ID  24018063 Mgi Jnum  J:203804
Mgi Id  MGI:5528763 Doi  10.1096/fj.13-238279
Citation  Roy A, et al. (2013) Cardiomyocyte-secreted acetylcholine is required for maintenance of homeostasis in the heart. FASEB J 27(12):5072-82
abstractText  Heart activity and long-term function are regulated by the sympathetic and parasympathetic branches of the nervous system. Parasympathetic neurons have received increased attention recently because acetylcholine (ACh) has been shown to play protective roles in heart disease. However, parasympathetic innervation is sparse in the heart, raising the question of how cholinergic signaling regulates cardiomyocytes. We hypothesized that non-neuronal secretion of ACh from cardiomyocytes plays a role in cholinergic regulation of cardiac activity. To test this possibility, we eliminated secretion of ACh exclusively from cardiomyocytes by targeting the vesicular acetylcholine transporter (VAChT). We find that lack of cardiomyocyte-secreted ACh disturbs the regulation of cardiac activity and causes cardiomyocyte remodeling. Mutant mice present normal hemodynamic parameters under nonstressful conditions; however, following exercise, their heart rate response is increased. Moreover, hearts from mutant mice present increased oxidative stress, altered calcium signaling, remodeling, and hypertrophy. Hence, without cardiomyocyte-derived ACh secretion, hearts from mutant mice show signs of imbalanced autonomic activity consistent with decreased cholinergic drive. These unexpected results suggest that cardiomyocyte-derived ACh is required for maintenance of cardiac homeostasis and regulates critical signaling pathways necessary to maintain normal heart activity. We propose that this non-neuronal source of ACh boosts parasympathetic cholinergic signaling to counterbalance sympathetic activity regulating multiple aspects of heart physiology.-Roy, A., Fields, W. C., Rocha-Resende, C., Resende, R. R., Guatimosim, S., Prado, V. F., Gros, R., Prado, M. A. M. Cardiomyocyte-secreted acetylcholine is required for maintenance of homeostasis in the heart.
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