Activation of Cold‐Sensitive Afferents Inhibits Aberrant Irritant‐evoked Cardiopulmonary Reflexes in the Spontaneously Hypertensive (SH) Rat

Abstract

Inhalation of irritants activates airway vagal afferent nerves, evoking cardiopulmonary reflexes. Evidence suggests that cardiopulmonary reflexes evoked by irritant/pollution inhalation are remodeled from bradycardia in normal subjects to tachycardia and ventricular arrhythmia in patients with pre‐existing cardiovascular disease. We have shown similar remodeling in the spontaneously hypertensive (SH) rat: selective activation of airway vagal afferent nerves via inhalation of the TRPA1‐specific agonist allyl isothiocyanate (AITC) evoked parasympathetic‐mediated reflex bradycardia in normotensive wistar‐kyoto rats but evoked sympathetically‐mediated tachycardia and premature ventricular contractions (PVCs) in spontaneously hypertensive (SH) rats.Activation of TRPA1‐expressing airway vagal afferents also evokes cough in some conscious animal models. Cough reflexes have been shown to be inhibited by nasal stimulation with L‐menthol via activation of TRPM8 ion channels expressed on cold‐sensitive trigeminal afferents which regulate brainstem respiratory networks. Here, we investigated the cardiopulmonary reflexes evoked by inhalation of L‐menthol (150mg/ml) alone and in combination with AITC (4.7mg/ml) in SH rats. L‐menthol inhalation alone had no effect on respiration/heart rate, but, when inhaled during AITC inhalation, L‐menthol selectively inhibited the AITC‐evoked tachyarrhythmia and tachypnea. Importantly, the inactive isomer D‐menthol (150mg/ml) failed to affect AITC‐evoked sympathoexcitatory reflexes. In another set of studies, the selective TRPM8 agonist WS‐12 (300mM) also inhibited the AITC‐evoked tachyarrhythmia. Therefore, we conclude that aberrant cardiopulmonary reflexes evoked by irritant inhalation are reduced by activation of menthol‐sensitive pathways within the airways. This data supports the therapeutic potential of menthol treatment against irritant‐evoked cardiopulmonary reflexes.