Abstract

The enhanced cardiac sympathetic afferent reflex (CSAR), a sympatho-excitatory reflex originating in the heart, contributes to elevated sympathetic tone as well as cardiac remodeling in chronic heart failure (CHF). The molecular and cellular mechanisms underlying cardiac spinal afferent sensitization are not fully understood. We hypothesized that chronic macrophage activation in the thoracic dorsal root ganglia (DRG) sensitizes cardiac spinal afferents via suppression of voltage-gated potassium (Kv) channels in CHF.

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