Autonomic tone, through the interaction of catecholaminergic and cholinergic pathways, is a powerful modulator of cardiac function. Until recently, selective activation of cardiac autonomic pathways has required administration of exogeneous neurotransmitters or careful placement of electrodes to stimulate specific neural populations. Optogenetics enables broader exploration of autonomic interactions through the selective expression of channelrhodopsin (ChR2) in neural populations. Our objective was to simultaneously activate catecholaminergic and cholinergic pathways, by exogenous perfusion of neurotransmitter and photostimulation of opposing autonomic neurons, to test the hypothesis that simultaneous activation will reveal the fast kinetics of cholinergic modulation of catecholaminergic increases in heart rate (HR). Norepinephrine (NE) and acetylcholine (ACh) were administered to perfused transgenic mouse hearts that expressed ChR2 within sympathetic tyrosine hydroxylase neurons (TH+ChR2) or parasympathetic choline acetyltransferase (ChAT+ChR2) neurons. Intrinsic neurons were photostimulated by illuminating the SA node with a 465nm high power microLED. The ECG was recorded to measure beat-to-beat changes in HR. Moderate doses of exogeneous NE increased HR 26.77±5.61% (n=3) and high doses increased HR 59.74±8.77% (n=3). At all NE doses, photostimulation of ChAT+ChR2 neurons immediately reduced HR to values equivalent to, or lower than, pre-NE HR. Arrhythmias were not observed. In companion studies, moderate doses of exogeneous ACh reduced HR 19.98±4.68% (n=7) and high doses reduced HR 51.31±4.07% (n=7). HR increases caused by TH+ChR2 neuron photostimulation were diminished by exogenous ACh in a dose-dependent manner. Increased dosing of exogeneous ACh, with simultaneous TH+ChR2 neuron photostimulation, dramatically shortened the onset of 2 nd degree AV block and increased its severity. At high concentrations of exogeneous ACh, non-sustained arrhythmias were observed upon the cessation of TH+ChR2 neuron photostimulation. These results provide new insight into the kinetics of intrinsic cardiac autonomic interactions and reveal powerful modulation of catecholaminergic activity by cholinergic activation.
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