SPONTANEOUS FIBRILLARY ACTIVITY OF DENERVATED MUSCLE

Evidence that 2-aminoethoxydiphenyl borate provokes fibrillation in perfused rat hearts via voltage-independent calcium channels

We tested whether 2-aminoethoxydiphenyl borate (2-APB) induces arrhythmia in perfused rat hearts and whether this arrhythmia might result from the activation of voltage-independent calcium channels. Rat hearts were Langendorff perfused and beat under sinus rhythm. An isovolumic balloon inserted into the left ventricle was used to record mechanical function while bipolar electrograms were recorded from electrodes sutured to the base and the apex of hearts. Western and immunofluorescence analyses were performed on rat left ventricular protein extracts and left ventricular frozen sections, respectively. Rat ventricular myocytes express Orai 1 and Orai 3, and ventricle also contains the Orai regulator Stim1. Rat hearts (n=5) perfused with Krebs-Henseleit (KH) alone maintained sinus rhythm at 4.8 ± 0.1 Hz and stable mechanical function. By contrast, perfusing hearts (n=5) with (KH+22 μM 2-APB) provoked a period of tachycardic ectopy at rates of up to 10.8 ± 0.2 Hz. As perfusion with (KH+22 μM 2-APB) continued, the rate of spontaneous ventricular depolarization increased to 21.8 ± 1.2 Hz and became disorganized. Heart mechanical function collapsed as developed pressure decreased from 87 ± 8.8 to 3.5 ± 1.9 mm Hg. Flow rate did not change between normal (16.6 ± 0.9 ml/min) and fibrillating (17.4 ± 0.8 ml/min) hearts. The addition of 20 μM 1-[2-(4-methoxyphenyl)-2-[3-(4-methoxyphenyl) propoxy]ethyl-1H-imidazole (SKF-96365) to (KH+22 μM 2-APB) perfusates (n=4) restored sinus rhythm and heart mechanical output. These data indicate that activating myocardial voltage-independent calcium channels, possibly the Orais, may be a novel cause of ventricular arrhythmia.

The denervated muscle: facts and hypotheses. A historical review

Denervation changes in skeletal muscle (atrophy; alterations of myofibrillar expression, muscle membrane electrical properties, ACh sensitivity and excitation-contraction coupling process; fibrillation), and their possible causes are reviewed. All changes can be counteracted by muscle electrostimulation, while denervation-like effects can be caused by the complete conduction block in muscle nerve. These results do not support the hypothesis that the lack of neurotrophic, non-motor factors plays a role in denervation phenomena. Instead they support the view that the lack of neuromotor discharge is the only cause of the phenomena and that neuromotor activity is an essential factor in regulating muscle properties. However, some experimental results cannot apparently be explained by the lack of neuromotor impulses, and may still suggest that neurotrophic influences exist. A hypothesis is that neurotrophic factors, too feeble to maintain a role in completely differentiated, adult muscles, can concur with neuromotor activity in the differentiation of immature, developing muscles.

AAEE minimonograph #28: injury to peripheral motor nerves

Nerve injury triggers a sequence of electrophysiological events dependent upon changes occurring both at the neuromuscular junction and the muscle membrane. The time course of these physiologic and morphologic alterations is reviewed in light of recent information provided by studies of extrajunctional acetylcholine receptors, axoplasmic transport, and freeze-fracture electron microscopy. A thorough knowledge of these changes is essential to understanding the clinical impact of nerve injury.

The role of nerve lysosomal enzymes in the pathogenesis of denervation atrophy. Electromyographic and histochemical study in rats

Section of sciatic nerves of rats produced fibrillations within 3 days. Foci of hyalination leading to necrosis corresponded to segments of muscles containing end plates. The electrolyte content, mainly Ca, was increased, NADH2-TR activity was decreased and membrane ATP-ase was increased. The known increase in hydrolytic enzyme activities in denervated muscles was due to spilling of lysosomal enzymes from degenerating axons at the myoneural junction. This explains the discrepancy between morphological studies indicating paucity of lysosomes in normal muscles and the high hydrolytic enzyme activities in denervation. We propose that denervation changes are at least partly due to the effect of lysosomal spillage from degenerating axons.

Direct action of 4-aminopyridine on the contractility of a fast-contracting muscle in the cat

1. The effects of 4-aminopyridine on the contractility of the fast-contracting tibialis anterior and the slow-contracting soleus muscles of cats under chloralose anaesthesia have been studied. 2. 4-Aminopyridine, in doses of 0.5 mg/kg and above, produced a slowly developing increase in the twitch tension of directly stimulated chronically denervated and of indirectly stimulated innervated tibialis anterior muscles, but had little or no effect on twitches of soleus muscles. The effect of innervated tibialis anterior muscles was more pronounced than that on chronically denervated muscles, but it was nevertheless concluded that the whole effect on innervated muscles was the result of a direct action on the muscle fibres. The simultaneously occurring facilitatory action on neuromuscular transmission, which is manifested in the anti-curare action of 4-aminopyridine, had a faster time-course and occurred in both the tibialis anterior and the soleus muscles. 3. 4-Aminopyridine antagonized dantrolene sodium on on the tibialis anterior muscle but not on the soleus muscle. The antagonism could be described as physiological antagonism since it simply reflected the opposing actions on contractility of the two drugs. 4. 4-Aminopyridine was without effect on maximal tetanic tension of either the tibialis anterior or the soleus muscle. 5. It seems clear from the literature that a species difference exists with regard to the ability of 4-aminopyridine to increase muscle contractility. The results described in this paper show that muscle differences within the same species also exist.

The role of extracellular calcium in the contractions produced by acetylcholine in chronically denervated muscle

1 Acetylcholine-induced contractions of the isolated chronically denervated soleus muscle of the mouse consist of two phases, but both phases are equivalent to the contracture phase seen in vivo.2 Low [Ca(2+)](0) (0.5-1.5 mM) augmented peak tension, as well as the rate of relaxation, of the first phase, but inhibited the second phase. Ethyleneglycol-bis-(beta-aminoethyl ether)-N,N'-tetraacetic acid (EGTA) or La(3+) (2 mM) also inhibited the second phase, but not the first.3 It was concluded that the first phase requires Ca(2+) release from the sarcoplasmic reticulum, and is terminated by inactivation of the contractile process. The second phase is caused by the entry of activator Ca(2+) from the extracellular space.4 Increasing [Ca(2+)](o) to 5 or 10 mM after the addition of acetylcholine caused a contraction, starting after a delay of about 50 seconds. EGTA or La(3+) added during the second phase of the acetylcholine contraction caused relaxation after a much shorter lag time.5 It is concluded that most of the Ca(2+) entering from the extracellular fluid is taken up by the sarcoplasmic reticulum.6 The acetylcholine second phase was augmented in low (25 mM) [Na(+)](0). It is concluded that Na(+) and Ca(2+) compete for the acetylcholine controlled ionic channels.7 Isolated chronically denervated diaphragm muscles were less sensitive to acetylcholine and the contraction usually consisted of a first phase only.8 It is concluded that sequestration of Ca(2+) entering from the extracellular fluid is more complete in the diaphragm.

The effect of bradykinin on denervated tongue

1. The contractile response of the chronically denervated tongue of the cat to chorda stimulation, and to close arterial injections of bradykinin, acetylcholine (ACh) and other drugs was examined.2. Bradykinin in doses of 50 ng-20 mug injected close arterially always produced a contractile response of the denervated tongue. Sodium nitrite (1 mg i.a.) and isoprenaline (3-200 ng i.a.) also produced contracture; histamine (40-100 ng i.a.) evoked an increase in tension in only 2 out of 5 experiments.3. Tubocurarine in doses of 0.25-1 mg injected intra-arterially, produced a large and long-lasting contracture of the denervated tongue. When the contracture was over, the effect of bradykinin was reduced to about half; the effects of ACh and chordo-lingual nerve stimulation were markedly reduced (over 80%), and those of sodium nitrite and isoprenaline were transiently abolished. Gallamine only slightly reduced the effect of bradykinin.4. Close intra-arterial injection of physostigmine (100 mug) potentiated the effect of ACh and chordo-lingual nerve stimulation, but did not increase the response to bradykinin.5. Cocaine (1 mg/kg i.v.) deeply depressed the response to bradykinin, and moderately reduced the responses to ACh (41%) and to chorda stimulation (66%).6. In 2 out of 7 experiments, close arterial injections of bradykinin (100-500 ng) to the denervated tibialis anterior muscle of the cat, produced a contractile response. Bradykinin in small doses (200-250 ng) injected immediately before ACh potentiated its effect. On the other hand, the effect of ACh was depressed when given immediately after a big dose of bradykinin (10-15 mug).7. The possible mechanism of action of bradykinin and other substances on denervated muscle is discussed.

The neuromuscular blocking action of a series of bicyclic bis-oniu esters

1. Thirteen bicyclic dicholine esters have been tested on mammalian and avian skeletal muscle preparations.2. One of the compounds exhibited depolarizing activity in all the preparations.3. Three of the compounds exhibited depolarizing or dual-blocking activity in avian and denervated mammalian preparations, but exhibited non-depolarizing blocking activity in innervated mammalian preparations.4. The remaining compounds exhibited non-depolarizing blocking activity with evidence of an additional facilitatory action.5. The activity exhibited was dependent upon the onium substituents and the structure of the bicyclic ring.6. All the compounds exhibited a choline-reversible block in the rapidly stimulated rat diaphragm preparation and six of them exhibited a secondary choline-reversible block of the rapidly stimulated cat tibialis anterior muscle.