Junqing Sun, Shiyue Pan, Emma Karey, Kent E Pinkerton, Chao-Yin Chen
These findings highlight distinct clinical profiles and emphasize the need for targeted management strategies for VT based on the cardiomyopathy subtype.
BACKGROUND: Despite the decline in secondhand smoke (SHS) exposure since the implementation of smoking bans in public places, SHS exposure remains a significant health risk factor affecting about 1/3 of non-smokers worldwide. We previously showed that 12 weeks of SHS exposure reduces heart rate variability, an effect that peaks at week 4. We further showed that 4 weeks of SHS exposure significantly reduces cardiac vagal neuron's (CVN) excitability that is associated with a reduced small conductance calcium-dependent potassium (SK) channel activity.
OBJECTIVES: This study aimed to test whether the reduced excitability in CVNs also wanes with longer exposure duration (12 weeks) and whether 4-aminopyridine sensitive voltage-gated potassium channels contribute to the SHS-induced decreases in neuronal excitability.
METHODS: Adult male mice were exposed to 12 weeks of filtered air or SHS at an environmental-relevant concentration (3 mg/m3, 6 hr/d, 5d/wk). We performed whole-cell patch-clamp recordings on anatomically identified CVNs in the nucleus ambiguus.
RESULTS: 12 weeks of SHS exposure significantly increased action potential (AP) thresholds and reduced spiking responses to excitation. SHS exposure did not significantly alter resting membrane potential, or 4-aminopyridine sensitive channel activity, suggesting that leak potassium channels and voltage gated potassium channels were unlikely to contribute to the reduced excitability. We found two adaptations that may serve to counteract the reduced excitability. First, APs inactivated at higher voltages that helped to maintain the spiking response range and increase maximum discharge frequency. Second, blocking SK channels with apamin had smaller effects on the spiking response in CVNs from SHS-exposed mice, suggesting that a reduced SK channel activation during spiking activity may help to dampen the reduced excitability.
CONCLUSION: Environmentally relevant SHS exposure reduces neuronal excitability of CVNs through mechanisms other than enhanced SK and voltage-gated potassium channel functions.