PMID- 36531723 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20221222 IS - 2297-055X (Print) IS - 2297-055X (Electronic) IS - 2297-055X (Linking) VI - 9 DP - 2022 TI - Median nerve stimulation elevates ventricular fibrillation threshold via the cholinergic anti-inflammatory pathway in myocardial infarction canine model. PG - 904117 LID - 10.3389/fcvm.2022.904117 [doi] LID - 904117 AB - BACKGROUND: Median nerve stimulation (MNS) diminishes regional myocardial ischemia and ventricular arrhythmia; however, the underlying mechanism has not been elucidated. METHODS: In this study, we randomly categorized 22 adult mongrel dogs into a control group, MNS group 1, and MNS group 2. After a 4-week experimental myocardial infarction (MI), ventricular electrophysiology was measured in the MNS group 1 before and after 30 min of MNS. The same measurements were performed in the MNS group 2 dogs via bilateral vagotomy. Venous blood and ventricular tissue were collected to detect molecular indicators related to inflammation and cholinergic pathways by enzyme-linked immunosorbent assay (ELISA), immunohistochemistry (IHC), and Western blot (WB). RESULTS: No significant changes were reported in the ventricular effective refractory period (ERP) in the MNS group 1 and MNS group 2 dogs before and after MNS. The ventricular fibrillation threshold (VFT) in the MNS group 1 was significantly higher than that in the MNS group 2 (20.3 +/- 3.7 V vs. 8.7 +/- 2.9 V, P < 0.01). The levels of tumor necrosis factor-alpha (TNF-alpha), interleukin-6 (IL-6), and nuclear transcription factor-kappaB (NF-kappaB) were lower (P < 0.01), whereas the levels of Ach were higher in the peri-infarct zone tissues in the MNS group 1 dogs than those in the MNS group 2 dogs (P < 0.01). CONCLUSION: This study demonstrated that MNS increases VFT in a canine model with MI. The effects of MNS on VFT are potentially associated with the cholinergic anti-inflammatory pathway. CI - Copyright (c) 2022 Wang, Qian, Yao, Wang, Zhang, Zhang and Zhao. FAU - Wang, Xuewen AU - Wang X AD - Department of Cardiology, Renmin Hospital of Wuhan University, Wuhan, China. AD - Cardiovascular Research Institute of Wuhan University, Wuhan, China. AD - Hubei Key Laboratory of Cardiology, Wuhan, China. FAU - Qian, Yongsheng AU - Qian Y AD - Department of Cardiology, Renmin Hospital of Wuhan University, Wuhan, China. AD - Cardiovascular Research Institute of Wuhan University, Wuhan, China. AD - Hubei Key Laboratory of Cardiology, Wuhan, China. FAU - Yao, Yajun AU - Yao Y AD - Department of Cardiology, Renmin Hospital of Wuhan University, Wuhan, China. AD - Cardiovascular Research Institute of Wuhan University, Wuhan, China. AD - Hubei Key Laboratory of Cardiology, Wuhan, China. FAU - Wang, Youcheng AU - Wang Y AD - Department of Cardiology, Renmin Hospital of Wuhan University, Wuhan, China. AD - Cardiovascular Research Institute of Wuhan University, Wuhan, China. AD - Hubei Key Laboratory of Cardiology, Wuhan, China. FAU - Zhang, Youjing AU - Zhang Y AD - Department of Cardiology, Renmin Hospital of Wuhan University, Wuhan, China. AD - Cardiovascular Research Institute of Wuhan University, Wuhan, China. AD - Hubei Key Laboratory of Cardiology, Wuhan, China. FAU - Zhang, Shujuan AU - Zhang S AD - Department of Cardiology, Renmin Hospital of Wuhan University, Wuhan, China. AD - Cardiovascular Research Institute of Wuhan University, Wuhan, China. AD - Hubei Key Laboratory of Cardiology, Wuhan, China. FAU - Zhao, Qingyan AU - Zhao Q AD - Department of Cardiology, Renmin Hospital of Wuhan University, Wuhan, China. AD - Cardiovascular Research Institute of Wuhan University, Wuhan, China. AD - Hubei Key Laboratory of Cardiology, Wuhan, China. LA - eng PT - Journal Article DEP - 20221201 PL - Switzerland TA - Front Cardiovasc Med JT - Frontiers in cardiovascular medicine JID - 101653388 PMC - PMC9751050 OTO - NOTNLM OT - arrhythmia OT - cholinergic anti-inflammatory pathway OT - median nerve OT - myocardial infarction OT - sudden cardiac death COIS- The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. EDAT- 2022/12/20 06:00 MHDA- 2022/12/20 06:01 PMCR- 2022/01/01 CRDT- 2022/12/19 03:58 PHST- 2022/03/25 00:00 [received] PHST- 2022/11/09 00:00 [accepted] PHST- 2022/12/19 03:58 [entrez] PHST- 2022/12/20 06:00 [pubmed] PHST- 2022/12/20 06:01 [medline] PHST- 2022/01/01 00:00 [pmc-release] AID - 10.3389/fcvm.2022.904117 [doi] PST - epublish SO - Front Cardiovasc Med. 2022 Dec 1;9:904117. doi: 10.3389/fcvm.2022.904117. eCollection 2022.