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J Appl Physiol (February 20, 2004). doi:10.1152/japplphysiol.00620.2003
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Submitted on June 16, 2003
Accepted on September 25, 2003

Parasympathetic Control of the Heart (1): An Interventriculo-Septal Ganglion Is the Major Source of the Vagal Intracardiac Innervation of the Ventricles

Tannis A Johnson1, Alrich L Gray1, Jean-Marie Lauenstein1, Stephen S Newton1, and V J Massari1*

1 Pharmacology, Howard University, Washington, D.C., USA

* To whom correspondence should be addressed. E-mail: vmassari{at}howard.edu.

The locations, projections, and functions of the intracardiac ganglia are incompletely understood. Immunocytochemical labeling with the general neuronal marker PGP 9.5 was used to determine the distribution of intracardiac neurons throughout the cat atria and ventricles. Fluorescence microscopy was used to determine the number of neurons within these ganglia. There are 8 regions of the cat heart which contain intracardiac ganglia. The numbers of neurons found within these intracardiac ganglia varies dramatically. The total number of neurons found in the heart (6274 ± 1061) is almost evenly divided between the atria and the ventricles. The largest ganglion is found in the interventricular septum (IVS). Retrogradely labeled fluorescent tracer studies indicated that the vagal intracardiac innervation of the anterior surface of the right ventricle originates predominantly in the IVS ganglion. A cranio-ventricular (CV) ganglion was retrogradely labeled from the anterior surface of the left ventricle, but not from the anterior surface of the right ventricle. These new neuroanatomical data support the prior physiological hypothesis that the CV ganglion in the cat exerts a negative inotropic effect on the left ventricle. A total of three separate intracardiac ganglia innervate the left ventricle, i.e. the CV, IVS, and a second left ventricular (LV2) ganglion. However, the IVS ganglion provides the major source of innervation to both the left and right ventricles. This dual innervation pattern may help to coordinate or segregate vagal effects on left and right ventricular performance.




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