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  • Princess Maranda posted an update in the group Group logo of MT 30 - IJ (LEC)MT 30 – IJ (LEC) 4 years, 1 month ago

    This article by Osadchii (2015) highlights the emerging role of neurotensin (NT) in the regulation of the processes of the cardiovascular system and its broad effect on heart rate, systemic flow and blood pressure.

    Neurotensin (NT), a tridecapeptide discovered in the bovine hypothalamus, appears to be playing an increasingly important role in cardiovascular regulation. Acute circulatory disorders may be caused by elevated systemic levels of NT, which may also predict cardiovascular morbidity and mortality in population studies.

    • In humans and other animals, NT-containing neural fibers are found in close proximity to atrial and ventricular cardiac myocytes, cardiac conduction system, intracardiac ganglia, and coronary vessels. Patients with heart disease are seen to have reduced NT innervation density.
      • In vivo, administration of NT to laboratory rats, cats and guinea pigs are seen to increase heart rates.
        This increase was not easily subdued by common antagonists, indicating that the NT has a direct effect on the pacemaker (sinoatrial node).

        Further research reveals that NT is mediated by the release of adrenal catecholamines. This is supported by the increased adrenaline levels in the laboratory animals.

        • As such, NT plays a variety of roles in heart rate, myocardial contractility, venous smooth muscle tone and regional blood flow in the digestive tract, skin, and adipose tissue.
          • So what then? In the peripheral circulation NT is rapidly degraded and it cannot enter the blood brain barrier. But when it is delivered directly into the brain it can result in analgesia, antipsychotic activity and hypothermia, all of which can be taken advantage of for certain medical conditions.
            • Thus, prescribing NT treatments for psychiatric diseases must be carefully planned, as it has potent effects on the cardiovascular system.

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