A Langendorff constant pressure perfusion system (Figure 4) should be able to maintain mouse heart rates of at least 300 bpm for well over an hour if appropriate oxygenation, temperature, and coronary flow are sustained. With this setup, aortic perfusate temperature relies on coronary flow, so water bath temperatures may need to be adjusted as the flow rate changes to maintain the aortic temperature at 37 °C. Mouse heart coronary flow rates typically range from 1.5-4.5 mL/min, depending on the size of the heart. Maintaining perfusate temperature at 37 °C during flow rate fluctuations is necessary for consistent heart function and is especially important for constant pressure perfusion. The perfusion system described is designed to maintain a hydrostatic pressure of 70 mmHg through the perfusate column height. This is accomplished with a pump rate that provides consistent overflow from the top reservoir. The perfusate can be supplemented with 20 µM of the vasodilator cromakalin to improve and maintain normal or supranormal coronary flow to ensure complete myocardial oxygenation14.
Photostimulation of cholinergic neurons in ChAT-ChR2 mouse hearts at 10 Hz and 30 ms pulse width should result in a nearly instantaneous drop in heart rate. Efficient photostimulation of cholinergic neurons in adequately perfused hearts should lead to a reduction in heart rate of at least 100 bpm. Figure 5 shows an immediate drop of 75 bpm when the micro-LED is turned on that continues to drop until it reaches a maximum decrease of 135 bpm. Within half a second of turning off the micro-LED, the heart rate increases to 175 bpm before gradually returning to pre-stimulation levels. A six-lead ECG is presented to illustrate the differences in RR interval before, during, and after stimulation (Figure 5B). Leads aVR, aVL, and aVF are calculated in the LabChart software using Leads I and II.
Photostimulation of catecholaminergic neurons in TH-ChR2 mouse hearts causes a more gradual (exponential) change in heart rate compared to photostimulation of cholinergic neurons. This is likely caused by beta1-adrenergic activation requiring the second messenger system of cAMP activating PKA, which phosphorylates target proteins, whereas muscarinic activation does not. Figure 6 demonstrates a 135 bpm heart rate increase over the course of 10 s. An additional 10 s is needed after the light is turned off to return to normal sinus rhythm. If the micro-LED is not properly insulated, it may heat the heart, causing an increase in heart rate. This heating response is less intense than TH-ChR2 stimulation; therefore, the change in heart rate is less pronounced.
One application of this protocol is to use optogenetic stimulation to depolarize neurons, leading to the release of endogenous neurotransmitters while simultaneously adding exogenous neurotransmitters to the perfusate. Figure 7A illustrates endogenous acetylcholine release from a ChAT-ChR2 mouse heart with a bolus dose of NE added to the perfusate. Without NE present, photostimulation caused the heart rate to drop more than 100 bpm and maintained this drop for the duration of stimulation. Whereas with a large dose of NE (2000 nM), the maximum heart rate drop during photostimulation was 40 bpm. The heart rate immediately began rising, almost reaching pre-stimulation levels before the light was turned off. This result indicates that optogenetic suppression of heart rate by ChAT neuron photostimulation was unable to fully suppress increases in heart rate resulting from a high dose of NE, causing shorter time of heart rate suppression and lower decreases in heart rate (Figure 7B). These results are consistent with prior work in large animals that demonstrated progressive AV node block during simultaneous vagal nerve and stellate ganglia stimulation12,13.

Figure 4: Experimental setup. Diagram of perfusion system. Arrows show the direction of perfusate. Superfusion perfusate is indicated by dashed lines and components are red outlined. Please click here to view a larger version of this figure.

Figure 5: Representative cholinergic photostimulation response. (A) A 6 lead ECG during ChAT-ChR2 optogenetic activation. Solid blue lines indicate the micro-LED being turned on/off. Red dashed boxes indicate the time for (B) snippets. (B) Half-second snippets of ECG signal before (a), during (b), and after photostimulation (c). RR interval is shown for each section. (C) Heart rate (top) is shown along with pulse waves from a function generator (bottom). The heart rate starts at 450 bpm and drops to 315 bpm after 8 s of photostimulation before returning to 410 bpm 7 s after photostimulation ends. Please click here to view a larger version of this figure.

Figure 6: Representative catecholaminergic photostimulation response. (A) A 6 lead ECG during TH-ChR2 optogenetic activation. Solid blue lines indicate the micro-LED being turned on/off. Red dashed boxes indicate the time for (B) snippets. (B) Half-second snippets of ECG signal before (a), during (b), and after photostimulation (c). RR interval is shown for each section. (C) Heart rate (top) is shown along with pulse waves from a function generator (bottom). The heart rate starts at 390 bpm and peaks to 525 bpm after 10 s of photostimulation before returning to 390 bpm 8 s after photostimulation ends. Please click here to view a larger version of this figure.

Figure 7: Cholinergic photostimulation with exogenous NE. (A) Heart rate response during ChAT-ChR2 photostimulation with increasing doses of NE added to perfusate. Once the heart rate reached a maximum increase due to NE, the micro-LED was turned on for approximately 10 s. Heart rate suppression was still possible at high doses of NE, but the duration of stimulation decreased as the dose increased. (B) The amount of time the heart rate stayed suppressed. Times closer to 10 s generally stayed suppressed for the full duration of stimulation. (C) The drop in heart rate during photostimulation was less severe at higher doses of NE than at low doses. Low doses resulted in an average decrease in heart rate of 40%, while higher doses only dropped 25%. An unpaired t-test was performed to assess statistical significance. Presented as standard error of the mean * p < 0.05. Please click here to view a larger version of this figure.