You are on page 1of 10

Autonomic Drug Effects on the Heart Rate of

Early Rat Embryos


MAURICE ROBKIN,2 THOMAS H. SHEPARD 3 AND DAVID BAUM 3,4
(WITH TECHNICAL ASSISTANCE OF GLENDA BASS 3)
Department of Nuclear Engineering, B F - 1 0 , 2 and Department of Pediatrics,3
University of W a s h i n g t o n , Seattle, W a s h i n g t o n 981 95

ABSTRACT We examined the effect of cardioactive drugs on the heart rate


of intact rat embryos at day 11 (25 somites) of gestation, the stage of develop-
ment prior to cardiac innervation. Tested were the autonomic drugs methoxa-
mine and isoproterenol, the P-adrenergic receptor blocker propranolol, and the
phosphodiesterase inhibitor theophylline. Our observations indicated that
(1) methoxamine had no effect; (2) isoproterenol and theophylline caused in-
creases in the heart rate; and (3) propranolol inhibited the effect of isoproterenol
but did not affect the response to theophylline. We concluded that our results
are consistent with (1) Ahlquist's ('48) original concept of a and @ adrenergic
receptors and the observation that the heart has no a receptors, (2) with the
role of cyclic-AMP in the model of the adrenergic receptor proposed by Suther-
land ('68),and (3) with the observations that the embryonic heart at this stage
of development is not yet innervated and so is without the vagal reflex arc
(Hogg, '57; Gomez, '58).

Drugs affecting cardiac function are To our knowledge the only published
widely used. In many instances they are study of these direct responses of the
administered to pregnant women, and if hearts of rat embryos at the gestational
they cross the placenta, the embryo itself age of our model is Hall's ('57). He studied
may be affected. the effects of acetylcholine and epineph-
In this laboratory, in research on the rine on isolated intact hearts and heart
effects of drugs on the development of fragments from rat embryos of day 10V2
critical stages of embryogenesis, we have to 12 of gestation. It is not known whether
used pregnant rats in days lOY2-12V2 of or not a flow restriction due to a-adren-
gestation as an experimental model with ergic-mediated peripheral vasoconstriction
particular concentration on day 11. At the will cause a direct pressure change at the
latter age, rat embryos have about 24-26 heart which will in turn affect the heart
somites and correspond approximately to rate. The assumption that, in absence of
a gestational age in humans of about cardiac innervation and the vagal reflex,
23-26 days (Shepard, '69). the responses that Hall observed might
The fully developed normal mammalian also apply to the heart of the intact em-
heart is controlled in part by the ziuto- bryo must therefore be made with some
nomic nervous system so that observed caution.
responses to an administered drug may In his study of intact rat embryos
be due not only to direct effects on the Adolph ('65) administered catecholamines
heart cells but also to indirect effects of at day 16 or later. By day 16 the rat heart
stimulation or depression of neural re- has attained its adult form and the auto-
flexes. In the case of embryos the heart nomic nerves have grown into the rnyo-
is functioning and pumping blood, but cardium (Hogg, '57; Gomez, '58). He also
has not yet achieved innervation or its did not completely separate the embryos
adult form. (Hogg, '57; Gomez, '58). With- from the maternal circulation. The changes
out innervation the reflexive responses to Received May 30, '72. Accepted July 31, '73.
cardiotropic drugs will be absent, leaving 1 This work was supported i n part by NIH grants,
HD00180,HD00836, and HD06775.
only those responses that are the result 4 Present address: Department of Pediatrics, Stan-
of direct action on the heart. ford University, Stanford, California.

9: 3 5 4 4 .
TERATOLOGY. 35
36 MAURICE ROBKIN, THOMAS H. SHEPARD A N D DAVID BAUM

he observed in embryonic heart rate when flex effect on the heart. To test this rea-
the catecholamines were administered to soning, methoxamine (Vasoxyl, Burroughs
the pregnant female did not agree with Wellcome), an a-adrenergic stimulator
those observed when the drugs were given (Goodman and Gilman, '70) was intro-
to the embryo, and he thus raised ques- duced in various concentrations. In a
tions concerning the penetration of the final test of peripheral vasconstriction
drug through the placenta and secondary (yolk-sac vessels) an extremely large dose
effects due to alteration of uterine blood of methoxamine was administered which
flow leading to embryonic hypoxia. Al- resulted in death of the embryos.
though our experiments deal with fewer According to Sutherlands model, the
compartments we are still faced with the function of the adrenergic preceptor and
uncertainty of whether or not the drug of cyclic-AMP (CAMP) are independent.
reaches the embryonic heart in an un- If this is the case, for doses resulting in
changed state. submaximal total responses, the responses
Insofar as comparisons between the re- to the p-receptor-stimulator isoproterenol,
sponses of either the hearts of intact or- and to increased c-AMP due to the phos-
ganisms or the excised hearts and heart phodiesterase-inhibitor theophylline
fragments can be made, our results may should be additive in any order of admin-
be compared with Hall's. That is, in our istration. Blocking the p-adrenergic re-
experiments, as in Hall's, the embryonic ceptor with propranolol should have no
hearts were completely separated from effect on the response to increased levels
the pregnant female and any secondary of C-AMP.
effects. Further, Hall also examined the The enzyme phosphodiesterase facili-
response to epinephrine of hearts from tates the regulation of cellular concen-
day 101/2-11?42 embryos. The positive trations of c-AMP by catalyzing its metab-
chronotropic response that he observed is olism. The level of c-AMP may be increased
consistent with a similar response to iso- by administration of theophylline, an in-
proterenol that we observed. hibitor of phosphodiesterase.
In the case of intact embryos we are
METHODS AND MATERIALS
not aware of any published study of the
response of the heart to cardiotropic drugs The embryos were explanted according
during the gestational period with which to the method of New and Stein ('64) and
we have concerned ourselves. It would installed in a life support system with
be very difficult to apply the methods of circulating medium (denoted by the term
previous workers to the hearts of intact PLASMOM). The ambient environment of
embryos as small as these. In our study the embryos is controlled and we have
we have made use of a new in vitro cul- demonstrated good growth and develop-
ture technique for early rat embryos (Rob- ment of the embryos for culture periods
kin et al., '72) to examine the effects of up to 24 h in this system (Robkin et al.,
methoxamine, isoproterenol, propranolol, '72). For some of the experiments (see
and theophylline. below), New's ('67) circulator was used.
The model we have hypothesized is Using the PLASMOM system we are able
based on: (1) Ahlquist's ('48) concept of to observe and record the heartbeat of
a and p receptors; (2) the generally ac- embryos by a technic of transillumination
cepted point of view that there are no (Y (Robkin et al., '72). The recording is con-
receptors in the heart (Nickerson and tinuous and permits a detailed and exact
Chan, '61; Moran and Perkins, '61; Moran analysis of the embryonic heart-rate re-
et al., '62) and (3) Sutherland et al.'s sponses to various agents. We estimate
('68) model of adenyl cyclase and second that the heart rate may be determined
messenger, adenosine 3',5'-monophosphate with better than 1% accuracy.
(cyclic-AMP). The initial filling of the PLASMOM re-
If the embryonic heart is not innervated quires about 6 ml of serum, which is im-
there can be no vagal reflex stimulated mediately circulated and warmed. The
via peripheral a-adrenergic receptors, and embryos are simultaneously explanted
administration of an a-adrenergic stimula- and attached to rafts in Hanks' balanced
tor in subtoxic doses should have no re- salt solution (BSS) at room temperature.
DRUG EFFECTS ON HEART RATE OF RAT EMBRYOS 37
Immediately after explantation the em- presumably is a measure of the combined
bryos in their chamber are inserted into effect of mixing time in the circulating
the circulator. The chamber contains medium and diffusion time into the yolk-
about 2 ml of Hank's BSS and the result- sac circulation. The injection is made on
ing mixture is allowed to return to the the upstream side of the heater. We have
desired temperature. The temperature observed no resulting temperature change
within the embryo chamber is maintained in the circulating medium at the location
at 38.5 I+ 0.3" C. Table 1 shows the elec- of the embryos as determined by a rapidly
trolyte composition of Hanks' BSS and responding needle-mounted thermistor
human serum. probe in the embryo chamber (Yellow
As soon as the temperature has stabil- Spring Instrument Co., Model 507). Al-
ized, the embryos are examined with a though the heart rate has been shown to
binocular dissecting microscope to deter- be a sensitive function of ambient tem-
mine whether a vigorous heartbeat and perature (Robkin et al., '72) we have
good yolk-sac circulation are present. Oc- shown by analysis of the strip-chart re-
casionally we observed circulatory stasis cording after administration of up to 0.4
in the yolk sac which we considered a ml of Hanks medium without drugs that
warning of impending embryonic dis- no significant changes in the heart rate
tress and excluded the preparation from occurs. Changes less than twice the ac-
analysis. curacy of the measurement (2-4 beats/
A low power laser (University Labora- min) were considered insignificant since
tories, Model 200) illuminates the embryo spontaneous variations of the heart rate
and a lens is used to focus an image of of this magnitude were often observed
the heart onto the sensitive face of a pho- while taking baseline recordings. Any
tomultiplier tube. The flicker caused by larger response to an injection can be
the beating heart is detected and recorded ascribed to the drugs. While the recorder
on a strip-chart recorder (Brush Instru- is running, the injection i s made and a
ment Co., Model Mark 220). Since there continuing record obtained.
are two or three embryos explanted in The record was analyzed unless the
the chamber, we can usually find at least heartbeat became too irregular to inter-
one where the silhouette of the beating pret or the rate dropped below 100 beats/
heart can be detected by the phototube. min which was taken as evidence of irrep-
If all three embryos are suitable they arable injury to the embryo. If analysis
can be used in an experiment by rapidly of the record showed continuing decrease
adjusting the position of the chamber so of the heart rate or other anomalous be-
as alternately to focus the image of the havior the embryo was considered abnor-
heart of each embryo in succession upon mal and the experiment was discarded.
the photomultiplier tube. A baseline heart In some cases the embryo did not respond
rate is determined at the start of each to the drug, but in the absence of other
experiment. anomalous behavior the experiment was
With the circulating volume and flow included in the results.
rates used, a mixing time of about 1 min The embryos were examined for stage
is estimated (approximately 2 complete of development and somite number shortly
circuits). The hearts begin to respond after the termination of the experiments,
1-2 min after injection of the drug, which which usually lasted 2-3 h. The day-11
embryos conformed to our previous defini-
TABLE 1
tions (Shepard et al., '70) which at the
Electrolyte composition of culture solutions start of the observations coincide with
Hank's Serum Medium
crown-rump length of 3 mm and a somite
Ion BSS (nominal) (approximate) count of 25. An increase in somite num-
meqll meqll meqll ber over those of littermate controls oc-
Na+ 142 140 140 curred during the experiment, indicating
K+ 5.8 4.9 5.1 continuing development of the embryos.
Ca++ 1.3 5.5 4.7 Four protocols were followed to analyze
Mg+ 0.9 2.1 1.8 the model. In each, before any drugs were
c1- 146 102 112
administered, the heartbeat of the em-
38 MAURICE ROBKIN, THOMAS H. SHEPARD AND DAVID BAUM

bryos was recorded for up to 20 min to Table 2 gives an outline of the three
ascertain that they were stable. In a given protocols followed with the cardiotropic
run each drug administration was fol- drugs. The time intervals indicated be-
lowed by a period of recording the heart tween injections are the smallest, average,
rates until they had stopped changing and largest values required to reach a
and the heart had reached a new stable steady state heart rate for a few minutes
rate. after the changes in heart rate for the
The effective response threshold doses various embryos that made up an experi-
in our preparations were established so mental group.
that by using only slightly larger dosages The assumption was made that in the
we might avoid approaching any maximal dosage range we worked with, the response
responses when drugs were used in com- was proportional to the concentration of
bination. The threshold concentrations in drug in the circulating medium. The data
the circulator were approximately 0.2 pg/ were analyzed on the basis of percentage
ml isoproterenol hydrochloride (Isuprel, change of heart rate per unit concentra-
Winthrop) and 25 pglml theophylline tion of circulating drugs. Composite plots
(Crystalline, Mallinkrodt). In our experi- were made by normalizing the data to the
ments we used approximately 0.5 pglml percentage changes corresponding to
isoproterenol and 50 pg/ml theophylline. 0.5 pglml isoproterenol, 0.6 pg/ml pro-
For each experiment isoproterenol and pranolol, and 50 pglml theophylline. All
propranolol were freshly diluted from the of the experiments used approximately
ampoul and theophylline was freshly dis- these concentrations so that the normali-
solved dry powder. zation allowed all of the runs in a given
The amounts added to the circulating protocol to be plotted on a single graph
medium were 4 pg of isoproterenol hydro- with a common basis for comparison.
chloride, 5 pg of propranolol hydrochloride RESULTS
(Inderal, Ayerst) (equimolar with the iso-
proterenol), and 425 pg of theophylline. Figures 1-3 show the composite results
The volume of solution added at each ad- for the three protocols involving the p-
ministration of drugs was 0.1 ml. The adrenergic receptor. A summary of these
volume of circulating medium in most of results is shown in table 3. Comparison of
these preparations is about 8 ml, so that the responses to isoproterenol and theo-
we are able to achieve reasonable titers phylline from protocol to protocol was
of introduced materials with relatively made based on Student’s t test (two-tailed).
small amounts. The medium used was As can be seen in table 2 and figure 2,
human serum, collected in the laboratory even though isoproterenol broke through
and stored frozen for short periods of time. the propranolol p-block in some cases, the
Shepard and Tanimura (‘70, private com- response was very reduced. We also see
munication) found no significant differ- that the hearts responded to theophylline
ences in the results of culturing rat em- even after the p-receptor was blocked by
bryos with rat serum or fresh human propranolol (table 3, figs. 2, 5).
serum. Figures 4-6 show a typical response of
In the first protocol the order of admin- a day-11 embryo to each protocol. These
istration of the drugs was isoproterenol, curves illustrate how closely the response
propranolol, and theophylline. In the sec- of the heart can be analyzed when the
ond, it was propranolol, isoproterenol, and embryo is monitored continuously during
theophylline. In the third, it was theo- a run. The heart rates shown are as
phylline, isoproterenol, and propranolol. recorded.
The amounts of drug administered in Methoxamine has not been reported to
the methoxamine experiments were 4, 8, have an effect other than to stimulate the
20, 100, 1000, and 40,000 pg injected into adrenergic a-receptors (Goodman and Gil-
approximately 10 ml of circulating medium man, ’70, p. 510). The usual physiological
in each case. New’s (’67) circulator was dose of methoxamine is approximately
used in the first three of these (4, 8, 20 pg) 7 mg for an adult human. This dose uni-
and the embryos were followed with the formly distributed in a 70-kg man’s serum
dissecting microscope. The PLASMOM would give a concentration of 2 pglml.
was used for all the other cases. With concentrations of methoxamine up
DRUG EFFECTS ON HEART RATE OF RAT EMBRYOS 39

to approximately 100 pglml of medium,


we were unable to observe an effect on
the heart rate of the day-11 embryos
tested. Visual examination of the yolk-sac
vessels with a dissecting microscope with
a comparator eyepiece did not indicate
any change in vessel diameter even with
a dose of 4000 pglml, which killed the
embryos.
In protocol 1 , isoproterenol was the first
drug administered. The resulting response
of the heart rate may be taken as repre-
sentative for isoproterenol administered
by itself. In protocol 3, theophylline was
the first drug administered and the re-
sponse in this case may be taken as rep-
resentative for theophylline. These changes
were taken as the reference responses for
the purpose of the discussion below.
In protocol 2 , a p-adrenergic blockade
was first established with propranolol, and
z m p - tested by next administering isoproterenol.
In the 14 embryos (day 11 of gestation)
examined, the heart was unresponsive in
8 of them and accelerated in 6 of them by
an amount that was greatly reduced from
the reference value. The average response
was a factor of 10 smaller than the refer-
ence response, indicating that the p-re-
ceptor was blocked. Following the isopro-
terenol, theophylline was administered.
The resulting acceleration of the heart
was not significantly different from the
reference increase seen in protocol 3,
which implies that the theophylline re-
sponse was not affected by the blockage
of the p receptor. On the other hand,
when theophylline followed isoproterenol
(protocol l), the resulting increase in the
heart rate was smaller than the reference
theophylline increase with marginal sig-
nificance ( P = 0.055). Similarly, when iso-
proterenol followed theophylline (protocol
3), the resulting increase due to the p
simulation was again smaller than the
reference, with marginal significance
( P = 0.055).
DISCUSSION
According to the model proposed by
Ahlquist ('48) the adrenergic receptors
acted upon by sympathomimetic drugs
can be classified according to whether
their stimulation results in excitation
(a-adrenergic receptors) or inhibition (p-
adrenergic receptors) of the cells on which
they are located. One prominent exception
40 MAURICE ROBKIN, THOMAS H. SHEPARD AND DAVID BAUM

35 Theophylline

30

PI

-
25
P
-.
$ 20
5
9,
h
15
2
\
c
10
P
9,

F
5

-
124 6 8 0 2 4 7
I
12
Time (min)
I I
20
-
112 4 6 8

Fig. 1 Summary of responses of day-11 embryo group subjected to protocol 1. All re-
sponses have been normalized (see text). Zero time mark represents actual time of adminis-
tration of each drug.

to this classification was the cardiac ex- the baroreceptor and cells of the heart.
citatory receptors which seem to be only Our results cannot directly distinguish
P me. between these. However, since no effect
According to this concept, a-adrenergic- on yolk-sac vessels was observed, the pe-
stimulating agents affect the heart only ripheral vessel a-receptors may not be
by the stimulation of a reflex originating functioning, if, in fact, yolk-sac vessels
from a peripheral receptor. Thus, in the have such receptors.
mature animal, methoxamine, an a-adren- In the model proposed by Sutherland
ergic stimulator, causes peripheral vaso- et al. ('68) the adrenergic p receptor is
constriction and increased blood pressure adenyl cyclase which catalyzes the forma-
leading to the bradycardiogenic vagal tion of cyclic-AMP within the cells of the
refiex arising in the carotid baroreceptor. receptor organ which in turn acts as sec-
In the absence of cardiac innervation ond messenger leading by a sequence of
this model would predict the absence of enzyme amplification steps to enhance-
any cardiac response to an a-adrenergic- ment of the rate of synthesis of the energy
stimulating drug. Since our studies were source for cardiac muscle. To function ef-
performed on embryos, at a dosage of up ficiently as a messenger the cyclic-AMP
to 1000 times the adult human physiolog- must be destroyed rapidly to preserve the
ical dose, the lack of a response is prob- control mechanism. With rapid destruction
ably consistent with an unresponsive or the level of cyclic-AMP is highly depend-
absent peripheral a receptor, an unre- ent upon the impulse rate of the sym-
sponsive peripheral vascular bed, or an pathetic nerves at the receptors. Inhibition
incomplete nervous reflex arc between of the phosphodiesterase that metabolizes
DRUG EFFECTS ON HEART RATE O F RAT EMBRYOS 41
1 Isoproterenol
35 -
Isoproterenol

30 -

4
n
12 4 6 8 12 4 6 8
Time ( m i n )
Fig. 2 Summary of responses of day-11 em-
z 25-
:.
-
:
c 20-
.s

bryo group subjected to protocol 2. Initial ad-


ministration of the p-blocker propranol is not

-
shown as there were no responses observed. Re-
sponses shown have been normalized (see text).
Zero time mark represents actual time of admin-
istration of each drug. b - r T - r l
0 2 4 6 8 2 4 6 8
the cyclic-AMP is equivalent to an increase Time (min)
of the impulse rate of the sympathetic Fig. 3 Summary of responses of day-11 rat
nerves (not yet present in the embryonic embryo group subjected to protocol 3. Final ad-
heart), resulting in an increased heart ministration of the p-blocker propranolol is not
rate. Similarly, addition of a p-adrenergic shown, but all embryos had strongly decelerated
heart rates. Responses shown have been normal-
stimulator is also equivalent to an increase ized (see text). Zero time mark represents actual
in the impulse rate of the sympathetic time of administration of each drug.
cardiac nerves.
Our results imply that the site of action administered. The increase due to the
of the p-adrenergic stimulator is proximal theophylline was considerably less than
in the chain of events to that of c-AMP, that due to the isoproterenol. Thus it can-
consistent with Sutherlands model. How- not be the case that the response to theo-
ever, the hypothesis that the actions are phylline brought the heart rate to any
completely independent is not firmly es- upper limit.
tablished. Even at the low dosages used The results may perhaps be explained
(2 X threshold) there was some indica- by a depletion during the initial accelera-
tion of a saturation effect. That is, in tion of some other required compound
both protocols 1 and 3, the following tachy- which leads to a reduced response with a
cardiogenic drug had a smaller effect per following drug. This hypothesis is consist-
unit dose. We may note that, in protocol ent with the observation in protocol 2 that
3, the observation of a reduced effect with if the initial acceleration due to isoproter-
isoproterenol is not consistent with Suther- enol is first inhibited by the p blockade
lands third criterion that theophylline then the theophylline response is not sig-
will potentiate a p-adrenergic stimulator nificantly different from the reference
(Sutherland et al., '68; Meyer, '70). response to theophylline. Such a model
This reduced effect is not simply that would also be consistent with the results
due to a limiting upper heart rate, since of protocol 1 if the recovery time for this
it was observed with protocol 1. In that compound were long compared to the in-
procedure, the initial isoproterenol accel- terval between the administration of iso-
eration was followed by propranolol which proterenol and theophylline. Unfortunate-
returned the heart rate essentially to base- ly, the level of significance for rejecting
line values before the theophylline was the hypothesis of additivity is sufficiently
42 MAURICE ROBKIN, THOMAS H. SHEPARD AND DAVID BAUM

TABLE 3

Summa?y of experimental results


Protocol 1 Protocol 2 Protocol 3

A B C D E F
Isoproterenol Theophylline Isoproterenol Theophylline Theophylline Isoproterenol

% Heartrate
change ( t SE)
per PcLglml 47r5 0.10 * 0.01 4.7+ 1.8 0.16rt0.02 0.15 & 0.02 37k2
Number of
embryos 11 11 14 14 11 10
P Reference B vs E Avs C DvsE Reference F vs A
0.055 < 0.001 N.S. 0.055
Values are based on Student’s t statistic for the differences between the isoproterenol response i n protocol 1 and the othe
protocols, and between the theophylline response in protocol 3 and the other protocols, with the hypothesis that all response
are the same. Isoproterenol is the first drug administered in protocol 1 and theophylline is the first drug administered i r
protocol 3. The positive value of the isoproterenol response in protocol 2 is the result of the drug breaking through the pro
pranolol blockade with small accelerations in 6 of the 14 cases. The heart-rate changes shown are computed per unit con
centration of circulating drug SO that the data making up the average value in a given column can be combined.

210
I
.F
:B 200

90.

80. 0
0
.54pgm/ml
I soproterenol
0
170. 0 +o 0 56 r g m /ml 0 . 0 0
0 4 Theophylline 0 .
0 . 0
.67p g m /m I 5 0
0 .
+ @

0
Propronolol 0 . 0
160. I I I I I i
10 20 30 40 50 60
Time (min)
Fig. 4 Detail of response of a day-11 rat embryo to protocol 1. Concentrations shown are
for this particular case.

ambiguous that any attempt at model and their stimulation leads to an increase
making must be taken as highly specu- in the transmitter, adenyl cyclase, and in
lative. “second messenger,” cyclic-AMP (Suther-
In summary, our results are consistent land et al., ’68), thence to an increase in
with the concept that there are only p- the energy source and tachycardia. By-
adrenergic receptors in the fetal rat heart passing the p receptor by directly affect-
DRUG EFFECTS ON HEART RATE OF RAT EMBRYOS 43

\ '"1 0
0
.
0 .

Propranolol Isoproterenol Theophylline


I50 I I I I i 1

2201
210

0
0
0

0
0

.63pgm/ml
* 0

0 .
Propronolol
O O . O O O O O

0 0 0 0 0 0.

eo
0
*
.51 p g r n / r n l
Isoprolerenol

- 4
55 p q m / rnl
Theophylline
160 1 I 1 I I I I
0 10 20 30 40 50 60
Time (min)
Fig. 6 Detail of response of a day-11 rat embryo to protocol 3. Concentrations shown are
for this particular case.

ing the level of cyclic-AMP with theophyl- LITERATURE CITED


line also leads to tachycardia. Our findings Adolph, E. F. 1965 Capacities for regulation of
are also in keeping with observations that heart rate in fetal, infant and adult rats. Am. J.
Physiol., 209: 1095-1105.
the rat heart is not innervated On Ahlquist, R. P. 1948 A study of adrenotropic
day 11 of gestation and O d Y drugs that receptors. Am. J. Physiol., 153: 586-600.
directly affect the heart wfl be effective. Gomez, H. 1958 The development of the in-
44 MAURICE ROBKIN, THOMAS H. SHEPARD AND DAVID BAUM

nervation of the heart i n the rat embryo. Anat. heart. J. Pharmacol. Exp. Ther., 133: 192-201.
Rec., 130: 53-71. New, D. A. T. 1967 Development of explanted
Goodman, L. S., and A. Gilman 1970 The Phar- rat embryos in circulating medium. J. Embryol.
macological Basis of Therapeutics. 4th Ed. Mac- Exp. Morph., 17: 513-525.
millan, New York. New, D. A. T., and K. F. Stein 1964 Cultiva-
Govier, W. C., N. C. Mosal, P. Whittington and tion of post-implantation mouse and rat em-
A. H. Broom 1966 Myocardial alpha and bryos on plasma clots. J. Embryol. Exp. Morph.,
beta adrenergic receptors as demonstrated by 12: 101-111.
atrial functional refractory-period changes. J. Nickerson, M., and G. C. M. Chan 1961 Block-
Pharmacol. Exp. Ther., 154: 255-263. ade of responses of isolated myocardium to
Hall, E. K. 1957 Acetylcholine and epinephrine epinephrine. J. Pharmacol. Exp. Ther., 133:
effects on the embryonic rat heart. J. Cell. Comp. 186191.
Physiol., 49: 187-200. Robkin, M., T. H. Shepard and T. Tanimura
Hogg, I. E. 1957 Developing innervation of the 1972 A new in vitro culture technique for rat
heart in the albino rat. Anat. Rec., 127: 470 embryos. Teratology, 5: 367-376.
(abst.). Shepard, T. H. 1969 Growth and development
Meyer, S. E. 1970 Adenylcyclase a s a compo- of the human embryo and fetus. In: Endocrine
nent of the adrenergic receptor. CIBA Sympo- and Genetic Diseases of Childhood. L. I. Gard-
sium on Molecular Properties of Drug Receptors. ner, ed. Saunders, Philadelphia, pp. 1-6.
R. Porter and M. OConner, eds. Churchill,
Shepard, T. H., T. Tanimura and M. Robkin
London. 1970 Energy metabolism in early mammalian
Moran, N. C., J. I. Moore, A. K. Holcomb and G.
Mushet 1962 Antagonism of adrenergically- embryos. Dev. Biol. Suppl., 4: 42-58.
induced cardiac arrythmias by dichloroisopro- Sutherland, E. W., G. A. Robinson and R. W.
terenol. J. Pharmacol. Ekp. Ther., 136: 327-335. Butcher 1968 Some aspects of the biological
Moran, N. C., and M. E. Perkins 1961 An eval- role of adenosine 3’,5’-monophosphate (cyclic-
uation of adrenergic blockade of the mammalian AMP, Circulation, 37: 279-306.

You might also like