The heart has a “little brain” to control the heartbeat

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For a long time, the heart was thought to operate under the sole control of the autonomic nervous system, which relays signals from the brain. The heart’s neural network, embedded in its outer layers, was believed to simply pass along these brain instructions.

However, groundbreaking research now reveals that the heart has its own complex nervous system, with significant control over its rhythm.

A recent study, published in Nature Communications on December 4, 2024, sheds light on this remarkable discovery. Conducted by scientists at Karolinska Institutet in Sweden, the research uncovers the advanced role of the heart’s “little brain” in maintaining and regulating the heartbeat.

“This intricate network of neurons within the heart has a crucial role in controlling its rhythm, much like how the brain manages other rhythmic functions such as breathing and movement,” said Dr. Konstantinos Ampatzis, the study’s lead researcher.

The researchers identified several types of neurons within the heart, including a group with pacemaker properties responsible for maintaining a steady heartbeat. This finding challenges long-held beliefs about how the heartbeat is regulated and opens up possibilities for new medical insights.

The study used zebrafish as a model organism due to its similarity to human heart function and heart rate.

By employing advanced techniques such as single-cell RNA sequencing, anatomical mapping, and electrophysiological studies, the team was able to analyze the organization and function of the heart’s neuronal network in detail.

“We were surprised by the complexity of the nervous system within the heart,” Dr. Ampatzis remarked. “This understanding could lead to better insights into heart diseases and contribute to developing treatments for conditions like arrhythmias.”

The implications of this research extend beyond understanding the heartbeat. The scientists are now exploring how the heart’s “little brain” interacts with the actual brain during various conditions, such as physical activity, stress, or illness.

Disruptions in this neural network may be linked to heart disorders, offering potential therapeutic targets.

“Our next steps involve studying how the heart’s neurons work together with the brain to regulate cardiac function under different circumstances,” Dr. Ampatzis explained.

“We hope this work will pave the way for new treatments by identifying how disturbances in this system contribute to diseases.”

This discovery not only redefines our understanding of the heart’s role but also underscores the importance of its intrinsic nervous system in maintaining overall heart health.

By revealing the heart’s ability to self-regulate, the study provides hope for improved treatments for heart disorders and arrhythmias, benefiting patients worldwide.

The research was a collaborative effort between Karolinska Institutet and Columbia University in the United States, combining expertise from multiple disciplines to uncover the hidden complexities of the heart’s nervous system.

These findings mark a significant step forward in understanding the intricate relationship between the brain and the heart.

If you care about heart health, please read studies that yogurt may help lower the death risks in heart disease, and coconut sugar could help reduce artery stiffness.

For more information about health, please see recent studies that Vitamin D deficiency can increase heart disease risk, and results showing vitamin B6 linked to lower death risk in heart disease.

The research findings can be found in Nature Communications.

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