Reverse Na+/Ca2+-exchange mediated Ca2+-entry and noradrenaline release in Na+-loaded peripheral sympathetic nerves

³H]noradrenaline (³H]NA) released from sympathetic nerves in the isolated main pulmonary artery of the rabbit was measured in response to field stimulation (2 Hz, 1 ms, 60 V for 3 min) in the presence of uptake blockers (cocaine, 3 × 10⁻⁵ M and corticosterone, 5 × 10⁻⁵ M). The ³H]NA-release was fully blocked by the combined application of the selective and irreversible ‘N-type’ voltage-sensitive Ca²⁺-channel (VSCC)-blocker ω-conotoxin (ω-CgTx) GVIA (10⁻⁸ M) and the ‘non-selective’ VSCC-blocker aminoglycoside antibiotic neomycin (3 × 10⁻³ M). Na⁺-loading (Na⁺-pump inhibition by K⁺-free perfusion) was required to elicit further NA-release after blockade of VSCCs (ω-CgTx GVIA + neomycin). In K⁺-free solution, in the absence of functioning VSCCs (ω-CgTx GVIA + neomycin), the fast Na⁺-channel activator veratridine (10⁻⁵ M) further potentiated the nerve-evoked release of ³H]NA. This NA-release was significantly inhibited by KB-R7943, and fully blocked by $\text{C}{\text{a}}_{\text{o}}^{2+}-\text{removal}$. However, Li⁺-substitution was surprisingly ineffective. The non-selective K⁺-channel blocker 4-aminopyridine (4-AP, 10⁻⁴ M) also further potentiated the nerve-evoked release of NA in K⁺-free solution. This potentiated release was concentration-dependently inhibited by KB-R7943, significantly inhibited by Li⁺-substitution and abolished by $\text{C}{\text{a}}_{\text{o}}^{2+}-\text{removal}$.It is concluded that in Na⁺-loaded sympathetic nerves, in which the VSCCs are blocked, the reverse Na⁺/Ca²⁺-exchange-mediated Ca²⁺-entry is responsible for transmitter release on nerve-stimulation. Theoretically we suppose that the fast Na⁺-channel and the exchanger proteins are close to the vesicle docking sites.