. The monosialosyl ganglioside GM-1 reduces the vagolytic efficacy of ␦ 2-opioid receptor stimulation. Am J Physiol Heart Circ Physiol 291: H2318 -H2326, 2006. First published June 30, 2006 doi:10.1152/ajpheart.00455.2006.-The cardiac enkephalin, methionine-enkephalin-arginine-phenylalanine (MEAP), alters vagally induced bradycardia when introduced by microdialysis into the sinoatrial (SA) node. The responses to MEAP are bimodal; lower doses enhance bradycardia and higher doses suppress bradycardia. The opposing vagotonic and vagolytic effects are mediated, respectively, by ␦1 and ␦2 phenotypes of the same receptor. Stimulation of the ␦1 receptor reduced the subsequent ␦2 responses. Experiments were conducted to test the hypothesis that the ␦-receptor interactions were mediated by the monosialosyl ganglioside GM-1. When the mixed agonist MEAP was evaluated after nodal GM-1 treatment, ␦1-mediated vagotonic responses were enhanced, and ␦2-mediated vagolytic responses were reduced. Prior treatment with the ␦ 1-selective antagonist 7-benzylidenaltrexone (BNTX) failed to prevent attrition of the ␦ 2-vagolytic response or restore it when added afterward. Thus the GM-1-mediated attrition was not mediated by ␦ 1 receptors or increased competition from ␦1-mediated vagotonic responses. When GM-1 was omitted, deltorphin produced a similar but less robust loss in the vagolytic response. In contrast, however, to GM-1, the deltorphin-mediated attrition was prevented by pretreatment with BNTX, indicating that the decline in response after deltorphin alone was mediated by ␦ 1 receptors and that GM-1 effectively bypassed the receptor. Whether deltorphin has intrinsic ␦ 1 activity or causes the release of an endogenous ␦ 1-agonist is unclear. When both GM-1 and deltorphin were omitted, the subsequent vagolytic response was more intense. Thus GM-1, deltorphin, and time all interact to modify subsequent ␦ 2-mediated vagolytic responses. The data support the hypothesis that ␦ 1-receptor stimulation may reduce ␦2-vagolytic responses by stimulating the GM-1 synthesis. bradycardia; deltorphin; heart rate THE SINOATRIAL (SA) node or cardiac pacemaker is densely innervated by sympathetic and parasympathetic nerve fibers that moderate automaticity through the local nodal release of norepinephrine and acetylcholine. In addition to direct innervation, multiple factors within the node modify both spontaneous activity and neurotransmitter release. Among these moderators, cardiac opioids appear to be potentially important neuromodulators (3, 9, 10).Proenkephalin mRNA is more abundant in the heart than most other tissues, including the brain (12). Enkephalins are found in the heart, and despite the stoichiometric advantage afforded met-enkephalin (ME), ME-arginine-phenylalanine (MEAP) concentrations are higher in the heart than any of the other three enkephalins (2, 19, 29). ME, leucine-enkephalin (LE), and MEAP have all been demonstrated to alter vagally induced bradycardia when introduced into the SA node by microdialysis (9 -11, 13). The op...