“… 27 , 48 , 102 M 2 mAChR-stimulated, as well as adenosine receptor-stimulated, Gαi-dependent inhibition of adenylyl cyclase also contributes to cholinergic (and adenosinergic) slowing of HR since cAMP is essential for the operation of hyperpolarization-activated cyclic Nucleotide-gated (HCN)-4 channels, responsible for the generation of the pacemaker ‘funny’ current (If) in SA nodal pacemaker cells. 103 , 104 cAMP also enhances depolarizing Ca 2+ influx currents in AV nodal cells ( via PKA-mediated phosphorylation and opening of L-type calcium channels and of ryanodine receptor 2 channels), which is responsible for propagation of electrical conduction throughout the atria, AV node, and over to the ventricles (Purkinje fibers and Hiss bundle). 26 , 27 , 94 , 105 In other words, cAMP lowering reduces automaticity and induces negative dromotropy in the heart.…”