2001.-The effect of catecholamine depletion (induced by prior treatment with reserpine) was studied in Wistar rat ventricular myocytes using whole cell voltage-clamp methods. Two calcium-independent outward currents, the transient outward potassium current (I to) and the sustained outward potassium current (I sus), were measured. Reserpine treatment decreased tissue norepinephrine content by 97%. Action potential duration in the isolated perfused heart was significantly increased in reserpine-treated hearts. In isolated ventricular myocytes, Ito density was decreased by 49% in reserpine-treated rats. This treatment had no effect on Isus. The Ito steady-state inactivation-voltage relationship and recovery from inactivation remained unchanged, whereas the conductance-voltage activation curve for reserpine-treated rats was significantly shifted (6.7 mV) toward negative potentials. The incubation of myocytes with 10 M norepinephrine for 7-10 h restored Ito, an effect that was abolished by the presence of actinomycin D. Norepinephrine (0.5 M) had no effect on I to. However, in the presence of both 0.5 M norepinephrine and neuropeptide Y (0.1 M), I to density was restored to its control value. These results suggest that the sympathetic nervous system is involved in Ito regulation. Sympathetic norepinephrine depletion decreased the number of functional channels via an effect on the ␣-adrenergic cascade and norepinephrine is able to restore expression of Ito channels.heart; denervation; adrenergic system; neuropeptide Y TRANSIENT OUTWARD POTASSIUM CURRENT (I to ) and sustained outward potassium current (I sus ) play an important role in the regulation of action potential plateau amplitude and duration. Downregulation of these repolarizing currents increases the duration of the action potential (26) and may be involved in the genesis of arrhythmia by increasing the heterogeneity of action potential duration. I to amplitude is regulated by ␣ 1 -agonists in rat ventricular myocytes (2, 4) and by -adrenergic agonists in canine Purkinje fibers (27). Both effects inducing a decrease in I to are modulated by phosphorylation. A marked decrease in I to density has been reported in various cardiac diseases including subacute myocardial infarction (22), myocardial hypertrophy (3, 5), hypertrophic cardiomyopathy (25), Xlinked muscular dystrophy (32), diabetes (16), and the acute phase of Chagas' disease (31).The mechanisms underlying the reduction of I to are not fully understood. Some lines of evidence suggest that the expression of I to is modulated by a trophic effect of the sympathetic nervous system. Three different models associating a decrease in I to with a decrease in sympathetic innervation have been studied. In Chagas' disease, the sympathetic nerve terminals are destroyed (23). This destruction occurs at the same time as a marked decrease in I to density during the acute phase of the disease (14, 31). In this model, a 24-h application of norepinephrine restored I to to normal values via adrenergic stimulation of protei...