Chronic [beta]-blockade reduces anti-adrenergic cardiac effects of
adenosine and carbachol by transregulation of inhibitory receptors
and giproteins.
Borst, Mathias M., Rainer Marquetant, Wolfgang K[umlaut]ubler, and
Ruth H. Strasser.
Department of Cardiology, University of Heidelberg, 69115
Heidelberg, Germany
APStracts 3:0533H, 1996.
Chronic blockade of stimulatory [beta]-adrenergic receptors may
decrease inhibitory receptors of the adenylyl cyclase signal
transduction sy stem. This transregulation process might reduce the
negative inotropic response of the myocardium to inhibitory receptor
stimulation. To test this, rats were treated for 6 days with the
[beta]-blocker atenolol (2 mg/d, i.p.). The density of [beta]
-adrenergic receptors in cardiac plasma membranes increased from 49+/
-6 to 75+/-9 fmol/mg protein (+/-SEM; p = 0.053), whereas muscarinic
M2 receptors significantly decreased (105+/-10 vs. 155+/-15 fmol/mg
protein; p = 0.05). Moreover, the a-subunit of inhibitory G
proteins was reduced by 36 % (p = 0.05) as shown by immunoblot
analysis. The functional responses of isolated perfused hearts to
inhibitory agonists after prestimulation with isoproterenol (3
nmol/l) were significantly blunted after treatment with atenolol. The
Ki-value for the negative inotropic response of dP/dtmax to adenosine
was elevated from 5.9+/-1.7 to 24.0+/-2.5 [mu]mol/l (p = 0.001). A
similar rightward shift of the dose response curve was observed for
the effects on left ventricular pressure and with carbachol. In
summary, chronic [beta]-blockade leads to a coordinate
transregulation of inhibitory receptors and inhibitory Gi proteins.
Functionally, chronic [beta]-blockade reduces the negative inotropic
effects of inhibitory receptor activation during catecholamine
stimulation of the heart. This newly characterized mechanism may
contribute to the beneficial effects of [beta]-blocker therapy in
chronic heart failure.
Received 29 January 1996; accepted in final form 6 November 1996.
APS Manuscript Number H83-6.
Article publication pending Am. J. Physiol. (Heart Circ. Physiology).
ISSN 1080-4757 Copyright 1996 The American Physiological Society.
Published in APStracts on 31 December 1996