ALTERATIONS OF BETA-ADRENOCEPTOR-G-PROTEIN-REGULATED ADENYLYL-CYCLASE IN HEART-FAILURE

被引:75
作者
BOHM, M
机构
[1] Klinik III für Innere Medizin der Universität zu Köln, Köln, 50924
关键词
ADENYLYL CYCLASE; BETA-ADRENOCEPTORS; G-PROTEINS; HEART FAILURE; CARDIOMYOPATHY;
D O I
10.1007/BF00944795
中图分类号
Q2 [细胞生物学];
学科分类号
071009 ; 090102 ;
摘要
Alterations of receptor-G-protein-regulated adenylyl cyclase activity have been suggested to represent an important alteration leading to contractile dysfunction in the failing human heart. Recent experiments suggest that the beta(1)-adrenoceptor (beta(1)AR) density and mRNA levels are reduced, while beta(2)-adrenoceptors and stimulatory G-proteins are unchanged (mRNA and protein level). Functional assays demonstrated that the catalyst of the adenylyl cyclase is not different between failing and nonfailing myocardium. Inhibitory G-proteins are increased (pertussis toxin substrates, protein and mRNA) and correlate to the reduced inotropic effects of beta-adrenoceptor agonists and of cAMP-PDE inhibitors. Gi alpha-coupled m-cholinoceptors and A(1)-adrenergic receptors are unchanged in density and affinity. Stimulation of these receptors resulted in an unchanged antiadrenergic effect on force of contraction. In conclusion, a downregulation of beta(1)AR and an increase of Gi alpha have been observed as signal transduction alteration in failing human myocardium. These alterations are due to alterations of gene expression in the failing heart and are related to a defective regulation of force of contraction in heart failure.
引用
收藏
页码:147 / 160
页数:14
相关论文
共 81 条
  • [1] Packer M., Neurohormonal interactions and adaptations, in congestive heart failure, Circulation, 77, pp. 721-730, (1988)
  • [2] Swedberg K., Eneroth P., Kjekshus J., Wilhelen L., Hormones regulating cardiovascular function in patients with severe congestive heart failure and their relation to mortality, Circulation, 82, pp. 1730-1736, (1990)
  • [3] Swedberg K., Viquerat C., Rouleau J.L., Roizen M., Atherton B., Parmley W.W., Chatterjee K., Comparison of myocardial catecholamine balance in chronic congestive heart failure and in angina pectoris without failure, Am J Cardiol, 54, pp. 783-789, (1984)
  • [4] Bristow, Anderson F.L., Port D.P., Skerl L., Hershberger R.S., Larabee P., O'Conell J.B., Renlund D.G., Volkman K., Murray J., Feldman A.M., Differences in β-adrenergic neuroeffector mechanisms in ischemic versus idiopathic dilated cardiomyopathy, Circulation, 84, pp. 1024-1039, (1991)
  • [5] Lohse M.J., Mechanisms of β-adrenergic receptor desensitization, Signal Transmission in Photoreceptor Systems, pp. 160-171, (1992)
  • [6] Hausdorff W.P., Caron M.G., Lefkowitz R.J., Turning off the signal: Desensitization of β-adrenergic receptor function, FASEB J, 4, pp. 2881-2889, (1990)
  • [7] Hadcock J.R., Malbon C.C., Regulation of receptor expression by agonists: Transcriptional and posttranscriptional controls, Trends Neurosci, 14, pp. 242-247, (1991)
  • [8] Lohse M.J., Benovic J.L., Codina J., Caron M.G., Lefkowitz R.J., β-Arrestin: A protein that regulates β-adrenergic receptor function, Science, 248, pp. 1547-1550, (1990)
  • [9] Lohse M.J., Benovic J.L., Caron M.G., Lefkowitz R.J., Multiple pathways of rapid β<sub>2</sub>-adrenergic receptor densitization, J Biol Chem, 265, pp. 3202-3209, (1990)
  • [10] Clark R.B., Kunkel M.W., Friedman J., Goka T.J., Johnson J.A., Activation of cAMP-dependent protein kinase is required for heterologous desensitization of adenylyl cyclase in S49 wild-type lymphoma cells, Proc Natl Acad Sci USA, 85, pp. 1442-1446, (1988)