β-adrenergic reserve

β - 肾上腺素能储备
  • 文章类型: Journal Article
    Ca2+/钙调蛋白依赖性蛋白激酶II(CaMKII)上调有助于心血管疾病的发病机制,包括高血压.表达人血管紧张素原基因[TGR(hAGT)L1623]的转基因大鼠是一种新型的人源化高血压模型,与心脏收缩功能和β-肾上腺素能受体(AR)储备的下降有关。分子机制尚不清楚。我们检验了在TGR(hAGT)L1623大鼠中,左心室(LV)心肌细胞CaMKIIδ和β3-AR上调,但β1-AR下调,是导致心功能不全和β-AR脱敏的重要原因。
    我们比较了左心室肌细胞CaMKIIδ,CaMKIIδ磷酸化(在Thr287处)(pCaMKIIδ),以及β1-和β3-AR的表达,并确定了使用CaMKII抑制剂预处理和不预处理心肌细胞对β-AR刺激的心肌细胞功能和[Ca2]I瞬时([Ca2]iT)反应,KN-93(10-6米,30分钟)在雄性SpragueDawley(SD;N=10)对照和TGR(hAGT)L1623(N=10)成年大鼠中。
    TGR(hAGT)L1623大鼠的高血压伴随着LV心肌细胞β3-AR蛋白水平的显着升高和β1-AR蛋白水平的降低。CaMKIIδ磷酸化(在Thr287),pCaMKIIδ显著增加35%。这些变化伴随着显著降低的基底细胞收缩(dL/dtmax),弛豫(dR/dtmax),和[Ca2+]iT。异丙肾上腺素(10-8M)在dL/dtmax中产生明显较小的增加,dR/dtmax,和[Ca2+]iT。此外,仅在TGR(hAGT)L1623大鼠中,用KN-93(10-6M,30分钟)完全恢复了正常的基础和异丙肾上腺素刺激的心肌细胞收缩,放松,和[Ca2+]iT。
    LV心肌细胞CaMKIIδ过度激活以及β3-AR和β1-AR的相关对比变化可能是这种人源化高血压模型中异常收缩表型和β-AR脱敏的关键分子机制。
    UNASSIGNED: Upregulation of Ca2+/calmodulin-dependent protein kinase II (CaMKII) contributes to the pathogenesis of cardiovascular disease, including hypertension. Transgenic rats expressing the human angiotensinogen gene [TGR (hAGT)L1623] are a new novel humanized model of hypertension that associates with declines in cardiac contractile function and β-adrenergic receptor (AR) reserve. The molecular mechanisms are unclear. We tested the hypothesis that in TGR (hAGT)L1623 rats, left ventricular (LV) myocyte CaMKIIδ and β3-AR are upregulated, but β1-AR is down-regulated, which are important causes of cardiac dysfunction and β-AR desensitization.
    UNASSIGNED: We compared LV myocyte CaMKIIδ, CaMKIIδ phosphorylation (at Thr287) (pCaMKIIδ), and β1-and β3-AR expressions and determined myocyte functional and [Ca2+]I transient ([Ca2+]iT) responses to β-AR stimulation with and without pretreatment of myocytes using an inhibitor of CaMKII, KN-93 (10-6 M, 30 min) in male Sprague Dawley (SD; N = 10) control and TGR (hAGT)L1623 (N = 10) adult rats.
    UNASSIGNED: Hypertension in TGR (hAGT)L1623 rats was accompanied by significantly increased LV myocyte β3-AR protein levels and reduced β1-AR protein levels. CaMKIIδ phosphorylation (at Thr287), pCaMKIIδ was significantly increased by 35%. These changes were followed by significantly reduced basal cell contraction (dL/dtmax), relaxation (dR/dtmax), and [Ca2+]iT. Isoproterenol (10-8 M) produced significantly smaller increases in dL/dtmax, dR/dtmax, and [Ca2+]iT. Moreover, only in TGR (hAGT)L1623 rats, pretreatment of LV myocytes with KN-93 (10-6 M, 30 min) fully restored normal basal and isoproterenol-stimulated myocyte contraction, relaxation, and [Ca2+]iT.
    UNASSIGNED: LV myocyte CaMKIIδ overactivation with associated contrast changes in β3-AR and β1-AR may be the key molecular mechanism for the abnormal contractile phenotype and β-AR desensitization in this humanized model of hypertension.
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  • 文章类型: Journal Article
    目的:G蛋白偶联雌激素受体30(GPR30)的激动剂激活,G1在患有心力衰竭(HF)的女性中表现出有益的作用。最近的证据表明,它的心血管益处也可能包括男性。然而,GPR30激活是否以及如何限制HF进展并在男性中发挥有益作用尚不清楚.我们假设慢性G1治疗改善LV和心肌细胞功能,[Ca2+]i调节和β-肾上腺素能储备,从而限制了男性的HF进展。
    方法:我们比较了左心室(LV)和肌细胞功能,在对照雄性小鼠(12/组)和异丙肾上腺素诱导的HF(150mg/kgs.c.持续2天)中的[Ca2+]i瞬时([Ca2+]iT)和β-AR调节。注射异丙肾上腺素两周后,HF小鼠接受安慰剂,或G1(150μg/kg/天皮下微型泵)持续2周。
    结果:异丙肾上腺素治疗的小鼠在2周时表现出射血分数(HFpEF)保留的HF,并在4周时发展为EF(HFrEF)降低的HF,表现为弛豫的LV时间常数(τ)显著增加,降低EF和二尖瓣流量(dV/dtmax),伴随着减少的肌细胞收缩(dL/dtmax),弛豫(dR/dtmax)和[Ca2+]iT。急性异丙肾上腺素-超融合引起dL/dtmax显著较小的增加,dR/dtmax和[Ca2+]iT。HF中的G1治疗增加了EES的EF和LV收缩性的基础和异丙肾上腺素刺激的增加。重要的是,G1改善了基础和异丙肾上腺素刺激的dL/dtmax,dR/dtmax和[Ca2+]iT控制水平并恢复正常心脏β-AR亚型调制。
    结论:慢性G1治疗可恢复正常的基础肌细胞和β-AR刺激的收缩,放松,和[Ca2+]iT,从而逆转LV功能障碍并在HF的雄性小鼠模型中发挥挽救作用。
    OBJECTIVE: G protein-coupled estrogen receptor 30 (GPR30) activation by its agonist, G1, exhibits beneficial actions in female with heart failure (HF). Recent evidence indicates its cardiovascular benefits may also include male as well. However, whether and how GPR30 activation may limit HF progression and have a salutary role in males is unknown. We hypothesized that chronic G1 treatment improves LV and cardiomyocyte function, [Ca2+]i regulation and β-adrenergic reserve, thus limiting HF progression in male.
    METHODS: We compared left ventricle (LV) and myocyte function, [Ca2+]i transient ([Ca2+]iT) and β-AR modulation in control male mice (12/group) and isoproterenol-induced HF (150 mg/kg s.c. for 2 days). Two weeks after isoproterenol injection, HF mice received placebo, or G1 (150 μg/kg/day s.c. mini-pump) for 2 weeks.
    RESULTS: Isoproterenol-treated mice exhibited HF with preserved ejection fraction (HFpEF) at 2-weeks and progressed to HF with reduced EF (HFrEF) at 4-weeks, manifested by significantly increased LV time constant of relaxation (τ), decreased EF and mitral flow (dV/dtmax), which were accompanied by reduced myocyte contraction (dL/dtmax), relaxation (dR/dtmax) and [Ca2+]iT. Acute isoproterenol-superfusion caused significantly smaller increases in dL/dtmax, dR/dtmax and [Ca2+]iT. G1 treatment in HF increased basal and isoproterenol-stimulated increases in EF and LV contractility of EES. Importantly, G1 improved basal and isoproterenol-stimulated dL/dtmax, dR/dtmax and [Ca2+]iT to control levels and restored normal cardiac β-AR subtypes modulation.
    CONCLUSIONS: Chronic G1 treatment restores normal myocyte basal and β-AR-stimulated contraction, relaxation, and [Ca2+]iT, thereby reversing LV dysfunction and playing a rescue role in a male mouse model of HF.
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