101. Subtype-specific β-adrenoceptor signaling pathways in the heart and their potential clinical implications
- Author
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Rui-Ping Xiao, Richard A. Bond, Ming Zheng, Heping Cheng, Edward G. Lakatta, Khalid Chakir, and Weizhong Zhu
- Subjects
Pharmacology ,medicine.medical_specialty ,Adrenergic receptor ,Kinase ,Stimulation ,Biology ,Toxicology ,medicine.disease ,Cell biology ,chemistry.chemical_compound ,Endocrinology ,chemistry ,Cardiovascular Diseases ,Internal medicine ,Heart failure ,Ca2+/calmodulin-dependent protein kinase ,Receptors, Adrenergic, beta ,medicine ,Animals ,Humans ,Myocytes, Cardiac ,Phosphatidylinositol ,Signal transduction ,Protein kinase A ,Signal Transduction - Abstract
β-Adrenoceptor stimulation serves as the most powerful means to increase cardiac output in response to stress or exercise. However, sustained β-adrenoceptor stimulation promotes pathological cardiac remodeling such as myocyte hypertrophy and apoptosis, thus contributing to heart failure. Coexisting cardiac β-adrenoceptor subtypes, mainly β 1 -adrenoceptors and β 2 -adrenoceptors, activate different signaling cascades with β 1 -adrenoceptors coupling to G s and β 2 -adrenoceptors coupling to G s and G i pathways. As a result, sustained β 2 -adrenoceptor stimulation protects cardiomyocytes against apoptosis via a G i –phosphatidylinositol 3-kinase–protein kinase B pathway, whereas chronic β 1 -adrenoceptor stimulation induces myocyte hypertrophy and apoptosis by protein kinase A-independent activation of calmodulin kinase II signaling. These advances in our understanding of β-adrenoceptor subtype signaling identify the mechanisms that underlie the beneficial effects of β-adrenoceptor antagonists and delineate the rationale for combining β 1 -adrenoceptor blockade with β 2 -adrenoceptor activation as a potential therapy for heart failure.
- Published
- 2004