Department of Pharmacology, Escola Paulista de Medicina, Universidade Federal de São Paulo (UNIFESP), Rua Três de Maio, 100-3° Andar, São Paulo, 04044-020, Brazil.
Naunyn Schmiedebergs Arch Pharmacol. 2018 May;391(5):513-522. doi: 10.1007/s00210-018-1482-8. Epub 2018 Feb 22.
Hypertension is a risk factor for cardiovascular diseases, which have been associated with dysfunction of sympathetic and purinergic neurotransmission. Therefore, herein, we evaluated whether modifications of adenosine receptor signaling may contribute to the cardiac dysfunction observed in hypertension. Isolated right atria from spontaneously hypertensive (SHR) or normotensive Wistar rats (NWR) were used to investigate the influence of adenosine receptor signaling cascade in the cardiac chronotropism. Our results showed that adenosine, the endogenous agonist of adenosine receptors, and CPA, a selective agonist of A receptor, decreased the atrial chronotropism of NWR and SHR in a concentration- and time-dependent manner, culminating in cardiac arrest (0 bpm). Interestingly, a 3-fold lower concentration of adenosine was required to induce the negative chronotropic effect in SHR atria. Pre-incubation of tissues from both strains with DPCPX, a selective A receptor antagonist, inhibited the negative chronotropic effect of CPA, while simultaneous inhibition of A and A receptors, with ZM241385 and MRS1523, did not change the adenosine chronotropic effects. Moreover, 1 μg/ml pertussis toxin, which inactivates the Gαi protein subunit, reduced by 80% the negative chronotropic effects of adenosine in the NWR atrium, with minor effects in SHR tissue. These data indicate that the negative chronotropic effect of adenosine in right atrium depends exclusively on the activation of A receptors. Moreover, the distinct responsiveness of NWR and SHR atria to pertussis toxin reveals that the enhanced negative chronotropic response of SHR right atrium is probably due to an increased activity of Gαi protein-mediated.
高血压是心血管疾病的一个风险因素,而心血管疾病与交感神经和嘌呤能神经递质功能障碍有关。因此,我们在此评估了腺苷受体信号的改变是否可能导致高血压中观察到的心脏功能障碍。我们使用来自自发性高血压(SHR)或正常血压 Wistar 大鼠(NWR)的分离右心房来研究腺苷受体信号级联在心脏变时作用中的影响。我们的结果表明,内源性腺苷受体激动剂腺苷和 A 受体选择性激动剂 CPA 以浓度和时间依赖性方式降低了 NWR 和 SHR 的心房变时作用,最终导致心脏骤停(0 bpm)。有趣的是,在 SHR 心房中,需要低 3 倍浓度的腺苷即可诱导负性变时作用。两种品系的组织用 DPCPX(A 受体选择性拮抗剂)预孵育可抑制 CPA 的负性变时作用,而同时抑制 A 和 A 受体,用 ZM241385 和 MRS1523,不会改变腺苷的变时作用。此外,1μg/ml 百日咳毒素可使 NWR 心房中腺苷的负性变时作用降低 80%,而对 SHR 组织的影响较小。这些数据表明,右心房中腺苷的负性变时作用完全依赖于 A 受体的激活。此外,NWR 和 SHR 心房对百日咳毒素的不同反应表明,SHR 右心房增强的负性变时反应可能归因于 Gαi 蛋白介导的活性增加。