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心脏肥大和心力衰竭中β-肾上腺素能受体信号转导系统的状态

Status of β-Adrenoceptor Signal Transduction System in Cardiac Hypertrophy and Heart Failure.

作者信息

Dhalla Naranjan S, Bhullar Sukhwinder K, Adameova Adriana, Mota Karina Oliveira, de Vasconcelos Carla Maria Lins

机构信息

Institute of Cardiovascular Sciences, St. Boniface Hospital Albrechtsen Research Centre, and Department of Physiology and Pathophysiology, Max Rady College of Medicine, University of Manitoba, Winnipeg, MB R2H 2A6, Canada.

Department of Pharmacology and Toxicology, Faculty of Pharmacy, Comenius University and Centre of Experimental Medicine, Institute for Heart Research, Slovak Academy of Sciences, 811 03 Bratislava, Slovakia.

出版信息

Rev Cardiovasc Med. 2023 Sep 21;24(9):264. doi: 10.31083/j.rcm2409264. eCollection 2023 Sep.

Abstract

Although -adrenoceptor ( -AR) signal transduction, which maintains cardiac function, is downregulated in failing hearts, the mechanisms for such a defect in heart failure are not fully understood. Since cardiac hypertrophy is invariably associated with heart failure, it is possible that the loss of -AR mechanisms in failing heart occurs due to hypertrophic process. In this regard, we have reviewed the information from a rat model of adaptive cardiac hypertrophy and maladaptive hypertrophy at 4 and 24 weeks after inducing pressure overload as well as adaptive cardiac hypertrophy and heart failure at 4 and 24 weeks after inducing volume overload, respectively. Varying degrees of alterations in -AR density as well as isoproterenol-induced increases in cardiac function, intracellular -concentration in cardiomyocytes and adenylyl cyclase activity in crude membranes have been reported under these hypertrophic conditions. Adaptive hypertrophy at 4 weeks of pressure or volume overload showed unaltered or augmented increases in the activities of different components of -AR signaling. On the other hand, maladaptive hypertrophy due to pressure overload and heart failure due to volume overload at 24 weeks revealed depressions in the activities of -AR signal transduction pathway. These observations provide evidence that -AR signal system is either unaltered or upregulated in adaptive cardiac hypertrophy and downregulated in maladaptive cardiac hypertrophy or heart failure. Furthermore, the information presented in this article supports the concept that downregulation of -AR mechanisms in heart failure or maladaptive cardiac hypertrophy is not due to hypertrophic process . It is suggested that a complex mechanism involving the autonomic imbalance may be of a critical importance in determining differential alterations in non-failing and failing hearts.

摘要

虽然维持心脏功能的β-肾上腺素能受体(β-AR)信号转导在衰竭心脏中下调,但其在心力衰竭中出现这种缺陷的机制尚未完全明确。由于心脏肥大总是与心力衰竭相关联,因此衰竭心脏中β-AR机制的丧失可能是由于肥大过程所致。在这方面,我们回顾了分别在压力超负荷诱导后4周和24周的适应性心脏肥大和失适应性肥大大鼠模型,以及容量超负荷诱导后4周和24周的适应性心脏肥大和心力衰竭的相关信息。据报道,在这些肥大条件下,β-AR密度有不同程度的改变,以及异丙肾上腺素诱导的心脏功能增强、心肌细胞内钙离子浓度升高和粗制膜中腺苷酸环化酶活性增强。压力或容量超负荷4周时的适应性肥大显示β-AR信号不同组分的活性未改变或增强。另一方面,压力超负荷导致的失适应性肥大和容量超负荷导致的心力衰竭在24周时显示β-AR信号转导途径的活性降低。这些观察结果提供了证据,即β-AR信号系统在适应性心脏肥大中未改变或上调,而在失适应性心脏肥大或心力衰竭中下调。此外,本文提供的信息支持这样一种观点,即心力衰竭或失适应性心脏肥大中β-AR机制的下调不是由于肥大过程。有人提出,涉及自主神经失衡的复杂机制可能在决定非衰竭心脏和衰竭心脏的差异改变中起关键作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fe62/11270071/3548b19c4355/2153-8174-24-9-264-g1.jpg

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