Beenen O H, Batink H D, Pfaffendorf M, van Zwieten P A
Department of Pharmacotherapy, University of Amsterdam, Academic Medical Centre, The Netherlands.
Blood Press. 1997 Jan;6(1):44-51. doi: 10.3109/08037059709086445.
Myocardial beta-adrenoceptors and inotropic responses to beta-adrenoceptor agonists were studied in isolated hearts obtained from diabetic and/or hypertensive rats. Streptozotocin diabetic Wistar Kyoto rats (WKY) and spontaneously hypertensive rats (SHR), as well as normoglycaemic SHR-stroke prone rats were used. At the age of 18-20 weeks, beta-adrenoceptor density was assessed in the left ventricle and isolated hearts were perfused according to Langendorff. Concentration response curves were made for dobutamine, salbutamol and the adenylyl cyclase activator forskolin. In both SHR and SHR-SP preparations a blunted inotropic response to beta-adrenoceptor stimulation was observed, although responses to forskolin and beta-adrenoceptor density and affinity were not different from those in normotensive hearts. In hearts taken from diabetic WKY and SHR, a decrease in beta-adrenoceptor density was observed, but no parallel blunted response to beta-adrenoceptor stimulation occurred. Moreover, the absolute (and percentual) inotropic responses to dobutamine and forskolin were increased in hearts from diabetic SHR when compared to their hypertensive normoglycaemic controls. These results suggest an impaired activity of the stimulatory G-protein in hearts obtained from hypertensive rats, whereas the simultaneous occurrence of hypertension and diabetes may result in a compensatory increase in activity of the adenylyl cyclase activated pathway.
在从糖尿病和/或高血压大鼠获取的离体心脏中,研究了心肌β-肾上腺素能受体以及对β-肾上腺素能受体激动剂的变力反应。使用了链脲佐菌素诱导的糖尿病Wistar Kyoto大鼠(WKY)、自发性高血压大鼠(SHR)以及血糖正常的SHR-易卒中型大鼠。在18至20周龄时,评估左心室中的β-肾上腺素能受体密度,并根据Langendorff法对离体心脏进行灌注。绘制了多巴酚丁胺、沙丁胺醇和腺苷酸环化酶激活剂福斯高林的浓度反应曲线。在SHR和SHR-SP制剂中,均观察到对β-肾上腺素能受体刺激的变力反应减弱,尽管对福斯高林的反应以及β-肾上腺素能受体密度和亲和力与正常血压心脏中的情况并无差异。在取自糖尿病WKY和SHR的心脏中,观察到β-肾上腺素能受体密度降低,但对β-肾上腺素能受体刺激并未出现相应的反应减弱。此外,与高血压血糖正常的对照组相比,糖尿病SHR心脏对多巴酚丁胺和福斯高林的绝对(和百分比)变力反应增强。这些结果表明,高血压大鼠心脏中刺激性G蛋白的活性受损,而高血压和糖尿病同时存在可能导致腺苷酸环化酶激活途径的活性出现代偿性增加。