Kudej R K, Iwase M, Uechi M, Vatner D E, Oka N, Ishikawa Y, Shannon R P, Bishop S P, Vatner S F
Cardiovascular and Pulmonary Research Institute, Allegheny University of the Health Sciences, Pittsburgh, PA 15212, USA.
J Mol Cell Cardiol. 1997 Oct;29(10):2735-46. doi: 10.1006/jmcc.1997.0508.
The goal of the present study was to determine the effects of chronic beta-adrenergic receptor stimulation with isoproterenol (ISO) on cardiac tissue, systemic trophic changes and on beta-adrenergic receptor desensitization in mice. Mice (n=36) received continuous ISO (30 microg/g/day) via osmotic minipump for 13 days. Left ventricle (LV)/body weight (BW) ratio was increased by 27% in ISO v control (CON) mice. The extent of cardiac hypertrophy induced by chronic ISO was offset in part by concomitant increases in body weight, which were greater in ISO than CON mice (22 v 8%), and occurred with increases in both muscle mass and brown fat to BW ratios. Histological analysis of mice revealed a three-fold increase in subendocardial interstitial connective tissue with no evidence of acute cellular necrosis or chronic inflammation. Acute i.v. ISO challenges induced dose-dependent increases in LV fractional shortening (FS) and ejection fraction (EF) using echocardiography (9 MHz), which were attenuated after chronic ISO, i.e. physiological desensitization was observed. Cellular mechanisms of beta-adrenergic receptor desensitization included decreases in beta-adrenergic receptor density (-49%) and decreased basal (-45%) and ISO-stimulated (-61%) adenylyl cyclase activities. Lesser decreases in forskolin-stimulated adenylyl cyclase activity (-16%) and adenylyl cyclase mRNA levels for both type V (-17%) and type VI (-23%) isoforms were observed following chronic ISO. Thus, chronic ISO (30 microg/g/day) induced cardiac hypertrophy without cellular necrosis, increased weight gain and clear physiological desensitization in mice, with more extensive biochemical mechanisms than expected from simple catecholamine-specific (homologous) desensitization.
本研究的目的是确定用异丙肾上腺素(ISO)对小鼠进行慢性β-肾上腺素能受体刺激对心脏组织、全身营养变化以及β-肾上腺素能受体脱敏的影响。36只小鼠通过渗透微型泵持续接受ISO(30微克/克/天),持续13天。与对照(CON)小鼠相比,ISO组小鼠的左心室(LV)/体重(BW)比值增加了27%。慢性ISO诱导的心脏肥大程度部分被体重的同时增加所抵消,ISO组小鼠的体重增加幅度大于CON组小鼠(22%对8%),且肌肉质量和棕色脂肪与体重的比值均增加。对小鼠的组织学分析显示,心内膜下间质结缔组织增加了三倍,没有急性细胞坏死或慢性炎症的迹象。急性静脉注射ISO刺激通过超声心动图(9兆赫)诱导左心室缩短分数(FS)和射血分数(EF)呈剂量依赖性增加,慢性ISO刺激后这些增加减弱,即观察到生理性脱敏。β-肾上腺素能受体脱敏的细胞机制包括β-肾上腺素能受体密度降低(-49%)以及基础腺苷酸环化酶活性降低(-45%)和ISO刺激的腺苷酸环化酶活性降低(-61%)。慢性ISO刺激后,福斯高林刺激的腺苷酸环化酶活性降低幅度较小(-16%),V型(-17%)和VI型(-23%)同工型的腺苷酸环化酶mRNA水平也有所降低。因此,慢性ISO(30微克/克/天)在小鼠中诱导了无细胞坏死的心脏肥大、体重增加和明显的生理性脱敏,其生化机制比单纯儿茶酚胺特异性(同源)脱敏预期的更为广泛。