Xiao R P, Tomhave E D, Wang D J, Ji X, Boluyt M O, Cheng H, Lakatta E G, Koch W J
Laboratory of Cardiovascular Science, Gerontology Research Center, National Institute on Aging, Baltimore, Maryland 21224, USA.
J Clin Invest. 1998 Mar 15;101(6):1273-82. doi: 10.1172/JCI1335.
While an age-associated diminution in myocardial contractile response to beta-adrenergic receptor (beta-AR) stimulation has been widely demonstrated to occur in the context of increased levels of plasma catecholamines, some critical mechanisms that govern beta-AR signaling must still be examined in aged hearts. Specifically, the contribution of beta-AR subtypes (beta1 versus beta2) to the overall reduction in contractile response with aging is unknown. Additionally, whether G protein-coupled receptor kinases (GRKs), which mediate receptor desensitization, or adenylyl cyclase inhibitory G proteins (Gi) are increased with aging has not been examined. Both these inhibitory mechanisms are upregulated in chronic heart failure, a condition also associated with diminished beta-AR responsiveness and increased circulatory catecholamines. In this study, the contractile responses to both beta1-AR and beta2-AR stimulation were examined in rat ventricular myocytes of a broad age range (2, 8, and 24 mo). A marked age-associated depression in contractile response to both beta-AR subtype stimulation was observed. This was associated with a nonselective reduction in the density of both beta-AR subtypes and a reduction in membrane adenylyl cyclase response to both beta-AR subtype agonists, NaF or forskolin. However, the age-associated diminutions in contractile responses to either beta1-AR or beta2-AR stimulation were not rescued by inhibiting Gi with pertussis toxin treatment. Further, the abundance or activity of beta-adrenergic receptor kinase, GRK5, or Gi did not significantly change with aging. Thus, we conclude that the positive inotropic effects of both beta1- and beta2-AR stimulation are markedly decreased with aging in rat ventricular myocytes and this is accompanied by decreases in both beta-AR subtype densities and a reduction in membrane adenylate cyclase activity. Neither GRKs nor Gi proteins appear to contribute to the age-associated reduction in cardiac beta-AR responsiveness.
虽然与年龄相关的心肌对β-肾上腺素能受体(β-AR)刺激的收缩反应减弱已在血浆儿茶酚胺水平升高的情况下得到广泛证实,但一些控制β-AR信号传导的关键机制在老年心脏中仍需研究。具体而言,β-AR亚型(β1与β2)对随着年龄增长收缩反应总体降低的贡献尚不清楚。此外,介导受体脱敏的G蛋白偶联受体激酶(GRK)或腺苷酸环化酶抑制性G蛋白(Gi)是否随着年龄增长而增加尚未得到研究。这两种抑制机制在慢性心力衰竭中均上调,慢性心力衰竭也是一种与β-AR反应性降低和循环儿茶酚胺增加相关的病症。在本研究中,检测了广泛年龄范围(2、8和24个月)的大鼠心室肌细胞对β1-AR和β2-AR刺激的收缩反应。观察到对两种β-AR亚型刺激的收缩反应均有明显的与年龄相关的抑制。这与两种β-AR亚型密度的非选择性降低以及对两种β-AR亚型激动剂、NaF或福斯可林的膜腺苷酸环化酶反应降低有关。然而,用百日咳毒素处理抑制Gi并不能挽救对β1-AR或β2-AR刺激的收缩反应的与年龄相关的降低。此外,β-肾上腺素能受体激酶、GRK5或Gi的丰度或活性并未随着年龄增长而显著变化。因此,我们得出结论,在大鼠心室肌细胞中,β1-和β2-AR刺激的正性肌力作用均随着年龄增长而显著降低,这伴随着β-AR亚型密度的降低和膜腺苷酸环化酶活性的降低。GRK和Gi蛋白似乎均未导致心脏β-AR反应性与年龄相关的降低。