The effects of conditions that either increase or decrease heart rate on the pharmacological properties of adenosine receptors in cultured rat myocytes were examined. Levels of A 1 adenosine receptors, following prolonged treatment with electrical stimulation (ES) or the antiarrhythmic drug amiodarone, were determined using radioligand binding with the specific A 1 receptor antagonist [ 3 H]1,3-dipropyl-8-cyclopentylxanthine (CPX). The effects of lowering temperature were also explored. Exposure to amiodarone for 4 days reduced the density of A 1 receptors by 19% (from 24.7 ± 0.4 to 20.09 ± 0.3 fmol/dish) and inhibited the rate of contraction by 60% (from 188 ± 16 to 76 ± 30 beats/min), without changing the receptor affinity, protein content, creatine kinase (CK) activity or cell number. Electrical stimulation at 25°C elevated the density of A 1 adenosine receptors by 185% (from 4.1 ± 0.4 to 11.69 ± 2.1 fmol/dish). Four days of reduced temperature (from 37°C to either 30 or 25°C) lowered the density of A 1 adenosine receptors by 69 or 86%, respectively (from 24.1 ± 1.2 to 7.4 ± 0.4 or 3.4 ± 0.3 fmol/dish), with no significant change in the receptor affinity, activity of CK, or lactate dehydrogenase (LDH), protein content or cell number. The observed up-and down-regulation of A 1 adenosine receptors in primary myocyte cultures in response to conditions that exogenously alter the rate of contraction, is indicative of the role of adenosine receptors in adaptation of heart cells to stress.Keywords adenosine receptor; heart rate; amiodarone; electrical stimulation; temperature; cardiocytes Adenosine and amiodarone are antiarrhythmic agents that slow conduction, suppress premature heart beats, are used for the emergency treatment of supraventricular tachycardia [1][2][3], and are used for long-term treatment of atrioventricular tachycardia [4]. Both drugs decrease heart rate as a result of direct effects on the sinoatrial (SA) § node [5,6].The A 1 adenosine receptor is upregulated in hyperthyroidism [7], an effect accompanied by stimulation of myocardial contractility and a biochemical transition of slow-twitch ("red") ‡ Corresponding author: Prof. Asher Shainberg, Department of Life Sciences, Bar-Ilan University, Ramat-Gan 52900, Israel. TEL: 972-3-5318265; FAX: 972-3-5351824; shaina@ashur.cc.biu.ac.il.
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Author ManuscriptAuthor Manuscript muscle to the fast-twitch ("white") muscle type [8]. Treatment with amiodarone, which bears a structural similarity to thyroxin, decreased the serum level of T 3 [9] and caused similar symptoms of hypothyroidism [10]. Amiodarone decreased sensitivity of the heart to catecholamines via a noncompetitive inhibition of catecholamine receptors and decreased the number of β-adrenoceptors in the myocardium [10,11].Electrical stimulation (ES) inhibited the synthesis of nicotinic acetylcholine receptors [12] and increased the density of L-type Ca 2+ channels [13] in cultured muscle cells. ES also reduced the levels of muscarinic ac...