“…The high-affinity component (readily blocked by b-blockers) is thought to occur via the high-affinity catecholamine conformation, while the lowaffinity component (resistant to b-blockade) occurs via the secondary low-affinity conformation (Walter et al, 1984;Baker et al, 2003). These two b 1 -adrenoceptor conformations have also been demonstrated in rat, mouse, ferret, and human heart (e.g., Kompa and Summers, 1999;Kaumann et al, 2001;Lowe et al, 2002;Joseph et al, 2003;Sarsero et al, 2003;Molenaar et al, 2007), human blood vessels (e.g., Mallem et al, 2004;Kozlowska et al, 2003Kozlowska et al, , 2006, and in whole animals (e.g., Malinowska and Schlicker, 1996;Zakrzeska et al, 2005). However, the physiologic or clinical relevance of this conformation remains unknown, even though the plasma concentration of carvedilol (100 ng/ml 5 300 nM) used in human cardiovascular diseases is sufficient to occupy this secondary conformation (Sawangkoon et al, 2000;Baker et al, 2003).…”