1992
DOI: 10.1161/01.cir.85.1.269
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Myocardial beta-adrenergic receptor expression and signal transduction after chronic volume-overload hypertrophy and circulatory congestion.

Abstract: Biochemical findings occurred in the absence of myocardial inflammation or fibrosis and without pharmacological interventions, suggesting that circulatory congestion, with attendant elevation in plasma norepinephrine, may be a sufficient stimulus to induce such changes. The data are compatible with a catecholamine-driven beta AR pathway desensitization. Thus, a primary defect in intrinsic contractile function is not a necessary component for abnormalities of the myocardial beta AR-responsive adenylyl cyclase p… Show more

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Cited by 56 publications
(24 citation statements)
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“…In humans, reduced ␤ 1 -AR mRNA levels (48) and ␤-receptor density (49) are also detected in a mild form of cardiac dysfunction, indicating that down-regulation of ␤-AR receptors is not restricted to severe or advanced heart disease. Moreover, histological analysis of cardiac tissue from volumeoverloaded pigs indicates that decreased responsiveness to ␤-AR stimulation can occur without degenerative changes such as inflammation or fibrosis (50). It is not known at present, however, whether the changes in the ␤-AR system are causes or consequences of heart dysfunction.…”
Section: Discussionmentioning
confidence: 99%
“…In humans, reduced ␤ 1 -AR mRNA levels (48) and ␤-receptor density (49) are also detected in a mild form of cardiac dysfunction, indicating that down-regulation of ␤-AR receptors is not restricted to severe or advanced heart disease. Moreover, histological analysis of cardiac tissue from volumeoverloaded pigs indicates that decreased responsiveness to ␤-AR stimulation can occur without degenerative changes such as inflammation or fibrosis (50). It is not known at present, however, whether the changes in the ␤-AR system are causes or consequences of heart dysfunction.…”
Section: Discussionmentioning
confidence: 99%
“…The presence of enough -adrenergic receptors is necessary to adapt to the increased oxygen demand (Hammond et al, 1992;Figueras & Lindon, 1995). However, the number ofadrenergic receptors decreases if there is volume overload-induced myocardial hypertrophy, or if the endothelial cells of the coronary artery are impaired (Figueras & Lidon, 1995;Hammond et al, 1992).…”
Section: α-And β-Adrenergic Receptor Response Of Coronary Artery Endomentioning
confidence: 99%
“…However, the number ofadrenergic receptors decreases if there is volume overload-induced myocardial hypertrophy, or if the endothelial cells of the coronary artery are impaired (Figueras & Lidon, 1995;Hammond et al, 1992). Patients with unstable angina during bed rest and with significant coronary disease demonstrate a lower ischemic threshold early in the morning (Figueras & Lindon, 1995).…”
Section: α-And β-Adrenergic Receptor Response Of Coronary Artery Endomentioning
confidence: 99%
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“…Several lines of evidence suggest that one or more G proteins may be altered in certain cardiac disease states. Among the animal models of chronic heart failure, dogs with pressure-overload cardiac hypertrophy and pigs with volume-overload cardiac hypertrophy have shown evidence of decreased G sα in myocardial membranes (Longabaugh et al 1988;Hammond et al 1992). In the cardiomyopathic Syrian hamster, a loss of G sα function but not a quantitative loss of G sα protein or its mRNA has been demonstrated (Kessler et al 1989).…”
Section: Introductionmentioning
confidence: 99%