G-Protein-coupled receptors play an instrumental role in cellular development and function. In the mature organism, receptor signaling is controlled through the processes of desensitization and down-regulation. Recent evidence suggests that these regulatory mechanisms are not inherent properties, however, but rather are acquired during ontogenesis. This review focuses on -adrenoceptors (ARs), which are found in fetal and neonatal tissues and are effectively linked through adenylyl cyclase (AC) to the production of cAMP. Agonist-induced stimulation of ARs in the immature organism fails to produce desensitization, and instead, responsiveness increases. The unique mechanisms underlying this anomalous response involve induction of AC, a switch to more catalytically efficient AC isoforms, an increase in the ratio of stimulatory to inhibitory G-proteins, and interference with the expression and/or function of other Gprotein-linked receptors that provide offsetting, inhibitory inputs. These adjustments are thus heterologous, influencing signaling mediated by a host of other G-protein-coupled neurotransmitter and hormone receptors. The net effect is to maintain and augment AR signaling in the face of continued stimulation, properties that disappear with maturation. The unique regulatory mechanisms for AR signaling in the fetus and neonate provide the necessary physiological adjustments required for the perinatal transition from intrauterine to extrauterine life. At the same time, however, the inability to restrict AR function may underlie adverse effects of AR-agonist tocolytics that are used in the treatment of preterm labor.
Regulation of -Adrenoceptor Signaling in the Mature OrganismG-Protein-coupled receptors, one of the largest families of transmembrane signaling systems, are among the most studied mediators of cell-to-cell communication, pervading areas as diverse as central nervous system and peripheral autonomic function, cardiovascular and respiratory function, hormone actions, and carcinogenesis. This review will focus on the unusual features of receptor regulation during fetal and neonatal development, work that has largely involved the -adrenoceptor (AR). In the adult, signaling through adenylyl cyclase (AC) via -adrenoceptors has been particularly well characterized, representing a controlled, homeostatic system (Kohout and Lefkowitz, 2003). Ordinarily, excessive receptor stimulation is attenuated through two classes of mechanisms: uncoupling of ARs from their response elements (desensitization) and reductions in the concentration of receptors at the cell membrane (down-regulation). Desensitization can be of two types, homologous and heterologous. With homologous desensitization, effects are restricted to AR signaling, entailing phosphorylation of the agonistbound receptor on its carboxyl terminus, an effect mediated by the G-protein receptor kinases. Next, arrestins bind to the phosphorylated receptors, impairing receptor-G-protein interactions and thus terminating receptor signaling....