BACKGROUND AND PURPOSEb-Adrenoceptors play a major role in regulating myocardial function through cAMP-dependent pathways. Different phosphodiesterases (PDEs) regulate intracellular cAMP-pools and thereby contribute to the compartmentalization of cAMP-dependent effects. We explored the involvement of PDEs in limiting the b2 adrenoceptor-mediated positive inotropic (PIR) and lusitropic (LR) responses in sham-operated (Sham) and failing rat hearts.
EXPERIMENTAL APPROACHExtensive myocardial infarctions were induced by coronary artery ligation in Wistar rats. Rats developing heart failure were studied 6 weeks after surgery. Contractility was measured in left ventricular strips from failing and Sham hearts. cAMP was quantified by RIA.
KEY RESULTSIn ventricular strips, stimulation of b2-adrenoceptors with (-)-adrenaline (300 nM CGP20712A present) exerted a small PIR and LR. In Sham hearts, b2-adrenoceptor-mediated as well as b1-adrenoceptor-mediated PIR and LR were increased by selective inhibition of either PDE3 (1 mM cilostamide) or PDE4 (10 mM rolipram). In failing rat hearts, PDE3 inhibition enhanced PIR and LR to both b1-and b2-adrenoceptor stimulation while PDE4 inhibition had no effect on these responses despite a significant increase in cAMP levels. Combined PDE3/4 inhibition further enhanced the PIR and LR of b2-and b1-adrenoceptor activation both in Sham and failing hearts, compared with PDE3 inhibition alone. PDE4 enzyme activity was reduced in failing hearts.
CONCLUSIONS AND IMPLICATIONSBoth PDE3 and PDE4 attenuated b2-and b1-adrenoceptor-mediated contractile responses in Sham hearts. In failing hearts, these responses are attenuated solely by PDE3 and thus even selective PDE3 inhibitors may provide a profound enhancement of b-adrenoceptor-mediated responses in heart failure.
AbbreviationsEHNA, erythro-9-(2-hydroxy-3-nonyl) adenine; HF, heart failure; LR, lusitropic response; PIR, positive inotropic response; RT, relaxation time BJP British Journal of Pharmacology