A threonine to isoleucine polymorphism at amino acid 164 in the fourth transmembrane spanning domain of the 182-adrenergic receptor (,B2AR) is known to occur in the human population. The The human heart expresses both the ,i3AR and f32AR subtypes (6). Each receptor mediates positive inotropic and chronotropic responses to endogenous catecholamines and exogenously administered agonists (7). Most forms of congestive heart failure, including the "idiopathic" forms, are characterized by a diminished responsiveness to 13-agonists (8). As a probable consequence of elevated catecholamines (and perhaps of other factors as well), J31AR expression has been noted to be markedly reduced in patients with idiopathic dilated cardiomyopathy, a finding that has not been observed for the 32AR (8). The 132AR, then, may take on an even greater role in providing for cardiac responses to increased sympathetic drive or exogenous agonists under these circumstances. We have considered that if the Ile-164 variant is in fact dysfunctional in the heart, individuals harboring this receptor with heart failure may exhibit marked decompensation.The current study was undertaken to explore the relevance of the Ile-164 receptor in cardiac myocyte signaling at both the cellular and the whole organ levels. The strategy was to express in transgenic mice the human wild-type (32AR (wt 832AR) or the Ile-164 variant in a cardiac specific manner using the murine a myosin heavy chain (aMHC) promoter. In vitro and in vivo assessments of receptor function were then undertaken that revealed a substantial impairment imposed by this polymorphism in cellular as well as intact heart function.
METHODSTransgenic Mice. Cardiac-specific expression of the 32AR in transgenic mice was achieved using the murine aMHC promoter (9). Briefly, the coding block of human wt 132AR cDNA was blunt-end ligated into an aMHC promoter construct (9) at the Sall site. To generate the Ile-164 polymorphism, oligonucleotide-directed site-specific mutagenesis was carried out on the wild-type template, substituting thymidine for cytidine at nucleic acid 491 as described (4). This mutated cDNA was also cloned into the aMHC SailI site, and the integrity of the two constructs was verified by dideoxy sequencing. Each was then digested by NotI and the liberated fragment was then isolated, purified, and used for injection into male pronuclei of embryos