Toxic cardiac effects of catecholamines: role of beta-adrenoceptor downregulation

Eur J Pharmacol. 2002 Dec 5;456(1-3):69-75. doi: 10.1016/s0014-2999(02)02643-2.

Abstract

The aim of our study was to analyse the mechanisms underlying cardiac toxicity caused by beta-adrenoceptor stimulation and the relationships with their associated downregulation during heart failure. We used the experimental model of coronary artery ligation-induced myocardial infarction in male Wistar rats. In order to increase beta-adrenergic stimulation, rats were subjected to a 15-day chronic isoprenaline administration (30 microg/kg/h). Isoprenaline administration induced haemodynamic inotropic compensation, almost abolished in vitro inotropic response to isoprenaline on papillary muscle (P<0.005) but promoted fibrosis. Isoprenaline treatment markedly reduced the B(max) of beta(2)-adrenoceptors (by 53% in sham and 44% in infarcted rats) but not that of beta(1)-adrenoceptors. These results suggest that beta(1)-adrenoceptors rather than beta(2)-adrenoceptors underlie the deleterious effects of chronic beta-adrenergic stimulation on cardiac fibrosis and are in agreement with the demonstrated benefit induced in human heart failure by beta(1)-adrenoceptor antagonists.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adrenergic beta-Agonists / pharmacology*
  • Adrenergic beta-Agonists / toxicity
  • Adrenergic beta-Antagonists / pharmacology
  • Animals
  • Binding, Competitive / drug effects
  • Blood Pressure / drug effects
  • Down-Regulation
  • Fibrosis
  • Heart Rate / drug effects
  • Heart Ventricles / drug effects
  • Heart Ventricles / pathology
  • Heart Ventricles / physiopathology
  • Imidazoles / pharmacology
  • Isoproterenol / pharmacology*
  • Isoproterenol / toxicity
  • Male
  • Muscle Contraction / drug effects
  • Myocardial Infarction / pathology
  • Myocardial Infarction / prevention & control
  • Papillary Muscles / drug effects
  • Papillary Muscles / physiopathology
  • Radioligand Assay
  • Rats
  • Rats, Wistar
  • Receptors, Adrenergic, beta / drug effects*
  • Receptors, Adrenergic, beta / metabolism

Substances

  • Adrenergic beta-Agonists
  • Adrenergic beta-Antagonists
  • Imidazoles
  • Receptors, Adrenergic, beta
  • CGP 20712A
  • Isoproterenol