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-adrenergic
receptor signaling in heart failure
Veterans Affairs Medical Center-San Diego and Department of Medicine, University of California San Diego, La Jolla, California 92161
We have previously shown that left ventricular
(LV) pacing-induced heart failure is associated with preserved wall
thickening in the interventricular septum (IVS) compared with the
posterolateral wall (PLW). The current study focuses on the
relationship between regional myocardial function and altered
-adrenergic receptor (
-AR) signaling. We studied 15 pigs: 6 controls and 9 paced from the left ventricle (225 beats/min, 26 ± 3 days). Heart failure was documented by decreased LV fractional
shortening (P < 0.0001) and
increased left atrial pressure (P < 0.0001). In heart failure, despite marked differences in basal regional
function (percent wall thickening: IVS, 33 ± 10% vs. PLW, 13 ± 7%; P = 0.0003), there were
no differences between the two regions in
-AR responsiveness, measured by regional wall thickening in response to dobutamine infusion
and any measurement of adrenergic signaling. Adenylyl cyclase activity,
-AR number, and
-AR/Gs
coupling were markedly reduced in failing LV without regional
differences. In animals with heart failure, LV G protein receptor
kinase (GRK) isoform 2 content was unchanged and GRK5, the other major
GRK isoform, was increased more than threefold (IVS, 0.51 ± 0.20 vs. 0.12 ± 0.12 arbitrary densitometric units,
P = 0.01; PLW, 0.47 ± 0.15 vs.
0.13 ± 0.09 arbitrary densitometric units,
P = 0.03), but again, there were no
regional differences. These data indicate that systemic rather than
regional factors govern LV adrenergic signaling and that regional
adrenergic signaling abnormalities poorly predict wall thickening in
the same regions.
G protein-coupled receptor kinase; adenylyl cyclase; pacing-induced heart failure; regional contraction
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