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2-Adrenergic receptor agonists stimulate L-type calcium current independent of PKA in newborn rabbit ventricular myocytes1Department of Pediatrics, Program in Pediatric Cardiology, New York University School of Medicine, New York, New York; and 2Department of Pediatrics, University of Iowa Carver College of Medicine, Iowa City, Iowa
Submitted 24 January 2007 ; accepted in final form 20 August 2007
Selective stimulation of
2-adrenergic receptors (ARs) in newborn rabbit ventricular myocardium invokes a positive inotropic effect that is lost during postnatal maturation. The underlying mechanisms for this age-related stimulatory response remain unresolved. We examined the effects of
2-AR stimulation on L-type Ca2+ current (ICa,L) during postnatal development. ICa,L was measured (37°C; either Ca2+ or Ba2+ as the charge carrier) using the whole-cell patch-clamp technique in newborn (1 to 5 days old) and adult rabbit ventricular myocytes. Ca2+ transients were measured concomitantly by dialyzing the cell with indo-1. Activation of
2-ARs (with either 100 nM zinterol or 1 µM isoproterenol in the presence of the
1-AR antagonist, CGP20712A) stimulated ICa,L twofold in newborns but not in adults. The
2-AR-mediated increase in Ca2+ transient amplitude in newborns was due exclusively to the augmentation of ICa,L. Zinterol increased the rate of inactivation of ICa,L and increased the Ca2+ flux integral. The
2-AR inverse agonist, ICI-118551 (500 nM), but not the
1-AR antagonist, CGP20712A (500 nM), blocked the response to zinterol. Unexpectedly, the PKA blockers, H-89 (10 µM), PKI 6-22 amide (10 µM), and Rp-cAMP (100 µM), all failed to prevent the response to zinterol but completely blocked responses to selective
1-AR stimulation of ICa,L in newborns. Our results demonstrate that in addition to the conventional
1-AR/cAMP/PKA pathway, newborn rabbit myocardium exhibits a novel
2-AR-mediated, PKA-insensitive pathway that stimulates ICa,L. This striking developmental difference plays a major role in the age-related differences in inotropic responses to
2-AR agonists.
development; protein kinase A; adenosine 3',5'-cyclic monophosphate
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