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Am J Physiol Heart Circ Physiol (September 5, 2008). doi:10.1152/ajpheart.00258.2008
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00258.2008v1
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Submitted on March 11, 2008
Revised on August 15, 2008
Accepted on September 2, 2008

Effects of clenbuterol on contractility and Ca2+ homeostasis of isolated rat ventricular myocytes

Urszula Siedlecka1, Monica Arora, Theofilos Kolettis, Gopal K Soppa, Joon Lee, Mark A Stagg1, Sian E Harding2, Magdi H. Yacoub3, and Cesare M.N. Terracciano1*

1 Imperial College London
2 Imperial College
3 Harefield Research Foundation

* To whom correspondence should be addressed. E-mail: c.terracciano{at}imperial.ac.uk.

Clenbuterol, a compound classified as a {beta}2-adrenoceptor (AR) agonist, has been employed in combination with left ventricular assist devices (LVADs) to treat patients with severe heart failure (HF). Previous studies have shown that chronic administration of clenbuterol affects cardiac excitation-contraction coupling. However, the acute effects of clenbuterol and the signaling pathway involved remain undefined. We investigated the acute effects of clenbuterol on isolated ventricular myocyte sarcomere shortening, Ca2+ transients and L-type Ca2+ current and compared these effects to two other clinically used {beta}2-AR agonists, fenoterol and salbutamol. 30 µM clenbuterol produced a negative inotropic response, whereas fenoterol showed a positive inotropic response. Salbutamol had no significant effects. Clenbuterol reduced Ca2+ transient amplitude and L-type Ca2+ current. Selective {beta}1-AR blockade did not affect the action of clenbuterol on sarcomere shortening but significantly reduced contractility in the presence of fenoterol and salbutamol (p<0.05). Incubation with 2 µg/ml pertussis toxin significantly reduced the negative inotropic effects of 30 µM clenbuterol. In addition, overexpression of Gi by adenoviral transfection induced a stronger clenbuterol-mediated negative inotropic effect, suggesting the involvement of the Gi protein. We conclude that clenbuterol does not increase and, at high concentrations, significantly depresses contractility of isolated ventricular myocytes, an effect not seen with fenoterol or salbutamol. In its negative inotropism clenbuterol predominantly acts through Gi, and the consequent downstream signaling pathways activation may explain the beneficial effects observed during chronic administration of clenbuterol in patients treated with LVADs.







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