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Circulation. 1999;100:2210-2212

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(Circulation. 1999;100:2210.)
© 1999 American Heart Association, Inc.


Brief Rapid Communications

Opposing Effects of ß1- and ß2-Adrenergic Receptors on Cardiac Myocyte Apoptosis

Role of a Pertussis Toxin–Sensitive G Protein

Catherine Communal, PhD; Krishna Singh, PhD; Douglas B. Sawyer, MD, PhD; Wilson S. Colucci, MD

From the Myocardial Biology Unit and Cardiovascular Division, Boston University Medical Center, Boston Veterans Affairs Medical Center and Boston University School of Medicine, Boston, Mass.

Correspondence to Wilson S. Colucci, MD, Boston University Medical Center, 88 E Newton St, Boston, MA 02118. E-mail wilson.colucci{at}bmc.org

Background—ß-Adrenergic receptor (ß-AR) stimulation increases apoptosis in adult rat cardiac (ventricular) myocytes (ARVMs) via activation of adenylyl cyclase. ß2-ARs may couple to a Gi-mediated signaling pathway that can oppose the actions of adenylyl cyclase.

Methods and Results—In ARVMs, ß-AR stimulation for 24 hours increased the number of apoptotic cells as measured by flow cytometry. ß-AR–stimulated apoptosis was abolished by the ß1-AR–selective antagonist CGP 20712A (P<0.05 versus ß-AR stimulation alone) but was potentiated by the ß2-AR–selective antagonist ICI 118,551 (P<0.05 versus ß-AR stimulation alone). The muscarinic agonist carbachol also prevented ß-AR–stimulated apoptosis (P<0.05 versus ß-AR stimulation alone), whereas pertussis toxin potentiated the apoptotic action of ß-AR stimulation (P<0.05 versus ß-AR stimulation alone) and prevented the antiapoptotic action of carbachol.

Conclusions—In ARVMs, stimulation of ß1-ARs increases apoptosis via a cAMP-dependent mechanism, whereas stimulation of ß2-ARs inhibits apoptosis via a Gi-coupled pathway. These findings have implications for the pathophysiology and treatment of myocardial failure.


Key Words: apoptosis • receptors, adrenergic, beta • myocytes • adenylyl cyclase • proteins




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Circulation, September 30, 2003; 108(13): 1633 - 1639.
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Eur Heart JHome page
O. Manfrini, C. Pizzi, D. Trere, F. Fontana, and R. Bugiardini
Parasympathetic failure and risk of subsequent coronary events in unstable angina and non-ST-segment elevation myocardial infarction
Eur. Heart J., September 1, 2003; 24(17): 1560 - 1566.
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CirculationHome page
C. Maack, M. Bohm, L. Vlaskin, E. Dabew, K. Lorenz, H.-J. Schafers, M. J. Lohse, and S. Engelhardt
Partial Agonist Activity of Bucindolol Is Dependent on the Activation State of the Human {beta}1-Adrenergic Receptor
Circulation, July 22, 2003; 108(3): 348 - 353.
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L. A. Hu, W. Chen, N. P. Martin, E. J. Whalen, R. T. Premont, and R. J. Lefkowitz
GIPC Interacts with the {beta}1-Adrenergic Receptor and Regulates {beta}1-Adrenergic Receptor-mediated ERK Activation
J. Biol. Chem., July 3, 2003; 278(28): 26295 - 26301.
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J Am Coll CardiolHome page
A. Abbate, G. G. L. Biondi-Zoccai, R. Bussani, A. Dobrina, D. Camilot, F. Feroce, R. Rossiello, F. Baldi, F. Silvestri, L. M. Biasucci, et al.
Increased myocardial apoptosis in patients with unfavorable left ventricular remodeling and early symptomatic post-infarction heart failure
J. Am. Coll. Cardiol., March 5, 2003; 41(5): 753 - 760.
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A. Remondino, S. H. Kwon, C. Communal, D. R. Pimentel, D. B. Sawyer, K. Singh, and W. S. Colucci
{beta}-Adrenergic Receptor-Stimulated Apoptosis in Cardiac Myocytes Is Mediated by Reactive Oxygen Species/c-Jun NH2-Terminal Kinase-Dependent Activation of the Mitochondrial Pathway
Circ. Res., February 7, 2003; 92(2): 136 - 138.
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T. Cesetti, J. M. Hernandez-Guijo, P. Baldelli, V. Carabelli, and E. Carbone
Opposite Action of beta 1- and beta 2-Adrenergic Receptors on CaV1 L-Channel Current in Rat Adrenal Chromaffin Cells
J. Neurosci., January 1, 2003; 23(1): 73 - 83.
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M. L. Kukin
{beta}-Blockers in Chronic Heart Failure: Considerations for Selecting an Agent
Mayo Clin. Proc., November 1, 2002; 77(11): 1199 - 1206.
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P. Chiari, V. Piriou, G. Hadour, C. Rodriguez, J. Loufouat, J.-J. Lehot, M. Ovize, and R. Ferrera
Preservation of ischemia and isoflurane-induced preconditioning after brain death in rabbit hearts
Am J Physiol Heart Circ Physiol, November 1, 2002; 283(5): H1769 - H1774.
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Y. Xiang, V. O. Rybin, S. F. Steinberg, and B. Kobilka
Caveolar Localization Dictates Physiologic Signaling of beta 2-Adrenoceptors in Neonatal Cardiac Myocytes
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M. C. Levin, S. Marullo, O. Muntaner, B. Andersson, and Y. Magnusson
The Myocardium-protective Gly-49 Variant of the beta 1-Adrenergic Receptor Exhibits Constitutive Activity and Increased Desensitization and Down-regulation
J. Biol. Chem., August 16, 2002; 277(34): 30429 - 30435.
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J. D. Kilts, T. Akazawa, M. D. Richardson, and M. M. Kwatra
Age Increases Cardiac Galpha i2 Expression, Resulting in Enhanced Coupling to G Protein-coupled Receptors
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E. N Dedkova, Y. Gao Wang, L. A Blatter, and S. L Lipsius
Nitric oxide signalling by selective {beta}2-adrenoceptor stimulation prevents ACh-induced inhibition of {beta}2-stimulated Ca2+ current in cat atrial myocytes
J. Physiol., August 1, 2002; 542(3): 711 - 723.
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B. Yusta, J. Estall, and D. J. Drucker
Glucagon-like Peptide-2 Receptor Activation Engages Bad and Glycogen Synthase Kinase-3 in a Protein Kinase A-dependent Manner and Prevents Apoptosis following Inhibition of Phosphatidylinositol 3-Kinase
J. Biol. Chem., July 5, 2002; 277(28): 24896 - 24906.
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Am. J. Physiol. Regul. Integr. Comp. Physiol.Home page
B. J. A. Janssen and J. F. M. Smits
Autonomic control of blood pressure in mice: basic physiology and effects of genetic modification
Am J Physiol Regulatory Integrative Comp Physiol, June 1, 2002; 282(6): R1545 - R1564.
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CirculationHome page
H. Gong, H. Sun, W. J. Koch, T. Rau, T. Eschenhagen, U. Ravens, J. F. Heubach, D. L. Adamson, and S. E. Harding
Specific {beta}2AR Blocker ICI 118,551 Actively Decreases Contraction Through a Gi-Coupled Form of the {beta}2AR in Myocytes From Failing Human Heart
Circulation, May 28, 2002; 105(21): 2497 - 2503.
[Abstract] [Full Text] [PDF]


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CirculationHome page
P. Andreka, N. Aiyar, L. C. Olson, J. Q. Wei, M. S. Turner, K. A. Webster, E. H. Ohlstein, and N. H. Bishopric
Bucindolol Displays Intrinsic Sympathomimetic Activity in Human Myocardium
Circulation, May 21, 2002; 105(20): 2429 - 2434.
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Arch Intern MedHome page
S. Goldstein
Benefits of {beta}-Blocker Therapy for Heart Failure: Weighing the Evidence
Arch Intern Med, March 25, 2002; 162(6): 641 - 648.
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L.-M. Zhang, Z. Wang, and S. Nattel
Effects of sustained beta -adrenergic stimulation on ionic currents of cultured adult guinea pig cardiomyocytes
Am J Physiol Heart Circ Physiol, March 1, 2002; 282(3): H880 - H889.
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Cardiovasc ResHome page
L. A Nikolaidis, T. Hentosz, A. Doverspike, R. Huerbin, C. Stolarski, Y.-T. Shen, and R. P Shannon
Catecholamine stimulation is associated with impaired myocardial O2 utilization in heart failure
Cardiovasc Res, February 1, 2002; 53(2): 392 - 404.
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HeartHome page
B Andersson, B Gruner Svealv, M Scharin Tang, and R Mobini
Longitudinal myocardial contraction improves early during titration with metoprolol CR/XL in patients with heart failure
Heart, January 1, 2002; 87(1): 23 - 28.
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P. K. Tithof, M. Elgayyar, H. M. Schuller, M. Barnhill, and R. Andrews
4-(Methylnitrosamino)-1-(3-pyridyl)-1-butanone, a nicotine derivative, induces apoptosis of endothelial cells
Am J Physiol Heart Circ Physiol, November 1, 2001; 281(5): H1946 - H1954.
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Sci SignalHome page
R.-P. Xiao
{beta}-Adrenergic Signaling in the Heart: Dual Coupling of the {beta}2-Adrenergic Receptor to Gs and Gi Proteins
Sci. Signal., October 16, 2001; 2001(104): re15 - re15.
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A. D. Eckhart and W. J. Koch
Transgenic Studies of Cardiac Adrenergic Receptor Regulation
J. Pharmacol. Exp. Ther., October 1, 2001; 299(1): 1 - 5.
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E. Devic, Y. Xiang, D. Gould, and B. Kobilka
beta -Adrenergic Receptor Subtype-Specific Signaling in Cardiac Myocytes from beta 1 and beta 2 Adrenoceptor Knockout Mice
Mol. Pharmacol., September 1, 2001; 60(3): 577 - 583.
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Cardiovasc ResHome page
F. Qin, N. K. Rounds, W. Mao, K. Kawai, and C.-s. Liang
Antioxidant vitamins prevent cardiomyocyte apoptosis produced by norepinephrine infusion in ferrets
Cardiovasc Res, September 1, 2001; 51(4): 736 - 748.
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J. M. Hare
Oxidative Stress and Apoptosis in Heart Failure Progression
Circ. Res., August 3, 2001; 89(3): 198 - 200.
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X.-J. Du
Sympathoadrenergic mechanisms in functional regulation and development of cardiac hypertrophy and failure: findings from genetically engineered mice
Cardiovasc Res, June 1, 2001; 50(3): 443 - 453.
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HypertensionHome page
D. M. Kaye, L. Johnston, G. Vaddadi, H. Brunner-LaRocca, G. L. Jennings, and M. D. Esler
Mechanisms of Carvedilol Action in Human Congestive Heart Failure
Hypertension, May 1, 2001; 37(5): 1216 - 1221.
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M. Henaff, S. N. Hatem, and J.-J. Mercadier
Low Catecholamine Concentrations Protect Adult Rat Ventricular Myocytes against Apoptosis through cAMP-Dependent Extracellular Signal-Regulated Kinase Activation
Mol. Pharmacol., April 13, 2001; 58(6): 1546 - 1553.
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W.-Z. Zhu, M. Zheng, W. J. Koch, R. J. Lefkowitz, B. K. Kobilka, and R.-P. Xiao
Dual modulation of cell survival and cell death by beta 2-adrenergic signaling in adult mouse cardiac myocytes
PNAS, February 13, 2001; 98(4): 1607 - 1612.
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M. Jain, C. C. Lim, K. Nagata, V. M. Davis, D. S. Milstone, R. Liao, and R. M. Mortensen
Targeted inactivation of G{alpha}i does not alter cardiac function or {beta}-adrenergic sensitivity
Am J Physiol Heart Circ Physiol, February 1, 2001; 280(2): H569 - H575.
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M. Schafer, K. Ponicke, I. Heinroth-Hoffmann, O.-E. Brodde, H. M. Piper, and K.-D. Schluter
Beta-adrenoceptor stimulation attenuates the hypertrophic effect of alpha-adrenoceptor stimulation in adult rat ventricular cardiomyocytes
J. Am. Coll. Cardiol., January 1, 2001; 37(1): 300 - 307.
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Y.-Y. Zhou and M. Artman
Nucleoside diphosphate kinase: a new player in heart failure?
Cardiovasc Res, January 1, 2001; 49(1): 7 - 10.
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S. F. Steinberg
The Cellular Actions of {beta}-Adrenergic Receptor Agonists : Looking Beyond cAMP
Circ. Res., December 8, 2000; 87(12): 1079 - 1082.
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A. Chesley, M. S. Lundberg, T. Asai, R.-P. Xiao, S. Ohtani, E. G. Lakatta, and M. T. Crow
The {beta}2-Adrenergic Receptor Delivers an Antiapoptotic Signal to Cardiac Myocytes Through Gi-Dependent Coupling to Phosphatidylinositol 3'-Kinase
Circ. Res., December 8, 2000; 87(12): 1172 - 1179.
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Cardiovasc ResHome page
X.-J. Du, X.-M. Gao, B. Wang, G. L Jennings, E. A Woodcock, and A. M Dart
Age-dependent cardiomyopathy and heart failure phenotype in mice overexpressing {beta}2-adrenergic receptors in the heart
Cardiovasc Res, December 1, 2000; 48(3): 448 - 454.
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Eur Heart JHome page
N.G. Mahon and W.J. Mckenna
Genes and acquired disease: beta-adrenoceptor polymorphisms and heart failure
Eur. Heart J., November 2, 2000; 21(22): 1810 - 1812.
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J Am Coll CardiolHome page
H. N. Sabbah, V. G. Sharov, R. C. Gupta, A. Todor, V. Singh, and S. Goldstein
Chronic therapy with metoprolol attenuates cardiomyocyte apoptosis in dogs with heart failure
J. Am. Coll. Cardiol., November 1, 2000; 36(5): 1698 - 1705.
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