Circulation, Vol 83, 1343-1351, Copyright © 1991 by American Heart Association
RE Hershberger, AM Feldman and MR Bristow
BACKGROUND. Receptors that couple via the stimulatory G protein, Gs, to
adenylate cyclase and to a positive inotropic response have been
extensively investigated in falling human heart. In contrast, much less is
known about receptors, such as the A1-adenosine receptor, that couple to
adenylate cyclase via the inhibitory G protein, Gi, to give a negative
inotropic response. Activation of such Gi-coupled receptors might worsen
heart failure. Furthermore, alpha Gi is increased in failing human
ventricular myocardium, which may enhance inhibitory receptor coupling to
adenylate cyclase. METHODS AND RESULTS. A1- Adenosine receptor inhibition
of adenylate cyclase was examined in crude particulate preparations derived
from 12 nonfailing and 12 failing human left ventricles. Experimental
conditions were designed for maximal inhibitory responses. Dose-response
curves were performed with the selective A1-adenosine receptor agonist
R-phenylisopropyl- adenosine (R-PIA). No differences in nonfailing versus
failing heart were observed for basal adenylate cyclase activity (49.0 +/-
4.1 versus 45.7 +/- 2.6 pmol cyclic AMP/min/mg), maximal R-PIA-mediated
inhibition (31.1 +/- 2.6 versus 30.2 +/- 1.6 pmol cyclic AMP/min/mg), ED50
(R-PIA x 10(-7) 1.28 +/- 0.10 versus 1.36 +/- 0.08), or slope (1.06 +/-
0.06 versus 1.03 +/- 0.10), respectively. Furthermore, fluoride, forskolin,
and manganese adenylate cyclase activation were not different in failing
heart, which is consistent with no change in the catalytic unit of
adenylate cyclase. The inhibitory G protein alpha Gi, as quantitated by
pertussis toxin-catalyzed ADP-ribosylation, was increased in failing heart
(105.7 +/- 5.8 versus 132.7 +/- 3.4 optical density units, p less than
0.003). Basal adenylate cyclase activity was reduced in failing heart (7.8
+/- 0.8 versus 4.5 +/- 0.4 pmol cyclic AMP/min/mg, p less than 0.005) with
assay conditions designed to assess G protein effects. CONCLUSIONS. The
A1-adenosine receptor pathway exerts a major inhibitory effect on human
myocardial adenylate cyclase activity. Although alpha Gi was increased in
failing heart, A1-adenosine receptor inhibition of adenylate cyclase was
not altered in preparations of failing versus nonfailing human ventricular
myocardium.
ARTICLES
A1-adenosine receptor inhibition of adenylate cyclase in failing and nonfailing human ventricular myocardium
Department of Medicine, University of Utah School of Medicine, Salt Lake City.
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