Document Detail


Exercise training and beta-blocker treatment ameliorate age-dependent impairment of beta-adrenergic receptor signaling and enhance cardiac responsiveness to adrenergic stimulation.
MedLine Citation:
PMID:  17557919     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Cardiac beta-adrenergic receptor (beta-AR) signaling and left ventricular (LV) responses to beta-AR stimulation are impaired with aging. It is shown that exercise and beta-AR blockade have a favorable effect on cardiac and vascular beta-AR signaling in several cardiovascular diseases. In the present study, we examined the effects of these two different strategies on beta-AR dysregulation and LV inotropic reserve in the aging heart. Forty male Wistar-Kyoto aged rats were randomized to sedentary, exercise (12 wk treadmill training), metoprolol (250 mg.kg(-1).day(-1) for 4 wk), and exercise plus metoprolol treatment protocols. Ten male Wistar-Kyoto sedentary young rats were also used as a control group. Old trained, old metoprolol-treated, and old trained plus metoprolol-treated rats showed significantly improved LV maximal and minimal first derivative of the pressure rise responses to beta-AR stimulation (isoproterenol) compared with old untrained animals. We found a significant reduction in cardiac sarcolemmal membrane beta-AR density and adenylyl cyclase activity in old untrained animals compared with young controls. Exercise training and metoprolol, alone or combined, restored cardiac beta-AR density and G-protein-dependent adenylyl cyclase activation in old rats. Although cardiac membrane G-protein-receptor kinase 2 levels were not upregulated in untrained old compared with young control rats, both exercise and metoprolol treatment resulted in a dramatic reduction of G-protein-receptor kinase 2 protein levels, which is a further indication of beta-AR signaling amelioration in the aged heart induced by these treatment modalities. In conclusion, we demonstrate for the first time that exercise and beta-AR blockade can similarly ameliorate beta-AR signaling in the aged heart, leading to improved beta-AR responsiveness and corresponding LV inotropic reserve.
Authors:
Dario Leosco; Giuseppe Rengo; Guido Iaccarino; Amelia Filippelli; Anastasios Lymperopoulos; Carmela Zincarelli; Francesca Fortunato; Luca Golino; Massimo Marchese; Giovanni Esposito; Antonio Rapacciuolo; Barbara Rinaldi; Nicola Ferrara; Walter J Koch; Franco Rengo
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Publication Detail:
Type:  Journal Article     Date:  2007-06-08
Journal Detail:
Title:  American journal of physiology. Heart and circulatory physiology     Volume:  293     ISSN:  0363-6135     ISO Abbreviation:  Am. J. Physiol. Heart Circ. Physiol.     Publication Date:  2007 Sep 
Date Detail:
Created Date:  2007-09-06     Completed Date:  2007-10-19     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100901228     Medline TA:  Am J Physiol Heart Circ Physiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  H1596-603     Citation Subset:  IM    
Affiliation:
Department of Internal Medicine, Cardiovascular Sciences and Immunology, University Federico II, Via Pansini 5, Edificio 2, 80131 Naples, Italy. dleosco@unina.it
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MeSH Terms
Descriptor/Qualifier:
Adenylate Cyclase / metabolism
Adrenergic beta-Agonists / pharmacology
Adrenergic beta-Antagonists / pharmacology*
Aging / physiology*
Animals
Blood Pressure / physiology
Heart / drug effects,  physiology*
Heart Rate / physiology
Isoproterenol / pharmacology
Male
Metoprolol / pharmacology
Myocardial Contraction / physiology
Physical Conditioning, Animal / physiology*
Random Allocation
Rats
Rats, Inbred WKY
Receptors, Adrenergic, beta / drug effects,  physiology*
Signal Transduction / physiology*
Ventricular Function, Left / physiology
Chemical
Reg. No./Substance:
0/Adrenergic beta-Agonists; 0/Adrenergic beta-Antagonists; 0/Receptors, Adrenergic, beta; 37350-58-6/Metoprolol; 7683-59-2/Isoproterenol; EC 4.6.1.1/Adenylate Cyclase

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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