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Circulation Research. 1995;76:40-52

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(Circulation Research. 1995;76:40-52.)
© 1995 American Heart Association, Inc.


Articles

ß2-Adrenergic Receptor Actions in Neonatal and Adult Rat Ventricular Myocytes

Valiery Kuznetsov, Elena Pak, Richard B. Robinson, Susan F. Steinberg

From the Departments of Medicine (S.F.S.) and Pharmacology (V.K., E.P., R.B.R., S.F.S.), Columbia University, New York, NY.

Correspondence to Susan F. Steinberg, MD, Associate Professor of Medicine and Pharmacology, Department of Medicine, Columbia University, College of Physicians and Surgeons, 630 West 168 St, New York, NY 10032.


*    Abstract
up arrowTop
*Abstract
down arrowIntroduction
down arrowMaterials and Methods
down arrowResults
down arrowDiscussion
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Abstract The physiological function of ß2-adrenergic receptors in the neonatal and adult heart is incompletely understood, and possible age-dependent differences in ß2-receptor actions have not been considered. We used isoproterenol (mixed ß1- and ß2-receptor agonist) and zinterol (ß2-selective agonist) to compare ß-receptor subtype actions in neonatal and adult rat ventricular myocytes. When delivered as a bolus at a final concentration of 10-7 mol/L, both isoproterenol and zinterol increased the amplitude and hastened the kinetics of the calcium and cell-shortening transients in neonatal myocytes. Under identical experimental conditions, isoproterenol increased the amplitude and accelerated the kinetics of the calcium transient and the twitch in adult myocytes, whereas zinterol did not. In the presence of CGP 20712A (ß1-receptor blocker), a 100-fold higher concentration of zinterol increased the amplitude but prolonged the duration of the twitch in adult myocytes. To probe the mechanism for this age-dependent difference in ß2-receptor responsiveness, we compared ß-receptor expression and stimulation of cAMP accumulation in neonatal and adult myocytes. ß-Receptor density was 44 339±5178 sites per cell in neonatal myocytes and 186 346±13 356 sites per cell in adult myocytes; the relative proportion of ß2-receptors was comparable in each (16.7±2.3% and 16.9±0.9%, respectively). Isoproterenol induced a large increase in cAMP accumulation in neonatal and adult myocytes (20.0±1.0- and 20.6±2.6-fold over basal). In contrast, zinterol evoked a substantial increase in cAMP accumulation in neonatal myocytes but only a minor increase in adult myocytes. These studies provide evidence that at low agonist concentrations, ß2-receptor activation contributes to the positive inotropic response by increasing cAMP and increasing the amplitude and hastening the kinetics of the twitch in neonatal, but not adult, myocytes. Moreover, these results suggest that age-dependent differences in ß2-receptor coupling to more distal elements in the signaling cascade can influence myocyte ß2-receptor responsiveness.


Key Words: ß-adrenergic receptor subtypes • cardiac myocytes • development • Ca2+ • contraction


*    Introduction
up arrowTop
up arrowAbstract
*Introduction
down arrowMaterials and Methods
down arrowResults
down arrowDiscussion
down arrowReferences
 
It is generally accepted that under physiological conditions catecholamines exert positive chronotropic and inotropic responses through the activation of the more abundant cardiac ß1-adrenergic receptor subtype, which couples to the stimulation of adenylyl cyclase activity, the accumulation of cAMP, and cAMP-dependent phosphorylation of numerous intracellular target-regulatory proteins. However, radioligand binding studies provide evidence that ß1- and ß2-adrenergic receptors coexist in the hearts of several mammalian species (Reference 11 and references cited therein). Although ß2-adrenergic receptors also couple to the stimulation of adenylyl cyclase and the generation of cAMP, the functional role of cardiac ß2-adrenergic receptors in the modulation of cardiac contractile function has remained somewhat obscure.

In the human heart, ß2-adrenergic agonists have been shown to induce tachycardia by stimulating ß2-adrenergic receptors in the sinoatrial node.2 Similarly, there is convincing data that ß2-receptors couple to a positive inotropic response in human ventricular myocardium.3 However, there are discrepancies between the effect of ß2-receptor agonists to stimulate adenylyl cyclase and to modulate contractile function, raising questions regarding the precise relation between ß2-receptor–dependent stimulation of cAMP accumulation and modulation of contractile function.3 4 The literature defining the role of ß2-adrenergic receptors in the contractile response to catecholamines in nonhuman cardiac tissues also leaves many questions unanswered. Results of some studies lend support to the notion that selective ß2-adrenergic receptor agonists have a greater effect on heart rate than on contractility.5 6 Nevertheless, ß2-adrenergic receptors have been localized by quantitative autoradiography to both the conduction system and the working myocardium7 8 9 of the dog and guinea pig heart and have been reported to contribute to both the positive chronotropic and inotropic responses to catecholamines in these species.6 10 11 12 In contrast, the evidence for significant modulation of the contractile properties of the rat heart by ß2-receptor agonists is less convincing. For example, Juberg et al13 concluded that despite the presence of ß2-adrenergic receptors in rat atrial membrane preparations, only ß1-adrenergic receptors mediate the positive chronotropic response in spontaneously beating right atria or the positive inotropic response in electrically driven left atria. Effects of ß2-receptor agonists to increase the contractile rate subsequently have been identified. However, it is noteworthy that the authors of these studies have emphasized that the ß2-receptor effect is a minor component of the chronotropic response, which only comes into play at very high catecholamine concentrations.14 15 Similarly, although a more recent study describes an effect of ß2 agonists to increase the amplitude of the twitch and calcium transient in isolated adult rat ventricular myocytes,16 this ß2-receptor response also required a high concentration of agonist. Nevertheless, it is noteworthy that this study uncovered intriguing differences in several aspects of the cellular response to ß1- and ß2-adrenergic receptor agonists, leading the authors to conclude that the mechanism(s) whereby cardiac ß1- and ß2-adrenergic receptors modulate contractile function must differ.

Studies of ß-receptor subtype action in rat heart to date have been performed exclusively on adult tissue. Although both ß1- and ß2-adrenergic receptors have been detected by radioligand binding techniques in neonatal rat ventricular membranes,17 the role of a ß2-receptor signaling pathway in the neonatal heart has never been considered. Therefore, the objectives of the present study were to determine whether ß2-receptors are important mediators of inotropic support in the neonatal heart and to investigate the role of cAMP in the ß2-adrenergic receptor response.


*    Materials and Methods
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up arrowAbstract
up arrowIntroduction
*Materials and Methods
down arrowResults
down arrowDiscussion
down arrowReferences
 
Preparation of Acutely Disaggregated Adult and Cultured Neonatal Rat Ventricular Myocytes
Cardiac myocytes were isolated from hearts of 2-day-old Wistar rats by a trypsin dispersion procedure and cultured for 5 days according to a protocol described previously.18 Measurements of cell shortening and cytosolic calcium were performed on myocytes grown on round fibronectin-coated glass coverslips (0.1-mm thickness, 31-mm diameter; Biophysica Technologies, Inc) in 35-mm culture dishes. Although the culture technique includes a preplating step that effectively decreases fibroblast contamination, it is well known that a small number of cells with proliferative capability, such as cardiac fibroblasts, persist in the myocardial cell cultures. Proliferation of these cells was further curtailed with 0.1 mmol/L bromodeoxyuridine (present in the culture medium from days 1 through 519 ) for calcium and contraction studies and with an irradiation protocol20 for biochemical studies.

Adult rat ventricular myocytes were disaggregated according to methods published previously with minor modifications.18 Male Wistar rats weighing 300 to 350 g ({approx}10 to 12 weeks old) were anesthetized and heparinized before removal of the heart. The aorta was cannulated, and the heart was perfused with 20 to 25 mL of low-calcium (2 µmol/L, from calcium pantothenate) HEPES buffer (mmol/L: NaCl 118, KCl 5.6, NaHCO3 4.4, NaH2PO4 1.74, MgCl2 1.69, glucose 5.6, L-glutamine 4.3, HEPES 21, and taurine 10, along with 20 mL/L MEM amino acid solution and 10 mL/L MEM vitamin solution; pH 7.2; osmolarity, 295 mosm), followed by perfusion for 10 to 15 minutes at 35°C with the same HEPES buffer containing 0.37 mg/mL collagenase (Worthington CLS II). The perfusion was terminated when the heart became soft. The ventricles were then isolated and placed in a flask containing 10 mL of the same buffer with 1.1 mg/mL collagenase, 0.6 mmol/L CaCl2, and 0.5% bovine serum albumin (BSA, salt-free fraction V from ICN). The flask was shaken vigorously for 10 to 30 minutes at 32°C. Cells in the supernatant were collected, filtered through the polyethylene macrofilter, centrifuged at 600 rpm for 3 minutes, and resuspended in 10 mL HEPES buffer containing 1 mmol/L CaCl2 and 0.5% BSA. This procedure was repeated three times, and cells from each digest were stored separately. Cells from 17 separate adult ventricular myocyte preparations were used in this study. Cells were stored at room temperature in HEPES buffer containing 1 mmol/L CaCl2 and 0.5% BSA and used within 1 to 10 hours after preparation for measurements of cytosolic free calcium, cell shortening, and agonist-stimulated cAMP accumulation. Cells were frozen at -70°C in HEPES buffer containing 1 mmol/L CaCl2 and 0.5% BSA at a density of 105 cells per milliliter for radioligand binding experiments. Broken adult rat ventricular myocytes prepared in this manner were used within 1 week of freezing.

Measurement of Cytosolic Free Calcium and Cell Shortening
Methods for the photometric measurement of cytosolic calcium in fura 2–loaded cultured neonatal and acutely disaggregated adult myocytes have been published previously.20 In brief, myocytes were loaded with the acetoxymethyl ester form of fura 2 by incubating neonatal myocyte monolayer cultures on a coverslip or 100 000 adult myocytes in suspension with 3 µmol/L fura 2-AM and 1.5 µL of 25% (wt/wt in dimethyl sulfoxide) Pluronic F-127 (BASF Wyandotte Corp) dissolved in 1.0 mL Tyrode's solution for 20 minutes at 37°C. Myocytes were rinsed with fresh Tyrode's solution and maintained for at least 15 minutes at room temperature to allow for deesterification of the dye.

The device used for monitoring the fluorescence of intracellular fura 2 (Photon Technologies, Inc) alternately illuminates the cells with 340- and 380-nm light while measuring emission at 520 nm. Sampling rate for collection of ratio values is 100 Hz. Cytosolic free calcium ion concentration theoretically can be calculated from the fura 2 fluorescence ratio at the two excitation wavelengths. Although numerous approaches to calibrate intracellular fura 2 have been presented, it is extremely difficult to entirely circumvent uncertainties in the calibration because of potential compartmentalization of the dye in fura 2-AM–loaded cells, differences in the spectral properties of fura 2 in cells and in buffer solutions, and fluorescence changes due to cell contracture during calibration protocols.21 22 Because of these unavoidable uncertainties and because fura 2 fluorescence provides an extremely sensitive indicator of changes in intracellular calcium during experimental protocols (the primary focus of these studies), we have reported intracellular calcium as the fura 2 fluorescence ratio.

To monitor cell motion, the cells were simultaneously illuminated with red light, and a dichroic mirror (630-nm cutoff) in the emission path deflected the cell image to a video optical system (Crescent Electronics) that tracked the motion of the cell ends (adult myocytes) or a high contrast microsphere attached to the myocyte surface (neonatal myocyte, see below) along a raster line segment of the image during electrically stimulated contractions. The analog voltage output from the motion detector was calibrated to convert to micrometers of motion. The motion signal was obtained at a rate of 60 Hz and reflected the motion of the same myocyte simultaneously monitored with fura 2 for calcium. The signal was digitized and stored along with the fluorescence data.

Glass beads (2.1±0.5 µm, Duke Scientific Corp) were added to the neonatal monolayer cultures to provide high-contrast spots for tracking cell motion. Measurements of changes in cell length are not possible, because these cells lack a single axis of myofibrillar alignment. Therefore, studies of individual cultured neonatal myocytes report cell shortening. In contrast, the rod-shaped geometry of adult ventricular myocytes permits monitoring of actual cell length. In this case, the relative positions of the ends of the long axis of the cell were tracked. These differences in the methods used to measure motion in neonatal and adult ventricular myocytes preclude a detailed comparison of the average amplitude of cell shortening during the twitch between neonatal and adult myocytes. However, measurements of the kinetics of the calcium transient and the twitch in neonatal and adult rat ventricular myocytes are possible. As illustrated in Figs 1Down and 2Down, the kinetics of the calcium transient and cell shortening are considerably more rapid in the adult myocyte compared with the neonatal myocyte. This marked age-dependent difference in the baseline kinetics of the calcium transient and contraction is similar to that previously documented in papillary muscle.23



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Figure 1. Representative tracings showing the effect of a bolus of isoproterenol (10-7 mol/L) to increase the amplitude and abbreviate the duration of the calcium and motion transients in a neonatal rat ventricular myocyte. The upper panel presents the calcium transients (as measured by the fura 2 fluorescence ratio) and the simultaneously recorded contractions during continuous electrical stimulation at 1 Hz and exposure to a bolus of isoproterenol. Note that cell shortening is recorded as micrometers of motion of a microsphere on the cell surface and is represented by a downward deflection. The gaps in the tracings represent the time for data storage between files. The lower panel illustrates signal-averaged transients obtained at the times indicated by the letters in the tracings in the upper panel and shows the control condition (tracing a) and the response to the bolus of isoproterenol (tracings b and c). The motion of only one portion of the cell (rather than total cell length) is measured in this experiment on a neonatal myocyte. Therefore, in the lower panel, for purposes of comparison, the position of the microsphere before electrical stimulation (diastole) is set to zero, and motion relative to the diastolic position before (tracing a) and after the bolus of isoproterenol (tracings b and c) is reported. Tracings a and b are superimposed in the lower right panel.



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Figure 2. Representative tracings showing the effect of a bolus of isoproterenol (10-7 mol/L) on the calcium and motion transients of a single isolated adult rat ventricular myocyte. The upper panel presents tracings of calcium and cell length recorded during continuous electrical stimulation at 1 Hz and exposure to a bolus of isoproterenol. The lower panel represents signal-averaged transients obtained at the times indicated by the letters in the tracings in the upper panel and shows the simultaneously recorded calcium and motion transients during the control interval (tracing a) and after the bolus of isoproterenol (tracings b and c). Tracings a and b are superimposed in the lower right panel.

Studies were performed by using a three-compartment superfusion chamber modified so that a coverslip formed the bottom of the chamber, as described previously.20 The cells were superfused with Tyrode's solution gassed with 95% O2/5% CO2 at a rate of 1 mL/min. Experiments were performed at room temperature. Myocytes were paced by electrical field stimulation at 1 Hz by using platinum wires embedded in the walls of the superfusion chamber throughout all experimental protocols to avoid changes in cell calcium or shortening due to the chronotropic actions of ß-receptor agonists. Myocytes were exposed to a bolus of the nonselective ß-receptor agonist isoproterenol or the ß2-receptor–selective agonist zinterol by introducing 50 µL of superfusion buffer containing five times the desired final concentration of drug into the initial prechamber. The fluid rapidly mixes with the inflow stream and thereby is diluted as it enters the main 1x1-cm central compartment of the chamber, which is designed to maintain a constant volume of {approx}250 µL. In preliminary experiments, we established that vehicle, delivered in an identical fashion, does not affect the calcium transient or twitch. This protocol provides the means to rapidly deliver agonist to the myocytes in the experimental chamber but does not permit measurements under steady state conditions. However, preliminary experiments indicated that the isoproterenol-dependent increase in calcium transient and twitch amplitude were more modest when myocytes were superfused with agonists for more protracted intervals. This suggests that delivery of drug rapidly as a bolus minimizes the effects of desensitization mechanisms, which are simultaneously activated after exposure to agonists. Measurements were made under control conditions and at peak drug effect, in general, 90 seconds after the bolus of agonist. Where indicated, 10-7 mol/L of the ß-receptor subtype antagonists CGP 20712A (CGP) and ICI 118,551 (ICI) was added to the superfusion buffer 5 minutes before the bolus of agonist. These highly selective ß-receptor subtype antagonists by themselves had no measurable effects on the calcium transient or cell shortening under these experimental conditions.

Based on the published values for the affinity of zinterol, CGP, and ICI at ß-adrenergic receptor subtypes,24 25 the fractional occupancy of ß1- and ß2-adrenergic receptors by zinterol, in the absence or presence of 10-7 mol/L CGP or 10-7 mol/L ICI, was estimated. This was accomplished by using the equation of Neve et al26 and assuming an equilibrium dissociation constant (Kd) for zinterol of 1000 nmol/L at ß1-receptors and 40 nmol/L at ß2-adrenergic receptors,24 a Kd for CGP of 5 nmol/L at ß1-receptors and 16 000 nmol/L at ß2-receptors,14 25 and a Kd for ICI of 1900 nmol/L at ß1-receptors and 31 nmol/L at ß2-receptors.25 In the absence of antagonists, this analysis predicts that {approx}71.4% of the ß2-receptors and 9.1% of the ß1-receptors will be occupied by 10-7 mol/L zinterol. In the presence of 10-7 mol/L ICI, the percentage of ß2-receptors occupied by zinterol is reduced to {approx}37%, whereas there is only a trivial reduction in agonist occupancy of ß1-receptors. In the presence of 10-7 mol/L CGP, there is no change in agonist occupancy of the ß2-receptor population, whereas <0.4% of the ß1-receptors are occupied by zinterol. At a 100-fold higher concentration of zinterol (10-5 mol/L), {approx}100% of the ß2-receptors and 90% of the ß1-receptors are occupied by agonist. In the presence of 10-7 mol/L CGP, occupancy of ß1-receptors by zinterol is reduced to {approx}28%; agonist occupancy of ß2-receptors is not affected. Of course, these calculations assume steady state conditions and do not strictly apply to our studies of calcium and contractile function, which assessed the response to agonists delivered as a bolus. Nevertheless, these calculations provide a useful theoretical estimate of the upper limit of receptor occupancy by agonists in these studies.

Measurement of cAMP
Intracellular cAMP was measured essentially as described previously.20 Briefly, neonatal myocytes grown in 22.1-mm multiwell dishes or 100 000 rod-shaped adult myocytes were preincubated for 60 minutes at room temperature with 10 mmol/L theophylline. The phosphodiesterase inhibitor was used in biochemical experiments for two reasons. First, by increasing cAMP content, it facilitated measurements of intracellular cAMP. Second, by preventing cAMP degradation, it permitted us to isolate and assess agonist-dependent increases in the formation of cAMP. Where indicated, 10-7 mol/L of the ß-receptor subtype antagonists CGP or ICI were added to the cells 5 minutes before agonist. Assays were performed for 5 minutes at room temperature and were terminated by removal of the incubation buffer and addition of 1 mL ethanol. Each condition was performed on two wells or aliquots of cells (neonatal or adult myocytes, respectively) and was assayed for cAMP in quadruplicate. The alcohol-fixed cell extract was boiled for 3 minutes, cooled, brought to original volume with ethanol, and stored at -80°C. Aliquots of the supernatant were dried under a stream of nitrogen, and cAMP in the residue was determined by radioimmunoassay (New England Nuclear/Du Pont Co).

Radioligand Binding Assay
Cyanopindolol was radioiodinated to a theoretical specific activity of 2200 Ci/mmol and purified according to methods previously published.27 Radioligand binding experiments were performed on broken cell preparations of adult ventricular myocytes and nonenzymatically resuspended cultured neonatal rat ventricular myocytes according to methods described previously.28 To nonenzymatically detach cultured neonatal ventricular myocytes, monolayers were incubated with cell-detaching solution containing (mmol/L) NaCl 130, NaHCO3 16, KCl 3, NaH2PO4 0.5, sucrose 10, and EDTA 1 (EDTA stock solution adjusted to pH 7.3 with Tris buffer) for 10 minutes at 37°C. Cells were detached by gentle pipetting, diluted to three times their volume with similar medium containing 2 mmol/L MgCl2 instead of EDTA, pelleted by centrifugation at 700g for 5 minutes, and then resuspended in the MgCl2-containing solution at 3x106 cells per milliliter. This preparation was used to avoid possible enzyme-induced proteolytic damage to cell-surface receptors and to minimize any loss of receptor containing material that might accompany the use of more purified membrane fractions.29 To measure total ß-adrenergic receptor density and affinity for [125I]iodocyanopindolol (ICYP), 40 000 neonatal ventricular myocytes or 20 000 adult ventricular myocytes were incubated for 1 hour at 37°C with ICYP (5 to 225 pmol/L) in a final volume of 1 mL. The assay buffer contained 0.15 mol/L NaCl, 0.01 mol/L KCl, 0.01 mol/L MgCl2, 0.001 mol/L EDTA, 2 mg/mL dextrose, 1 mg/mL BSA, and 0.01 mol/L Tris, pH 7.4. Specific binding of ICYP was defined as the component of total binding that could be inhibited by excess unlabeled propranolol (1 µmol/L) and constituted {approx}90% of total binding at concentrations of ICYP near Kd. In preliminary experiments, we established that specific binding of ICYP to neonatal and adult myocyte preparations reaches equilibrium by 50 minutes, remains stable for at least an additional 30 minutes, and is linear with cell density up to 60 000 adult and 200 000 neonatal ventricular myocytes per milliliter. ICYP bound to membrane protein was separated from free, unbound ICYP by the addition of 1 mL of warmed buffer (37°C) and rapid vacuum filtration of the entire volume over glass-fiber filters (Gelman A/E, Gelman Sciences), which was followed by three washes with 5 mL of 10 mmol/L Tris, pH 7.4. Radioactivity trapped by the filters was detected in a Packard Autogamma scintillation spectrophotometer. Kd and the maximal number of binding sites (Bmax) for ICYP were determined by Scatchard analysis of saturation binding isotherms.

ß2-Adrenergic receptor density in neonatal and adult ventricular myocytes was measured in parallel in some experiments. The strategy to assess ß2-adrenergic receptor subtype expression took advantage of the extraordinarily high degree of selectivity of CGP for ß1-adrenergic receptors (Kd, {approx}5 and 16 000 nmol/L at ß1- and ß2-receptors, respectively, in rat heart14 25 ). The published values for the affinity of CGP at ß1- and ß2-adrenergic receptors were validated for our experimental system in preliminary competition binding studies (data not shown). Accordingly, myocytes were preincubated for 5 minutes at 37°C with 5x10-7 mol/L CGP, and saturation binding experiments were performed precisely as described above. Because this concentration of CGP selectively binds and masks ß1-adrenergic receptors, only ß2-receptors are detected under these experimental conditions. The percentage of ß2-receptors (measured in the presence of CGP) relative to total ß-adrenergic receptors (measured in parallel without CGP) is reported.

Although ß-adrenergic receptors are remarkably stable integral membrane proteins, we also considered the possibility that our approach, which compares ß2-adrenergic receptor responsiveness (modulation of contractile function and stimulation of cAMP accumulation) in intact monolayers and ß2-receptor density in nonenzymatically resuspended myocyte preparations, may not be valid. To determine whether ß2-adrenergic receptors might be selectively lost during the nonenzymatic resuspension protocol, we examined ß-receptor characteristics on intact myocytes in monolayer culture (according to methods previously published by our laboratory27 ). No difference in total ß-receptor density, antagonist affinity, or the proportion of ß1- and ß2-receptors could be detected between neonatal myocytes in monolayer culture or myocytes that had been nonenzymatically resuspended (data not shown). These results argue that the nonenzymatic resuspension does not introduce discernible differences in ß-adrenergic receptor expression.

Statistics
For measurements of intracellular calcium and cell motion, six successive transients were superimposed and averaged. Amplitude and width at one-half maximal amplitude were measured for both the calcium and motion transients. For studies of calcium and contractile function, all data represent results of experiments on cells from at least two separate isolations (adult) or cultures (neonate). For cAMP studies, experiments were performed at least four times on different myocyte preparations. Data are presented as mean±SEM, and statistical comparisons were made by using Student's t test for paired observations or ANOVA for multiple comparisons as indicated. Significance was defined at the P<.05 level.

Materials
CGP was obtained from CIBA-GEIGY. ICI was purchased from Cambridge Research Biochemicals Ltd. Zinterol was generously provided by Bristol-Myers Squibb. Fura 2-AM was purchased from Molecular Probes. All other chemicals were reagent grade.


*    Results
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up arrowAbstract
up arrowIntroduction
up arrowMaterials and Methods
*Results
down arrowDiscussion
down arrowReferences
 
ß-Adrenergic Receptor Subtype Modulation of Calcium and Cell Shortening in Neonatal and Adult Ventricular Myocytes
Our first aim was to compare the ß-adrenergic receptor response of adult and neonatal rat ventricular myocytes. A representative tracing of the cell shortening and calcium transients from an electrically stimulated neonatal ventricular myocyte before and after exposure to a bolus of 10-7 mol/L isoproterenol is illustrated in Fig 1Up (top). Typical results from a comparable experiment performed on a single adult ventricular myocyte are depicted in Fig 2Up (top). In each case, the nonselective ß-receptor agonist rapidly increased the amplitude of the calcium transient, and this was accompanied by a marked increase in the amplitude of cell shortening. Isoproterenol also abbreviated the duration of the twitch in both neonatal and adult ventricular myocytes. This is best appreciated in Table 1Down and in the lower right panels of Figs 1Up and 2Up, where signal-averaged calcium and motion transients in neonatal and adult myocytes before and after exposure to isoproterenol are superimposed and illustrated on an expanded time scale.


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Table 1. Comparison of Effects of 10-7 mol/L Isoproterenol or 10-7 mol/L Zinterol on Amplitude and Kinetics of Contraction in Neonatal and Adult Rat Ventricular Myocytes

It is now well established that the effect of isoproterenol to accelerate the kinetics of cardiac relaxation is mediated, at least in part, by the cAMP-dependent phosphorylation of phospholamban, which results in increased calcium uptake by the sarcoplasmic reticulum.30 In view of previous biochemical, structural, and functional data suggesting a more fully developed sarcoplasmic reticulum in adult than in neonatal myocytes,31 32 we had anticipated that a developmental difference in sarcoplasmic reticular function might limit the effect of isoproterenol to enhance relaxation in myocytes from the newborn ventricle. In this regard, the observation that isoproterenol markedly accelerates the kinetics of the calcium transient and cell shortening in neonatal myocytes is noteworthy. In both neonatal and adult myocytes, the effect of isoproterenol to increase twitch amplitude was maximal {approx}90 seconds after the bolus of drug; partial recovery toward the resting value was evident by 200 seconds (Table 1Up). Although this might be anticipated as a result of a fall in the concentration of agonist during drug washout, the effect of the bolus of isoproterenol to abbreviate the duration of the twitch fully persisted for at least 200 seconds (see Table 1Up).

The selective ß2-adrenergic agonist zinterol at 10-7 mol/L also modulated the calcium and cell motion transients of neonatal ventricular myocytes (Fig 3Down and Table 1Up). Zinterol enhanced the amplitude and hastened the kinetics of the calcium transient; these changes were accompanied by an increase in the amplitude and an acceleration in the kinetics of cell shortening. In contrast, when single adult ventricular myocytes were exposed to zinterol under identical experimental conditions, a different result was obtained. As illustrated in the original tracing from a representative adult ventricular myocyte depicted in Fig 4Down, a bolus of 10-7 mol/L zinterol had no effect on the amplitude or the kinetics of the calcium transient or the twitch.



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Figure 3. Representative tracings demonstrating the effect of a bolus of zinterol (10-7 mol/L) on the calcium and motion transients of a single neonatal rat ventricular myocyte in the monolayer culture. The conditions are identical to those described in Fig 1Up. The upper panel depicts the continuous calcium and cell-shortening tracings; the lower panel depicts signal-averaged transients obtained at the times indicated by the letters. Tracings are as follows: a, control interval; b and c, after a bolus of zinterol. Tracings a and b are superimposed in the lower right panel.



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Figure 4. Representative tracings demonstrating that a bolus of 10-7 mol/L zinterol does not modulate the calcium or motion transients in an isolated adult rat ventricular myocyte. The conditions are identical to those described in Fig 2Up. The upper panel depicts the continuous tracings of cell calcium and cell length; the lower panel depicts signal-averaged transients obtained at the times indicated by the letters. Tracings are as follows: a, control interval; b and c, after the bolus of zinterol. Tracings a and b are superimposed in the lower right panel.

Figs 1 through 4UpUpUpUp illustrate data from representative experiments examining the effects of equimolar concentrations of isoproterenol and zinterol to modulate the calcium and cell motion transients of neonatal and adult myocytes. Corresponding averaged data that compare the responses of neonatal and adult myocytes with isoproterenol and zinterol are presented in Fig 5Down and Table 1Up. In neonatal myocytes, isoproterenol and zinterol both increase the amplitude and accelerate the kinetics of the calcium and motion transients. It is noteworthy that the effect of 10-7 mol/L zinterol to increase the amplitude of the calcium and motion transients was only 37.6% and 41.0% as great as the effect of an equimolar concentration of isoproterenol. In contrast, the effects of equimolar concentrations of isoproterenol and zinterol to accelerate the kinetics of the calcium and motion transients were similar in magnitude. Finally, these results emphasize that under these experimental conditions zinterol influences the calcium transient and cell shortening in neonatal, but not in adult, ventricular myocytes.



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Figure 5. Bar graphs showing the effects of a bolus of 10-7 mol/L isoproterenol or 10-7 mol/L zinterol on the amplitude and width (at half-maximal amplitude) of the calcium and motion transients in neonatal (top) and adult (bottom) ventricular myocytes. In each case, the response 90 seconds after the bolus of drug is reported. Amplitude of the calcium transient is defined as the difference between the peak systolic and diastolic fura 2 fluorescence ratios. Amplitude of cell shortening is defined as the difference between cell length (adult myocytes) or the position of a microsphere attached to the myocyte surface (neonatal myocytes) recorded before electrical stimulation and at peak cell contraction. Results are expressed as percent change from control and represent the mean±SEM for determinations in 9 neonatal and 6 adult myocytes exposed to isoproterenol and 11 neonatal and 11 adult myocytes exposed to zinterol. All effects of isoproterenol and zinterol are significant in neonatal myocytes; all effects of isoproterenol, but not zinterol, are significant in adult myocytes (P<.05).

Using highly selective ß-adrenergic receptor subtype inhibitors, we verified that the response to zinterol in neonatal myocytes reflects the selective activation of ß2-adrenergic receptors (Fig 6Down). ICI, a selective ß2-adrenergic receptor antagonist, had no effect on cell shortening alone but effectively abolished the effect of zinterol to increase the amplitude and hasten the kinetics of the twitch. In contrast, the response to zinterol persisted in the presence of CGP, a selective inhibitor of the ß1-adrenergic receptor.



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Figure 6. Bar graph showing selective inhibition of the effect of 10-7 mol/L zinterol to modulate the amplitude and duration of cell shortening in neonatal rat ventricular myocytes by the ß2-receptor antagonist ICI 118,551 (ICI). CGP indicates CGP 20712A. Results are expressed as percent change compared with control (mean±SEM, n=11 for each group, *P<.05 vs control).

Xiao and Lakatta16 recently identified a ß2-adrenergic receptor response in single adult rat ventricular myocytes that is qualitatively distinct from the response to ß1-adrenergic receptor agonists. Specifically, zinterol was reported to increase the amplitude of the calcium transient and the twitch without an effect on the time course of the calcium transient and with only a minor effect to accelerate the twitch. However, our experiments and those reported by Xiao and Lakatta use markedly different experimental conditions. In the cited study, myocytes were superfused for 10 minutes with 10-5 mol/L zinterol. Indeed, when isolated adult ventricular myocytes were stimulated with this 100-fold higher concentration of zinterol, either as a bolus (Fig 7Down) or according to a superfusion protocol that mimicked the method described by Xiao and Lakatta (data not shown), we also consistently observed an increase in the amplitude of cell shortening. The effect of a bolus of 10-5 mol/L zinterol to increase the amplitude of the twitch was accompanied by an increase in the amplitude of the calcium transient; neither the calcium transient nor the twitch was significantly influenced by a 10-fold lower concentration of zinterol delivered as a bolus (data not shown). Moreover, the difference in the characteristics of the responses to isoproterenol and a high concentration of zinterol, previously noted by Xiao and Lakatta, was confirmed in our experiments. Whereas isoproterenol markedly accelerated the kinetics of the twitch, zinterol did not (Fig 7Down, open bars).



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Figure 7. Bar graph showing the effects of a bolus of 10-5 mol/L zinterol on the amplitude and width (at half-maximal amplitude) of the twitch and its modulation by the ß1-receptor antagonist CGP 20712A (CGP) in adult ventricular myocytes. Results are expressed as percent change compared with control (mean±SEM, n=8 for each group, *P<.05 vs control).

Insofar as the stimulatory effects of a high concentration of zinterol might be anticipated to result from combined drug actions at ß1- and ß2-adrenergic receptors, we next determined whether the effect of a bolus of 10-5 mol/L zinterol to modulate contractile function was influenced by the ß1-receptor blocker CGP. As illustrated in Fig 7Up, the effect of zinterol to increase the amplitude of the twitch was not significantly attenuated by CGP, but the presence of CGP unmasked an effect of zinterol to prolong the time course of the twitch (hatched bars). In the combined presence of CGP and ICI, zinterol did not significantly alter contractile function (ie, contractile amplitude declined by 0.3±1.5%, n=3, P=NS). Taken together, these results constitute evidence that changes in contractile function after bolus exposure to 10-5 mol/L zinterol result from the combined activation of ß1- and ß2-adrenergic receptors.

These experiments confirm the presence of functional ß2-adrenergic receptors that are linked to an increase in cell motion in adult rat ventricular myocytes. However, the results also emphasize two important differences between the characteristics of the ß2-adrenergic receptor response of neonatal and adult myocytes, which are illustrated by the representative tracings presented in Fig 8Down. First, at 10-7 mol/L zinterol (a concentration that selectively activates ß2-adrenergic receptors), the response is restricted to neonatal myocytes, emphasizing that adult myocytes are considerably more refractory than neonatal myocytes to the stimulatory effects of ß2-receptor agonists. Second, the effects of ß2-agonists to abbreviate the calcium transient and accelerate the kinetics of cell shortening are confined to neonatal myocytes. Zinterol does not hasten the kinetics of the twitch in adult ventricular myocytes. In fact, the experiments using the ß1-receptor subtype–selective blocker CGP to isolate the ß2-receptor stimulatory effects of zinterol provide convincing evidence that activation of ß2-adrenergic receptors results in prolongation of the twitch in adult cardiac myocytes. Thus, the distinct effect of zinterol on the time course of contraction in neonatal and adult rat ventricular myocytes reflects a fundamental age-dependent difference in ß2-receptor modulation of contractile performance and constitutes the second major developmental difference in ß2-receptor action.



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Figure 8. Representative tracings comparing the effect of 10-7 mol/L zinterol in a neonatal myocyte and 10-5 mol/L zinterol in an adult myocyte, each in the presence of ß1-receptor blockade with 10-7 mol/L CGP 20712A (CGP), on the amplitude and kinetics of cell contraction. The top tracings illustrate typical results obtained in one of the 11 neonatal cells studied with zinterol and CGP (from Fig 6Up). Similarly, the bottom tracings illustrate typical results obtained in one of the eight adult cells studied with zinterol and CGP (from Fig 7Up).

ß2-Receptor Activation of cAMP Accumulation
Since ß-receptor agonists are known to stimulate adenylyl cyclase activity and promote the intracellular accumulation of cAMP, we next probed for age-dependent differences in the effect of isoproterenol and zinterol to increase intracellular cAMP. Fig 9Down compares the dose-response relation of the effects of isoproterenol and zinterol on intracellular cAMP accumulation in neonatal and adult ventricular myocytes. Isoproterenol induced a dose-dependent increase in intracellular cAMP accumulation, which was large and of similar magnitude in neonatal and adult ventricular myocytes (20.0±1.0- and 20.6±2.6-fold over basal in response to 10-5 mol/L isoproterenol, respectively). Zinterol also increased cAMP accumulation in neonatal and adult myocytes. In neonatal myocytes, 10-7 mol/L zinterol induced a substantial increase in cAMP accumulation (7.0±0.4-fold), which represented 38.1% of the response to an equimolar concentration of isoproterenol. In contrast, zinterol elicited only a very minor increase in cAMP accumulation in adult ventricular myocytes. Intracellular cAMP levels were elevated 2.6±0.3-fold over basal in the presence of 10-5 mol/L zinterol, the 100-fold higher agonist concentration required to modulate contractile function in adult myocytes.



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Figure 9. Graphs showing concentration-response relation of the effect of isoproterenol and zinterol on intracellular cAMP accumulation in neonatal and adult rat ventricular myocytes. Results represent the mean±SEM cAMP accumulation over basal values of 7.9±0.5 pmol per dish in neonatal myocytes (n=4) and 23.7±1.8 pmol/100 000 adult myocytes (n=6). Note that all error bars fall within the symbols for the zinterol data in adult myocytes.

The effect of zinterol to increase cAMP accumulation did not appear to saturate over a wide range of concentrations, raising the possibility that zinterol increases cAMP accumulation via an action at a heterogeneous population of ß-adrenergic receptors. Indeed, up to 10-7 mol/L, the effect of zinterol to increase cAMP accumulation was completely abolished by ICI but was not attenuated by CGP, in both neonatal and adult ventricular myocyte preparations (Fig 10Down). These results provide strong evidence that at concentrations <=10-7 mol/L, zinterol increases cAMP accumulation via a highly selective action at ß2-adrenergic receptors in neonatal and adult ventricular myocytes. In contrast, at 10-6 mol/L zinterol, a small but significant increase in cAMP accumulation in the presence of ICI and a small but significant diminution in cAMP accumulation in the presence of the highly selective ß1-receptor antagonist CGP were consistently noted. In separate experiments, we examined the effects of 10-5 mol/L zinterol (the concentration shown to modulate the calcium transient and the twitch in adult ventricular myocytes). The effect of 10-5 mol/L zinterol to increase cAMP accumulation in adult ventricular myocytes was significantly attenuated by ß1-receptor blockade with CGP (33.2±6.4%) or ß2-receptor blockade with ICI (45.0±5.1%); it was virtually abolished when CGP and ICI were simultaneously included in the assay (87.2±2.2%, P<.05, n=6 for each). These results indicating that 10-5 mol/L zinterol increases cAMP via combined actions at ß1- and ß2-adrenergic receptors are not entirely surprising. Published values for the relative selectivity of zinterol for ß1- and ß2-adrenergic receptors (Kd=1000 and 40 nmol/L at ß1- and ß2-adrenergic receptors, respectively24 ) would predict that the fractional occupancy of ß1-adrenergic receptors by zinterol would increase progressively as the concentration of zinterol rises over this dose range.



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Figure 10. Graphs showing inhibition of the effect of zinterol to promote intracellular cAMP accumulation by subtype-selective ß-receptor antagonists. Results depict mean±SEM cAMP accumulation in the absence and presence of the indicated concentration of zinterol alone or in combination with 10-7 mol/L ICI 118,551 (ICI) or 10-7 mol/L CGP 20712A (CGP) (n=4 and n=6 for neonatal and adult myocytes, respectively). Note the difference in vertical axis due to the marked difference in zinterol responsiveness between neonatal (upper) and adult (lower) myocytes. In both neonatal and adult myocytes, zinterol alone or in combination with CGP significantly increased cAMP accumulation at 10-8 to 10-6 mol/L. In contrast, in combination with 10-7 mol/L ICI, zinterol induced a minor but significant increase in cAMP accumulation only at 10-6 mol/L.

One could argue that there might be limitations to an approach that compares zinterol responsiveness in myocytes freshly isolated from the adult heart or cultured from the neonatal heart. To determine whether the differences in ß2-receptor actions represent age-dependent differences in ß2-receptor responsiveness rather than changes in the ß2-receptor signaling pathway (which are induced by cell culture), we assessed ß2-receptor responsiveness in freshly isolated neonatal myocytes. Since the myocytes freshly isolated from the neonatal heart are rounded and not amenable to studies of agonist-induced changes in contractility, the effect of zinterol to increase cAMP was used as a measure of ß2-receptor responsiveness in these experiments. When compared with the response to an equimolar concentration of isoproterenol, zinterol induced an equivalent increase in cAMP accumulation in acutely isolated neonatal ventricular myocytes and myocytes cultured for 5 days (33.3±8.3% and 41.7±8.3%, respectively; n=4, P=NS). These results argue that the culture procedure itself does not introduce differences in ß2-receptor responsiveness.

ß-Receptor Subtype Expression in Neonatal and Adult Rat Ventricular Myocytes
Buxton and Brunton33 previously reported that within the limits of detection using radioligand binding with ICYP, purified adult rat ventricular myocytes possess a homogeneous population of ß1-adrenergic receptors. However, the observation that a low concentration of a ß2-adrenergic receptor agonist preferentially modulates the calcium and cell-shortening transients and increases cAMP accumulation in neonatal myocytes raised the possibility that neonatal myocytes might be relatively enriched in ß2-adrenergic receptors. Therefore, we compared ß-adrenergic receptor characteristics in ventricular myocytes from the neonatal and adult heart (Table 2Down). In each case, ICYP identified a single class of high-affinity ß-adrenergic receptors. Scatchard analysis of the linear saturation isotherms revealed a higher total ß-receptor density in adult myocytes than in neonatal myocytes, when the value was expressed as sites per cell. However, we reasoned that a comparison of ß-receptor expression in neonatal and adult myocytes must take into account the marked difference in size and surface area between these cells. By measuring the diameter of the spherical resuspended neonatal ventricular myocytes (11.5±0.4 µm, n=60), we estimated that the cell-surface density of ß-adrenergic receptors in neonatal ventricular myocytes is {approx}107 sites per square micrometer. In comparison, assuming that adult ventricular myocytes are brick-shaped (with dimensions of 127.0±4.5 µm in length, 25.1±1.7 µm in width, and {approx}10 µm in depth; n=10), we estimated a fivefold lower cell surface ß-adrenergic receptor density in adult myocytes ({approx}20 sites per square micrometer). These results in adult ventricular myocytes are in reasonable accord with the calculations reported previously by Buxton and Brunton. We recognize that this rather simple approach to correct Bmax for age-dependent differences in cell size does not take into account potential membrane infolding, which may be significant and may differ between neonatal and adult myocytes. However, the accuracy of other approaches to calculate membrane surface area also is uncertain, since receptor distribution may not be uniform within specialized membrane domains. Thus, the present analysis suggests that cell surface ß-adrenergic receptor density may be higher in neonatal than in adult ventricular myocytes.


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Table 2. ß-Adrenergic Receptor Density and Antagonist Affinity in Neonatal and Adult Rat Ventricular Myocytes

To determine the relative proportion of ß1- and ß2-receptors in ventricular myocytes, saturation binding experiments were performed in parallel in the presence of 5x10-7 mol/L CGP (Table 2Up). Given the >1000-fold selectivity of CGP for ß1-adrenergic receptors,14 25 this concentration of CGP completely and specifically masks the ß1-adrenergic receptor population; only ß2-adrenergic receptors are available to be identified by the radioligand under these experimental conditions. Using this strategy, we demonstrated that the ß2-receptor population constitutes a similar minor proportion of the total ß-receptor population in neonatal and adult ventricular myocytes (16.7±2.3% and 16.9±0.9% of the total ß-receptor density in the corresponding experimental preparation, respectively; n=3 for neonate and n=4 for adult; P=NS).


*    Discussion
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up arrowAbstract
up arrowIntroduction
up arrowMaterials and Methods
up arrowResults
*Discussion
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These studies are the first to demonstrate that ß2-adrenergic receptor agonists modulate calcium homeostasis and contractile performance in neonatal rat ventricular myocytes. In fact, the data reported herein argue that ß2-adrenergic receptors play an even more important role in mediating the contractile response to catecholamines in the neonatal than in the adult rat heart. This conclusion is based on the finding that a low concentration of ß2-adrenergic receptor agonists, which is ineffective in adult ventricular myocytes, rapidly and profoundly modulates the calcium transient and cell contraction in neonatal ventricular myocytes. The notion that the ß2-receptor response may play an important role in mediating the contractile response to catecholamines in the neonatal heart is particularly intriguing when considered in the context of normal cardiac development. Since norepinephrine has at least a 10-fold higher affinity for ß1- than for ß2-adrenergic receptors, several investigators have speculated that ß1-adrenergic receptors preferentially mediate the response to neuronally released norepinephrine. On the other hand, it has been postulated that ß2-adrenergic receptors mediate the response to circulating epinephrine.3 34 35 In this context, it is important to note that maturation of sympathetic innervation is not complete in the neonatal rat heart. Thus, it becomes tempting to speculate that the exaggerated ß2-receptor response in the noninnervated neonatal heart might provide vital support of contractile function. The logical extension of this hypothesis is that with maturation of sympathetic innervation, the ß2-receptor response becomes less critical and is lost. Indeed, sympathetic innervation of the heart has been shown to play an important role in the maturation of several aspects of cardiac cell function. In vitro innervation of previously noninnervated neonatal rat ventricular myocytes has been shown to increase the expression of functional L-type calcium channels,36 alter the gating of the voltage-gated sodium channel,18 modulate contractile function,37 and alter {alpha}1-adrenergic receptor responsiveness.38 Although it has been speculated that neurally released norepinephrine might regulate ß1-receptor expression,25 currently there is no compelling evidence that norepinephrine or other trophic factors released by sympathetic neurons regulate ß2-adrenergic receptor expression or function. Whether sympathetic innervation acts as a potential modulator of ß2-receptor responsiveness remains to be elucidated.

These studies also provide evidence that ß2-receptors act, at least in part, via distinct intracellular signaling mechanisms to modulate contractile function in neonatal and adult ventricular myocytes. There are two major differences in the characteristics of the response to ß2-adrenergic receptor stimulation between neonatal and adult myocytes that support this conclusion. First, the effect of zinterol to accelerate the kinetics of the calcium transient and cell shortening is restricted to neonatal myocytes. This effect was not confined to low concentrations; qualitatively similar responses were observed when neonatal myocytes were exposed to higher concentrations of zinterol (data not shown). In contrast, experiments using CGP to block any ß1-receptor–stimulatory actions of zinterol provide evidence that ß2-receptor stimulation leads to a prolongation of the kinetics of the twitch in adult myocytes. It is important to note that the absence of an effect of zinterol to accelerate the time course of the twitch in adult myocytes is not simply a result of the very modest ß2-receptor agonist–dependent increase in intracellular cAMP in these cells. This conclusion is based on data from control experiments demonstrating that low concentrations of isoproterenol (10-9 to 10-8 mol/L), estimated to elevate intracellular cAMP to a level equivalent to that achieved in the presence of 10-5 mol/L zinterol, effectively accelerated the kinetics of the twitch (data not shown). Thus, these results argue for the presence of a fundamental age-dependent difference in ß2-receptor modulation of the kinetics of contraction. This result is noteworthy in light of the previous apparently contradictory findings that ß2-adrenergic receptor agonists prolong the time course of contraction in feline papillary muscle preparations,39 induce at most only minor effects to abbreviate the twitch in adult rat ventricular myocytes,16 but accelerate the kinetics of contraction in strips of human atrial myocardium.40 Prior studies have attempted to attribute some of these inconsistencies to species-dependent differences in ß2-receptor action. Our results provide compelling evidence that developmental changes in the characteristics of the ß2-receptor response also must be considered.

The second fundamental difference between the characteristics of the response to ß2-adrenergic receptor agonists between neonatal and adult myocytes relates to stimulation of cAMP accumulation. In neonatal myocytes, there was a close correlation between the effect of zinterol to promote intracellular cAMP accumulation, to increase the amplitude of the calcium transient, and to augment cell shortening. This is consistent with the notion that ß2-receptor agonists modulate contractile performance primarily via a cAMP-dependent mechanism in the neonatal heart. Nevertheless, future studies to assess whether there is a concordance between the agonist-dependent activation of protein kinase A and modulation of contractile function will be required to substantiate this conclusion. In contrast, the effect of zinterol to increase the amplitude of the twitch and the calcium transient was associated with only a modest increase in intracellular cAMP accumulation in adult myocytes. Although it is widely accepted that ß-receptor agonists modulate cardiac contractile function through an action to stimulate adenylyl cyclase and increase intracellular cAMP, discrepancies between agonist-dependent elevations in cellular cAMP content and increases in inotropy had been noted previously.41 There are several explanations that can be proposed to reconcile these discrepancies. For example, evidence that receptor-mediated increases in inotropy correlate best with receptor-dependent increases in cAMP in the particulate fraction of the cell41 42 raise the possibility that ß2-adrenergic receptors might modulate contractile function by increasing a specific pool of cAMP and/or cAMP-dependent protein kinase. Alternatively, it could be argued that ß2-adrenergic receptors increase inotropy without enhancing relaxation by stimulating a cAMP-independent membrane-delimited process. Direct Gs-dependent activation of voltage-sensitive calcium channels could constitute such a candidate mechanism.43 In this regard, recent evidence that ß1- and ß2-receptor agonists induce an equivalent increase in peak calcium current amplitude but that ß2-receptor stimulation preferentially prolongs calcium current inactivation is noteworthy.16 Finally, results of a previous study suggest that for a given increase in twitch amplitude, the increase in the amplitude of the calcium transient is much more modest for ß2- than for ß1-receptor agonists.16 Of note, this conclusion is based on experiments that compare the effect of zinterol with the effect of norepinephrine (each superfused for 10 minutes); the difference between ß-receptor subtype actions to increase the amplitude of the calcium transient and the twitch was less pronounced in the present study, which compares zinterol with the mixed ß-receptor agonist isoproterenol under conditions in which isoproterenol rapidly and transiently activates the ß-adrenergic receptor. Nevertheless, this observation has raised the possibility that ß1- and ß2-receptor agonists influence myofilament responsiveness to calcium in a distinct fashion. The recent demonstration that the ß2-adrenergic receptor activates Na-H exchange via a G protein other than Gs and a mechanism that is independent of cAMP44 may be relevant, since alkalinization resulting from receptor-dependent stimulation of Na-H exchange would be predicted to increase the calcium sensitivity of the contractile proteins.45 Future studies to explore whether ß2-receptor agonist activation of Na-H exchange accounts for the ß2-receptor–dependent increase in the amplitude of the twitch with no increase or only a minor increase in intracellular calcium will be of interest.

Results reported herein and a previous study by Xiao and Lakatta16 provide unambiguous evidence for ß2-receptor modulation of contractile function in adult rat ventricular myocytes. However, a difference between the two studies deserves comment. In the previous study, the effect of superfusion with 10-5 mol/L zinterol to increase the amplitude without significantly accelerating the kinetics of the twitch in adult ventricular myocytes was attenuated by ICI but remained completely intact in the presence of CGP. This observation was taken as strong evidence that superfusion with a high concentration of zinterol exclusively activates the ß2-receptor population. In the studies reported herein, the effect of 10-5 mol/L zinterol to increase intracellular cAMP accumulation was dependent on the combined actions at ß1- and ß2-adrenergic receptors. Similarly, the effect of 10-5 mol/L zinterol, delivered rapidly as a bolus, to modulate contractile function was influenced by CGP. These observations constitute strong evidence that both ß1- and ß2-adrenergic receptor populations contribute to the functional response to zinterol under our experimental conditions. The precise protocol for drug delivery (rapid bolus versus prolonged continuous superfusion) constitutes the most striking difference between the experimental design used to investigate agonist modulation of contractile function in these two studies. Whether ß-receptor subtypes differ in their kinetics of desensitization or regulation in the cell, thereby accounting for the discrepancy in the ß-receptor subtype selectivity of 10-5 mol/L zinterol noted in these studies, will require further study.

It has recently become evident that several important structural and regulatory proteins in the heart undergo maturational and regionally regulated expression. In some cases, disease-associated changes in protein expression that recapitulate the ontogenic changes and may provide an adaptive response to the pathological state have been identified.46 47 With regard to the ß-adrenergic receptor, it is increasingly evident that various pathological states are associated with dramatic changes in ß-adrenergic receptor expression and function in the heart.1 This has been studied most intensively in the setting of heart failure, where a diminished cAMP and inotropic response to ß-receptor agonists, in general, has been associated with a decrease in the density of cell surface ß-adrenergic receptors.3 4 Interestingly, a selective downregulation of the ß1-adrenergic receptor population in the face of a relatively constant density of ß2-adrenergic receptors, which results in a relative increase in the proportion of ß2-adrenergic receptors in the failing heart, has been reported.3 4 48 The relative increased number of ß2-adrenergic receptors retains almost full inotropic activity, thereby helping to support contractile function in the failing heart. In this context, results reported herein that establish an age-dependent difference in ß-receptor subtype function and suggest an age-dependent difference in the density of cell surface ß-adrenergic receptors, without any change in the proportion of ß2-receptors, are intriguing. Studies to further characterize ß2-receptor coupling to intracellular signaling mechanisms in the context of cardiac development are in progress. However, in the context of the known disease-associated changes in ß-receptor subtype expression and function, results reported herein may suggest that adaptive changes in ß-receptor subtype function in heart failure constitute, at least in part, yet another instance of a disease-associated recapitulation of the neonatal phenotype.

In summary, the present study demonstrates that low concentrations of ß2-receptor agonists stimulate cAMP accumulation and modulate contractile function in neonatal but not adult ventricular myocytes. Although at high concentrations zinterol also modulates contractile function in adult myocytes, the distinct characteristics of the biochemical and contractile responses to zinterol in neonatal and adult myocytes provide persuasive evidence that age-dependent differences in ß2-receptor coupling to more distal elements in the signaling cascade can influence the nature of the ß2-adrenergic response.


*    Acknowledgments
 
This study was supported by US Public Health Service–National Heart, Lung, and Blood Institute grant HL-28958.

Received April 20, 1994; accepted September 30, 1994.


*    References
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up arrowAbstract
up arrowIntroduction
up arrowMaterials and Methods
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up arrowDiscussion
*References
 
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