4.6 Article

Differential effects of adenosine A2a and A2b receptors on cardiac contractility

出版社

AMER PHYSIOLOGICAL SOC
DOI: 10.1152/ajpheart.00511.2010

关键词

A(2a) adenosine receptor; A(2b) adenosine receptor; knockout mice; cardiac contractility

资金

  1. National Heart, Lung, and Blood Institute [R01-HL-066132]

向作者/读者索取更多资源

Chandrasekera PC, McIntosh VJ, Cao FX, Lasley RD. Differential effects of adenosine A(2a) and A(2b) receptors on cardiac contractility. Am J Physiol Heart Circ Physiol 299: H2082-H2089, 2010. First published October 8, 2010; doi: 10.1152/ajpheart.00511.2010.-The mammalian myocardium expresses four adenosine receptor (AR) subtypes: A(1)AR, A(2a)AR, A(2b)AR, and A(3)AR. The A(1)AR is well known for its profound antiadrenergic effects, but the roles of other AR subtypes in modulating contractility remain inconclusive. Thus, the objective of this study was to determine the direct and indirect effects of A(2a)AR and A(2b)AR on cardiac contractility. Experiments were conducted in paced, constant pressure-perfused isolated hearts from wild-type (WT), A(2a)AR knockout (KO), and A(2b)AR KO mice. The A(2a)AR agonist CGS-21680 did not alter basal contractility or beta-adrenergic receptor agonist isoproterenol (Iso)-mediated positive inotropic responses, and Iso-induced effects were unaltered in A(2a)AR KO hearts. However, A(2a)AR gene ablation resulted in a potentiation of the antiadrenergic effects mediated by the A(1)AR agonist 2-chloro-N- cyclopentyladenosine. The nonselective AR agonist 5'-N-ethylcarboxamido adenosine and the selective A(2b)AR agonist BAY 60-6583 induced coronary flow-independent increases in contractility, but BAY 60-6583 did not alter Iso-induced contractile responses. The A1AR antiadrenergic effect was not potentiated in A(2b)AR KO hearts. The expression of all four AR subtypes in the heart and ventricular myocytes was confirmed using real-time quantitative PCR. Taken together, these results indicate that A(2a)AR does not increase cardiac contractility directly but indirectly alters contractility by modulating the A(1)AR antiadrenergic effect, whereas A(2b)AR exerts direct contractile effects but does not alter beta-adrenergic or A(1)AR antiadrenergic effects. These results indicate that multiple ARs differentially modulate cardiac function.

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