(Hypertension. 1996;27:693-703.)
© 1996 American Heart Association, Inc.
Articles |
From the Departments of Medicine and Pathology, University of Virginia Health Sciences Center, Charlottesville (R.O., S.J.B., S.F.W., R.A.F., R.M.C.), and Department of Pharmacology and Therapeutics, University College Cork, Cork, Ireland (D.P.O., C.V.).
| Abstract |
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Key Words: dopamine SKF38393 rat heart RNA in situ amplification immunohistochemistry adenyl cyclase
| Introduction |
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The heart, as well as the kidney, is a potentially important target of dopamine administered exogenously as a therapeutic agent in patients with compromised hemodynamic function. A recent genetic study suggested that the D1A receptor gene may be associated with increased ventricular weight in spontaneously hypertensive rats.19 Dopamine has been detected in the heart,11 20 so there may be a dopaminergic system in the heart; however, it is still uncertain whether dopamine receptors are present in the heart.
The present study, using a combination of light and electron microscopic immunohistochemistry, Western blot analysis, RT-PCR, and a novel in situ mRNA amplification system, demonstrates the D1A receptor in rat coronary vessels and myocardium, to our knowledge for the first time.
| Methods |
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Light Microscopic Immunohistochemistry
Immunohistochemistry
was performed as previously
described.14 Polyclonal antibodies were raised against two
synthetic peptide sequences derived from the predicted
D1A receptor. The specific sequences of the peptides
were (1) CQTTAGNGNPVE, amino acids 241-252 located on the third
intracellular domain; and (2) GSEETQPFC, amino acids 299-307 located on
the third extracellular domain. The antibodies were IgG affinity
purified by the method of Lindmark et al.21 Selectivity of
the antibodies was validated by recognition of D1A receptor
expressed in stably transfected murine fibroblast
LTK- cells, as previously
described.14 22 A full-length rat D1A
receptor cDNA was subcloned in the expression vector pRc/CMV
(Invitrogen) at the Xba I site and transfected into the
LTK- cell line. Cell cultures grown on
poly-L-lysinecoated glass well slides were fixed in
4% paraformaldehyde in PBS at room temperature. The
cells were treated with the antisera diluted at 1:1000 overnight at
4°C, and the staining was visualized with an avidin-biotin
immunoperoxidase reaction (Vectastain ABC Kit, Vector
Laboratories).
For light microscopic immunohistochemistry, male young (<4 weeks old, 70 to 100 g) and adult (200 to 250 g) Sprague-Dawley rats were purchased from Hilltop Inc (Scottsdale, Pa). After perfusion fix with 1% paraformaldehyde, or without perfusion in other cases, the heart was excised and fixed with 1% paraformaldehyde in PBS for 1 hour. The tissue was cryoprotected overnight at 4°C in 30% sucrose in PBS, and frozen sections (12 µm) were cut. For detection of the D1A receptor, endogenous peroxidase was blocked with 0.3% H2O2 in methanol for 30 minutes. The sections were washed in PBS and then blocked for 30 minutes with 3% normal goat serum and 1% nonfat dry milk in PBS and were incubated overnight at 4°C with one of the following, diluted in 1.5% normal goat serum and 0.5% nonfat dry milk in PBS: (1) D1A receptor primary antiserum, (2) preimmune serum, or (3) D1A receptor primary antiserum preabsorbed against its antigen. For preadsorption, antiserum was incubated overnight at 4°C with a 10-fold molar excess of peptide. After washes in PBS, immunostaining was detected with an avidin-biotin immunoperoxidase reaction (Vectastain ABC Kit) and visualized by diaminobenzidine (Fast DAB tablets, Sigma Chemical Co). Tissue sections were lightly stained with hematoxylin, dehydrated, and placed under coverslips.
Electron Microscopic Immunocytochemistry
For electron
microscopic immunocytochemistry, male
Sprague-Dawley rats weighing 200 to 250 g were used. Rats
were anesthetized with pentobarbital sodium (50 mg/L) and
perfused with 4% paraformaldehyde fixative in 0.05
mol/L sodium cacodylate buffer (pH 7.3). The left ventricle was
removed, minced into 1-mm3 pieces, and postfixed for an
additional hour. Tissue was processed and embedded into Lowicryl K4M
resin (Polysciences Inc), as previously described.14
Immunolabeling was performed on ultrathin sections mounted on nickel grids, as previously described.14 For the primary label, the sections were incubated overnight at 4°C on either primary antibody (D1A), diluted 1:100, or Tris buffer. Protein A gold, diluted 1:10, was used for the secondary label. After counterstaining with uranyl acetate and lead acetate, sections were examined in a transmission electron microscope (10 CA, Carl Zeiss) at 60 kV.
RT-PCR
RT-PCR was performed as previously
described.13 RNA
was extracted from rat ventricles with TRI-REAGENT LS (Molecular
Research Center Inc) according to the method of Chomczynski and
Sacchi.23 The protocol includes
homogenization of adult male
Sprague-Dawley rat ventricles (100 mg) in 1 mL TRI-REAGENT,
phase separation by addition of 0.2 mL chloroform, RNA precipitation
(-80°C overnight) from the aqueous phase by mixing with 0.5 mL
isopropanol, RNA wash in 75% ethanol, and resuspension in diethyl
pyrocarbonatetreated water. RT-PCR was performed with a Gene Amp
RNA PCR kit (Perkin-Elmer Corp) as previously described.13
The RT reaction was performed in a reaction mixture (20 µL total)
containing 2.5 IU/µL murine leukemia virus reverse transcriptase, 1
µL RNA sample, 2.5 µmol/L oligo(dT), 1 mmol/L of each dNTP, 5
mmol/L Tris-HCl (pH 8.3), 25 mmol/L KCl, 5 mmol/L
MgCl2, and 1 IU/µL RNase inhibitor.
The tubes were incubated in a thermal cycler (Twin Block System,
Ericomp Inc) at 42°C for 15 minutes, 99°C for 5 minutes, and 5°C
for 5 minutes sequentially. Subsequent PCR was carried out (100 µL
total volume) in the presence of 0.25 µmol/L sense primer (identical
to oligonucleotides 783-803,
5'-TGCCCAGAAGCAAATCCGGCG-3'), 0.25 µmol/L antisense primer
(complementary to oligonucleotides 1010-1029,
5'-CTCCTCAGAGCCACAGAAGG-3'), 0.025 IU/µL Taq DNA
polymerase, 0.20 mmol/L of each dNTP, 10 mmol/L Tris-HCl (pH 8.3), 50
mmol/L KCl, and 2 mmol/L MgCl2. The reaction mixture was
incubated at 94°C for 3 minutes (initial melt), followed by 30 cycles
of 94°C for 1 minute, 50°C for 1 minute, and 72°C for 3 minutes.
PCR was completed by a final extension at 72°C for 3 minutes. PCR
products were size-fractionated in 2% agarose gels stained
with ethidium bromide. Controls included omission of the RT step,
amplification of oligonucleotides specific to
ß-actin mRNA by RT-PCR, and amplification of control RNA (pAW109
RNA) with interleukin-1
primers as provided by the
manufacturer.
In Situ mRNA Amplification
The procedure of in situ
amplification involves continuous
cycling of RT of D1A receptor gene mRNA, conversion of the
transcripts to cDNA containing promoter sequences for bacteriophage T7
RNA polymerase, and RNA synthesis by the RNA polymerase,24
which was performed with a 3SR system kit (Bartels
Diagnostic Division, Baxter Healthcare). We amplified a
sense product, oligonucleotides 270 bp in length
located on the 5' flanking region of the mRNA encoding the N-terminus
of the D1A receptor, using the sense primer
5'-GTAGATTTATTTGTCTGG-3', spanning nucleotides 49-66, and
the antisense primer, 5'-CTAAAGAGATGACAAAGA-3', spanning
nucleotides 302-319. The sense primer contained a promoter
sequence for T7 RNA polymerase (5'-AATTTAATACGACTCACTATAGGGA-3')
at the
5' end.
Male Wistar-Kyoto rats (Harlan Sprague Dawley, Inc, Indianapolis, Ind) were sequentially perfused with 0.9% saline, 1% sucrose in 0.12 mol/L sodium phosphate, and 4% paraformaldehyde in 0.12 mol/L phosphate. The heart was removed and postfixed in the 4% paraformaldehyde solution for 1 hour at 4°C and cryoprotected overnight at 4°C in 30% sucrose and 0.12 mol/L phosphate. Frozen sections were cut at between 7 and 12 µm in a cryostat at -26°C, mounted on poly-L-lysinecoated slides, and stored at -70°C. Tissues were incubated with antisense primer at 1 ng/25 µL (7 nmol/L) in 50% formamide 4x SSC solution overnight at room temperature. Subsequently, tissue was washed twice, 15 minutes each at room temperature, in 2x SSC, followed by two other washes in 0.5x SSC, 30 minutes each at 40°C. Then, transcriptional amplification was initiated by addition of 60 IU of avian myeloblastosis virus reverse transcriptase, 200 IU of T7 RNA polymerase, 6 IU of RNAse H, sense and antisense primers both at 20 and 50 nmol/L, respectively, dNTP mix at 5 mmol/L, and nucleotide 5'-triphosphates (rNTP) mix at 1.5 mmol/L in reaction buffer (40 mmol/L Tris-HCl [pH 8.1], 30 mmol/L MgCl2, 20 mmol/L KCl, 10 mmol/L dithiothreitol, and 4 mmol/L spermidine). The reaction lasted 2 hours at 42°C, and then sections were washed with two changes in 2x SSC for 15 minutes at room temperature. Subsequent in situ hybridization was conducted with 24-mer high-performance liquid chromatographypurified antisense oligonucleotide probes directed to the nucleotides 163-187 (5'-AAAGGAGAAATCCCTCTCCGCTGG-3') lying within the amplified 270-bp product of a D1A mRNA. The probe was labeled by tailing the 3' end with digoxigenin-11-dUTP with terminal transferase from a commercially available kit (Genius 5 Oligonucleotide 3'-End Labeling Kit, Boehringer Mannheim). Amplified and nonamplified tissue sections were prehybridized by incubation at room temperature for 1 hour with the hybridization solution (50% deionized formamide, 4x SSC, 1x Denhardt's bovine serum albumin, 0.5 mg/mL denatured sheared herring sperm DNA, 0.25 mg/mL yeast transfer RNA, and 10% dextran sulfate). The slides were briefly submerged in 2x SSC and then incubated overnight at 37°C with digoxigenin-labeled sense or antisense probes diluted in the hybridization solution. After hybridization, the sections were washed in decreasing concentrations of SSC as follows: 2x SSC for 1 hour at room temperature, 1x SSC for 1 hour at room temperature, 0.5x SSC for 0.5 hour at 37°C, and 0.5x SSC for 0.5 hour at room temperature. Immunoreactive hybridized digoxigenin-labeled probe was detected with an alkaline phosphataseNBT/BCIP technique with the Genius Nonradioactive Nucleic Acid Detection Kit (Boehringer Mannheim). After the posthybridization washes, the sections were immersed first for 5 minutes in buffer A (0.1 mol/L Tris [pH 7.5], 1 mol/L NaCl, and 2 mmol/L MgCl2) containing 2% normal goat serum and 0.1% Triton X-100 and second in buffer A containing alkaline phosphataselabeled anti-digoxigenin F(ab) fragment (1:5000) and were incubated overnight at 4°C. The sections then were washed in buffer A (three times for 10 minutes), in buffer B (0.1 mol/L Tris [pH 9.5], 1 mol/L NaCl, and 2 mmol/L MgCl2) (5 minutes), and in buffer C (0.1 mol/L Tris [pH 9.5], 0.1 mol/L NaCl, and 5 mmol/L MgCl2) (5 minutes). Tissue-bound alkaline phosphatase activity was detected by incubation of the tissue sections with 92 mmol/L NBT salt in 70% (vol/vol) dimethylformamide and 115 mmol/L BCIP (X-phosphast) toluidine salt in 100% dimethylformamide diluted in buffer C in the absence of light for 2 to 24 hours. The enzymatic reaction was stopped by rinsing the section in PBS. Finally, sections were stained with neutral red, delipidated with xylene, and cover-slipped in DPX (Electron Microscopy Science) mounting media.
Western Blot Analysis of D1A Receptor
Protein Expression
The atria and ventricles of adult Sprague-Dawley
rats
were dissected, minced, and homogenized with Tissuemizer
(Tekmar Corp) in buffer A (10% glycerol, 20 mmol/L Tris-HCl [pH
7.3], 100 mmol/L NaCl, 2 mmol/L phenylmethylsulfonyl fluoride,
2 mmol/L EDTA, 2 mmol/L EGTA, 10 mmol/L sodium orthovanadate, 10
µg/mL [approximately 20 µmol/L] leupeptin, and 10 µg/mL
[approximately 1.5 µmol/L] aprotinin). The homogenate
was centrifuged at 30 000g for 30 minutes at 4°C.
The pellet was resuspended in buffer B (buffer A with 1% NP-40
[Sigma]), stirred for 1 hour at 4°C, and centrifuged again
at 30 000g for 30 minutes at 4°C. The supernatant was
used for the analysis. For control samples, D1A
receptortransfected or nontransfected LTK-
cells were processed in the same way. The sample was analyzed
with sodium dodecyl sulfatepolyacrylamide gel
electrophoresis (5% acrylamide stacking gel and 8%
running gel) in a standard protocol as described.25 The
resolved proteins were transferred by electroblotting (15 V for 20
minutes, Trans Blot SD DNA, Bio-Rad) onto a nitrocellulose sheet (BA-S
83, Schleicher & Schull). The nitrocellulose sheet was then soaked in
5% nonfat dry milk in Tween 20 solution (0.05% Tween 20, 10 mmol/L
Tris-HCl [pH 7.2], 250 mmol/L NaCl) for 1 hour, incubated with the
antisera against the third extracellular epitope of the rat
D1A receptor (1:5000 dilution in Tween 20 solution) for 1
hour, and reacted with a peroxidase-labeled secondary antibody
(1:10 000 dilution) for 1 hour. Specific bands were visualized with
chemiluminescence (ECL Western Blotting Detecting Kit, Amersham).
Assay for Adenylyl Cyclase Activity
cAMP was generated and
measured by radioimmunoassay as
previously described.26 27 The rat heart was
surgically
removed and placed in Tris buffer (10 mmol/L Tris-HCl [pH 7.4] at
4°C, 20% glycerol, 100 µmol/L ascorbic acid, 10 µmol/L vitamin E
[Trorox, Aldrich], 10 µg/mL [approximately 20
µmol/L]
leupeptin, 10 µg/mL [approximately 0.5 µmol/L] trypsin
inhibitor). Ventricles were dissected, minced, and
homogenized in 10 vol ice-cold Tris buffer with a
Tissuemizer (3x10 seconds at medium setting). The
homogenate was centrifuged at 30 000g
for 15 minutes at 4°C. The plasma membrane pellet was then gently
swirled off of the dark brown lower pellet and resuspended in Tris
buffer at 1.0 to 2.0 mg/mL protein concentration. In preliminary
experiments, we confirmed that the adenylyl cyclase activity and
responses to agonist were not different among the crude
homogenate, the membrane described above, and a membrane
prepared by alternative methods in which the homogenate was
centrifuged at low speed (2000g and/or
10 000g) for 15 minutes, the supernatant was
centrifuged at 30 000g, and the pellet was obtained
as described above. cAMP was generated by incubation of 20 µL
membrane suspension or crude homogenate (1.5 to 2.5 mg/mL
protein) for 30 to 45 minutes at 37°C in a reaction mixture (100 µL
total) with or without drugs to be studied. Dopamine (Sigma) at 10
µmol/L and a D1-like agonist, SKF38393 (RBI), at concentrations of
0.1, 1.0, and 100 µmol/L were used. Dopamine was dissolved in
distilled water containing 100 µmol/L ascorbic acid. The selective
D1-like receptor antagonist SCH23390 (RBI) at 10 µmol/L
was used to block agonist-stimulated activity. To reduce cAMP
generation by binding of endogenous
catecholamines to ß-adrenergic receptor, 0.1 µmol/L
propranolol was added to all samples. The reaction
mixture contained 50 mmol/L Tris-HCl, 10 mmol/L
MgCl2, 0.4 mmol/L EGTA, 0.1 mmol/L GTP, 0.25 mmol/L
ATP, 1 mmol/L 1-methyl-3-isobutylxanthine, 20 mmol/L
phosphocreatinine, 100 IU/mL creatinine
phosphokinase, and 0.06% bovine serum albumin (final
concentrations). The reaction was terminated by placing samples on ice
and adding 10 µL of 0.5 mol/L EDTA and then 400 µL of ice-cold
sodium acetate buffer (50 mmol/L, pH 4.75). The cAMP concentration in
the sample was determined by radioimmunoassay with
125I-cAMP (10 000 cpm/50 µL) as previously
described.26 27 Each 500-µL sample was
acetylated with 6 µL triethylamine and 4 µL acetic
anhydride before analysis. Protein concentrations were
determined by the method of Lowry et al.28
Statistical Analysis
Results are expressed as mean±SE.
Comparison between the cAMP
responses to drugs was made with two-tailed paired Student's
t test. A value of P<.05 was accepted as
statistically significant.
| Results |
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Light microscopic immunohistochemical staining for
the D1A
receptor was obtained in all of the rat hearts studied. The staining
was localized to the myocardium and
homogeneously distributed throughout the atria and
ventricles (Fig 2
). A greater overall density was
observed in the atrium (Fig 2
). In the young rats, blood
vessels,
regardless of the size, were more intensely stained compared with the
myocardium (Fig 2e
and 2f
), whereas vascular
staining was
less prominent in adult rats (Fig 3
). Both antisera
against the third extracellular and intracellular epitopes of the
native receptor showed a similar staining pattern (Fig 3
).
Consecutive
sections processed with either the antibody preabsorbed against its
peptide antigen (Fig 2
) or preimmune serum (Fig
3
) at the same dilution
as the anti-D1A receptor serum did not produce significant
staining.
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Electron Microscopic Immunocytochemistry
Figs 4 through
6![]()
![]()
are
electron micrographs of rat ventricle immunostained with
D1A extracellular antiserum (diluted 1:100). Electron
microscopic immunocytochemistry further defined the intracellular sites
of cardiac D1A receptor immunoreactivity. Both vasculature
and myocardium showed plasma membranebound staining
(Figs 4
and 6
). Figs 4a
and
5a
show the protein A gold staining pattern
in cardiac muscle cells with D1A antiserum along the M-line
and on the thick filament of the striated tissue. Fig 6a
demonstrates
the vascular staining on both vascular smooth muscle cells and
endothelial cells. The D1A labeling is
located on the membrane within small vesicles and also intracellularly.
Control sections (Figs 4b
, 5b
, and
6b
), incubated with the absence of
primary antibody, showed no specific staining.
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RT-PCR
Fig 7
shows the size analysis of the
PCR
products in 2% agarose gel stained with ethidium bromide. An
amplification product of the predicted size (247 bp) for the
D1A receptor was evident in the RT-PCR reactions using
extracted rat ventricular RNA, but no band was observed
when PCR was performed without RT. Bands for ß-actin and control
RNA (pAW109) served as positive controls for the RNA preparation and
RT-PCR system, respectively.
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In Situ Amplification of D1A Receptor
mRNA
A positive hybridization signal to the antisense
oligonucleotide probes for D1A mRNA was
observed in the rat heart sections processed for in situ amplification
(Fig 8
). The signals were localized to both the atria
and ventricles and in coronary and intracardiac vessels,
regardless of their size. Consecutive heart sections probed with sense
oligonucleotide, absence of anti-digoxigenin, or
nonamplified sections probed with antisense
oligonucleotide failed to show any hybridization
signal. Background labeling was minimal in all sections examined.
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Western Blot Analysis
Fig 9
shows Western blot
analysis of
D1A receptor in the D1A-transfected or
nontransfected murine LTK- cell line and in rat atria
and ventricles. Bands of the predicted size (approximately 70 kD) for
D1A receptor were detected in D1A-transfected
murine LTK- cells but not in nontransfected cells. In
the atria, a specific band was observed, but not in the ventricles. The
molecular weight of the receptor is predicted as approximately 70 kD
because of glycosylation and phosphorylation. The
molecular weight of the D1A receptor itself is
approximately 50 kD.26
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Adenylyl Cyclase Activity
The time course of cAMP generation
was studied with the use of
adult rat ventricular crude homogenate. cAMP
generation was linear until 30 to 45 minutes (Fig 10
).
In addition, adenylyl cyclase activity at 30 minutes was significantly
increased in the presence of 10 µmol/L dopamine compared with the
control (n=10, P<.05) (Fig 10
). In the
plasma membrane of
adult rat hearts, basal adenylyl cyclase activity was 77.7±6.2 pmol/mg
protein per minute (n=12). SKF38393 stimulated cAMP generation in
a dose-related fashion (Fig 11
). At the highest
dose of SKF38393 (100 µmol/L), the cAMP level was increased by
13.9±5.3% (P<.05 versus baseline, n=12) compared
with the
basal value, whereas forskolin (Sigma) at 1 µmol/L stimulated
adenylyl cyclase by 128.4±13.4% (P<.01 versus baseline,
n=7). This effect of SKF38393 was not observed when 10 µmol/L
SCH23390 was simultaneously present with the SKF38393.
The difference between cAMP levels at 100 µmol/L SKF38393 with and
without SCH23390 was statistically significant
(P<.05).
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| Discussion |
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Our immunohistochemical findings provide strong evidence for the presence of D1A receptor protein in the heart. Our antibodies were directed toward both intracellular and extracellular epitopes that are unique to the D1A receptor subtype, and positive immunohistochemical signals were obtained with both of these antibodies. Our antigen peptides have no homology to known amino acid sequences, including other dopamine receptor subtypes. Controls included substitution of preimmune serum as well as the preadsorption of the antibody with the peptide antigen. Selectivity of the antisera was established with an LTK- cell line stably expressing the D1A receptor as previously described.14
In addition, our electron microscopic study confirmed a positive immunocytochemical signal along plasma membranes of myocardium and vascular smooth muscle cells, where a functioning membrane-bound receptor should be located. It is of interest that we also detected receptors in cytosol, cytosolic vesicles attached to the membrane, and myosin filaments as well as in the M-line. These vesicles are consistent with previously described plasma membrane invaginations termed caveolae.29 The M-line is the locus of specific proteins that link adjacent myosins to each other. A substantial body of recent evidence supports a hypothesis that G proteincoupled receptors are internalized by "potocytosis" and transported toward a specific intracellular site of action (see References 29 and 30 for review). Our immunocytochemical observations appear to reflect such an intracellular mechanism of receptorG protein signaling. The localization of the D1A receptor on the M-line may suggest the regulatory role of this receptor in myocardial contraction. Cytoskeletal proteins including actin and myosin are postulated to be important for potocytosis30 and a dynamic interplay between G proteins and receptors.31 In fact, we have detected an amino acid sequence of ß-actin in a purification product of immunoprecipitated D1A receptor protein (unpublished data, 1995) despite the fact that the antibody does not cross-react immunologically with ß-actin. However, these ideas are speculative, and further study will be necessary to confirm the specificity and significance of D1A receptor localization in the M-line and myosin thick filaments and to clarify the intracellular signal transduction pathway or pathways involving D1A receptor and associated G proteins.
Significant advances in technology have allowed amplification of specific sequences of nucleic acids by a transcription reaction.24 32 The in situ amplification technique used in the present study was a modification of the method described by Guatelli et al.24 These authors described the self-sustained sequence replication system (3SR) involving the collective activities of avian myeloblastosis virus reverse transcriptase, Escherichia coli RNase H, and T7 RNA polymerase for isolated RNA. We carried out this reaction on tissue sections. The major advantage of the 3SR reaction is the use of RNase H, which eliminates the need for any thermal denaturation steps. The 3SR reaction is more appropriate for whole tissue sections than PCR or other nucleotide amplification systems32 because it avoids nonspecific amplification of heat-denatured genomic DNA as well as heat-related damage to the tissue. Furthermore, compared with in situ PCR, the enzyme reactions have rapid kinetics and the inherent ability to distinguish between RNA and DNA targets. As a result, our novel in situ technique allows for improved sensitivity and selectivity in detecting a low copy signal with delineation of the specific cell types compared with other amplification techniques.
Previously, several attempts have been made to detect cardiac dopamine receptors. Sandrini et al33 have shown specific binding of [3H]dopamine in the guinea pig heart, but the ligand is not specific enough to differentiate the subtypes of dopamine or other receptors (eg, ß-adrenergic receptors). Amenta et al34 failed to detect D1-specific binding sites ([3H]SCH23390 binding) in the human heart. On the other hand, these authors and Ganguly et al35 have reported the presence of D2 binding sites ([3H]spiperone binding) in the human and rat heart, respectively. In physiological studies, several authors have reported D1-like receptorspecific coronary vasodilation36 and negative37 and positive38 39 inotropism after a specific D1 agonist. However, Van Woerkens et al12 have reported that intracoronary infusion of fenoldopam, a specific D1-like receptor agonist, provided no evidence to support a major role of D1-like receptor in myocardium and pig coronary artery. Using newly obtained molecular information, O'Malley et al40 reported that the D4 receptor gene was expressed abundantly in the rat heart. Other than this latter study, dopamine receptor subtypes have not been characterized by means of molecular biological techniques.
The fact that mRNA of the D1A receptor was detectable only after amplification indicates that the expression of the receptor subtype in the heart is in low abundance. Consistently, we failed to detect sufficient specific binding of D1-specific radioligand (125I-SCH23982) to plasma membranes of the rat heart to analyze the binding kinetics (data not shown). Northern blot analysis also failed to detect D1A receptor gene expression.2 Our Western blot analysis detected D1A receptor protein only in the atria and not in the ventricles. This observation, consistent with our immunohistochemical findings, suggests that the receptor is relatively abundant in the atria compared with the ventricles. However, such a low-copy receptor could play a significant physiological role, as is the case with D1A receptors in the kidney,13 particularly when the receptors function by means of a local cell-to-cell communication (paracrine) system.
It is noteworthy, however, that the activation of adenylyl cyclase through D1-like receptor stimulation was only by 14% compared with the baseline value. Such a small response may be explained by low abundance of the receptor or by the possibility that this receptor is coupled to another cell signaling system, such as the phospholipase C pathway.41
A major question that needs to be addressed is the physiological role of the cardiac D1A receptor. Our data indicate that the myocardial D1-like receptor stimulates adenylyl cyclase, which should produce a positive inotropism. It is likely that the D1A receptor in the coronary artery contributes to the inotropism by dilation and increased coronary blood flow. However, the observed change in cAMP, which mainly reflects the myocardial adenylyl cyclase, was relatively small, and previous physiological studies do not support the hypothesis that cardiac D1A receptor is involved as a major inotropic mechanism in the normal physiological state.12 39
Evidence is beginning to accumulate that the D1A receptor is important in left ventricular hypertrophy. Chromosomal mapping studies in spontaneously hypertensive rats have indicated that left ventricular weight, and not blood pressure, was most tightly correlated with a marker for the D1A receptor locus.19 Our preliminary data (not shown) have suggested that the density of D1A receptors in the rat heart is increased with the development of left ventricular hypertrophy due to aortic banding. In the same rat model, left ventricular hypertrophy was enhanced and attenuated by fenoldopam and SCH23390, respectively.42 In this regard, it is of interest that Hackman et al38 have reported a large increase in cardiac function after fenoldopam infusion in patients with severe arterial hypertension. These observations suggest that the D1A receptor may play a role in compensatory hypertrophic responses to increased ventricular afterload.
In summary, we have identified the D1A receptor gene and protein in the rat heart. The physiological and pathophysiological roles and the predominant cell signaling mechanism or mechanisms of this receptor remain to be determined.
| Selected Abbreviations and Acronyms |
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| Acknowledgments |
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| Footnotes |
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| References |
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