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(Hypertension. 2005;45:e20.)
© 2005 American Heart Association, Inc.
Hypertension Electronic Pages |
1B-Adrenergic Receptor in Vascular Structure and Function
Institute of Biomedical and Life Sciences, University of Glasgow, Glasgow, Scotland
Townsend et al1 provide interesting subplots to the perplexing issue of the role of
1B-adrenoceptors (ARs) in cardiovascular regulation.
The physiological roles of this receptor are unclear because it has no universally acknowledged selective antagonists. This accentuates use of the
1B-knockout (KO) mouse2 and raises 2 sets of issues: (1) tissue distribution, and (2) developmental compensation.
First, Townsend et als interpretation of the attenuation found in the baroreceptor reflex of the
1B-KO mouse does not take account of the widespread distribution of the receptor in the central nervous system related to autonomic regulation. There is no more evidence for the loss of reflex being at the level of the heart than in the brain. Indeed, the statistically significant loss of the heart rate reflex would support the latter (admittedly, numerically trivial because heart rate is already maximal). More significant, if the cardiac role of
1B"is likely to be modest and secondary to ß-ARs," perhaps this also suggests that the heart is not the site of this action.
Second, the lack of selective antagonists limits interpretation of vascular phenotypes of the
1B-KO mouse. This strain does not show substantial changes from normal across a range of different arteries.3 In all arteries tested, there were subtle changes in the pharmacological data indicating that loss of
1B-AR changed the properties of the other receptors. In the small mesenteric arteries used by Townsend et al, antagonists indicate mainly
1A-AR in contraction. However, in the
1B-KO mouse, this vessel loses the ability to remodel in noradrenaline-induced hypertension. Together, we hypothesize that in most arteries, the
1B-AR exerts a regulatory role rather than being directly involved in contraction.
Regarding the loss of a prazosin-sensitive, nerve-induced contraction in mesenteric arteries, we would suggest that the concentration used (10 µmol/L) is not specific. It also seems unlikely that the neurotransmitter would not activate other subtypes that are present. We reported previously a similar phenotype in this strain.4 In tail artery, the
1B-KO mouse has a significantly slower contractile response to periarterial nerve stimulation at low frequencies. The same can be seen in Townsend et als Figure 2a at 2Hz. At the time, we interpreted this as evidence for activation of the
1B-subtype by neurotransmitter noradrenaline. This was doubly interesting because our original suggestion of subtypes of
1-AR was partly based on
1B-ARs preferentially releasing intracellular calcium stores, thereby inducing the initial rapid contraction phase in blood vessels.5 We also found a reduction in the number of adventitial fibroblasts in the
1B-KO mouse tail artery.4 We now interpret this as evidence of the loss of a developmental influence of
1B-AR, with multiple consequences for vascular activation.
The debate on junctional and extrajunctional receptors in arteries goes back a long way, traditionally on the basis of the failure of some drugs to block responses. Townsend et als observations reactivate this, and our perhaps perverse interpretation turns this around so that we suggest that the loss of a response by eliminating a receptor does not necessarily imply that the receptor is involved acutely in the response.
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-1B adrenergic receptor at the sympathetic neuroeffector junction. Hypertension. 2004; 44: 776782.
1B-adrenoceptors in mouse. Physiol Genom. 2002; 9: 8591.
-1B-knockout mice than in control mice. Fifth Internet World Congress for Biomedical Sciences. Naunyn-Schmiedebergs Arch Pharmacol. 1998; 358: P6.40.
-adrenoceptor. Biochem Pharmacol. 1982; 31: 467484.[CrossRef][Medline]
[Order article via Infotrieve]Johns Hopkins Medical Institutions, Baltimore, Maryland
We greatly appreciate the comments of Drs Daly and McGrath regarding our work1 and will attempt to respond to each comment in turn.
First, the point regarding the possibility that the attenuated baroreflex responses observed may be a function of central adrenergic dysregulation in the
1B-adrenergic receptor (AR) knockout (KO) mice is well taken. We certainly provide no evidence that there is unaltered sympathetic nervous system activity in the KO mice. However, in our article, we make reference to a body of work in which monoamine concentrations in the brain of KO mice were measured and shown to be no different from those of wild-type (WT) mice, suggesting that a central mechanism explaining the effect is unlikely.2 In addition, data presented in our article, as well as preliminary data (as yet unpublished), suggest that the end-organ response abnormalities are not confined to the vasculature but involve the heart as well. Thus, altered responses in the heart cannot be interpreted as evidence for a central sympathetic defect. Second, the baseline end-diastolic volumes in the KO mice are significantly increased. This has been further supported by echocardiographic data demonstrating a significant increase in end-diastolic diameter and a decrease in fractional shortening. Furthermore, isolated myocytes from KO mice demonstrate an attenuated Ca2+ and sarcomere shortening response to isoproterenol. Although the role of the
1B-AR in the heart remains incompletely understood, we interpreted our data to suggest that this receptor may be important in mediating the trophic responses to
1-AR activation in the heart because lack of the receptor leads to a dilated ventricle with somewhat depressed adrenergic contractile reserve. Whether these changes represent altered structure (chronic lack of trophism) as well as altered signaling (acute effect) remains to be determined. There are many possible explanations that could account for these acute signaling changes, including the possible dimerization3 of ß- and
1-receptors (yet to be explored). Nevertheless, our data support the idea that the
1B-AR may be important in the remodeling process in the heart and vessels as proposed by Daly and McGrath. The dilemma as to whether effects in vivo are attributable to abnormal central aberrant sympathetic signaling or peripheral end-organ responses awaits the measurement of an end point such as renal sympathetic nerve activity, a technique that we continue to explore with our collaborators.
With regard to the responses to the exogenous administration of agonists to blood vessels, our findings are completely consistent with the findings of Daly and McGraths elegant study4 (ie, no or very subtle differences in the responses in a number of different vascular beds). It is with regard to the responses to endogenously released norepinephrine (NE) that our interpretation of the data differ. With regard to the loss of prazosin-sensitive nerve-induced contraction in mesenteric arteries, Daly and McGrath suggest that the concentration of prazosin used (10 mmol/L) is nonspecific. Although the Ki of prazosin for the
1-AR is
0.1 to 1 nmol/L in binding assays, the majority of experiments in in vitro bioassays use concentrations well in excess of this.5 We used a concentration of prazosin that was 10-fold lower than those published in our manuscript and have observed the same responses. Furthermore, the fact that the responses at 2Hz are not significantly different between WT and KO mice does not suggest activation of the
1B-AR, but rather, the rapid activation of nonadrenergic receptors (specifically purinergic receptors activated by ATP) that are coreleased with NE in response to sympathetic nervous system activation. These findings are in agreement with others that demonstrate a predominant response mediated at lower frequency cotransmitters other than NE.6,7 With regard to the suggestion that it is unlikely that the released neurotransmitter would not activate other receptor subtypes, we would have to respectfully disagree. One of the emerging paradigms in the biology of this decade is the concept of special confinement of signaling. The classic concept of specific neuroeffector signaling finds its origins in the neuromuscular junction, where specific nicotinic cholinergic receptor subtypes are localized to the motor end plate, whereas other receptor subtypes are expressed in extrajunctional regions.8 This ensures that receptor subtypes transduce focused signals in a distinct and sometimes directionally opposite manner in the same tissue or cell. Furthermore, the expression and compartmentalization of these receptor subtypes are driven by release of neuregulins (trophic peptides), which ensure this association between nerve and postjunctional receptor.9
In conclusion, we believe we have much to learn regarding
1-AR subtype function and dysfunction in the circulation, particularly as they relate to neuroeffector signaling in the vessels and heart. We look forward to an ongoing investigation and lively discussion as to their roles.
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