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Vol. 282, Issue 1, 475-484, 1997
Department of Pharmacology (S.G., Y.H., Y.A., M.K.) and
Central
Research Institute (J.N.), Hokkaido University School of Medicine,
Sapporo 060, Japan
The aim of this study was to explore the cellular mechanisms underlying
the impaired contractile response to beta adrenoceptor stimulation in diabetic hearts. Chronic diabetes was induced in rats by
a streptozotocin injection. Four to six weeks later, papillary muscles
isolated from diabetic hearts exhibited marked reductions in the
positive inotropic responses to isoproterenol, norepinephrine and
epinephrine. The contractile responses to forskolin,
3-isobutyl-1-methylxanthine and dibutylic cyclic AMP were also
prominently depressed. The density of beta adrenoceptors
was decreased by 50%. However, competitive binding studies with
isoproterenol showed no difference in the proportion of
beta adrenoceptors with high-affinity binding between control and diabetic myocardial membranes. Determination of the levels
of the alpha subunits of Gs and
Gi by immunoblotting revealed markedly less expression of
Gi in diabetic myocardium. The abilities of isoproterenol,
sodium fluoride, 5
-guanylyl imidodiphosphate and forskolin to
stimulate adenylate cyclase were preserved well in membranes prepared
from diabetic hearts. Nevertheless, neither stimulation of
beta adrenoceptors with isoproterenol nor direct activation of adenylate cyclase with forskolin evoked any significant increase in the degree of phosphorylation of phospholamban in diabetic
hearts. These results suggest that impaired contractile response to
beta adrenoceptor stimulation is not caused by an alteration in the beta
adrenoceptors-Gs-adenylate cyclase system, but is possibly
caused by an alteration in cellular function beyond the step of
adenylate cyclase activation.
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