Abstract
Activation of the sympathetic nervous system (SNS) releases norepinephrine, stimulates β-adrenoceptors, and plays a crucial role in the development of cardiac hypertrophy upon activation of various cellular signaling pathways in the heart. At early stages, norepinephrine-induced cardiac hypertrophy serves as an adaptive mechanism for maintaining heart function whereas at late stages, it is associated with contractile dysfunction, alterations in electrical activity, and programmed cell death. Activation of G s -protein coupled β 1- or β 2-adrenoceptors produces an increase in cardiac contractility and some deleterious effects whereas that of G i -protein coupled β 2- or β 3-adrenoceptors is known to result in beneficial adaptive actions in the heart. While the increase in G s -protein involves the downstream activation of adenylyl cyclase (AC), the activation of G i -proteins is associated with either a depression in AC or augmentation of guanylate cyclase activity. In this article, we discuss the physiological aspects of β-adrenergic signaling pathways and their modification in the hypertrophied heart as well as their participation in the transition of cardiac hypertrophy to heart failure. Furthermore, we highlight the actions of some components of the β-adrenoreceptor signaling cascade that may participate in the genesis of cardiac hypertrophy and thus serve as pharmacological targets for the prevention of cardiac hypertrophy or treatment of the hypertrophied failing heart.
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Acknowledgments
The research in this article was supported by a grant from the Canadian Institute of Health Research (CIHR) and Slovak Scientific Grant Agency (VEGA) 1/0638/12. The infrastructural support for this study was provided by the St. Boniface Hospital Research Foundation.
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Adameova, A., Tappia, P.S., Dhalla, N.S. (2013). Role of β-Adrenoceptor/Adenylyl Cyclase System in Cardiac Hypertrophy. In: Ostadal, B., Dhalla, N. (eds) Cardiac Adaptations. Advances in Biochemistry in Health and Disease, vol 4. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-5203-4_16
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