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June 21, 2005Circulation88 citationsOpen Access

Improved Myocardial β-Adrenergic Responsiveness and Signaling With Exercise Training in Hypertension

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SMScott M. MacDonnellHKHajime KuboDCDeborah L. Crabbe

Key Result

Exercise training in spontaneously hypertensive rats improved inotropic and lusitropic responsiveness to beta-adrenergic receptor stimulation (P<0.05) despite augmenting LV wall thickness.

Structured PICO

Does exercise training improve myocardial beta-adrenergic responsiveness in a rat model of spontaneous hypertension?

P
Population
Female spontaneously hypertensive rats (age 4 months) subjected to treadmill running or sedentary conditions for 12 weeks.
I
Intervention
Treadmill running (20 m/min, 1 h/d, 5 d/wk, 12 weeks)
C
Comparator
Sedentary spontaneously hypertensive rats (SHR-SED) and age-matched Wistar Kyoto (WKY) control rats
O
Outcome
Langendorff left ventricular (LV) performance during isoproterenol (ISO) infusions and pacing stresssurrogate

In a rat model of spontaneous hypertension, exercise training improves inotropic and lusitropic responsiveness to beta-adrenergic stimulation, likely mediated by reduced GRK2 abundance and increased phosphorylation of key Ca2+ cycling proteins.

Main Result

p-value: p=<0.05

Abstract

BACKGROUND: Cardiac responses to beta-adrenergic receptor stimulation are depressed with pressure overload-induced cardiac hypertrophy. We investigated whether exercise training could modify beta-adrenergic receptor responsiveness in a model of spontaneous hypertension by modifying the beta-adrenergic receptor desensitizing kinase GRK2 and the abundance and phosphorylation of some key Ca2+ cycling proteins. METHODS AND RESULTS: Female spontaneously hypertensive rats (SHR; age, 4 months) were placed into a treadmill running (SHR-TRD; 20 m/min, 1 h/d, 5 d/wk, 12 weeks) or sedentary group (SHR-SED). Age-matched Wistar Kyoto (WKY) rats were controls. Mean blood pressure was higher in SHR versus WKY (P<0.01) and unaltered with exercise. Left ventricular (LV) diastolic anterior and posterior wall thicknesses were greater in SHR than WKY (P<0.001) and augmented with training (P<0.01). Langendorff LV performance was examined during isoproterenol (ISO) infusions (1x10(-10) to 1x10(-7) mol/L) and pacing stress (8.5 Hz). The peak LV developed pressure/ISO dose response was shifted rightward 100-fold in SHR relative to WKY. The peak ISO LV developed pressure response was similar between WKY and SHR-SED and increased in SHR-TRD (P<0.05). SHR-TRD showed the greatest lusitropic response to ISO (P<0.05) and offset the pacing-induced increase in LV end-diastolic pressure and the time constant of isovolumic relaxation (tau) observed in WKY and SHR-SED. Improved cardiac responses to ISO in SHR-TRD were associated with normalized myocardial levels of GRK2 (P<0.05). SHR displayed increased L-type Ca2+ channel and sodium calcium exchanger abundance compared with WKY (P<0.001). Training increased ryanodine receptor phosphorylation and phospholamban phosphorylation at both the Ser16 and Thr17 residues (P<0.05). CONCLUSIONS: Exercise training in hypertension improves the inotropic and lusitropic responsiveness to beta-adrenergic receptor stimulation despite augmenting LV wall thickness. A lower GRK2 abundance and an increased phosphorylation of key Ca2+ cycling proteins may be responsible for the above putative effects.

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Cite This Study

MacDonnell et al. (2005) studied Spontaneous hypertension. Treadmill running exercise training vs. Sedentary group (SHR-SED) and Wistar Kyoto (WKY) controls was evaluated on Peak LV developed pressure response to isoproterenol (p=<0.05). Exercise training in spontaneously hypertensive rats improved inotropic and lusitropic responsiveness to beta-adrenergic receptor stimulation (P<0.05) despite augmenting LV wall thickness.

synapsesocial.com/papers/6a1fda5c592102803fba52f4https://doi.org/10.1161/circulationaha.104.505784
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