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suck abstract from ncbi


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pmid24145181
      J+Cardiovasc+Pharmacol 2014 ; 63 (4 ): 291-301
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  • Alpha-1-adrenergic receptors in heart failure: the adaptive arm of the cardiac response to chronic catecholamine stimulation #MMPMID24145181
  • Jensen BC ; O?Connell TD ; Simpson PC
  • J Cardiovasc Pharmacol 2014[Apr]; 63 (4 ): 291-301 PMID24145181 show ga
  • Alpha-1-adrenergic receptors (ARs) are G protein-coupled receptors activated by catecholamines. The alpha-1A and alpha-1B subtypes are expressed in mouse and human myocardium, whereas the alpha-1D protein is found only in coronary arteries. There are far fewer alpha-1-ARs than beta-ARs in the nonfailing heart, but their abundance is maintained or increased in the setting of heart failure, which is characterized by pronounced chronic elevation of catecholamines and beta-AR dysfunction. Decades of evidence from gain and loss-of-function studies in isolated cardiac myocytes and numerous animal models demonstrate important adaptive functions for cardiac alpha-1-ARs to include physiological hypertrophy, positive inotropy, ischemic preconditioning, and protection from cell death. Clinical trial data indicate that blocking alpha-1-ARs is associated with incident heart failure in patients with hypertension. Collectively, these findings suggest that alpha-1-AR activation might mitigate the well-recognized toxic effects of beta-ARs in the hyperadrenergic setting of chronic heart failure. Thus, exogenous cardioselective activation of alpha-1-ARs might represent a novel and viable approach to the treatment of heart failure.
  • |Adrenergic alpha-1 Receptor Antagonists/adverse effects [MESH]
  • |Animals [MESH]
  • |Catecholamines/*physiology [MESH]
  • |Heart Failure/drug therapy/genetics/*physiopathology [MESH]
  • |Heart/*physiopathology [MESH]
  • |Humans [MESH]
  • |Mice [MESH]
  • |Mice, Knockout [MESH]


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