β-肾上腺素受体调节蛋白及其功能

血管疾病成为威胁人类健康头号杀手,心血管受体在心血管疾病的发生、发展及预防和治疗中具有举足轻重的地位。β-肾上腺素受体作为G蛋白偶联受体家族的成员,是心血管药物最重要的靶点之一。β-肾上腺素受体阻滞剂被认为是继洋地黄后药物防治心脏疾病的最伟大突破,其在心血管领域的研究和应用一直是被关注的热点。2012年度诺贝尔化学奖再次授予了β-肾上腺素受体的研究。随着研究的深入,人们发现β-肾上腺素受体接受着细胞内调控蛋白的精密调控,不同调控蛋白介导着受体不同的生理信号通路和病理性信号通路。基于这些发现,近年来提出了受体功能选择性的配体药物,这也将成为未来药物的研究方向。本文综述了β-肾上腺素受体调节蛋白及相关信号通路及功能。     

心脏β肾上腺素受体及其亚型随年龄而变化

本文采用放射配体结合实验和离体左心房收缩功能观察了４８周期和１０周龄Ｗｉｓｔａｒ大鼠心脏β肾上腺素受体（β－ＡＲ）及其亚型的数量和功能的改变。结果表明：（１）心脏β－ＡＲ总数量在４８周龄大鼠较１０周龄大鼠下调约２８％,且为β１与β２－ＡＲ同等程度下调;（２）４８周龄大鼠β－ＡＲ及其亚型对异丙肾上腺素的敏感性明显减弱;（３）在１０周龄大鼠心脏介导收缩效应以β１－ＡＲ的作用为主,而在４８周龄大鼠心脏引     

β2 肾上腺素受体激动剂治疗心衰研究进展

慢性心衰作为发病率和死亡率很高的一种疾病,其主要表现为心脏供血功能下降,无法满足身体需求。β 肾上腺素受体信号通路对 于维持心脏正常生理功能有重要意义,心衰时,β 肾上腺素受体信号通路也发生很大改变。基于对 β 肾上腺素受体信号通路的机制研究, 目前 β1 肾上腺素受体拮抗剂被广泛应用于心衰治疗,但 β2 肾上腺素受体的功能还有争议。综述 β2 肾上腺素受体在心衰过程中作用的研究 进展,提出 β2 肾上腺素受体激动剂联合 β1 肾上腺素受体拮抗剂治疗心衰的策略,旨在为心衰治疗药物的开发提供参考。     

β肾上腺素能受体的基因结构

β肾上腺素能受体属于Ｇ蛋白偶联受体,分为β１,β２、β３受体亚型,这些亚型具有相似的高级结构。各个亚型的基因克基因克隆表明它们由不同的基因编码。不同亚型的基因具有明显的同源性。     

阿的平调节β—肾上腺素受体,膜磷脂代谢及预防热损伤的研究

以前研究表明,热应激可使大鼠肺组织细胞膜肾上腺素能受体明显下调、膜磷脂分解代谢加速。本研究观察了阿的平（磷脂酶Ａ２的非特异性抑制剂）对β－肾上腺素受体及膜磷脂代谢的调节作用和对机体热损伤的防护作用。结果表明,阿的平对热应激造成的β－受体的下调、磷脂分解的加速具有明显的抑制作用,并能明显提高大鼠和人对热应激的耐受能力。     

大鼠长期服用氨酰心安对心脏β肾上腺素受体亚型的影响

本文结合放射配体结合实验、功能实验及ｃＡＭＰ蓄积等方法研究大鼠长期服用选择性β１肾上腺素受体（β１－ＡＲ）拮抗剂氨酰心安（ＡＴ）对心脏β－ＡＲ各亚型的影响。结果表明：长期服用ＡＴＲ一,（１）心脏总β－ＡＲ密度增加约５７％,β－ＡＲ介导的左心房及右室乳头肌正性变力效应增强,ＣＡＭＰ蓄积量也比对照组明显增多;（２）ＣＧＰ２０７１２Ａ竞争抑制曲线两位点分析结果显示β１与β２－ＡＲ所占的百分比在对照组与Ａ     

β肾上腺素受体的结构与功能域

β肾上腺素受体具有视紫红质样结构,包括由膜两侧亲水环相互联结7个疏水性跨膜α螺旋结构,N端无信号序列而含有2个N-糖基化位点,C端富含丝氨酸和苏氨酸残基.7个跨膜结构构成配基结合位点.β受体细胞膜内侧环状序列形成两亲α螺旋结构,与G蛋白相互作用.C端及第3个内侧环的丝氨酸及苏氨酸残基构成受体磷酸化位点,参与受体功能调控.     

肾上腺素对幼龄小鼠胸腺褪黑素受体的调节

应用放射配体结合法检测幼龄小鼠胸腺褪黑素受体（ＭＲ）,并以此为实验模型研究肾上腺素（Ｅ）对胸ＭＲ的影响及作用机制。结果表明,生理浓度的Ｅ即对胸ＭＲ有明显抑制作用,其抑制效应具时间依赖性及剂量依赖性。β－肾上腺素能受体拮抗剂普萘洛尔可逆转引抑制效应,ＣＡＭＰ对ＭＲ也有明显抑制作用,表现Ｅ对ＭＲ的抑制是通过β受体而实现的。这些结果提示,Ｅ在生理情况下即对胸腺ＭＲ有调节作用。     

β-arrestin与β-肾上腺素受体

2012年度诺贝尔化学奖授予了美国科学家罗伯特.莱夫科维茨（Robert J.Lefkowitz）和布莱恩.克比尔卡（Brian K.Kobilka）,以表彰他们在G蛋白偶联受体研究中的贡献。从Robert J.Lefkowitz最初研究β-肾上腺素受体（β-adrenergic receptor,β-AR）减敏机制时发现β-arrestin1至今已有20多年,随着对β-arrestin在细胞信号转导中作用研究的逐渐深入,发现β-arrestin参与β-AR的减敏、内化和降解;近年来又发现,依赖β-arrestin的β-AR信号转导通路具有＂偏向激活＂现象,并提示这种依赖β-arrestin的＂偏向激活＂信号转导通路具有心脏保护作用。β-肾上腺素受体阻滞剂的发现和临床应用被视为20世纪药物治疗学上里程碑式的进展,是药物防治心脏疾病的最伟大突破,很多心血管药物都以β-AR为靶点。但是,由于目前受体药物均是针对受体本身的调控,这样在阻断了受体介导的病理性信号通路和功能的同时,也阻断了受体介导的正常生理性信号通路和功能,造成了严重的毒副作用。所以,研发能选择性阻滞β-AR过度激活介导的病理性信号通路和功能的同时,保留受体介导的正常生理性信号通路和功能（如β-arrestin信号通路）的药物,对治疗心血管疾病有重要意义,受体功能选择性的配体药物将成为未来药物的研究方向。该文将回顾β-arrestin的发现过程,综述其与β-AR的相互作用,期望能为心脏疾病的药物治疗提供参考。     

Identification and regulation of alpha- and beta-adrenergic receptors.

Direct radioligand binding methods for studying the alpha- and beta-adrenergic receptors have been developed over the past several years. These techniques use radioactively labeled adrenergic antagonists and agonists to identify the receptors in appropriate membrane fractions from catecholamine-sensitive tissues. In the case of the beta-adrenergic receptors, confident receptor identification has been aided by the close correlation of binding data with data on adenylate cyclase activation. Such direct binding studies are providing new insights about the molecular characteristics and regulatory properties of the receptors.     

The nature of differences in beta-adrenergic receptors]

Results of investigation of the affinity between teranol (practalol), alpheprol (alprenolol), propranolol to beta-adrenoreceptors of various organs confirmed the division of these receptors into two subtypes. The action of isadrin on beta1-adrenoreceptors of the myocardium and smooth muscles of the gastrointestinal tract was accompanied by changes in Ca2+ entrance into the cells. With the action of isadrin on beta2-adrenoreceptors of the trachea and the vessels there was seen an intensification of the Ca2+ ions from the cells and a reduction of the smooth muscle tone.     

Synergistic regulation of pulmonary beta-adrenergic receptors by glucocorticoids and interleukin-1

Coculturing IM9 human lymphocytes and A549 human lung adenocarcinoma cells results in a 2-3-fold increase in the density of beta-adrenergic receptors in the latter, as quantified by 125I-cyanopindolol binding. Lymphocyte-conditioned medium (LCM) has the same effect, which is moderately sensitive to heat, is retained by ultrafiltration over a Mr 10,000 cut-off filter, and is reduced by trypsin treatment or by preincubation of lymphocytes with 0.3 micrograms/ml cycloheximide. Treatment of lung cells with cycloheximide also prevents the effect of LCM. Glucocorticoids, which also increase beta-receptor density in A549 cells, markedly potentiate the effect of LCM. Gel permeation high pressure liquid chromatography of LCM yields three peaks of biological activity with Mr 70,000, 35,000, and 15,000. Monocytic interleukin-1 (IL-1) mimics the effect of LCM in that it increases beta-receptor density in A549 cells (EC50 0.3 pM), and its effect is potentiated by cortisol. Recombinant IL-1 alpha is somewhat more potent than IL-1 beta, while interleukin-2 and interferon-alpha are ineffective. Tumor necrosis factor alpha causes a small increase in beta-receptors, which is not influenced by glucocorticoids. A polyclonal anti-IL-1 antibody inhibits the effect of IL-1 and the effect of the 15-kDa but not the 35- and 70-kDa fractions of LCM. The activity of the latter two fractions is also unaffected by anti-tumor necrosis factor alpha antibody. These results indicate that lymphocytes release protein factors including IL-1 that up-regulate pulmonary beta-adrenergic receptors by an action that involves protein synthesis. The possible relevance of this regulatory mechanism for the pathomechanism of certain respiratory diseases is discussed.     

Ontogeny of fetal adenylate cyclase; mechanisms for regulation of beta-adrenergic receptors

Transmembrane second messenger signalling systems regulate differentiation, growth and homeostatic responses during fetal development. The beta-adrenergic adenylate cyclase system is the best studied of these and has been used as a model to investigate the control of developmental processes. In tissues such as lung, heart and parotid, beta-adrenergic responsiveness of adenylate cyclase increases during development. In the developing fetal lung beta-receptor concentration increases during gestation or after glucocorticoid treatment, but cannot fully explain enhanced adrenergic responsiveness. To probe developmental and hormonal effects on beta-receptor function, we asked if advancing gestation or glucocorticoid treatment alters beta-receptor-Gs interactions in fetal rabbit lung membrane particulates. Before 25 days gestation, 1-isoproterenol competes for 3H-dihydroalprenolol (DHA), a radiolabelled beta-antagonist, with a single low affinity, later in gestation, high and low affinities of isoproterenol for the beta-receptor are present which can be shifted to the lower affinity by addition of guanyl nucleotide. High affinity binding is precociously induced in 25 days--fetal lung particulates as early as 3 h after maternal betamethasone treatment, but beta-adrenoreceptor concentration in treated fetuses was increased over controls only after 24 h of treatment. Cholera toxin catalyzed ADP ribosylation of membrane particulates showed cholera toxin substrate (Gs) was not altered by glucocorticoid treatment. Stimulation of adenylate cyclase activity with isoproterenol (100mM) and GTP (100mM) resulted in no incremental increase over that produced by GTP (100mM) alone in glucocorticoid treated or control particulates, either early or late in gestation. These data demonstrate that beta-receptor-Gs interactions are not sufficient to produce full agonist responses. Although both beta-adrenergic receptors and Gs are present in fetal rabbit lung early in gestation, interaction of these two adenylate cyclase components appears subsequently. This developmental event can be rapidly induced by maternal betamethasone treatment.     

Adaptive regulation of beta-adrenergic receptors in children with insulin dependent diabetes mellitus

The beta-adrenergic receptors were investigated in partially purified mononucleal leukocytes (MNL) plasma membranes from 18 patients with IDDM in pediatric period, 9 healthy children and 8 normal adults. The decreased beta-adrenergic receptor number was seen in patients with IDDM (Bmax = 27.6 +/- 8.3 fM (125I) IHYP/mg protein) compared with normal children (Bmax = 40.4 +/- 10.4 fM (125I) IHYP/mg protein) and normal adults (Bmax = 36.9 +/- 6 fM (125I) IHYP/mg protein). MNL beta-receptor binding affinities (apparent Kd = 109.8 +/- 26.1 pM in IDDM, 102.8 +/- 46.6 pM in normal children, 130.0 +/- 43.1 pM in normal adults) did not differ. We divided the patients with IDDM into two groups based on their level of blood glycosylated hemoglobin (HbA1) when samples were taken. Group A IDDM (consisted of 9 diabetic patients with below 10% of HbA1) had markedly decreased beta-receptor numbers compared with group B IDDM (consisted of 9 diabetic patients with more than 10% of HbA1), whereas Kd was not significantly different. Also, there was negative correlation between Bmax and level of blood sugar or HbA1 in IDDM. This is the first report concerning the beta-adrenergic receptor in IDDM in pediatric period. We suggest that decreased Bmax in group B is a homeostatic response to restore the poorly-controlled hyperglycemic state to normoglycemia because the group B patients had high level of HbA1 and blood sugar.     

Hormonal regulation of beta-adrenergic receptors in fetal rabbit lung in organ culture

Explants of fetal rabbit lung were established on the 25th day of gestation. These were maintained in serum-free medium for periods up to 10 days. During this time, the cultures exhibited morphological changes typical of terminal lung differentiation. Morphological evidence was also obtained for synthesis and secretion of pulmonary surfactant in these explants. beta-Adrenergic receptors were identified in these lung explants. Exposure of the explants to 10(-7)M dexamethasone on the third day of culture resulted in a significant increase in the number of beta-adrenergic receptors in the tissue without a change in receptor affinity. The effect of dexamethasone in organ culture was dose-dependent, a maximum increase in receptor number being observed within 48 hours of incubation with a hormone concentration of 1 x 10(-7)M. Exposure of the explant tissue to 1 x 10(-7)M triiodothyronine resulted in no significant increase in the concentration of beta-adrenergic receptors and no change in receptor affinity. These results suggest that glucocorticoids may potentiate the effects of beta-adrenergic agents in the fetal lung by increasing the numbers of their receptors. The effects of triiodothyronine upon the fetal lung do not appear to be mediated by this mechanism.     

Thyroid hormone regulation of adrenergic receptors and beta-adrenergic responsiveness in the rat submandibular gland

The effects of altered thyroid function on the sensitivity of isoproterenol induced secretion of saliva and in the characteristics of adrenergic receptors from the rat submandibular gland were examined. Hyperthyroidism produced an increased sensitivity to beta-adrenergic stimulation of the gland, and this phenomenon was associated with an increase in the number of beta and alpha 1-adrenoceptors. On the other hand, surgical thyroidectomy produced a decrease sensitivity to isoproterenol stimulation of the submandibular gland and a diminished density of beta-adrenoceptors. In this case, no changes in alpha-adrenoceptors were observed. These results are discussed emphasizing the correlation between the functional control of saliva secretion and the adrenergic receptors in different thyroid states.     

Inverse regulation of calcium channels and beta-adrenergic receptors in virus-transformed human embryonal cells.

Monolayer cultures of human embryonal smooth muscle cells (HEC) were used to study the heterologous regulation of membrane beta-adrenergic receptors and Ca2+ channels. The relationships between the activation of membrane bound alpha-1 and beta-adrenergic receptors, the cyclic nucleotide response and Ca2+ channel binding were studied in a cellular model of latent virus infection (Herpes simplex, Type-2) in a human embryonal cell line. In the early stage of infection (72 h), there was a significant increase in the cell cAMP content, followed by a decrease in the binding capacity of the beta-adrenergic ligand with an increased total number of the 1,4-dihydropyridine Ca2+ channel agonist (-)-S-(3H)BAYK 8644 binding sites on the cell membrane of infected cells. The increased numbers of Ca2+ agonist binding sites were accompanied by an increased cAMP content in the cells and an increased membrane ATP-ase activity. Down-regulation of (3H)DHA binding, and an increased capacity of Ca2+ agonist binding were found after prolonged exposure of HEC to isoprenaline (10(-5) mol.l-1). Stimulation of alpha-1 adrenergic receptors with phenylephrine (10(-6) mol.l-1) was accompanied with only slight but significant increase in (3H)DHA binding and with a significant reduction in the total number of Ca2+ channel agonist binding sites.     

Functional integrity of desensitized beta-adrenergic receptors

The adenylate cyclase-coupled beta 2-adrenergic receptor of the frog erythrocyte has served as a useful model system for elucidating the mechanisms of catecholamine-induced densensitization. In this system, it has been previously demonstrated that agonist-induced refractoriness is associated with sequestration of the beta-adrenergic receptors in vesicles away from the cell surface and from their effector unit, the adenylate cyclase system (Stadel, J.M., Strulovici, B., Nambi, P., Lavin, T.N., Briggs, M.M., Caron, M.G., and Lefkowitz, R.J. (1983) J. Biol. Chem. 258, 3032-3038). These internalized beta-adrenergic receptors appear to be structurally intact as assessed by photoaffinity labeling, but their functional status has previously been unknown. In the present studies, we sought to assess the functionality of the sequestered vesicular receptors by fusing them to Xenopus laevis erythrocytes. This cell is suitable for such studies, since it has almost no detectable beta-adrenergic receptor or catecholamine-sensitive adenylate cyclase, but contains prostaglandin E1-stimulable adenylate cyclase. Fusion of beta-adrenergic receptor-containing vesicles from desensitized frog erythrocytes with X. laevis erythrocytes results in a 30-fold stimulation of the hybrid adenylate cyclase by the beta-adrenergic agonist isoproterenol. This effect was entirely blocked by the beta-antagonist propranolol. The catecholamine-sensitive adenylate cyclase activity established in the vesicle-Xenopus hybrids showed the characteristic agonist potency series of the donor frog erythrocyte beta 2-adrenergic receptor. Fusion of vesicles from desensitized frog erythrocytes in which the beta-adrenergic receptors had been inactivated with the group specific reagent dicyclohexylcarbodiimide, or of vesicles derived from control frog erythrocytes, which contain low amounts of beta-adrenergic receptor, did not establish catecholamine-sensitive adenylate cyclase activity in the hybrids. These data demonstrate that beta-adrenergic receptors internalized during desensitization retain their functionality when recoupled to an adenylate cyclase system from a different source. The functional uncoupling of these receptors during desensitization is thus more likely due to their sequestration away from the other components of the adenylate cyclase than to any alterations in the receptors themselves.