Defective response to cAMP-dependent protein kinase in non-insulin-dependent diabetic heart

Am J Physiol. 1991 Sep;261(3 Pt 1):E369-76. doi: 10.1152/ajpendo.1991.261.3.E369.

Abstract

Hearts isolated from 1-yr-old non-insulin-dependent diabetic rats exhibited reduced responsiveness to the beta-adrenergic agonist isoproterenol. Over a concentration range of 3 x 10(-9) to 10(-7) M, isoproterenol-mediated stimulation in the rate of left ventricular pressure decline, a measure of myocardial relaxation, and the rate of left ventricular pressure rise, a measure of myocardial contractility, were significantly depressed in the diabetic hearts. To clarify the basis for this defect, individual steps involved in the actions of the beta-adrenergic agonists were examined. Dihydroalprenolol binding assays revealed that neither beta-adrenergic receptor number nor binding affinity was affected by the diabetic condition. Also unaffected by diabetes was isoproterenol-mediated stimulation of adenylate cyclase activity, myocyte accumulation of adenosine 3',5'-cyclic monophosphate (cAMP), or the increase in cAMP-dependent protein kinase activity ratio. However, it was found that both in the presence and absence of cAMP-dependent protein kinase, activity of the sarcolemmal calcium transporter was significantly depressed in the diabetic heart. Also attenuated was protein kinase-induced enhancement of sarcoplasmic reticular calcium transport. The likelihood that these abnormalities contribute to alterations in calcium homeostasis and myocardial contractile function is discussed.

Publication types

  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Adenylyl Cyclases / metabolism
  • Animals
  • Animals, Newborn
  • Calcium / metabolism
  • Cells, Cultured
  • Cyclic AMP / metabolism
  • Diabetes Mellitus, Experimental / enzymology
  • Diabetes Mellitus, Experimental / physiopathology*
  • Diabetes Mellitus, Type 2 / enzymology
  • Diabetes Mellitus, Type 2 / physiopathology*
  • Dihydroalprenolol / metabolism
  • Electron Transport Complex IV / metabolism
  • Heart / drug effects
  • Heart / physiology
  • Heart / physiopathology*
  • Isoproterenol / pharmacology*
  • Kinetics
  • Male
  • Myocardial Contraction* / drug effects
  • Myocardium / metabolism
  • Protein Kinases / metabolism*
  • Rats
  • Rats, Inbred Strains
  • Receptors, Adrenergic, beta / drug effects
  • Receptors, Adrenergic, beta / metabolism
  • Receptors, Adrenergic, beta / physiology
  • Reference Values
  • Sarcolemma / metabolism
  • Sarcoplasmic Reticulum / metabolism

Substances

  • Receptors, Adrenergic, beta
  • Dihydroalprenolol
  • Cyclic AMP
  • Electron Transport Complex IV
  • Protein Kinases
  • Adenylyl Cyclases
  • Isoproterenol
  • Calcium