The existence of two subtypes of adrenergic receptors, the α-adrenoceptors (αAR) and the β-adrenoceptors (βAR), was first demonstrated by Ahlquist (1948), and since then they have been extensively studied and characterised. They are receptors for the endogenous catecholamines epinephrine and norepinephrine and have a very wide tissue distribution (Table 1). In the case of βAR, Lands et al. (1967) found evidence for the existence of two types of βAR β1 and β2—by measuring the relative potency of sympathomimetic amines in different tissues. Subsequently, Emorine et al. (1989) isolated and cloned a third βARsubtype—the β3 adrenoceptor. Pharmacological evidence suggested a fourth type of βAR (Kaumann 1997; Molenaar et al. 1997; Galitzky et al. 1998), but it has not been cloned. In fact, recent evidence suggests that the putative β4AR, identified in the heart, is probably a low-affinity state of the β1AR (Granneman 2001; Kaumann et al. 2001; Sarsero et al. 2003; Joseph et al. 2004a,b; Arch 2004). All βAR are G-protein-coupled receptors, the predominant signal transduction mechanism of which is coupling of a Gs protein to adenylyl cyclase (AC), which becomes activated and catalyses the conversion of adenosine triphosphate (ATP) to cyclic 3′,5′ adenosine monophosphate (cAMP). cAMP activates protein kinase A (PKA) by binding to its regulatory subunit, causing PKA to dissociate from the catalytic subunit, thereby rendering it active. PKA is a serine/threonine protein kinase that targets a number of intracellular proteins, thereby eliciting a series of specific cellular responses. Such is the well-known “classical” mechanism for βAR signal-transduction. In the last two decades, however, it has become clear that this is by no means the only mechanism by which βAR give rise to intracellular responses. For example, in the heart, β2AR can couple to both Gs and Gi proteins. Coupling to Gs activates the cAMP-PKA pathway, mediating positive inotropic effects in the same manner as β1AR; by contrast, coupling to the Gi protein modifies the outcome of Gs signalling through activation of the PI3 kinase-Akt pathway (Zheng et al. 2005). In rat aorta, β2AR give rise to stimulation of nitric oxide biosynthesis, partially through PKA signalling but partly also through PI3 kinase-Akt activation (Ferro et al. 2004). In skeletal and cardiac muscle cells, Gs can directly enhance the activation of plasmalemmal voltage-sensitive Ca channels (Brown and Birnbaumer 1988), and this represents another potential mechanism of βAR signalling which is Gs-mediated but cAMP-PKA-independent. Interestingly, the coupling to voltage-sensitive Ca channels may differ between β1AR and β2AR (Foerster et al. 2004) In more recent years, it has become evident that, in a wide variety of tissues, βAR can also cause activation of potassium channels to give rise to their cellular effects; and interestingly, the potassium channels involved appear to vary widely from one tissue to another, for no obvious reason. In conscious dogs, β2AR-mediated dilatation of resistance coronary vessels involves both the opening of KATP channels and nitric oxide formation, and inhibition of nitric oxide synthase was found to antagonise lemakalim responses (Ming et al. 1997). In isolated canine saphenous veins and rat mesenteric arteries, the βAR agonist Naunyn-Schmiedeberg’s Arch Pharmacol (2006) 373:183–185 DOI 10.1007/s00210-006-0065-2
Read full abstract