title: Abnormal guanine nucleotide regulatory protein in MVP dysautonomia: evidence from reconstitution of Gs.
abstract: We and others have used the term MVP dysautonomia for a particular subset of hyperadrenergic dysautonomia patients. The role of the stimulatory guanine nucleotide regulatory protein (Gs) in this dysautonomia was studied by cholate extraction of Gs from erythrocytes from 11 normal subjects and 14 symptomatic dysautonomic patients and reconstitution into cyc-S49 lymphoma membranes, which have normal receptor and adenylyl cyclase but lack Gs. Isoproterenol-stimulated adenylyl cyclase activity in the dysautonomia group was increased compared to that in controls [3.66 +/- 0.20 (mean +/- SE; n = 14) vs. 2.87 +/- 0.14 (n = 11) U cyc- reconstituted activity/mg erythrocyte protein; P less than 0.05]. beta-Adrenergic receptor high affinity state formation was greatest in the severely symptomatic group [KL/KH: severe symptoms, 130 +/- 48 (n = 6); mild symptoms, 33 +/- 7 (n = 7); control, 27 +/- 6 (n = 11); severe dysautonomia distinct, P less than 0.017]. Sodium dodecyl sulfate-polyacrylamide gels of cholera toxin-dependent ADP-ribosylated G-proteins yielded no gross distinction between severely symptomatic and control groups. This subset of hyperadrenergic dysautonomia patients, thus, has supercoupled beta 2-adrenergic receptors (increase in both agonist binding and cyclase activation) conferred by an abnormal Gs, whose effects on agonist binding reflect the severity of illness.
authors.affiliation: Department of Internal Medicine, Baylor College of Medicine, Houston, Texas 77030.
authors.forename: A O
authors.initials: AO
authors.lastname: Davies
authors.forename: C J
authors.initials: CJ
authors.lastname: Su
authors.forename: A
authors.initials: A
authors.lastname: Balasubramanyam
authors.forename: J
authors.initials: J
authors.lastname: Codina
authors.forename: L
authors.initials: L
authors.lastname: Birnbaumer
mesh_terms: D000246:Adenosine Diphosphate Ribose / Q000378:metabolism; D000262:Adenylyl Cyclases / Q000378:metabolism; D000328:Adult; D000818:Animals; D001342:Autonomic Nervous System Diseases / Q000097:blood / Q000150:complications*; D004789:Enzyme Activation; D005260:Female; D019204:GTP-Binding Proteins / Q000097:blood*; D006801:Humans; D007545:Isoproterenol / Q000378:metabolism; D008223:Lymphoma / Q000378:metabolism; D051379:Mice; D008875:Middle Aged; D008945:Mitral Valve Prolapse / Q000097:blood / Q000150:complications*; D009504:Neutrophils / Q000378:metabolism; D014407:Tumor Cells, Cultured
chemical_list: D000246:Adenosine Diphosphate Ribose; D019204:GTP-Binding Proteins; D000262:Adenylyl Cyclases; D007545:Isoproterenol