Decreased beta-adrenergic receptor density in rat myocardium during hemorrhagic shock.
We investigated alterations in the number and affinity of cardiac beta-adrenergic receptors during hemorrhagic shock. Forty male Wistar rats were divided into two groups: (1) a shock group (n = 20), in which mean arterial blood pressure was decreased to 40-50 mmHg by bleeding and kept constant for 6 h; and (2) a control group (n = 20), which underwent a sham operation. We used (-)[(3)H]dihydroalprenolol for the determination of the number and affinity of beta-adrenergic receptors in myocardial membranes. An additional 25 rats were used for determination of plasma epinephrine and norepinephrine concentrations. Scatchard analysis showed a 20% reduction ( P < 0.05) in beta-adrenergic receptor density in the shock group (70.3 +/- 3.5 fmol.mg(-1) protein) compared to the control group (90.0 +/- 4.8 fmol.mg(-1) protein) but no significant change in the affinity (2.52 +/- 0.06 vs. 2.31 +/- 0.09 nmol. l(-1), control vs. shock). Plasma catecholamine concentrations were increased significantly at 1, 2, 4 and 6 h after the start of hypotension. These data suggest that increased levels of plasma catecholamines in hemorrhagic shock may be correlated a significant loss of beta-adrenergic receptors in rat myocardium.
Department of Anesthesiology, Teikyo University School of Medicine, Tokyo, Japan.
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K
Mizumachi
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M
Yahagi
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H
Kawabata
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S
Tezuka
T
T
Honda
K
K
Okada