title: [Metabolic remodeling and the alteration of related receptors expressions in failing heart].
abstract: OBJECTIVE
  To explore the metabolic remodeling and its correlative mechanisms in human failing heart by contrasting the content of substrate, the activity of correlative enzyme and the mRNA and protein expression of beta(3)-adrenoceptor and peroxisome proliferator-activate receptor alpha (PPARalpha).
  
  
  METHODS
  Cardo ac tossie samples were talem from 20 patients with heart failure of valvular heart disease and undergoing valvuloplasty operation as well as 6 subjects being killed in accidents (as control). The levels of free fat acid (FFA) and the activity of succinate dehydrogenase (SDH), Na(+)-K(+)-ATPase and Ca(2+)-Mg(2+)-ATPase of the myocardial tissue were measured. Protein and mRNA expression of beta(3)-adrenergic receptor and peroxisome proliferator-activated receptor alpha (PPARalpha) in myocardial tissue were analyzed using reverse transcriptase-polymerase chain reaction and Western-blot respectively.
  
  
  RESULTS
  In the failing hearts, the contents of FA and expression of beta 3 adrenoceptor mRNA and protein were obviously higher than those in the control group, the activity of SDH, Na(+)-K(+)-ATPase, Ca(2+)-Mg(2+)-ATPase and expression of PPARalpha mRNA and protein were on the contrary.
  
  
  CONCLUSIONS
  The human failing myocardium is characterized by metabolic remodeling and it maybe concerned with the upregulation of beta3 adrenoceptor and downregulation of PPARalpha.
authors.affiliation: Department of Cardiology, Xinqiao Hospital, the Third Military Medical University, Chongqing 400037, China.
authors.forename: Ying
authors.initials: Y
authors.lastname: Tian
authors.forename: Shan-Jun
authors.initials: SJ
authors.lastname: Zhu
authors.forename: Jiang
authors.initials: J
authors.lastname: Wang
authors.forename: Zhen-Kui
authors.initials: ZK
authors.lastname: Li
authors.forename: Rong
authors.initials: R
authors.lastname: Song
authors.forename: Ling
authors.initials: L
authors.lastname: Nie
mesh_terms: D000328:Adult; D015153:Blotting, Western; D005230:Fatty Acids, Nonesterified / Q000096:biosynthesis; D005260:Female; D015870:Gene Expression; D006333:Heart Failure / Q000235:genetics / Q000378:metabolism / Q000473:pathology*; D019918:Heart Valve Prosthesis Implantation; D006801:Humans; D008297:Male; D047492:Peroxisome Proliferator-Activated Receptors / Q000235:genetics* / Q000378:metabolism; D012333:RNA, Messenger / Q000235:genetics / Q000378:metabolism; D022702:Receptors, Adrenergic, beta-3 / Q000235:genetics* / Q000378:metabolism; D020133:Reverse Transcriptase Polymerase Chain Reaction; D020257:Ventricular Remodeling
chemical_list: D005230:Fatty Acids, Nonesterified; D047492:Peroxisome Proliferator-Activated Receptors; D012333:RNA, Messenger; D022702:Receptors, Adrenergic, beta-3