Evidence for cardiac beta 2-adrenoceptors in man

Clin Pharmacol Ther. 1983 Apr;33(4):424-8. doi: 10.1038/clpt.1983.57.

Abstract

We compared the effects of single doses of 50 mg atenolol (cardioselective), 40 mg propranolol (nonselective), and placebo on both exercise- and isoproterenol-induced tachycardia in two experiments involving nine normal subjects. Maximal exercise heart rate was reduced from 187 +/- 4(SEM) after placebo to 146 +/- 7 bpm after atenolol and 138 +/- 6 bpm after propranolol, but there were no differences between the drugs. The effects on isoproterenol tachycardia were determined before and after atropine (0.04 mg/kg IV). Isoproterenol sensitivity was determined as the intravenous dose that increased heart rate by 25 bpm (CD25) and this was increased from 1.8 +/- 0.3 micrograms after placebo to 38.9 +/- 8.3 micrograms after propranolol and 8.3 +/- 1.7 micrograms after atenolol. The difference in the effects of the two was significant. After atropine the CD25 was unchanged after placebo (2.3 +/- 0.3 micrograms) and atenolol (7.7 +/- 1.3 micrograms); it was reduced after propranolol (24.8 +/- 5.0 micrograms), but remained different from atenolol. This change with propranolol sensitivity was calculated as the apparent Ka, this was unchanged by atropine (11.7 +/- 2.1 and 10.1 +/- 2.5 ml/ng). These data are consistent with the hypothesis that exercise-induced tachycardia results largely from beta 1-receptor activation that is blocked by both cardioselective and nonselective drugs, whereas isoproterenol activates both beta 1- and beta 2-receptors so that after cardioselective blockade there remains a beta 2-component that can be blocked with a nonselective drug. While there appear to be beta 2-receptors in the human heart, their physiologic or pathologic roles remain to be defined.

Publication types

  • Comparative Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Atenolol / blood
  • Atenolol / pharmacology*
  • Double-Blind Method
  • Electrocardiography
  • Heart Rate / drug effects*
  • Humans
  • Isoproterenol / antagonists & inhibitors
  • Male
  • Physical Exertion
  • Propanolamines / pharmacology*
  • Propranolol / blood
  • Propranolol / pharmacology*
  • Random Allocation
  • Receptors, Adrenergic / drug effects*
  • Receptors, Adrenergic, beta / drug effects*

Substances

  • Propanolamines
  • Receptors, Adrenergic
  • Receptors, Adrenergic, beta
  • Atenolol
  • Propranolol
  • Isoproterenol