PMID- 15090705 OWN - NLM STAT- MEDLINE DCOM- 20040601 LR - 20190827 IS - 0021-4868 (Print) IS - 0021-4868 (Linking) VI - 45 IP - 2 DP - 2004 Mar TI - Regulation of the catecholamine beta-adrenergic system in ventricular remodeling of hypertension. PG - 285-96 AB - Differences in structural remodeling are believed to be influenced by hormonal systems in hypertension. The objective of the present study was to investigate the change in the circulating catecholamine beta-adrenergic system in the left ventricle remodeling process in hypertensives. One hundred and thirty-four men (mean age, 53 years) had essential hypertension and underwent echocardiography before treatment. Normal morphology (n = 26) and concentric remodeling (n = 41) were defined by a relative wall thickness at diastole (RWT) of < 0.44 and > or = 0.44, respectively, and concentric hypertrophy (n = 28) and eccentric hypertrophy (n = 39) by a left ventricular mass index (LVMI) of < 150 g/m(2) and > or = 150 g/m(2), respectively. Forty healthy males were studied as normal controls. Plasma levels of norepinephrine (NE) and epinephrine (E) were measured by high performance liquid chromatography. The density of lymphocyte beta-adrenoceptors (beta-AR) and the content of intralymphocyte cyclic AMP (cAMP) in peripheral blood were measured using (3)H-dihydroalpneol as a ligand and protein binding assay, respectively. The plasma levels of NE and E in the 4 groups of patients with essential hypertension were significantly increased compared with the control group. The density of lymphocyte beta-AR and the content of intralymphocyte cAMP of peripheral blood in the normal morphology, concentric remodeling, and concentric hypertrophy groups were significantly higher than those in the control group, while the values in the eccentric hypertrophy group were significantly lower than those in the control group. Among the 4 groups, the plasma levels of NE and E had increased the most in the normal morphology group, followed in decreasing order by the concentric remodeling, concentric hypertrophy, and eccentric hypertrophy groups; the density of lymphocyte beta-AR and the content of intralymphocyte cAMP of peripheral blood in the normal morphology, concentric remodeling, and concentric hypertrophy groups increased while they decreased in the eccentric hypertrophy group in patients with essential hypertension. The catecholamine beta-adrenergic system appears to be related to left ventricular remodeling of hypertension. In this process, catecholamines increased continually. The density of beta-AR and the content of cAMP in peripheral lymphocytes increased at first and then decreased. FAU - Yingxin, Peng AU - Yingxin P AD - Department of Cardiology, Second Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, China. FAU - Jiang, Shan AU - Jiang S FAU - Xiaoyong, Qi AU - Xiaoyong Q FAU - Hao, Xue AU - Hao X FAU - Chunli, Rong AU - Chunli R FAU - Dongmei, Yao AU - Dongmei Y FAU - Zhiqin, Guo AU - Zhiqin G FAU - Shiling, Zheng AU - Shiling Z FAU - Min, Wu AU - Min W LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - Japan TA - Jpn Heart J JT - Japanese heart journal JID - 0401175 RN - 0 (Receptors, Adrenergic, beta) RN - E0399OZS9N (Cyclic AMP) RN - X4W3ENH1CV (Norepinephrine) RN - YKH834O4BH (Epinephrine) SB - IM MH - Adult MH - Aged MH - Cyclic AMP/*blood MH - Echocardiography MH - Epinephrine/*blood MH - Humans MH - Hypertension/blood/diagnostic imaging/*physiopathology MH - Lymphocytes/chemistry MH - Male MH - Middle Aged MH - Norepinephrine/*blood MH - Receptors, Adrenergic, beta/*blood MH - *Ventricular Remodeling EDAT- 2004/04/20 05:00 MHDA- 2004/06/02 05:00 CRDT- 2004/04/20 05:00 PHST- 2004/04/20 05:00 [pubmed] PHST- 2004/06/02 05:00 [medline] PHST- 2004/04/20 05:00 [entrez] AID - 10.1536/jhj.45.285 [doi] PST - ppublish SO - Jpn Heart J. 2004 Mar;45(2):285-96. doi: 10.1536/jhj.45.285.