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Vol. 53, Issue 2, 319-356, June 2001
Institute of Pharmacology and Therapeutics, Faculty of Medicine,
Alameda Hernani Monteiro, Porto, Portugal
I. Introduction
II. Subclassification of Adrenoceptors
A.
1-Adrenoceptors
B.
2-Adrenoceptors
C.
-Adrenoceptors
III. Postjunctional Adrenoceptors in Vascular Smooth Muscle
A.
1-Adrenoceptors
1. In Vitro.
2. In Vivo.
3.
1-Adrenoceptor Antagonists in the Symptomatic
Treatment of Prostatic Hypertrophy.
B.
2-Adrenoceptors
1. In Vitro.
2. In Vivo.
3. Blood Pressure Regulation in
2-Adrenoceptor-Deficient Mice.
C.
-Adrenoceptors
1. In Vitro
a.
1- and
2-Adrenoceptors.
b.
3-Adrenoceptors.
c. Putative
4-Adrenoceptors.
2. In Vivo.
IV. Prejunctional Adrenoceptors
A.
2-Adrenoceptors
B.
-Adrenoceptors
V. Endothelial Adrenoceptors
A.
2-Adrenoceptors
B.
-Adrenoceptors
VI. Distribution of Vascular Adrenoceptors
A. Localization in Relation to Sympathetic Nerve Terminals
B. Distribution Upstream and Downstream
C. Distribution in Particular Vascular Beds
VII. Influence of Maturation and Aging
A. On
-Adrenoceptors
B. On
-Adrenoceptors
VIII. Influence of Temperature on Vascular Adrenoceptor-Mediated
Responses
IX. Vascular Adrenoceptors in Some Diseases
X. Conclusions
Acknowledgments
References
The total and regional peripheral resistance and
capacitance of the vascular system is regulated by the sympathetic
nervous system, which influences the vasculature mainly through changes in the release of catecholamines from both the sympathetic nerve terminals and the adrenal medulla. The knowledge of the targets for
noradrenaline and adrenaline, the main endogenous catecholamines mediating that influence, has recently been greatly expanded. From two
types of adrenoceptors (
and
), we have now nine subtypes (
1A,
1B,
1D,
2A/D,
2B,
2A/D,
1,
2, and
3) and two other candidates (
1L and
4), which may be
conformational states of
1A and
1-adrenoceptors, respectively. The vascular endothelium is now known to be more than a pure anatomical entity, which smoothly contacts the blood and forms a passive barrier against plasma lipids.
Instead, the endothelium is an important organ possessing at least five
different adrenoceptor subtypes (
2A/D,
2C,
1,
2, and
3), which either directly or through the release of
nitric oxide actively participate in the regulation of the vascular
tone. The availability of transgenic models has resulted in a stepwise progression toward the identification of the role of each adrenoceptor subtype in the regulation of blood pressure and fine-tuning of blood
supply to the different organs:
2A/D-adrenoceptors are involved in the central control of blood pressure;
1-(primarily) and
2B-adrenoceptors
(secondarily) contribute to the peripheral regulation of vascular tone;
and
2A/D- and
2C-adrenoceptors modulate
transmitter release. The increased knowledge on the involvement of
vascular adrenoceptors in many diseases like Raynaud's, scleroderma, several neurological degenerative diseases (familial amyloidotic polyneuropathy, Parkinson disease, multiple-system atrophy), some kinds
of hypertension, etc., will contribute to new and better therapeutic approaches.
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