Molecular mechanisms of β2-adrenergic receptor function, response, and regulation - 15/08/11
Middlesex, United KingdomThis activity is available for CME credit. See page 40A for important information.
Abstract |
The human β2-adrenoceptor is a member of the 7-transmembrane family of receptors, encoded by a gene on chromosome 5, and widely distributed in the respiratory tract. Intracellular signaling after β2-adrenoceptor activation is largely affected through cyclic adenosine monophosphate and protein kinase A. Differences in the mechanism of interaction of short- and long-acting β2-agonists and the β2-receptor are reflected in the kinetics of airway smooth muscle relaxation and the onset and duration of bronchodilation in asthmatic patients. β-Adrenoceptor desensitization associated with prolonged β2-agonist activation differs depending on the cell type and is reflected in different profiles of clinical tolerance to chronic β2-agonist therapy. A number of genetic polymorphisms of the β2-receptor have been described that appear to alter the behavior of the receptor, including the response to β2-agonists. The synergy between the β2-receptor and the glucocorticoid receptor functions has implications for the combined use of β2-agonists and corticosteroids in the treatment of respiratory disease.
Le texte complet de cet article est disponible en PDF.Key words : β2-Adrenergic receptor, β2-agonists, desensitization, polymorphisms
Abbreviations used : cAMP, GR, GTP, MAPK, PET, PKA
Plan
(Supported by an unrestricted educational grant from Genentech, Inc. and Novartis Pharmaceuticals Corporation) |
|
Series editors: William T. Shearer, MD, PhD, Lanny J. Rosenwasser, MD, and Bruce S. Bochner, MD |
|
Disclosure of potential conflict of interest: M. Johnson is employed by GlaxoSmithKline. |
Vol 117 - N° 1
P. 18-24 - janvier 2006 Retour au numéroBienvenue sur EM-consulte, la référence des professionnels de santé.
L’accès au texte intégral de cet article nécessite un abonnement.
Déjà abonné à cette revue ?