Abstract
The sequence of molecular events in cardiac muscle that begins with the interaction of autonomic neurotransmitters with their receptors and result in such responses as altered contractility, rhythmicity and energy metabolism are beginning to be comprehensible. There are still considerable gaps of knowledge, but there are several working hypotheses which are being subjected to intense investigation. Antagonists that bind specifically and strongly to adrenergic and muscarinic receptors will allow the isolation and characterization of these receptors. This aspect of the molecular pharmacology of cardiac muscle will not be discussed here. An important problem that must be solved is that of the mechanism whereby receptor activation is coupled to the initiation of the sequence of reactions that alter contractile, ion transport and metabolic responses. There are several schemes, supported by varying amounts of evidence, of how these responses are mediated. The important messengers of mediation are: Ca++ in activation-contraction coupling and contraction itself, cyclic AMP (adenosine 3’: 5’ — monophosphate), as the mediator of adrenergic responses, and cyclic GMP (guanosine 3’: 5’ -monophosphate) as the mediator of cholinergic control of cardiac rhythm and contraction (Fig. 1).
The author’ s investigations were supported by a grant from the National Heart and Lung Institute, HL 12373.
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Mayer, S.E. (1977). Cyclic Nucleotides and Cardiac Contractility. In: Riecker, G., et al. Myocardial Failure. International Boehringer Mannheim Symposia. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-46352-5_11
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