alpha-
Adrenergic stimulation results in a positive adaptation of cardiomyocytes to increased cardiac work load by induction of
hypertrophy and enhanced contraction. However, sustained
adrenergic stimulation causes progression to
heart failure. Under simultaneous activation of alpha- and beta-
adrenoceptors by the naturally occurring
catecholamine noradrenaline, beta1-stimulation inhibits alpha-
adrenergic-stimulated
hypertrophy. If beta-
adrenergic stimulation may also influence cardiomyocyte contraction is not known yet. We now demonstrate that exposure of cardiomyocytes to
noradrenaline or
isoprenaline for 24 h results in a reduced cell shortening at low beating frequencies (0.5 Hz). At high beating frequencies (2 Hz), cell shortening was normal. beta-
adrenergic stimulation enhances SERCA2A expression at the
messenger RNA and
protein level. This induction of the Ca(2+) pump SERCA2A by the
transcription factor NFAT is responsible for maintenance of normal cell contraction at high beating frequencies since inhibition of NFAT by decoy-
oligonucleotides impairs SERCA2A expression and cell shortening after beta-
adrenergic stimulation. In conclusion, although reduced cell shortening is found under low beating frequencies, we demonstrate preservation of cardiomyocyte contraction at 2 Hz after exposure to beta-
adrenergic stimuli, which indicate that
adrenergic stimulation a priori does not cause impaired heart function. The increase of SERCA expression indicates an even improved Ca(2+) handling of the cells.