Background. Two major hypotheses have been proposed to explain catecholamine supersensitivity after myocardial denervation, but neither sufficiently explains certain features of the phenomenon.In addition, a nonsurgical method for long-term myocardial adrenergic denervation is desirable but has not been accomplished or described with respect to catecholamine supersensitivity.Methods and Results. We have accomplished chronic myocardial adrenergic denervation by using 6-hydroxydopamine (6-OHDA). Sixteen weeks after 6-OHDA administration to newborn pigs, we found substantial myocardial adrenergic denervation associated with j-adrenergic receptor (PAR) downregulation. Despite decreased ,8AR number, the dose of isoproterenol yielding 50%o maximal heart rate change (ED50) was decreased, and heart rates during exercise showed increased responsiveness despite decreased circulating catecholamines. Thus, stimulation of fewer receptors yielded an increased response, implying improved signal transduction efficiency. Competitive binding studies with isoproterenol showed an increased proportion of PAR with high-affinity binding in myocardial membranes from 6-OHDA pigs, suggesting that interaction between P3AR and cardiac G, may contribute to improved signal transduction efficiency. However, measures of adenylyl cyclase activity indicated marked reduction in PIAR-dependent and G,-dependent cAMP production in myocardial membranes from denervated animals despite a normal amount of cardiac G, and decreased G;.Conclusions. We have demonstrated that substantial, long-term myocardial adrenergic denervation is possible using 6-OHDA. Denervation supersensitivity in this model does not depend on enhanced cAMP stimulation but rather depends on postreceptor elements in the ,lAR-responsive pathway that may be independent of G,-activated adenylyl cyclase activity. In this model of adrenergic denervation supersensitivity, P-receptors, through GQ, may be linked to an alternative effector that drives heart rate responsiveness. (Circulation 1992;85:666-679 (vomiting, poor appetite) after the initial injection and died within the first 10 days of life; three others died several weeks later, unrelated to toxic effects of 6-OHDA. (Acute toxicity results from norepinephrine released from adrenergic nerves.) 6-OHDA is metabolized rapidly; it has been shown that 24 hours after intravenous injection of [3H]-6-OHDA to rats, no [3H]-amines were found in heart or spleen5; therefore, toxicity related to persistent drug is not likely. All pigs remained with their mother and were weaned at the usual time (8-10 weeks). Five pigs survived and underwent pharmacological and physiological testing at 14-15 weeks and were killed at 16 weeks. These pigs fed vigorously and were developmentally normal.Controls were 10 weight-matched pigs (control, 14±3 kg; 6-OHDA, 13±3 kg; p=NS). Five were killed, and myocardial samples were used for biochemical studies; five underwent identical pharmacological and exercise tests as the experimental group. Experimental and control...