Abstract:The abundance of voltage-gated L-type Ca 2+ channels is altered by β-adrenergic receptor (β-AR) stimulation and by an elevation of the intracellular Ca 2+ concentration in cardiac myocytes. In whole animal, chronic β-AR stimulation or pacing heart results in various changes in the abundance of the channel, but it reduces the β-AR responsiveness of the L-type channel. Because β-AR stimulation facilitates the L-type calcium channels, it is difficult in the whole animal to study the effects of β-AR and Ca 2+ influx on the upregulation of the L-type channel independently of each other, which makes the cultur of nonbeating adult myocytes an attractive model. We found that culturing quiescent adult rabbit ventricular myocytes with isoproterenol (ISO, 2 μM) for 72 h or more caused a significant increase in the expression of mRNA coding for the L-type channel α 1C subunit by approximately twofold as compared to time-matched controls, and it was followed by a 1.8-fold increase in the Ca 2+ current density at 96 h. Somewhat surprisingly, an acute application of 1 μM ISO increased the current amplitude even in ISO-treated cells. The increase in the current density, induced by sustained β-AR stimulation, was blocked by a β-AR antagonist, propranolol (10 μM), but not by a Ca 2+ antagonist, nitrendipine (10 μM). In addition, the effects were reproduced by forskolin (10 μM), but not by a Ca 2+ agonist, Bay-K 8644 (2 μM). Taken together, these results suggest that sustained β-AR stimulation upregulates Ltype channel expression, but does not alter the β-AR responsiveness of the channel in quiescent myocytes.Key words: L-type calcium channel, upregulation, patch clamp, culture of adult myocytes, β-adrenergic receptor stimulation.The voltage-gated L-type Ca 2+ channels play a key role in the regulation of cardiac contractility by controlling Ca 2+ entry into cardiac myocytes during action potentials. The abundance and function of these channels are modulated on a longer time scale, as exemplified by the changes seen in heart failure (see review [1]). The current density through L-type Ca 2+ channels was reduced in end-stage heart failure and in a pacing-induced heart failure model of porcine, but not in the model of dog or rabbit [2][3][4]. In several heart failure models, biophysical properties of the L-type channel current remain unchanged, indicating that the number of functional channels is changed. In contrast, the responsiveness of the channel to β-AR agonists is significantly diminished: a high concentration of β-AR agonist (ISO, 1 or 10 μM) failed to increase the current amplitude [2,3]. Similarly, a chronic administration of a β-AR agonist downregulated β-AR in rat heart [5] without affecting the number and function of channels [6,7]. These results indicate that the changes in the number of functional L-type channels might vary depending on conditions, but the responsiveness to β-AR stimulation is reduced. In contrast to the reduction of responsiveness, in the failing human heart, a mechanical unloading [8] or su...