To examine whether stimulation of c-adrenergic receptors may affect the oxidative pentose phosphate pathway (PPP) in the rat heart, norepinephrine (NE) and the c-adrenergic agonist norfenephrine were used. NE was administered as a continuous intravenous infusion in awake rats for 3 days. It stimulated the activity of cardiac glucose-6-phosphate dehydrogenase (G-6-PD), the first and regulating enzyme of the oxidative PPP, in a dose-dependent manner. With the highest dose (0.2 mg * kg`* hr-'), there was also a time-dependent enhancement. The increase observed after 48 hours was attenuated partially by the (3-receptor blocker metoprolol and the a!-receptor blocker prazosin. It was entirely abolished when both drugs were administered. Carvedilol, a j3-adrenergic blocker and vasodilator with eel-blocking activity (0.5 mg * kg`* hr-1), prevented the NE-induced increase in cardiac G-6-PD activity, in functional parameters (heart rate, left ventricular systolic pressure, and left ventricular dP/dtmax), and in the heart weight/body weight ratio. The ae-adrenergic stimulator norfenephrine increased myocardial G-6-PD activity; prazosin prevented this stimulation. NE and norfenephrine also elevated the available pool of cardiac 5-phosphoribosyl-1-pyrophosphate. G-6-PD activity was enhanced in cardiac myocytes freshly isolated from the left ventricle of rats that had received NE infusion for 3 days (12.3±1.4 units/g protein) compared with control rats (1.5±0.4 units/g protein). The activity of 6-phosphogluconate dehydrogenase, one of the enzymes in the oxidative PPP, was elevated only moderately from 12.7±0.7 to 19.1± 1.4 units/g protein. Combined aand f3-receptor blockade with carvedilol attenuated these effects. Using Northern blot analysis, we showed that G-6-PD mRNA was elevated in a time-dependent manner in hearts of NE-treated rats, reaching a 2.6-fold increase after 3 days. This increase was abolished with carvedilol. The 6-phosphogluconate dehydrogenase mRNA was only slightly and unspecifically enhanced. These results indicate that both crand j3-adrenergic receptors contribute to the stimulation of the oxidative PPP by predominant elevation of G-6-PD mRNA. (Circulation Research 1992;71:451-459) KEY WoRDs * adenine nucleotide metabolism * carvedilol * molecular biology * catecholamines * glucose-6-phosphate dehydrogenase * 6-phosphogluconate dehydrogenase * rat heart function C atecholamines have multiple effects on the function, metabolism, and morphology of the heart. Specifically, stimulation of 83-adrenergic receptors is known to induce a positive chronotropic and inotropic effect, to increase via cAMP glycogenolysis and lipolysis,1 to shift the isomyosin from V3 to the V1 form,2 and to induce cardiac hypertrophy.3 Recently, a new metabolic effect has been found in that f3-adrenergic stimulation increased the activity of cardiac glucose-6-phosphate dehydrogenase (G-6-PD), the first and rate-limiting enzyme of the oxidative pentose phosphate pathway (PPP).4 This pathway is the link between carbohydrate and fatt...