Abstract
In the adrenergic system, release of the neurotransmitter norepinephrine
from sympathetic nerves is regulated by presynaptic inhibitory alpha2-adrenoceptors,
but it is unknown whether release of epinephrine from the adrenal
gland is controlled by a similar short feedback loop. Using gene-targeted
mice we demonstrate that two distinct subtypes of alpha2-adrenoceptors
control release of catecholamines from sympathetic nerves (alpha
2A) and from the adrenal medulla (alpha 2C). In isolated mouse chromaffin
cells, alpha2-receptor activation inhibited the electrically stimulated
increase in cell capacitance (a correlate of exocytosis), voltage-activated
Ca2+ current, as well as secretion of epinephrine and norepinephrine.
The inhibitory effects of alpha2-agonists on cell capacitance, voltage-activated
Ca2+ currents, and on catecholamine secretion were completely abolished
in chromaffin cells isolated from alpha 2C-receptor-deficient mice.
In vivo, deletion of sympathetic or adrenal feedback control led
to increased plasma and urine norepinephrine (alpha 2A-knockout)
and epinephrine levels (alpha 2C-knockout), respectively. Loss of
feedback inhibition was compensated by increased tyrosine hydroxylase
activity, as detected by elevated tissue dihydroxyphenylalanine levels.
Thus, receptor subtype diversity in the adrenergic system has emerged
to selectively control sympathetic and adrenal catecholamine secretion
via distinct alpha2-adrenoceptor subtypes. Short-loop feedback inhibition
of epinephrine release from the adrenal gland may represent a novel
therapeutic target for diseases that arise from enhanced adrenergic
stimulation.
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