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Beta-blockers for heart patients a double-edged sword.


Byline: ANI

Washington, Nov 22 (ANI): Researchers from University of Illinois University of Illinois may refer to:
  • University of Illinois at Urbana-Champaign (flagship campus)
  • University of Illinois at Chicago
  • University of Illinois at Springfield
  • University of Illinois system
It can also refer to:
 have discovered that a particular class of heart medications called beta-blockers can have a helpful as well as harmful effect depending on their molecular activity.

The study showed that use of carvedilol in combination with inhibitors of angiotensin-converting enzyme angiotensin-converting enzyme /an·gio·ten·sin-con·vert·ing en·zyme/ (-ten´sin kon-vert´ing en´zim) see peptidyl-dipeptidase A.

angiotensin-converting enzyme
n.
 (ACE inhibitors) may be of the greatest benefit to cardiac patients, and has significant clinical implications on which beta-blockers patients should take.

"I think this is really good stuff," said Kevin Xiang, a professor of molecular and integrative physiology at the University of Illinois led the study.

"It definitely will help people along the way to understand how to further manipulate this system. Beta blockers are still the most commonly used drug for heart disease," Xiang added.

Beta-blockers that target both the alpha- and beta-receptors on the heart muscle offer the most benefit to cardiac patients, while those that target only the beta-receptors can actually undermine the structure and function of the heart.

Patients with heart disease usually have higher levels of catecholamines Catecholamines
Family of neurotransmitters containing dopamine, norepinephrine and epinephrine, produced and secreted by cells of the adrenal medulla in the brain.
 - hormones that activate the beta-adrenergic receptors to stimulate cardiac muscle contraction.

A 2003 study showed that the beta-blocker carvedilol produced a greater survival benefit than another drug, metoprolol tartrate. Carvedilol targets both the beta- and alpha-adrenergic receptors.

The new study unveiled an elegant intracellular signalling system in which beta-receptor activation modulates alpha-adrenergic signaling.

It showed that blocking the beta-receptor alone promotes cardiac remodelling via growth of cardiac fibroblasts induced by alpha-adrenergic receptor signaling. The growth of fibroblasts in the heart further damages the integrity and function of the heart.

The study appears in journal Circulation Research published by the American Heart Association. (ANI)

Copyright 2009 Asian News International The Asian News International (ANI) agency provides multimedia news to China and 50 bureaus in India. It covers virtually all of South Asia since its foundation and presently claims, on its official website, to be the leading South Asia-wide news agency.  (ANI) - All Rights Reserved.

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Publication:Asian News International
Date:Nov 22, 2009
Words:293
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