β3-Adrenergic receptor antagonism improves cardiac and vascular functions but did not modulate survival in a murine resuscitated septic shock model

Abstract Background Recent findings suggest that β3-adrenergic receptors (β3-AR) could play a role in the hemodynamic regulation, but their function in septic shock remains unclear. This study investigates the modulation of β3-AR in an experimental murine model of resuscitated septic shock on in viv...

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Main Authors: Eugénie Hagimont, Marc-Damien Lourenco-Rodrigues, Benjamin-Glenn Chousterman, Frances Yen-Potin, Manon Durand, Antoine Kimmoun
Format: Article
Language:English
Published: SpringerOpen 2024-12-01
Series:Intensive Care Medicine Experimental
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Online Access:https://doi.org/10.1186/s40635-024-00705-9
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author Eugénie Hagimont
Marc-Damien Lourenco-Rodrigues
Benjamin-Glenn Chousterman
Frances Yen-Potin
Manon Durand
Antoine Kimmoun
author_facet Eugénie Hagimont
Marc-Damien Lourenco-Rodrigues
Benjamin-Glenn Chousterman
Frances Yen-Potin
Manon Durand
Antoine Kimmoun
author_sort Eugénie Hagimont
collection DOAJ
description Abstract Background Recent findings suggest that β3-adrenergic receptors (β3-AR) could play a role in the hemodynamic regulation, but their function in septic shock remains unclear. This study investigates the modulation of β3-AR in an experimental murine model of resuscitated septic shock on in vivo hemodynamic, ex vivo vasoreactivity, inflammation and survival. Method Wild-type mice were used, undergoing cecal ligation and puncture (CLP) to induce septic shock, with SHAM as controls. Mice were treated with β3-AR agonist or antagonist three hours post-CLP, followed by resuscitation with fluids and antibiotics. Hemodynamic parameters were measured at 18 h following the surgery, and the expression of β-ARs in heart and aorta was assessed via immunostaining and western blot. Vascular reactivity was studied using myography, and inflammatory markers were analyzed through PCR and western blots. A 5-day survival study was conducted, documenting clinical severity scores and survival rates. Results β3-AR was expressed in both endothelial and myocardial cells in healthy and septic mice. During septic shock model, β3-AR density on endothelial cells increased post-CLP, while β1- and β2-AR decreased or remained constant. β3-AR antagonist treatment improved hemodynamic parameters, increasing mean arterial pressure and cardiac index, unlike the agonist. Vascular reactivity to phenylephrine was enhanced in aortic rings from both β3-AR agonist and antagonist-treated mice. However, no significant differences in inducible NO synthase expression were observed among treated groups. Despite improved hemodynamic parameters with β3-AR antagonist treatment, survival rates in treated groups remained similar to CLP group. Conclusions In an experimental murine model of resuscitated septic shock, β3-AR is resistant to desensitization and its inhibition improves cardiac and vascular function without affecting the short-term survival.
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spelling doaj-art-5abfd3d8eefe4890aefae46e0053e42d2025-08-20T02:39:54ZengSpringerOpenIntensive Care Medicine Experimental2197-425X2024-12-0112111110.1186/s40635-024-00705-9β3-Adrenergic receptor antagonism improves cardiac and vascular functions but did not modulate survival in a murine resuscitated septic shock modelEugénie Hagimont0Marc-Damien Lourenco-Rodrigues1Benjamin-Glenn Chousterman2Frances Yen-Potin3Manon Durand4Antoine Kimmoun5Inserm U1116, DCAC, Université de LorraineInserm U1116, DCAC, Université de LorraineAPHP, CHU Lariboisière, Département d’anesthésiologie et Réanimation, Inserm, MASCOT Paris, Université Paris CitéInserm U1116, DCAC, Université de LorraineInserm U1116, DCAC, Université de LorraineInserm U1116, DCAC, Université de LorraineAbstract Background Recent findings suggest that β3-adrenergic receptors (β3-AR) could play a role in the hemodynamic regulation, but their function in septic shock remains unclear. This study investigates the modulation of β3-AR in an experimental murine model of resuscitated septic shock on in vivo hemodynamic, ex vivo vasoreactivity, inflammation and survival. Method Wild-type mice were used, undergoing cecal ligation and puncture (CLP) to induce septic shock, with SHAM as controls. Mice were treated with β3-AR agonist or antagonist three hours post-CLP, followed by resuscitation with fluids and antibiotics. Hemodynamic parameters were measured at 18 h following the surgery, and the expression of β-ARs in heart and aorta was assessed via immunostaining and western blot. Vascular reactivity was studied using myography, and inflammatory markers were analyzed through PCR and western blots. A 5-day survival study was conducted, documenting clinical severity scores and survival rates. Results β3-AR was expressed in both endothelial and myocardial cells in healthy and septic mice. During septic shock model, β3-AR density on endothelial cells increased post-CLP, while β1- and β2-AR decreased or remained constant. β3-AR antagonist treatment improved hemodynamic parameters, increasing mean arterial pressure and cardiac index, unlike the agonist. Vascular reactivity to phenylephrine was enhanced in aortic rings from both β3-AR agonist and antagonist-treated mice. However, no significant differences in inducible NO synthase expression were observed among treated groups. Despite improved hemodynamic parameters with β3-AR antagonist treatment, survival rates in treated groups remained similar to CLP group. Conclusions In an experimental murine model of resuscitated septic shock, β3-AR is resistant to desensitization and its inhibition improves cardiac and vascular function without affecting the short-term survival.https://doi.org/10.1186/s40635-024-00705-9Septic shockReceptorBeta-3AdrenergicVascular reactivity
spellingShingle Eugénie Hagimont
Marc-Damien Lourenco-Rodrigues
Benjamin-Glenn Chousterman
Frances Yen-Potin
Manon Durand
Antoine Kimmoun
β3-Adrenergic receptor antagonism improves cardiac and vascular functions but did not modulate survival in a murine resuscitated septic shock model
Intensive Care Medicine Experimental
Septic shock
Receptor
Beta-3
Adrenergic
Vascular reactivity
title β3-Adrenergic receptor antagonism improves cardiac and vascular functions but did not modulate survival in a murine resuscitated septic shock model
title_full β3-Adrenergic receptor antagonism improves cardiac and vascular functions but did not modulate survival in a murine resuscitated septic shock model
title_fullStr β3-Adrenergic receptor antagonism improves cardiac and vascular functions but did not modulate survival in a murine resuscitated septic shock model
title_full_unstemmed β3-Adrenergic receptor antagonism improves cardiac and vascular functions but did not modulate survival in a murine resuscitated septic shock model
title_short β3-Adrenergic receptor antagonism improves cardiac and vascular functions but did not modulate survival in a murine resuscitated septic shock model
title_sort β3 adrenergic receptor antagonism improves cardiac and vascular functions but did not modulate survival in a murine resuscitated septic shock model
topic Septic shock
Receptor
Beta-3
Adrenergic
Vascular reactivity
url https://doi.org/10.1186/s40635-024-00705-9
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