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Updated: Aug 23, 2026

Isolation of Atrial Cardiomyocytes from a Rat Model of Metabolic Syndrome-related Heart Failure with Preserved Ejection Fraction
Published on: July 26, 2018
[Increased atria expression of receptor activity-modifying proteins in heart failure patients]
Yu-fang Wang1, Ji Zhang, Jing Li
1School of Preclinical and Forensic Medicine, Sichuan University, Chengdu, Sichuan, 610041 PR China.
Objective:
Receptor activity-modifying proteins (RAMPs) determine the ligand specificity of the calcitonin receptor-like receptor (CRLR); co-expression of RAMP1 and CRLR results in a calcitonin gene related peptide (CGRP) receptor, whereas the association of RAMP2 or RAMP3 with CRLR gives an adrenomedullin(ADM) receptor. As CGRP and ADM may play a beneficial role in heart failure, this study aimed at the question whether RAMPs mRNAs are changed in heart failure.
Methods:
Semi-quantitative reverse transcription-PCR (RT-PCR) was used to detect and quantify the mRNAs of RAMP1 and RAMP3 in the atria of heart failing patients.
Results:
It was found that the expressions of RAMP1, RAMP2 and RAMP3 mRNAs increased with the worsening of heart function, but the expressions of RAMP1 and RAMP2 mRNA decreased at level IV of heart failure.
Conclusion:
The above results demonstrated in the atria of heart failure patients an up-regulation of CGRP receptor by an increase of RAMP1 in association with CRLR and an up-regulation of ADM receptor by an increase of RAMP2 expression in association with CRLR, thus suggesting that CGRP and ADM receptors be playing a functional role in compensating the chronic heart failure in human.
Insights
Heart failure involves changes in receptor activity-modifying proteins (RAMPs) and calcitonin gene related peptide (CGRP) and adrenomedullin (ADM) receptors. These alterations suggest a compensatory role for CGRP and ADM in chronic heart failure.
Area of Science:
- Cardiovascular Biology
- Molecular Endocrinology
- Receptor Pharmacology
Context:
- Receptor activity-modifying proteins (RAMPs) critically influence the ligand specificity of the calcitonin receptor-like receptor (CRLR).
- Co-expression of RAMP1 with CRLR forms a calcitonin gene related peptide (CGRP) receptor, while RAMP2 or RAMP3 association with CRLR generates an adrenomedullin (ADM) receptor.
- CGRP and ADM are implicated in potentially beneficial roles within the context of heart failure.
Purpose:
- To investigate potential alterations in RAMP messenger RNA (mRNA) expression levels within the context of heart failure.
- To determine if RAMP mRNA expression correlates with the severity of heart failure.
Summary:
- Semi-quantitative reverse transcription-polymerase chain reaction (RT-PCR) was employed to assess RAMP1 and RAMP3 mRNA expression in the atria of patients experiencing heart failure.
- Results indicated an overall increase in RAMP1, RAMP2, and RAMP3 mRNA expression with worsening heart function.
- However, a decrease in RAMP1 and RAMP2 mRNA expression was observed specifically at heart failure level IV.
Impact:
- Demonstrated up-regulation of CGRP receptors (via RAMP1/CRLR) and ADM receptors (via RAMP2/CRLR) in the atria of heart failure patients.
- Suggests that CGRP and ADM receptors play a functional role in the human body's compensatory mechanisms for chronic heart failure.
- Provides molecular insights into the potential therapeutic targets for managing chronic heart failure.
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