A Possible Mechanism for the "Broken
Heart" Syndrome
In the newest edition of the
New England Journal of Medicine, US scientists from the Johns Hopkins
University School of Medicine in Baltimore, Maryland said that it is possible
for people to die from the stress of a broken heart. Life altering events such
as the death of a loved one or a sudden surprise may trigger a sudden release
of "fight or flight" response hormones (see news reports: 1
and 2).
Many of these people had
stress hormone levels much higher than expected. This suggests that they may
have had a transient desensitization of their heart receptors due to the high
levels of these hormones, which are normally produced by our bodies.
In our studies of receptor
desensitization, we've seen a similar mechanism (see Science and Bio Balance Reference). It isn't
too surprising that it hasn't been noticed before in humans because most
doctors don't expect this effect to occur. Also desensitization is
counterintuitive, because the higher the dose or concentration of an activating
hormone or drug, the lower the response. In our studies using drugs that
stimulate the heart, the responses fell well below baseline levels when these
drugs desensitize the heart thereby profoundly decreasing the cardiac output.
Theoretically, this process is reversible over time. However, our work suggests
that it may be beneficial to use a beta-blocker initially to decrease the
transient desensitization and restore improved heart function.
Richard Lanzara,
Ph.D.
President
Bio Balance, Inc.
Bio Balance (http://www.bio-balance.com/)
is an early stage drug development company that has developed the only tested method to prevent drug
desensitization at the receptor level.
This phenomenon, also
known as down-regulation,
tolerance or fade, occurs with a large number of very commonly used drugs such
as dobutamine for heart failure, isoproterenol for shock or asthma, L-dopa for
Parkinson’Äôs Disease, and morphine for pain. Notably, desensitization cannot be
remedied by taking larger dosages. With more and more drug, efficacy diminishes
and the drug essentially stops working. By using a patented approach, we create
new, combination drug candidates that sustain the therapeutic response with a
better side-effects profile than the original drugs.