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Level of G protein-coupled receptor kinase-2 determines myocardial ischemia/reperfusion injury via pro- and anti-apoptotic mechanisms.


ABSTRACT: Activation of prosurvival kinases and subsequent nitric oxide (NO) production by certain G protein-coupled receptors (GPCRs) protects myocardium in ischemia/reperfusion injury (I/R) models. GPCR signaling pathways are regulated by GPCR kinases (GRKs), and GRK2 has been shown to be a critical molecule in normal and pathological cardiac function.A loss of cardiac GRK2 activity is known to arrest progression of heart failure (HF), at least in part by normalization of cardiac ?-adrenergic receptor (?AR) signaling. Chronic HF studies have been performed with GRK2 knockout mice, as well as expression of the ?ARKct, a peptide inhibitor of GRK2 activity. This study was conducted to examine the role of GRK2 and its activity during acute myocardial ischemic injury using an I/R model.We demonstrate, using cardiac-specific GRK2 and ?ARKct-expressing transgenic mice, a deleterious effect of GRK2 on in vivo myocardial I/R injury with ?ARKct imparting cardioprotection. Post-I/R infarct size was greater in GRK2-overexpressing mice (45.0±2.8% versus 31.3±2.3% in controls) and significantly smaller in ?ARKct mice (16.8±1.3%, P<0.05). Importantly, in vivo apoptosis was found to be consistent with these reciprocal effects on post-I/R myocardial injury when levels of GRK2 activity were altered. Moreover, these results were reflected by higher Akt activation and induction of NO production via ?ARKct, and these antiapoptotic/survival effects could be recapitulated in vitro. Interestingly, selective antagonism of ?(2)ARs abolished ?ARKct-mediated cardioprotection, suggesting that enhanced GRK2 activity on this GPCR is deleterious to cardiac myocyte survival.The novel effect of reducing acute ischemic myocardial injury via increased Akt activity and NO production adds significantly to the therapeutic potential of GRK2 inhibition with the ?ARKct not only in chronic HF but also potentially in acute ischemic injury conditions.

SUBMITTER: Brinks H 

PROVIDER: S-EPMC2966514 | biostudies-literature | 2010 Oct

REPOSITORIES: biostudies-literature

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Level of G protein-coupled receptor kinase-2 determines myocardial ischemia/reperfusion injury via pro- and anti-apoptotic mechanisms.

Brinks Henriette H   Boucher Matthieu M   Gao Erhe E   Chuprun J Kurt JK   Pesant Stéphanie S   Raake Philip W PW   Huang Z Maggie ZM   Wang Xiaoliang X   Qiu Gang G   Gumpert Anna A   Harris David M DM   Eckhart Andrea D AD   Most Patrick P   Koch Walter J WJ  

Circulation research 20100902 9


<h4>Rationale</h4>Activation of prosurvival kinases and subsequent nitric oxide (NO) production by certain G protein-coupled receptors (GPCRs) protects myocardium in ischemia/reperfusion injury (I/R) models. GPCR signaling pathways are regulated by GPCR kinases (GRKs), and GRK2 has been shown to be a critical molecule in normal and pathological cardiac function.<h4>Objective</h4>A loss of cardiac GRK2 activity is known to arrest progression of heart failure (HF), at least in part by normalizatio  ...[more]

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