Pharmacological role of HB-EGF shedding by angiotensin II in cardiomyocytes
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Updated: Aug 11, 2026

Suppression of Pro-fibrotic Signaling Potentiates Factor-mediated Reprogramming of Mouse Embryonic Fibroblasts into Induced Cardiomyocytes
Published on: June 3, 2018
1Department of Internal Medicine and Therapeutics, Osaka University Graduate School of Medicine, 2-2 Yamadaoka, Suita, Osaka 565-0871, Japan. takasima@medone.med.osaka-u.ac.jp
Insights
Angiotensin II (AGII) triggers cardiac hypertrophy via a novel pathway involving HB-EGF. This discovery sheds light on heart failure mechanisms and potential therapeutic targets.
Area of Science:
- Cardiology
- Molecular Biology
- Pharmacology
Background:
- Angiotensin II (AGII) is a known inducer of cardiac hypertrophy, a condition linked to reduced cardiac function and heart failure.
- AGII antagonists show protective effects, suggesting AGII's role in the progression from hypertrophy to heart failure.
Purpose of the Study:
- To elucidate a novel mechanism of AGII-induced cardiac hypertrophy mediated by HB-EGF.
- To investigate the role of EGF receptor transactivation in AGII's effects on cardiomyocytes.
Main Methods:
- Utilized cultured cardiomyocytes to study AGII's effects.
- Employed a metalloproteinase inhibitor (KBR-7785) and an HB-EGF-neutralizing antibody (#19) to block specific pathways.
- Assessed cardiac hypertrophy in vitro and in vivo.
Main Results:
- AGII induced transactivation of the EGF receptor in cardiomyocytes.
- Metalloproteinase inhibition and HB-EGF neutralization blocked AGII-induced EGF receptor transactivation.
- Both interventions attenuated cardiac hypertrophy caused by AGII, in vitro and in vivo.
Conclusions:
- AGII activates metalloproteinases, leading to the shedding of HB-EGF.
- Released HB-EGF binds to the EGF receptor, mediating AGII-induced cardiac hypertrophy.
- This HB-EGF-mediated EGF receptor transactivation may represent a general mechanism for AGII's pharmacological actions.
Abstract:
Angiotensin II (AGII) is known to induce cardiac hypertrophy. Prolonged hypertrophy leads to reduced cardiac performance. The cardiac protective effect of AGII antagonist implies the potential role of AGII in the transition from cardiac hypertrophy to heart failure. Here we report a new mechanism of HB-EGF mediated cardiac hypertrophy induced by AGII. HB-EGF is a EGF family growth factor synthesized as the membrane anchored form and released by protease cleavage to activate its receptor. In cultured cardiomyocytes, AGII induced the transactivation of EGF receptor, which was blocked by metalloproteinase inhibitor KBR-7785 and HB-EGF-neutralizing antibody #19. Both KBR-7785 and #19 attenuated the cardiac hypertrophy by AGII in vitro and in vivo. Thus we conclude that AGII activates metalloproteinase and sheds HB-EGF. Released HB-EGF bound to EGF receptor, leading to the cardiac hypertrophy. Recently, similar transactivation of EGF receptor by a GPCR agonist has been reported in various organs, indicating that EGF receptor transactivation by HB-EGF might play the general role of pharmacological reaction by AGII.
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