Protein kinase cascades in the regulation of cardiac hypertrophy

Gerald W Dorn1, Thomas Force

  • 1Heart and Vascular Center, Medical Center, University of Cincinnati, Cincinnati, Ohio 45267-0542, USA. dorngw@ucmail.uc.edu

Insights

Cardiac growth differs by type: normal/physiologic via growth hormone/IGF and PI3K/Akt, while pathologic growth uses neurohormonal factors and Gq/PLC signaling. Animal models aid target identification.

Area of Science:

  • Cardiology
  • Molecular Biology
  • Physiology

Background:

  • Cardiac hypertrophy presents in three forms: normal growth, physiologic (exercise-induced), and pathologic.
  • Physiologic cardiac growth is largely mediated by the growth hormone/IGF-1 axis through PI3K/Akt signaling.
  • Pathologic cardiac growth is initiated by neurohormonal factors and biomechanical stress, activating the Gq/PLC pathway, increasing intracellular calcium, and activating PKC.

Purpose of the Study:

  • To review recent advancements in understanding cardiotrophic kinases.
  • To highlight the role of animal models in identifying molecular targets for cardiac hypertrophy.

Main Methods:

  • Review of recent scientific literature on cardiac hypertrophy signaling pathways.
  • Analysis of data from animal models investigating cardiotrophic kinases.

Main Results:

  • Normal and exercise-induced cardiac growth are regulated by the growth hormone/IGF axis via PI3K/Akt.
  • Pathologic cardiac growth is triggered by neurohormonal factors and biomechanical stress, involving Gq/PLC and PKC signaling.

Conclusions:

  • Distinct signaling pathways regulate different types of cardiac hypertrophy.
  • Animal models are crucial for elucidating molecular mechanisms and identifying therapeutic targets for human cardiac hypertrophy.

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