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Published on: November 2, 2020
Protein kinase cascades in the regulation of cardiac hypertrophy
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.
Abstract:
In broad terms, there are 3 types of cardiac hypertrophy: normal growth, growth induced by physical conditioning (i.e., physiologic hypertrophy), and growth induced by pathologic stimuli. Recent evidence suggests that normal and exercise-induced cardiac growth are regulated in large part by the growth hormone/IGF axis via signaling through the PI3K/Akt pathway. In contrast, pathological or reactive cardiac growth is triggered by autocrine and paracrine neurohormonal factors released during biomechanical stress that signal through the Gq/phospholipase C pathway, leading to an increase in cytosolic calcium and activation of PKC. Here we review recent developments in the area of these cardiotrophic kinases, highlighting the utility of animal models that are helping to identify molecular targets in the human condition.
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