The Wnt/frizzled/GSK-3 beta pathway: a novel therapeutic target for cardiac hypertrophy
W Matthijs Blankesteijn1, Veerle A M van de Schans, Paul ter Horst
1Department of Pharmacology and Toxicology, Cardiovascular Research Institute Maastricht, Maastricht University, P.O. Box 616, 6200MD Maastricht, The Netherlands. wm.blankesteijn@farmaco.unimaas.nl <wm.blankesteijn@farmaco.unimaas.nl>
Abstract:
An excessive hypertrophic response of the heart to an increased workload is a leading cause of heart failure. At present, cardiac hypertrophy is treated with inhibitors of the renin-angiotensin system or with beta-adrenoceptor antagonists. These current therapeutic strategies inhibit prohypertrophic signaling pathways, but this therapy is inadequate in a substantial number of patients. However, the hypertrophic response of the heart is the net result of activation of prohypertrophic and antihypertrophic pathways. Glycogen synthase kinase-3 beta (GSK-3 beta) has a powerful antihypertrophic effect, but is inhibited by growth factors and hypertrophic stimuli through phosphorylation at the Ser9 residue of GSK-3 beta. Activation of the Wnt/frizzled pathway also results in inactivation of GSK-3 beta through sequestration of the kinase rather than phosphorylation at Ser9. In this Opinion article we will review the current evidence for the involvement of Wnt/frizzled signaling and the activation of GSK-3 beta in the regulation of cardiac hypertrophy, and subsequently discuss the potential of this pathway to serve as a novel therapeutic approach for cardiac hypertrophy.
Insights
New research explores the Wnt/frizzled pathway
Area of Science:
- Cardiovascular Biology
- Molecular Signaling
- Pharmacology
Background:
- Cardiac hypertrophy, an excessive heart response to workload, is a major cause of heart failure.
- Current treatments like renin-angiotensin system inhibitors and beta-blockers are insufficient for many patients.
- Cardiac hypertrophy results from a balance between prohypertrophic and antihypertrophic pathways.
Purpose of the Study:
- To review evidence on Wnt/frizzled signaling and glycogen synthase kinase-3 beta (GSK-3 beta) in cardiac hypertrophy.
- To discuss the therapeutic potential of targeting the Wnt/frizzled/GSK-3 beta pathway for heart failure.
Main Methods:
- Literature review of current research on Wnt/frizzled signaling.
- Analysis of GSK-3 beta's role as an antihypertrophic factor.
- Discussion of molecular mechanisms involving GSK-3 beta phosphorylation and sequestration.
Main Results:
- GSK-3 beta possesses a significant antihypertrophic effect.
- Growth factors and hypertrophic stimuli inhibit GSK-3 beta via phosphorylation at Ser9.
- Wnt/frizzled pathway activation inactivates GSK-3 beta through sequestration.
Conclusions:
- The Wnt/frizzled pathway and GSK-3 beta are key regulators of cardiac hypertrophy.
- Targeting this pathway offers a promising novel therapeutic strategy for cardiac hypertrophy and heart failure.
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