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Emerging roles of A-kinase anchoring proteins in cardiovascular pathophysiology
Dario Diviani1, Erica Reggi1, Miroslav Arambasic1
1Département de Pharmacologie et de Toxicologie, Faculté de Biologie et de Médecine, Lausanne 1005, Switzerland.
Insights
A-kinase anchoring proteins (AKAPs) are crucial scaffolding proteins that regulate cardiovascular functions. This review highlights their role in blood pressure control, vascular integrity, and heart failure pathogenesis.
Area of Science:
- Cardiovascular Biology
- Molecular Medicine
- Cell Signaling
Background:
- Cardiovascular diseases like hypertension and heart failure arise from disruptions in circulatory homeostasis.
- A-kinase anchoring proteins (AKAPs) are key regulators of cardiovascular cell function.
- AKAPs organize signaling complexes, including cAMP-dependent protein kinase (PKA), for localized cellular control.
Purpose of the Study:
- To review recent advancements in understanding AKAPs' role in cardiovascular pathophysiology.
- To focus on molecular mechanisms governing vascular integrity, blood pressure, and cardiac remodeling in heart failure.
Main Methods:
- Literature review of recent research on AKAPs in cardiovascular disease.
- Analysis of molecular events controlling vascular and cardiac cell function.
- Synthesis of findings related to AKAP involvement in hypertension and heart failure.
Main Results:
- AKAPs are critical for maintaining vascular integrity and regulating blood pressure.
- Dysfunctional AKAPs contribute to cardiac remodeling and the progression of heart failure.
- Targeting AKAP-mediated signaling offers potential therapeutic strategies for cardiovascular diseases.
Conclusions:
- AKAPs are essential for normal cardiovascular function and are implicated in various cardiovascular pathologies.
- Understanding AKAP molecular mechanisms provides insights into disease pathogenesis.
- AKAP-based therapeutics represent a promising avenue for cardiovascular disease treatment.
Abstract:
Heart and blood vessels ensure adequate perfusion of peripheral organs with blood and nutrients. Alteration of the homeostatic functions of the cardiovascular system can cause hypertension, atherosclerosis, and coronary artery disease leading to heart injury and failure. A-kinase anchoring proteins (AKAPs) constitute a family of scaffolding proteins that are crucially involved in modulating the function of the cardiovascular system both under physiological and pathological conditions. AKAPs assemble multifunctional signaling complexes that ensure correct targeting of the cAMP-dependent protein kinase (PKA) as well as other signaling enzymes to precise subcellular compartments. This allows local regulation of specific effector proteins that control the function of vascular and cardiac cells. This review will focus on recent advances illustrating the role of AKAPs in cardiovascular pathophysiology. The accent will be mainly placed on the molecular events linked to the control of vascular integrity and blood pressure as well as on the cardiac remodeling process associated with heart failure. This article is part of a Special Issue entitled: Cardiomyocyte Biology: Integration of Developmental and Environmental Cues in the Heart edited by Marcus Schaub and Hughes Abriel.
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