C-C Motif Chemokine Receptor 9 Exacerbates Pressure Overload-Induced Cardiac Hypertrophy and Dysfunction

Zhengxi Xu1, Fanghua Mei2, Hanning Liu1

  • 1State Key Laboratory of Cardiovascular Diseases, Fuwai Hospital, National Center for Cardiovascular Diseases, Chinese Academy of Medical Sciences, Peking Union Medical College, Beijing, China.

Insights

C-C motif chemokine receptor 9 (CCR9) drives pathological cardiac hypertrophy by activating the AKT-mTOR-GSK3β pathway. CCR9 deficiency protects against cardiac hypertrophy, highlighting its therapeutic potential for heart failure.

Area of Science:

  • Cardiovascular Biology
  • Immunology
  • Molecular Medicine

Background:

  • Maladaptive cardiac hypertrophy is a critical precursor to heart failure, a leading global cause of mortality.
  • C-C motif chemokine receptor 9 (CCR9), a G protein-coupled receptor, is known for its role in immune cell regulation and immune-related diseases.
  • Emerging evidence suggests CCR9 involvement in cardiovascular diseases, but its specific role in cardiac hypertrophy remains unclear.

Purpose of the Study:

  • To investigate the role of C-C motif chemokine receptor 9 (CCR9) in the development of cardiac hypertrophy.
  • To elucidate the underlying molecular mechanisms by which CCR9 influences pathological cardiac remodeling.

Main Methods:

  • Assessed CCR9 protein levels in human failing hearts and experimental cardiac hypertrophy models.
  • Utilized cardiac-specific CCR9 knockout and transgenic mice to perform loss- and gain-of-function studies under pressure overload.
  • Examined signaling pathway activation, including mitogen-activated protein kinases (MAPKs) and AKT/protein kinase B, in response to altered CCR9 levels.

Main Results:

  • CCR9 protein levels were significantly elevated in failing human hearts and experimental hypertrophy models.
  • CCR9 deficiency attenuated pressure overload-induced cardiac hypertrophy, while CCR9 overexpression exacerbated it.
  • CCR9 primarily modulated the AKT-mammalian target of rapamycin-glycogen synthase kinase 3β (AKT-mTOR-GSK3β) signaling cascade, not the MAPK pathway.

Conclusions:

  • C-C motif chemokine receptor 9 (CCR9) plays a causal role in promoting pathological cardiac hypertrophy.
  • The prohypertrophic effects of CCR9 are mediated through the AKT-mTOR-GSK3β signaling pathway.
  • Targeting CCR9 may offer a novel therapeutic strategy for preventing or treating cardiac hypertrophy and subsequent heart failure.
Abstract

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