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Updated: Feb 25, 2026

Transverse Aortic Constriction in Mice
Published on: April 21, 2010
G protein-coupled receptor kinase 2 promotes cardiac hypertrophy
Philipp Schlegel1,2, Julia Reinkober1, Eric Meinhardt1
1Department of Internal Medicine III, Cardiology, University Hospital Heidelberg, University of Heidelberg, Heidelberg, Germany.
Abstract:
The increase in protein activity and upregulation of G-protein coupled receptor kinase 2 (GRK2) is a hallmark of cardiac stress and heart failure. Inhibition of GRK2 improved cardiac function and survival and diminished cardiac remodeling in various animal heart failure models. The aim of the present study was to investigate the effects of GRK2 on cardiac hypertrophy and dissect potential molecular mechanisms. In mice we observed increased GRK2 mRNA and protein levels following transverse aortic constriction (TAC). Conditional GRK2 knockout mice showed attenuated hypertrophic response with preserved ventricular geometry 6 weeks after TAC operation compared to wild-type animals. In isolated neonatal rat ventricular cardiac myocytes stimulation with angiotensin II and phenylephrine enhanced GRK2 expression leading to enhanced signaling via protein kinase B (PKB or Akt), consecutively inhibiting glycogen synthase kinase 3 beta (GSK3β), such promoting nuclear accumulation and activation of nuclear factor of activated T-cells (NFAT). Cardiac myocyte hypertrophy induced by in vitro GRK2 overexpression increased the cytosolic interaction of GRK2 and phosphoinositide 3-kinase γ (PI3Kγ). Moreover, inhibition of PI3Kγ as well as GRK2 knock down prevented Akt activation resulting in halted NFAT activity and reduced cardiac myocyte hypertrophy. Our data show that enhanced GRK2 expression triggers cardiac hypertrophy by GRK2-PI3Kγ mediated Akt phosphorylation and subsequent inactivation of GSK3β, resulting in enhanced NFAT activity.
Insights
Increased G-protein coupled receptor kinase 2 (GRK2) drives cardiac hypertrophy by activating the Akt-GSK3β-NFAT pathway. Inhibiting GRK2 or its downstream effectors mitigates this hypertrophic response in heart failure models.
Area of Science:
- Cardiology
- Molecular Biology
- Biochemistry
Background:
- Upregulation of G-protein coupled receptor kinase 2 (GRK2) is a key feature of cardiac stress and heart failure.
- GRK2 inhibition has shown promise in improving cardiac function and reducing adverse remodeling in preclinical models.
Purpose of the Study:
- To investigate the role of GRK2 in cardiac hypertrophy.
- To elucidate the molecular mechanisms by which GRK2 influences cardiac hypertrophy.
Main Methods:
- Utilized mouse models with transverse aortic constriction (TAC) to induce cardiac stress.
- Employed conditional GRK2 knockout mice and in vitro neonatal rat ventricular cardiac myocytes.
- Investigated signaling pathways involving Akt, GSK3β, NFAT, and PI3Kγ.
Main Results:
- TAC increased GRK2 expression in mice.
- GRK2 knockout attenuated cardiac hypertrophy and preserved ventricular geometry post-TAC.
- GRK2 overexpression in myocytes enhanced Akt signaling, inhibited GSK3β, and promoted NFAT activation.
- GRK2 interacted with PI3Kγ, and inhibiting either PI3Kγ or GRK2 blocked Akt activation and NFAT signaling, reducing hypertrophy.
Conclusions:
- Enhanced GRK2 expression initiates cardiac hypertrophy.
- The GRK2-PI3Kγ interaction mediates Akt phosphorylation, leading to GSK3β inactivation and subsequent NFAT activation.
- Targeting the GRK2 pathway offers a potential therapeutic strategy for cardiac hypertrophy.
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