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Updated: Jan 2, 2026

A Rat Model of Pressure Overload Induced Moderate Remodeling and Systolic Dysfunction as Opposed to Overt Systolic Heart Failure
Published on: April 30, 2020
Molecular signaling of G-protein-coupled receptor in chronic heart failure and associated complications
Mohammad Altamish1, Vijaya Paul Samuel2, Rajiv Dahiya3
1Department of Pharmacology, School of Pharmaceutical Education and Research, Jamia Hamdard, New Delhi, India.
Insights
Heart failure impairs the heart
Area of Science:
- Cardiology
- Molecular Biology
- Biochemistry
Background:
- Heart failure is a clinical syndrome where the myocardium's pumping ability is compromised.
- Adrenoceptors, particularly beta subtypes (β1, β2, β3), regulate cardiac activity.
- Dysregulation of the ACE1/Ang II/AT1 and ACE2/Ang (1-7)/Mas receptor axes is implicated in heart failure.
Purpose of the Study:
- To investigate the molecular mechanisms by which G-protein-coupled receptor kinases (GRKs) affect cardiac function during heart failure.
- To explore the role of GRK2 and GRK5 in receptor desensitization and internalization in failing hearts.
Main Methods:
- Review and analysis of existing clinical and preclinical data.
- Examination of molecular signaling pathways involving adrenoceptors and the renin-angiotensin system.
- Focus on the role of G-protein-coupled receptor kinases (GRKs) in cardiac dysfunction.
Main Results:
- Increased activity of G-protein-coupled receptor kinases (GRK2 and GRK5) leads to desensitization and internalization of key receptors.
- This process disrupts normal G-protein-mediated signaling crucial for cardiac regulation.
- Altered GRK levels significantly impact cardiac activity in the context of heart failure.
Conclusions:
- G-protein-coupled receptor kinases (GRKs) play a critical role in the molecular pathophysiology of heart failure.
- Targeting GRK activity may offer a novel therapeutic strategy for managing heart failure.
- Understanding GRK-mediated signaling is essential for developing effective treatments for cardiac dysfunction.
Abstract:
The well-known condition of heart failure is a clinical syndrome that results when the myocardium's ability to pump enough blood to meet the body's metabolic needs is impaired. Most of the cardiac activity is maintained by adrenoceptors, are categorized into two main α and β and three distinct subtypes of β receptor: β1-, β2-, and β3-adrenoceptors. The β adrenoreceptor is the main regulatory macro proteins, predominantly available on heart and responsible for down regulatory cardiac signaling. Moreover, the pathological involvement of Angiotensin-converting enzyme 1 (ACE1)/angiotensin II (Ang II)/angiotensin II type 1 (AT1) axis and beneficial ACE2/Ang (1-7)/Mas receptor axis also shows protective role via Gi βγ, during heart failure these receptors get desensitized or internalized due to increase in the activity of G-protein-coupled receptor kinase 2 (GRK2) and GRK5, responsible for phosphorylation of G-protein-mediated down regulatory signaling. Here, we investigate the various clinical and preclinical data that exhibit the molecular mechanism of upset level of GRK change the cardiac activity during failing heart.
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