Abstract

G protein-coupled receptor kinase-2 (GRK2) is a critical regulator of beta-adrenergic receptor (beta-AR) signaling and cardiac function. We studied the effects of mechanical stretch, a potent stimulus for cardiac myocyte hypertrophy, on GRK2 activity and beta-AR signaling. To eliminate neurohormonal influences, neonatal rat ventricular myocytes were subjected to cyclical equi-biaxial stretch. A hypertrophic response was confirmed by "fetal" gene up-regulation. GRK2 activity in cardiac myocytes was increased 4.2-fold at 48 h of stretch versus unstretched controls. Adenylyl cyclase activity was blunted in sarcolemmal membranes after stretch, demonstrating beta-AR desensitization. The hypertrophic response to mechanical stretch is mediated primarily through the G alpha(q)-coupled angiotensin II AT(1) receptor leading to activation of protein kinase C (PKC). PKC is known to phosphorylate GRK2 at the N-terminal serine 29 residue, leading to kinase activation. Overexpression of a mini-gene that inhibits receptor-G alpha(q) coupling blunted stretch-induced hypertrophy and GRK2 activation. Short hairpin RNA-mediated knockdown of PKC alpha also significantly attenuated stretch-induced GRK2 activation. Overexpression of a GRK2 mutant (S29A) in cardiac myocytes inhibited phosphorylation of GRK2 by PKC, abolished stretch-induced GRK2 activation, and restored adenylyl cyclase activity. Cardiac-specific activation of PKC alpha in transgenic mice led to impaired beta-agonist-stimulated ventricular function, blunted cyclase activity, and increased GRK2 phosphorylation and activity. Phosphorylation of GRK2 by PKC appears to be the primary mechanism of increased GRK2 activity and impaired beta-AR signaling after mechanical stretch. Cross-talk between hypertrophic signaling at the level of PKC and beta-AR signaling regulated by GRK2 may be an important mechanism in the transition from compensatory ventricular hypertrophy to heart failure.

Highlights

  • Utilizing an in vitro model of cyclical biaxial mechanical stretch to exclude the effects of the complex neurohormonal milieu, we studied the effects of mechanical stretch-induced hypertrophy in cardiac myocytes on ␤-AR signaling, which plays an important role in the regulation of cardiac function

  • Chronic Mechanical Stretch Leads to ␤-AR Desensitization— A hypertrophic phenotype in response to mechanical stretch was confirmed in primary cultures of neonatal rat ventricular myocytes subjected to cyclical equi-biaxial stretch on the Flexcell apparatus through up-regulation of the fetal genes atrial natriuretic factor (ANF) and ␤-MHC

  • In this study we have demonstrated that activation of hypertrophic signaling in cardiac myocytes by mechanical stretch, an in vitro model of pressure overload hypertrophy [34], leads to impaired ␤-AR signaling, which is critical in the regulation of cardiac function

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Summary

THE ROLE OF PROTEIN KINASE C*

PKC is known to dent [5] and independent manner [6] Consistent with these phosphorylate GRK2 at the N-terminal serine 29 residue, lead- findings, we have previously shown that signaling through ing to kinase activation. Previous work has shown that PKC␣ functions as GRK2 activity and impaired ␤-AR signaling after mechanical a novel regulator of cardiac contractility through effects on stretch. Pharmacoof PKC and ␤-AR signaling regulated by GRK2 may be an impor- logical and gene therapy-based inhibition of conventional PKC tant mechanism in the transition from compensatory ventricu- isoforms in mice have been shown to enhance cardiac contraclar hypertrophy to heart failure. Activation of GRK2 by Mechanical Stretch in Cardiac Myocytes receptor kinase-2 (GRK2) in vitro [18, 19], and GRK2 is known to be a critical regulator of ventricular function [20, 21]. This study demonstrates cross-talk between hypertrophic signaling and ␤-AR signaling, which may represent an important mechanism in the transition from compensatory myocardial hypertrophy to ventricular dysfunction and heart failure

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