Abstract

The pathological role of GRK2 in vascular endothelial cell dysfunction was examined using human umbilical venous endothelial cells (HUVECs) exposed to high glucose and high insulin (HG/HI) in order to mimic insulin‐resistant diabetic conditions. GRK2 expression, membrane translocation, and activity were up‐regulated under HG/HI conditions. HG/HI did not activate Akt and eNOS, but GRK2 inhibitor or siRNA resulted in a significant increase in Akt and eNOS activation in HUVECs exposed to HG/HI. ERK1/2 activation was significantly increased after exposure to HG/HI, and the increase was prevented by GRK2 inhibitor or siRNA. In HEK293T cells which overexpressed GRK2, Akt activity was unchanged, while ERK1/2 activity was significantly raised. These data suggest that GRK2, which is up‐regulated under HG/HI conditions, leads to a tonic inhibition of the insulin downstream effectors, Akt and eNOS, with an increasing effect on ERK1/2 activity in endothelial cells.

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