287 results on '"Koch, W J"'
Search Results
52. Intracoronary adenovirus-mediated delivery and overexpression of the beta(2)-adrenergic receptor in the heart : prospects for molecular ventricular assistance.
- Author
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Shah, A S, Lilly, R E, Kypson, A P, Tai, O, Hata, J A, Pippen, A, Silvestry, S C, Lefkowitz, R J, Glower, D D, and Koch, W J
- Published
- 2000
53. Adenovirus-mediated gene transfer of the β2-adrenergic receptor to donor hearts enhances cardiac function.
- Author
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Kypson, A P, Hendrickson, S C, Akhter, S A, Wilson, K, McDonald, P H, Lilly, R E, Dolber, P C, Glower, D D, Lefkowitz, R J, and Koch, W J
- Subjects
BETA adrenoceptors ,HEART transplantation ,GENETIC transformation ,ADENOVIRUS diseases ,THERAPEUTICS - Abstract
Gene transfer to modify donor heart function during transplantation has significant therapeutic implications. Recent studies by our laboratory in transgenic mice have shown that overexpression of β
2 -adrenergic receptors (β2 -ARs) leads to significantly enhanced cardiac function. Thus, we investigated the functional consequences of adenovirus-mediated gene transfer of the human β2 -AR in a rat heterotopic heart transplant model. Donor hearts received 1 ml of solution containing 1 × 1010 p.f.u. of adenovirus encoding the β2 -AR or an empty adenovirus as a control. Five days after transplantation, basal left ventricular (LV) pressure was measured using an isolated, isovolumic heart perfusion apparatus. A subset of hearts was stimulated with the β2 -AR agonist, zinterol. Treatment with the β2 -AR virus resulted in global myocardial gene transfer with a six-fold increase in mean β-AR density which corresponded to a significant increase in basal contractility (LV + dP/dtmax , control: 3152.1 ± 286 versus β2 -AR, 6250.6* ± 432.5 mmHg/s; n = 10, *P < 0.02). β2 -AR overexpressing hearts also had higher contractility after zinterol administration compared with control hearts. Our results indicate that myocardial function of the transplanted heart can be enhanced by the adenovirus-mediated delivery of β2 -ARs. Thus, genetic manipulation may offer a novel therapeutic strategy to improve donor heart function in the post- operative setting. [ABSTRACT FROM AUTHOR]- Published
- 1999
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54. Potential future therapies for heart failure: gene transfer of beta-adrenergic signaling components.
- Author
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Maurice JP, Koch WJ, Maurice, J P, and Koch, W J
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- 1999
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55. β2-Adrenergic receptor overexpression in the developing mouse heart: evidence for targeted modulation of ion channels.
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An, R.-H., Heath, B. M., Higgins, J. P., Koch, W. J., Lefkowitz, R. J., and Kass, R. S.
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- 1999
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56. The myocardial beta-adrenergic system in spontaneously hypertensive heart failure (SHHF) rats.
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Anderson, K M, Eckhart, A D, Willette, R N, and Koch, W J
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- 1999
57. Bbeta-adrenergic receptor kinase-1 levels in catecholamine-induced myocardial hypertrophy: regulation by beta- but not alpha1-adrenergic stimulation.
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Iaccarino, G, Dolber, P C, Lefkowitz, R J, and Koch, W J
- Published
- 1999
58. Some Physical and Chemical Properties of Experimental Glazes for Vitrified Institutional Whiteware.
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KOCH, W. J., HARMAN, C. G., and O'BANNON, L. S.
- Published
- 1950
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59. Myocardial Function in Hearts With Transgenic Overexpression of the G Protein-Coupled Receptor Kinase 5
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Chen, E. P., Bittner, H. B., Akhter, S. A., Koch, W. J., and Davis, R. D.
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- 2001
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60. Gbetagamma-dependent phosphoinositide 3-kinase activation in hearts with in vivo pressure overload hypertrophy.
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Naga Prasad, S V, Esposito, G, Mao, L, Koch, W J, and Rockman, H A
- Abstract
Activation of phosphoinositide 3-kinases is coupled to both phosphotyrosine/growth factor and G protein-coupled receptors. We explored the role of phosphoinositide 3-kinase activation in myocardium during in vivo pressure overload hypertrophy in mice. Cytosolic extracts from wild type hypertrophied hearts showed a selective increase in the phosphoinositide 3-kinase gamma isoform. To address the role of G protein-coupled receptor-mediated activation of phosphoinositide 3-kinase, we used transgenic mice with cardiac-specific overexpression of a Gbetagamma sequestering peptide. Extracts from hypertrophied transgenic hearts showed complete loss of phosphoinositide 3-kinase activation, indicating a Gbetagamma-dependent process. To determine the class of G proteins that contribute Gbetagamma dimers for in vivo phosphoinositide 3-kinase activation, two strategies were used: 1) transgenic mice with cardiac-specific overexpression of a G(q) inhibitor peptide and 2) pertussis toxin treatment prior to pressure overload in wild type mice. Pressure overloaded G(q) inhibitor transgenic mice showed a complete absence of phosphoinositide 3-kinase activation, whereas pretreatment with pertussis toxin showed robust phosphoinositide 3-kinase activation. Taken together, these data demonstrate that activation of the phosphoinositide 3-kinase during in vivo pressure overload hypertrophy is Gbetagamma-dependent and the Gbetagamma dimers arise from stimulation of G(q)-coupled receptors.
- Published
- 2000
61. Molecular and Functional Mechanisms of Right Ventricular Adaptation in Chronic Pulmonary Hypertension
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Chen, E. P., Akhter, S. A., Bittner, H. B., Koch, W. J., Davis, R. D., and Trigt, P. Van
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- 1999
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62. Defective beta-adrenergic receptor signaling precedes the development of dilated cardiomyopathy in transgenic mice with calsequestrin overexpression.
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Cho, M C, Rapacciuolo, A, Koch, W J, Kobayashi, Y, Jones, L R, and Rockman, H A
- Abstract
Calsequestrin is a high capacity Ca(2+)-binding protein in the junctional sarcoplasmic reticulum that forms a quaternary complex with junctin, triadin, and the ryanodine receptor. Transgenic mice with cardiac-targeted calsequestrin overexpression show marked suppression of Ca(2+)-induced Ca(2+) release, myocyte hypertrophy, and premature death by 16 weeks of age (Jones, L. R., Suzuki, Y. J., Wang, W., Kobayashi, Y. M., Ramesh, V., Franzini-Armstrong, C., Cleemann, L., and Morad, M. (1998) J. Clin. Invest. 101, 1385-1393). To investigate whether alterations in intracellular Ca(2+) trigger changes in the beta-adrenergic receptor pathway, we studied calsequestrin overexpressing transgenic mice at 7 and 14 weeks of age. As assessed by echocardiography, calsequestrin mice at 7 weeks showed mild left ventricular enlargement, mild decreased fractional shortening with increased wall thickness. By 14 weeks, the phenotype progressed to marked left ventricular enlargement and severely depressed systolic function. Cardiac catheterization in calsequestrin mice revealed markedly impaired beta-adrenergic receptor responsiveness in both 7- and 14- week mice. Biochemical analysis in 7- and 14-week mice showed a significant decrease in total beta-adrenergic receptor density, adenylyl cyclase activity, and the percent high affinity agonist binding, which was associated with increased beta-adrenergic receptor kinase 1 levels. Taken together, these data indicate that alterations in beta-adrenergic receptor signaling precede the development of overt heart failure in this mouse model of progressive cardiomyopathy.
- Published
- 1999
63. A possible role for the endothelium in porcine coronary smooth muscle responses to dihydropyridine calcium channel modulators.
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Williams, J S, Baik, Y H, Koch, W J, and Schwartz, A
- Abstract
The role of the endothelium in contraction and relaxation produced by the dihydropyridine calcium channel modulators was examined in porcine coronary smooth muscle. The optically pure dihydropyridine calcium agonists (+)-S202-791 and (-)-Bay k 8644 both produced greater contractions in tissues without endothelium compared with tissues with intact endothelium. In contrast, histamine produced the same degree of contraction in tissues with and without endothelium. In the presence of KCl-induced active muscle tone, the optically pure calcium antagonists (-)-R202-791 and (+)-Bay k 8644 and the nitrovasodilator isosorbide dinitrate all produced the same degree of relaxation in tissues with and without endothelium. These results suggest that the endothelium plays an inhibitory role in dihydropyridine-induced contraction. When coronary rings with intact endothelium were pretreated for 60 min with 10 or 100 nM (-)-R202-791, the contraction to subsequent addition of (+)-S202-791 was significantly greater than in control tissues pretreated with only solvent. However, in rings with denuded endothelium, pretreatment with (-)-R202-791 resulted in a rightward shift of the dose-response curve to (+)-S202-791, and a depression of the maximal contraction compared with controls. Thus, the interaction between the calcium agonist [(+)-S202-791] and antagonist [(-)-R202-791] is more complex than competitive inhibition. We suggest that the calcium agonists produce two effects, a release of endothelium-derived relaxant factor and a direct contraction of smooth muscle; the calcium antagonists can inhibit both processes.(ABSTRACT TRUNCATED AT 250 WORDS)
- Published
- 1987
64. Anxiety Disorders due to Motor Vehicle Accidents: Nature and Treatment
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Taylor, S. and Koch, W. J.
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- 1995
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65. Control of myocardial contractile function by the level of beta-adrenergic receptor kinase 1 in gene-targeted mice.
- Author
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Rockman, H A, Choi, D J, Akhter, S A, Jaber, M, Giros, B, Lefkowitz, R J, Caron, M G, and Koch, W J
- Abstract
We studied the effect of alterations in the level of myocardial beta-adrenergic receptor kinase betaARK1) in two types of genetically altered mice. The first group is heterozygous for betaARK1 gene ablation, betaARK1(+/-), and the second is not only heterozygous for betaARK1 gene ablation but is also transgenic for cardiac-specific overexpression of a betaARK1 COOH-terminal inhibitor peptide, betaARK1(+/-)betaARKct. In contrast to the embryonic lethal phenotype of the homozygous betaARK1 knockout (Jaber, M., Koch, W. J., Rockman, H. A., Smith, B., Bond, R. A., Sulik, K., Ross, J., Jr., Lefkowitz, R. J., Caron, M. G., and Giros, B. (1996) Proc. Natl. Acad. Sci. U. S. A. 93, 12974-12979), betaARK1(+/-) mice develop normally. Cardiac catheterization was performed in mice and showed a stepwise increase in contractile function in the betaARK1(+/-) and betaARK1(+/-)betaARKct mice with the greatest level observed in the betaARK1(+/-)betaARKct animals. Contractile parameters were measured in adult myocytes isolated from both groups of gene-targeted animals. A significantly greater increase in percent cell shortening and rate of cell shortening following isoproterenol stimulation was observed in the betaARK1(+/-) and betaARK1(+/-)betaARKct myocytes compared with wild-type cells, indicating a progressive increase in intrinsic contractility. These data demonstrate that contractile function can be modulated by the level of betaARK1 activity. This has important implications in disease states such as heart failure (in which betaARK1 activity is increased) and suggests that betaARK1 should be considered as a therapeutic target in this situation. Even partial inhibition of betaARK1 activity enhances beta-adrenergic receptor signaling leading to improved functional catecholamine responsiveness.
- Published
- 1998
66. Mechanism of beta-adrenergic receptor desensitization in cardiac hypertrophy is increased beta-adrenergic receptor kinase.
- Author
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Choi, D J, Koch, W J, Hunter, J J, and Rockman, H A
- Abstract
Pressure overload cardiac hypertrophy in the mouse was achieved following 7 days of transverse aortic constriction. This was associated with marked beta-adrenergic receptor (beta-AR) desensitization in vivo, as determined by a blunted inotropic response to dobutamine. Extracts from hypertrophied hearts had approximately 3-fold increase in cytosolic and membrane G protein-coupled receptor kinase (GRK) activity. Incubation with specific monoclonal antibodies to inhibit different GRK subtypes showed that the increase in activity could be attributed predominately to the beta-adrenergic receptor kinase (betaARK). Although overexpression of a betaARK inhibitor in hearts of transgenic mice did not alter the development of cardiac hypertrophy, the beta-AR desensitization associated with pressure overload hypertrophy was prevented. To determine whether the induction of betaARK occurred because of a generalized response to cellular hypertrophy, betaARK activity was measured in transgenic mice homozygous for oncogenic ras overexpression in the heart. Despite marked cardiac hypertrophy, no difference in betaARK activity was found in these mice overexpressing oncogenic ras compared with controls. Taken together, these data suggest that betaARK is a central molecule involved in alterations of beta-AR signaling in pressure overload hypertrophy. The mechanism for the increase in betaARK activity appears not to be related to the induction of cellular hypertrophy but to possibly be related to neurohumoral activation.
- Published
- 1997
67. Gene Transfer Strategies for Augmenting Cardiac Function
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Peppel, K., Koch, W. J., and Lefkowitz, R. J.
- Published
- 1997
- Full Text
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68. Transgenic mice with cardiac overexpression of alpha1B-adrenergic receptors. In vivo alpha1-adrenergic receptor-mediated regulation of beta-adrenergic signaling.
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Akhter, S A, Milano, C A, Shotwell, K F, Cho, M C, Rockman, H A, Lefkowitz, R J, and Koch, W J
- Abstract
Transgenic mice were generated with cardiac-specific overexpression of the wild-type (WT) alpha1B-adrenergic receptor (AR) using the murine alpha-myosin heavy chain gene promoter. Previously, we described transgenic mice with alpha-myosin heavy chain-directed expression of a constitutively active mutant alpha1B-AR that had a phenotype of myocardial hypertrophy (Milano, C. A., Dolber, P. C., Rockman, H. A., Bond, R. A., Venable M. E., Allen, L. F., and Lefkowitz, R. J. (1994) Proc. Natl. Acad. Sci. U. S. A. 91, 10109-10113). In animals with >40-fold WT alpha1-AR overexpression, basal myocardial diacylglycerol content was significantly increased, indicating enhanced alpha1-adrenergic signaling and phospholipase C activity. In contrast to the mice overexpressing constitutively active mutant alpha1B-ARs, the hearts of these mice did not develop cardiac hypertrophy despite an 8-fold increase in ventricular mRNA for atrial natriuretic factor. In vivo physiology was studied in anesthetized intact animals and showed left ventricular contractility in response to the beta-agonist isoproterenol to be significantly depressed in animals overexpressing WT alpha1B-ARs. Membranes purified from the hearts of WT alpha1BAR-overexpressing mice demonstrated significantly attenuated adenylyl cyclase activity basally and after stimulation with isoproterenol, norepinephrine, or phenylephrine. Interestingly, these in vitro changes in signaling were reversed after treating the mice with pertussis toxin, suggesting that the extraordinarily high levels of WT alpha1B-ARs can lead to coupling to pertussis toxin-sensitive G proteins. Another potential contributor to the observed decreased myocardial signaling and function could be enhanced beta-AR desensitization as beta-adrenergic receptor kinase (betaARK1) activity was found to be significantly elevated (>3-fold) in myocardial extracts isolated from WT alpha1B-AR-overexpressing mice. This type of altered signal transduction may become critical in disease conditions such as heart failure where betaARK1 levels are elevated and beta-ARs are down-regulated, leading to a higher percentage of cardiac alpha1-ARs. Thus, these mice serve as a unique experimental model to study the in vivo interactions between alpha- and beta-ARs in the heart.
- Published
- 1997
69. G(o)-protein alpha-subunits activate mitogen-activated protein kinase via a novel protein kinase C-dependent mechanism.
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van Biesen, T, Hawes, B E, Raymond, J R, Luttrell, L M, Koch, W J, and Lefkowitz, R J
- Abstract
Mitogen-activated protein kinase (MAPK) is activated in response to both receptor tyrosine kinases and G-protein-coupled receptors. Recently, Gi-coupled receptors, such as the alpha 2A adrenergic receptor, were shown to mediate Ras-dependent MAPK activation via a pathway requiring G-protein beta gamma subunits (G beta gamma) and many of the same intermediates involved in receptor tyrosine kinase signaling. In contrast, Gq-coupled receptors, such as the M1 muscarinic acetylcholine receptor (M1AChR), activate MAPK via a pathway that is Ras-independent but requires the activity of protein kinase C (PKC). Here we show that, in Chinese hamster ovary cells, the M1AChR and platelet-activating factor receptor (PAFR) mediate MAPK activation via the alpha-subunit of the G(o) protein. G(o)-mediated MAPK activation was sensitive to treatment with pertussis toxin but insensitive to inhibition by a G beta gamma-sequestering peptide (beta ARK1ct). M1AChR and PAFR catalyzed G(o) alpha-subunit GTP exchange, and MAPK activation could be partially rescued by a pertussis toxin-insensitive mutant of G(o) alpha but not by similar mutants of Gi. G(o)-mediated MAPK activation was insensitive to inhibition by a dominant negative mutant of Ras (N17Ras) but was completely blocked by cellular depletion of PKC. Thus, M1AChR and PAFR, which have previously been shown to couple to Gq, are also coupled to G(o) to activate a novel PKC-dependent mitogenic signaling pathway.
- Published
- 1996
70. Role of phosphorylation in agonist-promoted beta 2-adrenergic receptor sequestration. Rescue of a sequestration-defective mutant receptor by beta ARK1.
- Author
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Ferguson, S S, Ménard, L, Barak, L S, Koch, W J, Colapietro, A M, and Caron, M G
- Abstract
The beta 2-adrenergic receptor (beta 2AR) belongs to the large family of G protein-coupled receptors. Mutation of tyrosine residue 326 to an alanine resulted in a beta 2AR mutant (beta 2AR-Y326A) that was defective in its ability to sequester and was less well coupled to adenylyl cyclase than the wild-type beta 2AR. However, this mutant receptor not only desensitized in response to agonist stimulation but down-regulated normally. In an attempt to understand the basis for the properties of this mutant, we have examined the ability of this regulation-defective mutant to undergo agonist-mediated phosphorylation. When expressed in 293 cells, the maximal response for phosphorylation of the beta 2AR-Y326A mutant was impaired by 75%. Further characterization of this phosphorylation, using either forskolin stimulation or phosphorylation site-deficient beta 2AR-Y326A mutants, demonstrated that the beta 2AR-Y326A mutant can be phosphorylated by cAMP-dependent protein kinase (PKA) but does not serve as a substrate for the beta-adrenergic receptor kinase 1 (beta ARK1). However, overexpression of beta ARK1 led to the agonist-dependent phosphorylation of the beta 2AR-Y326A mutant and rescue of its sequestration. beta ARK1-mediated rescue of beta 2AR-Y326A sequestration could be prevented by mutating putative beta ARK phosphorylation sites, but not PKA phosphorylation sites. In addition, both sequestration and phosphorylation of the wild-type beta 2AR could be attenuated by overexpressing a dominant-negative mutant of beta ARK1 (C20 beta ARK1-K220M). These findings implicate a role for beta ARK1-mediated phosphorylation in facilitating wild-type beta 2AR sequestration.
- Published
- 1995
71. Phosphatidylinositol 4,5-bisphosphate (PIP2)-enhanced G protein-coupled receptor kinase (GRK) activity. Location, structure, and regulation of the PIP2 binding site distinguishes the GRK subfamilies.
- Author
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Pitcher, J A, Fredericks, Z L, Stone, W C, Premont, R T, Stoffel, R H, Koch, W J, and Lefkowitz, R J
- Abstract
The G protein-coupled receptor kinases (GRKs) phosphorylate agonist occupied G protein-coupled receptors and play an important role in mediating receptor desensitization. The localization of these enzymes to their membrane incorporated substrates is required for their efficient function and appears to be a highly regulated process. In this study we demonstrate that phosphatidylinositol 4, 5-bisphosphate (PIP2) enhances GRK5-mediated beta-adrenergic receptor (betaAR) phosphorylation by directly interacting with this enzyme and facilitating its membrane association. GRK5-mediated phosphorylation of a soluble peptide substrate is unaffected by PIP2, suggesting that the PIP2-enhanced receptor kinase activity arises as a consequence of this membrane localization. The lipid binding site of GRK5 exhibits a high degree of specificity and appears to reside in the amino terminus of this enzyme. Mutation of six basic residues at positions 22, 23, 24, 26, 28, and 29 of GRK5 ablates the ability of this kinase to bind PIP2. This region of the GRK5, which has a similar distribution of basic amino acids to the PIP2 binding site of gelsolin, is highly conserved between members of the GRK4 subfamily (GRK4, GRK5, and GRK6). Indeed, all the members of the GRK4 subfamily exhibit PIP2-dependent receptor kinase activity. We have shown previously that the membrane association of betaARK (beta-adrenergic receptor kinase) (GRK2) is mediated, in vitro, by the simultaneous binding of PIP2 and the betagamma subunits of heterotrimeric G proteins to the carboxyl-terminal pleckstrin homology domain of this enzyme (Pitcher, J. A., Touhara, K., Payne, E. S., and Lefkowitz, R. J. (1995) J. Biol. Chem. 270, 11707-11710). Thus, five members of the GRK family bind PIP2, betaARK (GRK2), betaARK2 (GRK3), GRK4, GRK5, and GRK6. However, the structure, location, and regulation of the PIP2 binding site distinguishes the betaARK (GRK2 and GRK3) and GRK4 (GRK4, GRK5, and GRK6) subfamilies.
- Published
- 1996
72. Distinct pathways of Gi- and Gq-mediated mitogen-activated protein kinase activation.
- Author
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Hawes, B E, van Biesen, T, Koch, W J, Luttrell, L M, and Lefkowitz, R J
- Abstract
Receptors that couple to the heterotrimeric G proteins, Gi or Gq, can stimulate phosphoinositide (PI) hydrolysis and mitogen-activated protein kinase (MAPK) activation. PI hydrolysis produces inositol 1,4,5-trisphosphate and diacylglycerol, leading to activation of protein kinase C (PKC), which can stimulate increased MAPK activity. However, the relationship between PI hydrolysis and MAPK activation in Gi and Gq signaling has not been clearly defined and is the subject of this study. The effects of several signaling inhibitors are assessed including expression of a peptide derived from the carboxyl terminus of the beta adrenergic receptor kinase 1 (beta ARKct), which specifically blocks signaling mediated by the beta gamma subunits of G proteins (G beta gamma), expression of dominant negative mutants of p21ras (RasN17) and p74raf-1 (N delta Raf), protein-tyrosine kinase (PTK) inhibitors and cellular depletion of PKC. The Gi-coupled alpha 2A adrenergic receptor (AR) stimulates MAPK activation which is blocked by expression of beta ARKct, RasN17, or N delta Raf, or by PTK inhibitors, but unaffected by cellular depletion of PKC. In contrast, MAPK activation stimulated by the Gq-coupled alpha 1B AR or M1 muscarinic cholinergic receptor is unaffected by expression of beta ARKct or RasN17 expression or by PTK inhibitors, but is blocked by expression of N delta Raf or by PKC depletion. These data demonstrate that Gi- and Gq-coupled receptors stimulate MAPK activation via distinct signaling pathways. G beta gamma is responsible for mediating Gi-coupled receptor-stimulated MAPK activation through a mechanism utilizing p21ras and p74raf independent of PKC. In contrast, G alpha mediates Gq-coupled receptor-stimulated MAPK activation using a p21ras-independent mechanism employing PKC and p74raf. To define the role of G beta gamma in Gi-coupled receptor-mediated PI hydrolysis and MAPK activation, direct stimulation with G beta gamma was used. Expression of G beta gamma resulted in MAPK activation that was sensitive to inhibition by expression of beta ARKct, RasN17, or N delta Raf or by PTK inhibitors, but insensitive to PKC depletion. By comparison, G beta gamma-mediated PI hydrolysis was not affected by beta ARKct, RasN17, or N delta Raf expression or by PTK inhibitors. Together, these results demonstrate that G beta gamma mediates MAPK activation and PI hydrolysis via independent signaling pathways.
- Published
- 1995
73. Mutational analysis of the pleckstrin homology domain of the beta-adrenergic receptor kinase. Differential effects on G beta gamma and phosphatidylinositol 4,5-bisphosphate binding.
- Author
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Touhara, K, Koch, W J, Hawes, B E, and Lefkowitz, R J
- Abstract
The beta gamma subunits of heterotrimeric G proteins (G beta gamma) play a variety of roles in cellular signaling, one of which is membrane targeting of the beta-adrenergic receptor kinase (beta ARK). This is accomplished via a physical interaction of G beta gamma and a domain within the carboxyl terminus of beta ARK which overlaps with a pleckstrin homology (PH) domain. The PH domain of beta ARK not only binds G beta gamma but also interacts with phosphatidylinositol 4,5-bisphosphate (PIP2). Based on previous mapping of the G beta gamma binding region of beta ARK, and conserved residues within the PH domain, we have constructed a series of mutants in the carboxyl terminus of beta ARK in order to determine important residues involved in G beta gamma and PIP2 binding. To examine the effects of mutations on G beta gamma binding, we employed three different methodologies: direct G beta gamma binding to GST fusion proteins; the ability of GST fusion proteins to inhibit G beta gamma-mediated beta ARK translocation to rhodopsin-enriched rod outer segments; and the ability of mutant peptides expressed in cells to inhibit G beta gamma-mediated inositol phosphate accumulation. Direct PIP2 binding was also assessed on mutant GST fusion proteins. Ala residue insertion following Trp643 completely abolished the ability of beta ARK to bind G beta gamma, suggesting that a proper alpha-helical conformation is necessary for the G beta gamma.beta ARK interaction. In contrast, this insertional mutation had no effect on PIP2 binding. Both G beta gamma binding and PIP2 binding were abolished following Ala replacement of Trp643, suggesting that this conserved residue within the last subdomain of the PH domain is crucial for both interactions. Other mutations also produced differential effects on the physical interactions of the beta ARK carboxyl terminus with G beta gamma and PIP2. These results suggest that the last PH subdomain and its neighboring sequences within the carboxyl terminus of beta ARK, including Trp643, Leu647, and residues Lys663-Arg669, are critical for G beta gamma binding while Trp643 and residues Asp635-Glu639 are important for the PH domain to form the correct structure for binding to PIP2.
- Published
- 1995
74. G beta gamma subunits mediate mitogen-activated protein kinase activation by the tyrosine kinase insulin-like growth factor 1 receptor.
- Author
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Luttrell, L M, van Biesen, T, Hawes, B E, Koch, W J, Touhara, K, and Lefkowitz, R J
- Abstract
The receptors for insulin-like growth factor 1 (IGF1) and insulin are related heterotetrameric proteins which, like the epidermal growth factor (EGF) receptor, possess intrinsic ligand-stimulated tyrosine protein kinase activity. In Rat 1 fibroblasts, stimulation of mitogen-activated protein (MAP) kinase via the IGF1 receptor and the Gi-coupled receptor for lysophosphatidic acid (LPA), but not via the EGF receptor, is sensitive both to pertussis toxin treatment and to cellular expression of a specific G beta gamma subunit-binding peptide. The IGF1, LPA, and EGF receptor-mediated signals are all sensitive to inhibitors of tyrosine protein kinases, require p21ras activation, and are independent of protein kinase C. These data suggest that some tyrosine kinase growth factor receptors (e.g. IGF1 receptor) and classical G protein-coupled receptors (e.g. LPA receptor) employ a similar mechanism for mitogenic signaling that involves both tyrosine phosphorylation and G beta gamma subunits derived from pertussis toxin-sensitive G proteins.
- Published
- 1995
75. Effect of cellular expression of pleckstrin homology domains on Gi-coupled receptor signaling.
- Author
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Luttrell, L M, Hawes, B E, Touhara, K, van Biesen, T, Koch, W J, and Lefkowitz, R J
- Abstract
Pleckstrin homology (PH) domains are 90-110 amino acid regions of protein sequence homology that are found in a variety of proteins involved in signal transduction and growth control. We have previously reported that the PH domains of several proteins, including beta ARK1, PLC gamma, IRS-1, Ras-GRF, and Ras-GAP, expressed as glutathione S-transferase fusion proteins, can reversibly bind purified bovine brain G beta gamma subunits in vitro with varying affinity. To determine whether PH domain peptides would behave as antagonists of G beta gamma subunit-mediated signal transduction in intact cells, plasmid minigene constructs encoding these PH domains were prepared, which permit transient cellular expression of the peptides. Pertussis toxin-sensitive, G beta gamma subunit-mediated inositol phosphate (IP) production was significantly inhibited in COS-7 cells transiently coexpressing the alpha 2-C10 adrenergic receptor (AR) and each of the PH domain peptides. Pertussis toxin-insensitive, Gq alpha subunit-mediated IP production via coexpressed M1 muscarinic acetylcholine receptor (M1 AChR) was attenuated only by the PLC gamma PH domain peptide, suggesting that the inhibitory effect of most of the PH domain peptides was G beta gamma subunit-specific. Stimulation of the mitogen-activated protein (MAP) kinase pathway by Gi-coupled receptors in COS-7 cells has been reported to require activation of p21ras and to be independent of protein kinase C. Since several proteins involved in activation contain PH domains, the effect of PH domain peptide expression on alpha 2-C10 AR-mediated p21ras-GTP exchange and MAP kinase activation as well as direct G beta gamma subunit-mediated activation of MAP kinase was determined. In each assay, coexpression of the PH domain peptides resulted in significant inhibition. Increasing G beta gamma subunit expression surmounted PH domain peptide-mediated inhibition of MAP kinase activation. These data suggest that the PH domain peptides behave as specific antagonists of G beta gamma-mediated signaling in intact cells and that interactions between PH domains and G beta gamma subunits or structurally related proteins may play a role in the activation of mitogenic signaling pathways by G protein-coupled receptors.
- Published
- 1995
76. Cardiac gene delivery with cardiopulmonary bypass.
- Author
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Davidson, M J, Jones, J M, Emani, S M, Wilson, K H, Jaggers, J, Koch, W J, and Milano, C A
- Published
- 2001
77. Effect of Residual Compressive Stress in a Hotel-China Glaze on Some Physical Durability Properties of the Glaze.
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KOCH, W. J., HARMAN, C. G., and O'BANNON, L. S.
- Published
- 1952
- Full Text
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78. Metoprolol induces cardiac beta-3AR and S1PR1 signals to prevent adverse LV remodeling and dysfunction after myocardial infarction
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Cannavo, A., Liccardo, D., Rapacciuolo, A., Gambino, G., D Amico, M. L., Paolocci, N., Leosco, D., Koch, W. J., Ferrara, N., and Giuseppe Rengo
79. Caloric restriction ameliorates cardiac function, sympathetic cardiac innervation and beta-adrenergic receptor signaling in an experimental model of post-ischemic heart failure
- Author
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Lucia, C., Gambino, G., Petraglia, L., Elia, A., Komici, K., Femminella, G. D., D Amico, M. L., Pagano, G., Cannavo, A., Liccardo, D., Koch, W. J., Nolano, M., Leosco, D., Ferrara, N., and Giuseppe Rengo
80. The GRK2 inhibitor beta-ARKct potentiates the pro-contractile function of beta2-adrenergic receptor in vivo under normal conditions and post-myocardial infarction
- Author
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Lymperopoulos, A., Giuseppe Rengo, Gao, E., and Koch, W. J.
81. Lymphocyte G-protein coupled receptor kinase-2 (GRK2) strongly predicts survival in elderly patients with heart failure
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Femminella, G. D., Giuseppe Rengo, Galasso, G., Zincarelli, C., Liccardo, D., Pagano, G., Lucia, C., Ferrara, N., Koch, W. J., Leosco, D., Femminella, GRAZIA DANIELA, Rengo, G, Galasso, G, Zincarelli, C, Liccardo, Daniela, Pagano, G, de Lucia, C, Ferrara, Nicola, Koch, Wj, and Leosco, Dario
82. Modulation of catecholamine secretion from human adrenal chromaffin cells by manipulation of G protein-coupled receptor kinase-2 activity
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Cannavo, A., Liccardo, D., Lymperopoulos, A., Santangelo, M., Leosco, D., Koch, W. J., Ferrara, N., and Giuseppe Rengo
83. Deleting cardiac GRK5 catalytic activity impairs basal cardiac function without affecting myocardial growth
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Cannavo, A., Elia, A., Lucia, C., Liccardo, D., Ferrara, N., Paolocci, N., Giuseppe Rengo, and Koch, W. J.
84. Mycology
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Umphlett, C. J., primary and Koch, W. J., additional
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- 1965
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85. Targeting GRK5 for treating chronic degenerative diseases
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Nicola Ferrara, Alessandro Cannavo, Antonio Rapacciuolo, Giuseppe Rengo, Federica Marzano, Walter J. Koch, Marzano, F., Rapacciuolo, A., Ferrara, N., Rengo, G., Koch, W. J., and Cannavo, A.
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G-Protein-Coupled Receptor Kinase 5 ,Cell type ,Review ,Biology ,Cardiovascular ,GRK5 ,Catalysis ,Receptors, G-Protein-Coupled ,lcsh:Chemistry ,Inorganic Chemistry ,Transduction (genetics) ,GPCR ,Neoplasms ,medicine ,Animals ,Humans ,Molecular Targeted Therapy ,Physical and Theoretical Chemistry ,Neurodegeneration ,Receptor ,lcsh:QH301-705.5 ,Molecular Biology ,Spectroscopy ,G protein-coupled receptor ,Cancer ,G protein-coupled receptor kinase ,Kinase ,Organic Chemistry ,Neurodegenerative Diseases ,General Medicine ,medicine.disease ,Computer Science Applications ,Cell biology ,lcsh:Biology (General) ,lcsh:QD1-999 ,Cardiovascular Diseases ,Signal transduction ,Signal Transduction - Abstract
G protein-coupled receptors (GPCRs) are the largest family of cell-surface receptors and they are responsible for the transduction of extracellular signals, regulating almost all aspects of mammalian physiology. These receptors are specifically regulated by a family of serine/threonine kinases, called GPCR kinases (GRKs). Given the biological role of GPCRs, it is not surprising that GRKs are also involved in several pathophysiological processes. Particular importance is emerging for GRK5, which is a multifunctional protein, expressed in different cell types, and it has been found located in single or multiple subcellular compartments. For instance, when anchored to the plasma membrane, GRK5 exerts its canonical function, regulating GPCRs. However, under certain conditions (e.g., pro-hypertrophic stimuli), GRK5 translocates to the nucleus of cells where it can interact with non-GPCR-related proteins as well as DNA itself to promote “non-canonical” signaling, including gene transcription. Importantly, due to these actions, several studies have demonstrated that GRK5 has a pivotal role in the pathogenesis of chronic-degenerative disorders. This is true in the cardiac cells, tumor cells, and neurons. For this reason, in this review article, we will inform the readers of the most recent evidence that supports the importance of targeting GRK5 to prevent the development or progression of cancer, cardiovascular, and neurological diseases.
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- 2021
86. G protein-coupled receptor kinase 5 (GRK5) contributes to impaired cardiac function and immune cell recruitment in post-ischemic heart failure
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Haley Christine Murphy, Giulia Borghetti, Douglas G. Tilley, Michela Piedepalumbo, Ama Dedo Okyere, Anna Maria Lucchese, Rajika Roy, Eric W. Barr, Laurel A. Grisanti, Giuseppe Rengo, Jessica Ibetti, Walter J. Koch, Erhe Gao, Claudio de Lucia, Steven R. Houser, De Lucia, C., Grisanti, L. A., Borghetti, G., Piedepalumbo, M., Ibetti, J., Lucchese, A. M., Barr, E. W., Roy, R., Okyere, A. D., Murphy, H. C., Gao, E., Rengo, G., Houser, S. R., Tilley, D. G., and Koch, W. J.
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0301 basic medicine ,G-Protein-Coupled Receptor Kinase 5 ,Leukocyte migration ,Heart disease ,Physiology ,medicine.medical_treatment ,Myocardial Infarction ,030204 cardiovascular system & hematology ,Ventricular Function, Left ,0302 clinical medicine ,Leukocytes ,AcademicSubjects/MED00200 ,Myocytes, Cardiac ,Myocardial infarction ,Inflammation Mediator ,Mice, Knockout ,Left ventricle ,Chemotaxis, Leukocyte ,Cytokine ,Knockout mouse ,Cytokines ,medicine.symptom ,Inflammation Mediators ,Cardiology and Cardiovascular Medicine ,Cardiac Remodelling and Heart Failure ,Signal Transduction ,Cardiac function curve ,medicine.medical_specialty ,Myocardial ischemia ,Heart Diseases ,Inflammation ,Cardiomegaly ,03 medical and health sciences ,Physiology (medical) ,Internal medicine ,medicine ,Ventricular Pressure ,Humans ,Animals ,Ischemic heart failure ,Cardiac remodeling ,Heart Failure ,Animal ,business.industry ,Stroke Volume ,Original Articles ,Leukocyte ,medicine.disease ,Myocardial Contraction ,Disease Models, Animal ,030104 developmental biology ,Endocrinology ,Immune system ,Heart failure ,business ,Transcriptome - Abstract
Aims Myocardial infarction (MI) is the most common cause of heart failure (HF) worldwide. G protein-coupled receptor kinase 5 (GRK5) is upregulated in failing human myocardium and promotes maladaptive cardiac hypertrophy in animal models. However, the role of GRK5 in ischemic heart disease is still unknown. In this study, we evaluated whether myocardial GRK5 plays a critical role post-MI in mice and included the examination of specific cardiac immune and inflammatory responses. Methods and results Cardiomyocyte-specific GRK5 overexpressing transgenic mice (TgGRK5) and non-transgenic littermate control (NLC) mice as well as cardiomyocyte-specific GRK5 knockout mice (GRK5cKO) and wild type (WT) were subjected to MI and, functional as well as structural changes together with outcomes were studied. TgGRK5 post-MI mice showed decreased cardiac function, augmented left ventricular dimension and decreased survival rate compared to NLC post-MI mice. Cardiac hypertrophy and fibrosis as well as fetal gene expression were increased post-MI in TgGRK5 compared to NLC mice. In TgGRK5 mice, GRK5 elevation produced immuno-regulators that contributed to the elevated and long-lasting leukocyte recruitment into the injured heart and ultimately to chronic cardiac inflammation. We found an increased presence of pro-inflammatory neutrophils and macrophages as well as neutrophils, macrophages and T-lymphocytes at 4-days and 8-weeks respectively post-MI in TgGRK5 hearts. Conversely, GRK5cKO mice were protected from ischemic injury and showed reduced early immune cell recruitment (predominantly monocytes) to the heart, improved contractility and reduced mortality compared to WT post-MI mice. Interestingly, cardiomyocyte-specific GRK2 transgenic mice did not share the same phenotype of TgGRK5 mice and did not have increased cardiac leukocyte migration and cytokine or chemokine production post-MI. Conclusions Our study shows that myocyte GRK5 has a crucial and GRK-selective role on the regulation of leucocyte infiltration into the heart, cardiac function and survival in a murine model of post-ischemic HF, supporting GRK5 inhibition as a therapeutic target for HF., Graphical Abstract
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- 2020
87. Prior beta blocker treatment decreases leukocyte responsiveness to injury
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Celestino Sardu, Remus M Beretta, Douglas G. Tilley, Eman Hamad, Aron Stark, Erhe Gao, John T. Strony, Laurel A. Grisanti, Claudio de Lucia, Daohai Yu, Walter J. Koch, Toby P. Thomas, Raffaele Marfella, Steven R. Houser, Valerie D. Myers, Grisanti, L. A., De Lucia, C., Thomas, T. P., Stark, A., Strony, J. T., Myers, V. D., Beretta, R., Yu, D., Sardu, C., Marfella, R., Gao, E., Houser, S. R., Koch, W. J., Hamad, E. A., and Tilley, D. G.
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Adult ,Male ,0301 basic medicine ,CCR2 ,Receptors, CCR2 ,Immunology ,Adrenergic beta-Antagonists ,Cardiology ,03 medical and health sciences ,Chemokine receptor ,0302 clinical medicine ,Cell migration/adhesion ,Bone Marrow ,Cell Movement ,Receptors, Adrenergic, beta ,Cell Adhesion ,Leukocytes ,Animals ,Humans ,Protein Isoforms ,Medicine ,Receptor ,Cell adhesion ,Aged ,Aged, 80 and over ,Immunity, Cellular ,Innate immune system ,business.industry ,Cellular immune response ,General Medicine ,Middle Aged ,medicine.disease ,Mice, Inbred C57BL ,Disease Models, Animal ,Haematopoiesis ,030104 developmental biology ,medicine.anatomical_structure ,030220 oncology & carcinogenesis ,G-protein coupled receptor ,Wounds and Injuries ,Female ,Receptors, Adrenergic, beta-2 ,Bone marrow ,business ,Infiltration (medical) ,Spleen ,Research Article - Abstract
Following injury, leukocytes are released from hematopoietic organs and migrate to the site of damage to regulate tissue inflammation and repair; however, leukocytes lacking beta(2)-adrenergic receptor (beta(2)-AR) expression have marked impairments in these processes. Beta blockade is a common strategy for the treatment of many cardiovascular etiologies; therefore, the objective of our study was to assess the impact of prior beta blacker treatment on baseline leukocyte parameters and their responsiveness to acute injury. In a temporal and beta-adrenergic receptor isoform-dependent manner, chronic beta blocker infusion increased splenic vascular cell adhesion molecule 1 expression and leukocyte accumulation (monocytes/macrophages, mast cells, and neutrophils) and decreased chemokine receptor 2 (CCR2) expression and migration of bone marrow and peripheral blood leukocytes (PBLs) to, as well as infiltration into, the heart following acute cardiac injury. Further, CCR2 expression and migratory responsiveness were significantly reduced in the PBLs of patients receiving beta blocker therapy compared with beta blocker-naive patients. These results highlight the ability of chronic beta blocker treatment to alter baseline leukocyte characteristics that decrease leukocytes' responsiveness to acute injury and suggest that prior beta blockade may act to reduce the severity of innate immune responses.
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- 2019
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88. Alteration of myocardial GRK2 produces a global metabolic phenotype
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J. Kurt Chuprun, Mesele-Christina Valenti, Jessica Pfleger, Konstantinos Drosatos, Kenneth S. Gresham, Benjamin P. Woodall, Meryl A. Woodall, Walter J. Koch, Alessandro Cannavo, Woodall, B. P., Gresham, K. S., Woodall, M. A., Valenti, M. C., Cannavo, A., Pfleger, J., Chuprun, J. K., Drosatos, K., and Koch W., J
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0301 basic medicine ,Genetically modified mouse ,Cardiac function curve ,Male ,medicine.medical_specialty ,G-Protein-Coupled Receptor Kinase 2 ,Adipose Tissue, White ,Adipose tissue ,Mice, Transgenic ,White adipose tissue ,Biology ,Diet, High-Fat ,Weight Gain ,03 medical and health sciences ,chemistry.chemical_compound ,Mice ,0302 clinical medicine ,Internal medicine ,Adipocyte ,medicine ,Adipocytes ,Animals ,Humans ,Metabolomics ,Obesity ,Adiposity ,Beta adrenergic receptor kinase ,Myocardium ,food and beverages ,Cell Differentiation ,General Medicine ,Endocannabinoid system ,Disease Models, Animal ,030104 developmental biology ,Endocrinology ,chemistry ,030220 oncology & carcinogenesis ,biology.protein ,lipids (amino acids, peptides, and proteins) ,Signal transduction ,Amino Acids, Branched-Chain ,Endocannabinoids ,Signal Transduction ,Research Article - Abstract
A vast body of literature has established G protein–coupled receptor kinase 2 (GRK2; family: β-adrenergic receptor kinases [βARKs]) as a key player in the development and progression of heart failure. Inhibition of GRK2 improves cardiac function after injury in numerous animal models. In recent years, discovery of several noncanonical GRK2 targets has expanded our view of this kinase. This article describes the exciting finding that cardiac GRK2 activity can regulate whole-body metabolism. Transgenic mice with cardiac-specific expression of a peptide inhibitor of GRK2 (TgβARKct) display an enhanced obesogenic phenotype when fed a high-fat diet (HFD). In contrast, mice with cardiac-specific overexpression of GRK2 (TgGRK2) show resistance to HFD-induced obesity. White adipose tissue (WAT) mass was significantly enhanced in HFD-fed TgβARKct mice. Furthermore, regulators of adipose differentiation were differentially regulated in WAT from mice with gain or loss of GRK2 function. Using complex metabolomics, we found that cardiac GRK2 signaling altered myocardial branched-chain amino acid (BCAA) and endocannabinoid metabolism. In addition, it modulated circulating BCAA and endocannabinoid metabolite profiles on mice fed an HFD. We also found that one of the BCAA metabolites identified here enhances adipocyte differentiation in vitro. These results suggest that metabolic changes in the heart due to GRK2 signaling on mice fed an HFD control whole-body metabolism.
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- 2019
89. The structure of posttraumatic stress symptoms.
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Taylor, Steven, Kuch, Klaus, Koch, William J., Crockett, David J., Passey, Greg, Taylor, S, Kuch, K, Koch, W J, Crockett, D J, and Passey, G
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- *
PSYCHOLOGY , *POST-traumatic stress disorder - Abstract
Posttraumatic stress disorder, as defined by the Diagnostic and Statistical Manual of Mental Disorders (3rd ed., rev. and 4th ed.; American Psychiatric Association, 1987, 1994, respectively), is characterized by 17 symptoms, descriptively clustered into 3 groups: (a) intrusions, (b) hyperarousal, and (c) avoidance and numbing. The present study sought to identify the basic dimensions (factors) that underlie these symptoms. Two samples were assessed: 103 victims of motor vehicle accidents and 419 United Nations peacekeepers deployed in Bosnia. A principal axis factor analysis was conducted for each sample. In each sample, 2 correlated factors were obtained, which were very similar across samples. Factor 1 was labeled Intrusions and Avoidance, and Factor 2 represented Hyperarousal and Numbing. These factors loaded on a single higher order factor. The higher order factor accounted for 13% to 38% of variance in symptom severity, and the lower order factors accounted for an additional 8% to 9% of variance. If the authors assume that each factor corresponds to a distinct mechanism (R. B. Cattell, 1978), then the results suggest that posttraumatic stress reactions arise from a general mechanism, with contributions from 2 specific mechanisms. [ABSTRACT FROM AUTHOR]
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- 1998
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90. Structural Determinants Influencing the Potency and Selectivity of Indazole-Paroxetine Hybrid G Protein-Coupled Receptor Kinase 2 Inhibitors
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Alessandro Cannavo, Joseph Y. Cheung, Walter J. Koch, Xin-Qiu Yao, Jianliang Song, Marilyn C. Cato, Helen V. Waldschmidt, Renee Bouley, John J.G. Tesmer, Scott D. Larsen, Bouley, R., Waldschmidt, H. V., Cato, M. C., Cannavo, A., Song, J., Cheung, J. Y., Yao, X. -Q., Koch, W. J., Larsen, S. D., and Tesmer, J. J. G.
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0301 basic medicine ,G-Protein-Coupled Receptor Kinase 5 ,Models, Molecular ,Indazoles ,G-Protein-Coupled Receptor Kinase 2 ,Stereochemistry ,03 medical and health sciences ,chemistry.chemical_compound ,Mice ,0302 clinical medicine ,Heterotrimeric G protein ,Arrestin ,Animals ,Humans ,Protein Kinase Inhibitors ,Pharmacology ,G protein-coupled receptor kinase ,Indazole ,rho-Associated Kinases ,biology ,Kinase ,Chemistry ,Beta adrenergic receptor kinase ,Active site ,Articles ,Mice, Inbred C57BL ,Paroxetine ,030104 developmental biology ,Protein kinase domain ,030220 oncology & carcinogenesis ,biology.protein ,Molecular Medicine ,Selective Serotonin Reuptake Inhibitors - Abstract
G protein–coupled receptor kinases (GRKs) phosphorylate activated receptors to promote arrestin binding, decoupling from heterotrimeric G proteins, and internalization. GRK2 and GRK5 are overexpressed in the failing heart and thus have become therapeutic targets. Previously, we discovered two classes of GRK2-selective inhibitors, one stemming from GSK180736A, a Rho-associated coiled-coil containing kinase 1 (ROCK1) inhibitor, the other from paroxetine, a selective serotonin-reuptake inhibitor. These two classes of compounds bind to the GRK2 active site in a similar configuration but contain different hinge-binding “warheads”: indazole and benzodioxole, respectively. We surmised from our prior studies that an indazole would be the stronger hinge binder and would impart increased potency when substituted for benzodioxole in paroxetine derivatives. To test this hypothesis, we synthesized a series of hybrid compounds that allowed us to compare the effects of inhibitors that differ only in the identity of the warhead. The indazole-paroxetine analogs were indeed more potent than their respective benzodioxole derivatives but lost selectivity. To investigate how these two warheads dictate selectivity, we determined the crystal structures of three of the indazole hybrid compounds (CCG224061, CCG257284, and CCG258748) in complex with GRK2–Gβγ. Comparison of these structures with those of analogous benzodioxole-containing complexes confirmed that the indazole-paroxetine hybrids form stronger interactions with the hinge of the kinase but also stabilize a distinct conformation of the kinase domain of GRK2 compared with previous complexes with paroxetine analogs. This conformation is analogous to one that can be assumed by GRK5, at least partially explaining the loss in selectivity.
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- 2017
91. Changes of plasma norepinephrine and serum N-terminal pro-brain natriuretic peptide after exercise training predict survival in patients with heart failure
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Carmela Zincarelli, Daniela Liccardo, Walter J. Koch, Pasquale Perrone Filardi, Claudio de Lucia, Valentina Parisi, Klara Komici, Giuseppe Rengo, Gennaro Pagano, Dario Leosco, Nicola Ferrara, Stefania Paolillo, Flavia Fusco, Alessandro Cannavo, Grazia Daniela Femminella, Rengo, Giuseppe, Pagano, G., Parisi, V., Femminella, G. D., de Lucia, C., Liccardo, D., Cannavo, A., Zincarelli, C., Komici, K., Paolillo, S., Fusco, F., Koch, W. J., PERRONE FILARDI, Pasquale, Ferrara, Nicola, and Leosco, Dario
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Male ,medicine.medical_specialty ,medicine.drug_class ,Population ,Heart failure ,Exercise training ,N-terminal pro-brain natriuretic peptide ,Norepinephrine ,Prognosis ,Aged ,Aged, 80 and over ,Biomarkers ,Exercise ,Exercise Test ,Female ,Follow-Up Studies ,Heart Failure ,Humans ,Middle Aged ,Natriuretic Peptide, Brain ,Peptide Fragments ,Predictive Value of Tests ,Prospective Studies ,Survival Rate ,Medicine (all) ,Cardiology and Cardiovascular Medicine ,Natriuretic Peptide ,Internal medicine ,Heart rate ,80 and over ,Natriuretic peptide ,Medicine ,cardiovascular diseases ,education ,Prospective cohort study ,Survival rate ,education.field_of_study ,Ejection fraction ,business.industry ,Brain ,medicine.disease ,Predictive value of tests ,Cardiology ,business - Abstract
Background Short-term changes of neurohormones can give important prognostic information in heart failure (HF) patients. In this study, we evaluate whether changes in plasma Norepinephrine (NE) and serum N-terminal pro-brain natriuretic peptide (NT-proBNP) after exercise training predict cardiac mortality in HF patients. Methods and results We enrolled 221 HF patients (mean age 72.5 ± 10.2 year) followed-up for a mean period of 27.64 ± 10.7 months. All pts underwent a 3-month exercise training. Before training, clinical examination, echocardiography, peak VO2 determination, and blood draw for NT-proBNP and NE measurements were performed. Primary end-point was cardiac related mortality. Eighty-six-nine percent of patients were in NYHA class III, mean left ventricular ejection fraction (LVEF) was 32.5 ± 10.4%, and mean peak VO2 was 12.36 ± 1.45 ml/kg/min. At baseline, mean NT-proBNP was 2111.4 ± 1145.6 pg/ml and mean NE was 641.8 ± 215.3 pg/ml. One hundred-one subjects died for cardiac causes. Training was associated with a significant increase of peak VO2 and LVEF, whereas NE, NT-proBNP, and heart rate decreased. Multiple Cox proportional hazards regression analysis was performed using delta% values (post vs pre-training) of LVEF, heart rate, NE, and NT-proBNP along with baseline covariates, revealing delta value of NE as the strongest predictor of cardiac mortality. Noteworthy, training reduced NT-proBNP in both survivor and non-survivor patients, while a lack of reduction of NE was observed in non survivors. Conclusions In our HF population, short-term changes of NE after exercise training independently predicted long-term cardiac mortality.
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- 2014
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92. β 1 -Adrenergic Receptor and Sphingosine-1-Phosphate Receptor 1 (S1PR1) Reciprocal Downregulation Influences Cardiac Hypertrophic Response and Progression to Heart Failure
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Roberto Puglia, Carmela Zincarelli, Daniela Liccardo, Alessandro Cannavo, Walter J. Koch, Joseph E. Rabinowitz, Nicola Ferrara, Maria Carmen De Angelis, Elisa Di Pietro, Bruno Trimarco, Maria Vittoria Barone, Timothy M. Palmer, Gennaro Pagano, Giuseppe Rengo, Dario Leosco, Plinio Cirillo, Antonio Rapacciuolo, Cannavo, A., Rengo, G., Liccardo, D., Pagano, G., Zincarelli, C., De Angelis, M. C., Puglia, R., DI PIETRO, Elisa, Rabinowitz, J. E., Barone, MARIA VITTORIA, Cirillo, Plinio, Trimarco, Bruno, Palmer, T. M., Ferrara, Nicola, Koch, W. J., Leosco, Dario, and Rapacciuolo, Antonio
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medicine.medical_specialty ,business.industry ,receptor ,Sphingosine-1-phosphate receptor ,heart failure ,Cell biology ,Beta-1 adrenergic receptor ,Endocrinology ,Downregulation and upregulation ,Physiology (medical) ,Internal medicine ,medicine ,beta ,adrenergic ,Receptor Cross-Talk ,Signal transduction ,hypertrophy ,Cardiology and Cardiovascular Medicine ,Receptor ,business ,genetic therapy ,signal transduction ,S1PR1 ,Glucagon-like peptide 1 receptor - Abstract
Background— The sphingosine-1-phosphate receptor 1 (S1PR1) and β 1 -adrenergic receptor (β1AR) are G-protein–coupled receptors expressed in the heart. These 2 receptors have opposing actions on adenylyl cyclase because of differential G-protein coupling. Importantly, both of these receptors can be regulated by the actions of G-protein–coupled receptor kinase-2, which triggers desensitization and downregulation processes. Although classic signaling paradigms suggest that simultaneous activation of β1ARs and S1PR1s in a myocyte would simply result in opposing action on cAMP production, in this report we have uncovered a direct interaction between these 2 receptors, with regulatory involvement of G-protein–coupled receptor kinase-2. Methods and Results— In HEK (human embryonic kidney) 293 cells overexpressing both β1AR and S1PR1, we demonstrated that β1AR downregulation can occur after stimulation with sphingosine-1-phosphate (an S1PR1 agonist), whereas S1PR1 downregulation can be triggered by isoproterenol (a β-adrenergic receptor agonist) treatment. This cross talk between these 2 distinct G-protein–coupled receptors appears to have physiological significance, because they interact and show reciprocal regulation in mouse hearts undergoing chronic β-adrenergic receptor stimulation and in a rat model of postischemic heart failure. Conclusions— We demonstrate that restoration of cardiac plasma membrane levels of S1PR1 produces beneficial effects that counterbalance the deleterious β1AR overstimulation in heart failure.
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- 2013
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93. Comparative Cardiac Gene Delivery of Adeno-Associated Virus Serotypes 1-9 reveals that AAV6 Mediates the Most Efficient Transduction in Mouse Heart
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Joseph E. Rabinowitz, Carmela Zincarelli, Walter J. Koch, Giuseppe Rengo, Stephen Soltys, Zincarelli, C., Soltys, S., Rengo, G., Koch, W. J., and Rabinowitz, J. E.
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Cardiac function curve ,Genetic enhancement ,Transgene ,Gene Dosage ,AAV cardiac tropism ,Genome, Viral ,Gene delivery ,Biology ,medicine.disease_cause ,Gene dosage ,General Biochemistry, Genetics and Molecular Biology ,Electrocardiography ,Mice ,Transduction (genetics) ,Gene therapy ,Imaging, Three-Dimensional ,Adeno-associated viru ,Transduction, Genetic ,medicine ,Animals ,Tissue Distribution ,Transgenes ,Serotyping ,General Pharmacology, Toxicology and Pharmaceutics ,Luciferases ,Adeno-associated virus ,Research Articles ,Tropism ,Kinetic ,Animal ,Myocardium ,General Neuroscience ,Heart Function Test ,General Medicine ,Dependovirus ,Dependoviru ,Virology ,Kinetics ,Indirect intracoronary gene delivery ,Heart Function Tests ,Immunology ,Luciferase - Abstract
Cardiac gene transfer is an attractive tool for developing novel heart disease treatments. Adeno-associated viral (AAV) vectors are widely used to mediate transgene expression in animal models and are being evaluated for human gene therapy. However, it is not clear which serotype displays the best cardiac tropism. Therefore, we curried out this study to directly compare AAV serotypes 1-9 heart transduction efficiency after indirect intracoronary injection. AAV-cytomegalovirus immediate early enhancer promoter (CMV)-luciferase serotypes 1-9 were injected in the left ventricular cavity of adult mice, after cross-clamping the ascending aorta and pulmonary artery. An imaging system was used to visualize luciferase expression at 3, 7, 21, 70, and 140 days postinjection. Echocardiography was performed to evaluate cardiac function on day 140. At the end of the study, luciferase enzyme activity and genome copies of the different AAV serotypes were assessed in several tissues and potential AAV immunogenicity was evaluated on heart sections by staining for macrophage and lymphocyte antigens. Among AAV serotypes 1-9, AAV6 showed the best capability of achieving high transduction levels in the myocardium in a tissue-specific manner, whereas the other serotypes had less cardiac transduction and more extracardiac expression, especially in the liver. Importantly, none of the serotypes tested with this marker gene affected cardiac function nor was associated with inflammation.
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- 2010
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94. Stable Myocardial-Specific AAV6-S100A1 Gene Therapy Results in Chronic Functional Heart Failure Rescue
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Walter J. Koch, Hugo A. Katus, Joseph E. Rabinowitz, Patrick Most, Erhe Gao, Abhijit Dasgupta, Andrew Remppis, J. Kurt Chuprun, Wiebke Pleger, Sven T. Pleger, Andrea D. Eckhart, Giuseppe Rengo, Matthieu Boucher, Stephen Soltys, Pleger, S. T., Most, P., Boucher, M., Soltys, S., Chuprun, J. K., Pleger, W., Gao, E., Dasgupta, A., Rengo, G., Remppis, A., Katus, H. A., Eckhart, A. D., Rabinowitz, J. E., and Koch, W. J.
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Heart disease ,Genetic enhancement ,Myocardial Infarction ,Mice ,Genes, Reporter ,Vector (molecular biology) ,Promoter Regions, Genetic ,Heart Function Test ,S100 Proteins ,Dependovirus ,Dependoviru ,Enhancer Elements, Genetic ,Lac Operon ,S100 Protein ,Organ Specificity ,Heart Function Tests ,Cardiology ,Genetic Vector ,Cardiology and Cardiovascular Medicine ,Human ,medicine.medical_specialty ,S100A1 protein ,Recombinant Fusion Proteins ,Transgene ,Genetic Vectors ,Green Fluorescent Proteins ,Cardiomegaly ,Green Fluorescent Protein ,Long-term care ,Gene therapy ,Physiology (medical) ,Internal medicine ,medicine ,Animals ,Humans ,Clinical significance ,Calcium Signaling ,Enhancer ,Ventricular remodeling ,Actin ,Heart Failure ,Binding Sites ,Animal ,business.industry ,Binding Site ,Genetic Therapy ,medicine.disease ,Myocardial Contraction ,Actins ,Rats ,Mice, Inbred C57BL ,Endocrinology ,Heart failure ,Rat ,business ,Recombinant Fusion Protein - Abstract
Background— The incidence of heart failure is ever-growing, and it is urgent to develop improved treatments. An attractive approach is gene therapy; however, the clinical barrier has yet to be broken because of several issues, including the lack of an ideal vector supporting safe and long-term myocardial transgene expression. Methods and Results— Here, we show that the use of a recombinant adeno-associated viral (rAAV6) vector containing a novel cardiac-selective enhancer/promoter element can direct stable cardiac expression of a therapeutic transgene, the calcium (Ca 2+ )-sensing S100A1, in a rat model of heart failure. The chronic heart failure–rescuing properties of myocardial S100A1 expression, the result of improved sarcoplasmic reticulum Ca 2+ handling, included improved contractile function and left ventricular remodeling. Adding to the clinical relevance, long-term S100A1 therapy had unique and additive beneficial effects over β-adrenergic receptor blockade, a current pharmacological heart failure treatment. Conclusions— These findings demonstrate that stable increased expression of S100A1 in the failing heart can be used for long-term reversal of LV dysfunction and remodeling. Thus, long-term, cardiac-targeted rAAV6-S100A1 gene therapy may be of potential clinical utility in human heart failure.
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- 2007
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95. G Protein-Coupled Receptor Kinases and Hypertension
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Gaetano Santulli, Alfonso Campanile, Guido Iaccarino, Walter J. Koch, Francesco Zuppieri, Iaccarino, G., Campanile, A., Santulli, G., Zuppieri, F., and Koch, W. J.
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G protein-coupled receptor kinase ,Basic science ,business.industry ,Disease mechanisms ,Translational medicine ,Disease ,Blood pressure homeostasis ,Immunology ,Internal Medicine ,Medicine ,Cardiology and Cardiovascular Medicine ,business ,Neuroscience ,Physiological Phenomenon - Abstract
The understanding of molecular mechanisms of complex physiological phenomena, such as cardiac contractile function or blood pressure homeostasis, has generated the need for a new generation of scientists who must be able to conjugate intrinsic biological mechanisms and clinical manifestations of disease. From this body of knowledge new strategies of disease management or therapeutic tools are derived, creating the ground for translational medicine, which provides the bridge from basic science to the medical arena. The investigation of G protein-coupled receptor kinases in the cardiovascular system is one example of the successful transposition of basic science to the field of heart and vascular disorders. This review attempts to assemble the currently available information in this continuing area of research for the class of scientists now referred to as 'translational researchers'. © 2006 Adis Data Information BV. All rights reserved.
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- 2006
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96. Alterations in cardiac adrenergic signaling and calcium cycling differentially affect the progression of cardiomyopathy
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Guido Iaccarino, Michael R. Bristow, Walter J. Koch, Robert J. Lefkowitz, Teresa J. Bohlmeyer, Kalev Freeman, Imanuel Lerman, Evangelia G. Kranias, Leslie A. Leinwand, Freeman, K., Lerman, I., Kranias, E. G., Bohlmeyer, T., Bristow, M. R., Lefkowitz, R. J., Iaccarino, G., Koch, W. J., and Leinwand, L. A.
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Male ,genetics/metabolism ,Cardiomyopathy ,Gene Expression ,Transgenic ,Muscle hypertrophy ,Mice ,Actins ,genetics ,Animals ,Atrial Natriuretic Factor ,Biological Markers ,Calcium Signaling ,Calcium ,metabolism ,Calcium-Binding Proteins ,Hypertrophic ,metabolism/pathology/physiopathology ,Cyclic AMP-Dependent Protein Kinases ,antagonists /&/ inhibitors/genetics ,Disease Models ,Animal ,Disease Progression ,Female ,Heart Failure ,pathology ,Motor Activity ,Myocardium ,metabolism/pathology ,Myosin Heavy Chains ,Receptors ,Adrenergic ,beta-2 ,beta-Adrenergic Receptor Kinases ,biology ,Hypertrophic cardiomyopathy ,General Medicine ,Phospholamban ,Cardiology ,medicine.symptom ,medicine.medical_specialty ,Mice, Transgenic ,Exercise intolerance ,Contractility ,Internal medicine ,medicine ,Beta adrenergic receptor kinase ,Cardiomyopathy, Hypertrophic ,medicine.disease ,Disease Models, Animal ,Endocrinology ,Heart failure ,Commentary ,biology.protein ,Receptors, Adrenergic, beta-2 ,Biomarkers - Abstract
The medical treatment of chronic heart failure has undergone a dramatic transition in the past decade. Short-term approaches for altering hemodynamics have given way to long-term, reparative strategies, including beta-adrenergic receptor (betaAR) blockade. This was once viewed as counterintuitive, because acute administration causes myocardial depression. Cardiac myocytes from failing hearts show changes in betaAR signaling and excitation-contraction coupling that can impair cardiac contractility, but the role of these abnormalities in the progression of heart failure is controversial. We therefore tested the impact of different manipulations that increase contractility on the progression of cardiac dysfunction in a mouse model of hypertrophic cardiomyopathy. High-level overexpression of the beta(2)AR caused rapidly progressive cardiac failure in this model. In contrast, phospholamban ablation prevented systolic dysfunction and exercise intolerance, but not hypertrophy, in hypertrophic cardiomyopathy mice. Cardiac expression of a peptide inhibitor of the betaAR kinase 1 not only prevented systolic dysfunction and exercise intolerance but also decreased cardiac remodeling and hypertrophic gene expression. These three manipulations of cardiac contractility had distinct effects on disease progression, suggesting that selective modulation of particular aspects of betaAR signaling or excitation-contraction coupling can provide therapeutic benefit.
- Published
- 2001
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97. Therapeutic potential of G-protein coupled receptor kinases in the heart
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Walter J. Koch, Guido Iaccarino, Iaccarino, G., and Koch, W. J.
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Pharmacology ,Chronotropic ,Inotrope ,G protein-coupled receptor kinase ,Heart disease ,Kinase ,Beta adrenergic receptor kinase ,General Medicine ,Biology ,medicine.disease ,Heart failure ,medicine ,biology.protein ,Pharmacology (medical) ,Neuroscience ,G protein-coupled receptor - Abstract
The actions of G-protein coupled receptor kinases (GRKs) critically regulate beta-adrenergic receptor (betaAR) signalling. In the cardiovascular system, the betaAR signalling pathway controls important responses of the heart such as the ability to contract (inotropy), the ability to contract faster (chronotropy) and the ability to relax (lusotropy). The observation that the betaAR kinase (betaARK1, also known as GRK2), the most abundant GRK in the heart, is increased in cardiovascular disease associated with impaired cardiac function, suggests that this molecule could have pathophysiological relevance in the setting of heart failure. Technological advances in the genetic engineering of mice have provided a powerful tool to study the physiological implications of altering GRK activity and expression in the heart. Recent studies have demonstrated that betaARK1 plays a key role in not only the regulation of myocardial signalling, but also in cardiac function and development. Importantly, targeting the activity of GRKs, and betaARK1 in particular, appears to represent a novel therapeutic strategy for the treatment of the failing heart. At present, gene therapy modalities are being tested which inhibit the activity of betaARK1 in the heart. This technology makes it possible to test directly whether betaARK1 inhibition in the setting of heart disease will improve the function of the compromised heart. Thus, these genetic approaches or the development of small molecule inhibitors of GRK activity, may lead to novel therapeutic approaches for cardiovascular disease.
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- 1999
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98. Ontogeny of Cardiacβ-Adrenoceptor Desensitization Mechanisms: Agonist Treatment Enhances Receptor/G-Protein Transduction Rather than Eliciting Uncoupling
- Author
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Walter J. Koch, Theodore A. Slotkin, Guido Iaccarino, J. L. Zeiders, Frederic J. Seidler, Zeiders, J. L., Seidler, F. J., Iaccarino, G., Koch, W. J., and Slotkin, T. A.
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Male ,Agonist ,medicine.medical_specialty ,Adrenergic receptor ,medicine.drug_class ,G protein ,medicine.medical_treatment ,Adrenergic ,Stimulation ,Biology ,Rats, Sprague-Dawley ,Adenylyl cyclase ,chemistry.chemical_compound ,GTP-Binding Proteins ,Homologous desensitization ,Internal medicine ,Receptors, Adrenergic, beta ,Receptors ,medicine ,Animals ,Adrenergic beta-Agonists ,metabolism/pharmacology, Animals, Female, GTP-Binding Proteins ,metabolism, Isoproterenol ,metabolism/pharmacology, Male, Myocardium ,metabolism, Rats, Rats ,Sprague-Dawley, Receptors ,beta ,metabolism, Signal Transduction ,Molecular Biology ,Desensitization (medicine) ,Myocardium ,Isoproterenol ,metabolism/pharmacology ,Rats ,Endocrinology ,chemistry ,Female ,Sprague-Dawley ,Cardiology and Cardiovascular Medicine ,metabolism ,Signal Transduction - Abstract
In the fetus and neonate, β -adrenoceptor stimulation fails to produce physiological desensitization. The current study explores the mechanisms underlying the response pattern in neonatal rats. Homologous cardiac β -adrenergic desensitization caused by isoproterenol treatment in vivo was demonstrable in adult rats by the immediate (2 h) and specific loss of the ability of isoproterenol, but not glucagon, to stimulate adenylyl cyclase in vitro . Homologous desensitization was absent when the same treatment was given to neonates. By 12 h post-treatment, the adults showed heterologous desensitization (loss of the response to glucagon), an effect which was once again absent in the immature rats. The absence of desensitization in neonates did not reflect a deficiency in the activity or subcellular distribution of β ARK1, the enzyme that initiates the phosphorylation and consequent desensitization of β -adrenoceptors. On the other hand, neonates showed relatively poor receptor-G s transduction as assessed by the GTP-induced shift in receptor ligand binding. Repeated isoproterenol treatment of adult rats led to uncoupling of receptor-G-protein transduction but the same treatment in neonates enhanced transduction. Furthermore, neonatal sympathectomy with 6-OHDA interfered with the ontogenetic rise in β -adrenoceptor-G s interactions. These results indicate that the maintenance of agonist responses in the face of neonatal adrenergic stimulation does not reflect simply an absence of the ability to elicit homologous or heterologous desensitization but rather represents an active regulatory mechanism in which neural input exerts a positive trophic role at the level of G-protein function.
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- 1999
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99. Reduction of lymphocyte G protein-coupled receptor kinase-2 (GRK2) after exercise training predicts survival in patients with heart failure
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RENGO, GIUSEPPE, GALASSO, GENNARO, FEMMINELLA, GRAZIA DANIELA, PARISI, VALENTINA, PAGANO, GENNARO, MARCIANO, CATERINA, VIGORITO, CARLO, GIALLAURIA, FRANCESCO, FERRARA, NICOLA, C. Zincarelli, C. D. Lucia, A. Cannavo, D. Liccardo, G. Furgi, P. P. Filardi, W. J. Koch, LEOSCO, DARIO, PERRONE FILARDI, PASQUALE, Rengo, Giuseppe, Galasso, Gennaro, Femminella, GRAZIA DANIELA, Parisi, Valentina, Zincarelli, C., Pagano, Gennaro, Lucia, C. D., Cannavo, A., Liccardo, D., Marciano, Caterina, Vigorito, Carlo, Giallauria, Francesco, Ferrara, Nicola, Furgi, G., Filardi, P. P., Koch, W. J., Leosco, Dario, and PERRONE FILARDI, Pasquale
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Male ,Time Factors ,G-Protein-Coupled Receptor Kinase 2 ,Epidemiology ,Lymphocyte ,Left ,heart failure ,G protein-coupled receptor kinase-2 ,Kaplan-Meier Estimate ,Ventricular Function, Left ,Norepinephrine ,Natriuretic Peptide, Brain ,Ventricular Function ,Lymphocytes ,Prospective Studies ,Receptor ,biology ,Brain ,Middle Aged ,Exercise Therapy ,Treatment Outcome ,medicine.anatomical_structure ,β-Adrenergic receptor ,Italy ,biomarker ,Biomarker (medicine) ,exercise training ,Aged ,Biomarkers ,Down-Regulation ,Female ,Heart Failure ,Humans ,Oxygen Consumption ,Peptide Fragments ,Proportional Hazards Models ,Stroke Volume ,Cardiology and Cardiovascular Medicine ,medicine.medical_specialty ,Natriuretic Peptide ,Internal medicine ,medicine ,In patient ,G protein-coupled receptor ,G protein-coupled receptor kinase ,business.industry ,Beta adrenergic receptor kinase ,medicine.disease ,Endocrinology ,Heart failure ,biology.protein ,business - Abstract
BACKGROUND: Increased cardiac G protein-coupled receptor kinase-2 (GRK2) expression has a pivotal role at inducing heart failure (HF)-related β-adrenergic receptor (βAR) dysfunction. Importantly, abnormalities of βAR signalling in the failing heart, including GRK2 overexpression, are mirrored in circulating lymphocytes and correlate with HF severity. Exercise training has been shown to exert several beneficial effects on the failing heart, including normalization of cardiac βAR function and GRK2 protein levels. In the present study, we evaluated whether lymphocyte GRK2 levels and short-term changes of this kinase after an exercise training programme can predict long-term survival in HF patients. METHODS: For this purpose, we prospectively studied 193 HF patients who underwent a 3-month exercise training programme. Lymphocyte GRK2 protein levels, plasma N-terminal pro-brain natriuretic peptide, and norepinephrine were measured at baseline and after training along with clinical and functional parameters (left ventricular ejection fraction, NYHA class, and peak-VO2). Cardiac-related mortality was evaluated during a mean follow-up period of 37 ± 20 months. RESULTS: Exercise was associated with a significant reduction of lymphocyte GRK2 protein levels (from 1.29 ± 0.52 to 1.16 ± 0.65 densitometric units, p
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- 2014
100. Adrenergic nervous system in heart failure: Pathophysiology and therapy
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Giuseppe Rengo, Walter J. Koch, Anastasios Lymperopoulos, Lymperopoulos, A., Rengo, G., and Koch, W. J.
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Cardiac function curve ,Adrenergic Antagonists ,medicine.medical_specialty ,Cardiac output ,Sympathetic nervous system ,Sympathetic Nervous System ,Physiology ,hyperactivation ,Renin-Angiotensin System ,Internal medicine ,β-blocker ,medicine ,Humans ,synaptic transmission ,myocytes, cardiac ,adrenergic nervous system ,receptors, adrenergic ,Heart Failure ,adrenal gland ,business.industry ,Cardiac muscle ,Cardiovascular Agents ,Adrenergic nervous system ,medicine.disease ,Cardiovascular physiology ,Adrenergic Antagonist ,cardiac sympathetic nerve terminal ,medicine.anatomical_structure ,Cardiovascular Agent ,catecholamine ,Heart failure ,Anesthesia ,Cardiovascular agent ,Cardiology ,Cardiology and Cardiovascular Medicine ,business ,Human - Abstract
Heart failure (HF), the leading cause of death in the western world, develops when a cardiac injury or insult impairs the ability of the heart to pump blood and maintain tissue perfusion. It is characterized by a complex interplay of several neurohormonal mechanisms that become activated in the syndrome to try and sustain cardiac output in the face of decompensating function. Perhaps the most prominent among these neurohormonal mechanisms is the adrenergic (or sympathetic) nervous system (ANS), whose activity and outflow are enormously elevated in HF. Acutely, and if the heart works properly, this activation of the ANS will promptly restore cardiac function. However, if the cardiac insult persists over time, chances are the ANS will not be able to maintain cardiac function, the heart will progress into a state of chronic decompensated HF, and the hyperactive ANS will continue to push the heart to work at a level much higher than the cardiac muscle can handle. From that point on, ANS hyperactivity becomes a major problem in HF, conferring significant toxicity to the failing heart and markedly increasing its morbidity and mortality. The present review discusses the role of the ANS in cardiac physiology and in HF pathophysiology, the mechanisms of regulation of ANS activity and how they go awry in chronic HF, methods of measuring ANS activity in HF, the molecular alterations in heart physiology that occur in HF, along with their pharmacological and therapeutic implications, and, finally, drugs and other therapeutic modalities used in HF treatment that target or affect the ANS and its effects on the failing heart.
- Published
- 2013
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