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Publication : GRK5 Controls SAP97-Dependent Cardiotoxic β<sub>1</sub> Adrenergic Receptor-CaMKII Signaling in Heart Failure.

First Author  Xu B Year  2020
Journal  Circ Res Volume  127
Issue  6 Pages  796-810
PubMed ID  32507058 Mgi Jnum  J:317675
Mgi Id  MGI:6856404 Doi  10.1161/CIRCRESAHA.119.316319
Citation  Xu B, et al. (2020) GRK5 Controls SAP97-Dependent Cardiotoxic beta1 Adrenergic Receptor-CaMKII Signaling in Heart Failure. Circ Res 127(6):796-810
abstractText  RATIONALE: Cardiotoxic beta1 adrenergic receptor (beta1AR)-CaMKII (calmodulin-dependent kinase II) signaling is a major and critical feature associated with development of heart failure. SAP97 (synapse-associated protein 97) is a multifunctional scaffold protein that binds directly to the C-terminus of beta1AR and organizes a receptor signalosome. OBJECTIVE: We aim to elucidate the dynamics of beta1AR-SAP97 signalosome and its potential role in chronic cardiotoxic beta1AR-CaMKII signaling that contributes to development of heart failure. METHODS AND RESULTS: The integrity of cardiac beta1AR-SAP97 complex was examined in heart failure. Cardiac-specific deletion of SAP97 was developed to examine beta1AR signaling in aging mice, after chronic adrenergic stimulation, and in pressure overload hypertrophic heart failure. We show that the beta1AR-SAP97 signaling complex is reduced in heart failure. Cardiac-specific deletion of SAP97 yields an aging-dependent cardiomyopathy and exacerbates cardiac dysfunction induced by chronic adrenergic stimulation and pressure overload, which are associated with elevated CaMKII activity. Loss of SAP97 promotes PKA (protein kinase A)-dependent association of beta1AR with arrestin2 and CaMKII and turns on an Epac (exchange protein directly activated by cAMP)-dependent activation of CaMKII, which drives detrimental functional and structural remodeling in myocardium. Moreover, we have identified that GRK5 (G-protein receptor kinase-5) is necessary to promote agonist-induced dissociation of SAP97 from beta1AR. Cardiac deletion of GRK5 prevents adrenergic-induced dissociation of beta1AR-SAP97 complex and increases in CaMKII activity in hearts. CONCLUSIONS: These data reveal a critical role of SAP97 in maintaining the integrity of cardiac beta1AR signaling and a detrimental cardiac GRK5-CaMKII axis that can be potentially targeted in heart failure therapy. Graphical Abstract: A graphical abstract is available for this article.
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