European Heart Journal Advance Access published online on July 29, 2005
European Heart Journal, doi:10.1093/eurheartj/ehi429
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1 Department of Medicina Clinica, Scienze Cardiovascolari ed Immunologiche, Federico II University, Via Pansini 5, 80131 Napoli, Italy
* To whom correspondence should be addressed. Aims The G protein-coupled receptor kinase-2 (GRK2 or Methods and results In myocardial biopsies from explanted failing human hearts, GRK activity was inversely correlated with Conclusion Myocardial GRK2 expression and activity are mirrored by lymphocyte levels of this kinase, and its elevation in HF is associated with the loss of
Received January 25, 2005
Revised June 9, 2005
Accepted June 30, 2005
Preclinical research
Elevated myocardial and lymphocyte GRK2 expression and activity in human heart failure
2 Department of Medicine (Cardiology), Temple University Medical Center, Philadelphia, PA, USA
3 Department of Medicine, Center for Translational Medicine, Thomas Jefferson University, 1025 Walnut Street, Room 410, Philadelphia, PA 19107, USA
Walter J. Koch, E-mail: walter.koch{at}jefferson.edu
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Abstract
-ARK1) regulates
-adrenergic receptors (
-ARs) in the heart, and its cardiac expression is elevated in human heart failure (HF). We sought to determine whether myocardial levels and activity of GRK2 could be monitored using white blood cells, which have been used to study cardiac
-ARs. Moreover, we were interested in determining whether GRK2 levels in myocardium and lymphocytes may be associated with
-AR dysfunction and HF severity.
-AR-mediated cAMP production (R2 = -0.215, P < 0.05, n = 24). Multiple regression analysis confirmed that GRK activity participates with
-AR density to regulate catecholamine-sensitive cAMP responses. Importantly, there was a direct correlation between myocardial and lymphocytes GRK2 activity (R2 = 0.5686, P < 0.05, n = 10). Lymphocyte GRK activity was assessed in HF patients with various ejection fractions (EFs) (n = 33), and kinase activity was significantly higher in patients with lower EFs and was higher with increasing NYHA class (P < 0.001).
-AR responsiveness and appears to increase with disease severity. Therefore, lymphocytes may provide a surrogate for monitoring cardiac GRK2 in human HF.![]()
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