Evidence map›Paper›PMID 21518983›Full record

ArticleCirculation2011

G protein-coupled receptor kinase 2 activity impairs cardiac glucose uptake and promotes insulin resistance after myocardial ischemia.

Michele Ciccarelli, J Kurt Chuprun, Giuseppe Rengo, Erhe Gao, Zhengyu Wei, Raymond J Peroutka, Jessica I Gold, Anna Gumpert, Mai Chen, Nicholas J Otis and 4 more

Open access · bronzeAbstract read
In one paragraph

Article in Circulation, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 99 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
99citing papers in PubMed, 1 pooled it
6.1field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

99 citing papers in PubMed, 1 synthesis or guideline pooled it, 171 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Review
  6. GRK2 and Mitochondrial Dynamics in Cardiovascular Health and Disease.International journal of molecular sciences · 2025
    Review
  7. Review
  8. Article
  9. Article
  10. Review
  11. Article
  12. Article
  13. Article
  14. Article
  15. Role of G protein-coupled receptor kinases (GRKs) in βPharmacology research & perspectives · 2024
    Article
  16. Review
  17. Article
  18. Article
  19. Review
  20. Branched-Chain Amino Acid Metabolism in the Failing Heart.Cardiovascular drugs and therapy · 2023
    Review

39 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors at 2 institutions in 2 countries.

Michele CiccarelliGeorge Zallie and Family Laboratory for Cardiovascular Gene Therapy, Center for Translational Medicine, Thomas Jefferson University, Philadelphia, PA, USA.
J Kurt Chuprun
Giuseppe Rengo
Erhe Gao
Zhengyu Wei
Raymond J Peroutka
Jessica I Gold
Anna Gumpert
Mai Chen
Nicholas J Otis
Gerald W Dorn
Bruno Trimarco
Guido Iaccarino
Walter J Koch
University of Naples Federico II · ITWashington University in St. Louis · US

Funding

Regulation of Beta-Adrenergic Receptor Signaling by S-NitrosylationP01HL075443 · NHLBI · DUKE UNIVERSITY · PI STAMLER, JONATHAN S. · 2004 to 2019
$26.1M
Targeting GRK2 in the HeartR01HL061690 · NHLBI · THOMAS JEFFERSON UNIVERSITY · PI KOCH, WALTER J. · 1998 to 2022
$4.2M
Targeting GRK2 (BARK1) in Heart FailureR37HL061690 · NHLBI · THOMAS JEFFERSON UNIVERSITY · PI KOCH, WALTER J. · 2009 to 2018
$3.9M
Stress Responses as Prospective Predictors of Girls' Suicidality and Self-InjuryR01MH085505 · NIMH · UNIV OF NORTH CAROLINA CHAPEL HILL · PI NOCK, MATTHEW K, PRINSTEIN, MITCHELL J · 2010 to 2014
$3.1M
GRK and b-Arrestin Signaling in Cardiac RegenerationR01HL085503 · NHLBI · THOMAS JEFFERSON UNIVERSITY · PI KOCH, WALTER J. · 2007 to 2015
$3.0M
NHLBI NIH HHS P01 HL075443NHLBI NIH HHS R01 HL061690NHLBI NIH HHS R01 HL085503NHLBI NIH HHS R37 HL061690NHLBI NIH HHS R37 HL61690NIMH NIH HHS R01 MH085505
6 · The paper itself

Abstract

backgroundAlterations in cardiac energy metabolism downstream of neurohormonal stimulation play a crucial role in the pathogenesis of heart failure. The chronic adrenergic stimulation that accompanies heart failure is a signaling abnormality that leads to the upregulation of G protein-coupled receptor kinase 2 (GRK2), which is pathological in the myocyte during disease progression in part owing to uncoupling of the β-adrenergic receptor system. In this study, we explored the possibility that enhanced GRK2 expression and activity, as seen during heart failure, can negatively affect cardiac metabolism as part of its pathogenic profile. METHODS AND

resultsPositron emission tomography studies revealed in transgenic mice that cardiac-specific overexpression of GRK2 negatively affected cardiac metabolism by inhibiting glucose uptake and desensitization of insulin signaling, which increases after ischemic injury and precedes heart failure development. Mechanistically, GRK2 interacts with and directly phosphorylates insulin receptor substrate-1 in cardiomyocytes, causing insulin-dependent negative signaling feedback, including inhibition of membrane translocation of the glucose transporter GLUT4. This identifies insulin receptor substrate-1 as a novel nonreceptor target for GRK2 and represents a new pathological mechanism for this kinase in the failing heart. Importantly, inhibition of GRK2 activity prevents postischemic defects in myocardial insulin signaling and improves cardiac metabolism via normalized glucose uptake, which appears to participate in GRK2-targeted prevention of heart failure.

conclusionsOur data provide novel insights into how GRK2 is pathological in the injured heart. Moreover, it appears to be a critical mechanistic link within neurohormonal crosstalk governing cardiac contractile signaling/function through β-adrenergic receptors and metabolism through the insulin receptor.

Indexed as

AnimalsBlood GlucoseEnergy MetabolismGenetic TherapyGlucose Transporter Type 4G-Protein-Coupled Receptor Kinase 2Heart FailureHumansInsulin Receptor Substrate ProteinsInsulin ResistanceMiceMice, TransgenicMyocardial IschemiaMyocardiumMyocytes, CardiacPhosphorylationBlood GlucoseGlucose Transporter Type 4G-Protein-Coupled Receptor Kinase 2GRK2 protein, mouseInsulin Receptor Substrate ProteinsIrs1 protein, mouseSLC2A4 protein, human

Identifiers

PMID21518983
PMCPMC3113597
OpenAlexW2067922995

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.