Evidence map›Paper›PMID 24703913›Full record

ArticleJournal of the American College of Cardiology2014

Simultaneous adrenal and cardiac g-protein-coupled receptor-gβγ inhibition halts heart failure progression.

Fadia A Kamal, Deanne M Mickelsen, Katherine M Wegman, Joshua G Travers, Jacob Moalem, Stephen R Hammes, Alan V Smrcka, Burns C Blaxall

Abstract readComparative Study
In one paragraph

Article in Journal of the American College of Cardiology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers.

0numbers the graph read from it
0cells of the map it votes in
40citing papers in PubMed
3.1field-weighted citation impact, top 8% 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

40 citing papers in PubMed, 52 citations in OpenAlex.

  1. Review
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  7. Biasing GMolecular pharmacology · 2024
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  10. GRK2 in cardiovascular disease and its potential as a therapeutic target.Journal of molecular and cellular cardiology · 2022
    Review
  11. G protein-coupled receptor signaling: transducers and effectors.American journal of physiology. Cell physiology · 2022
    Review
  12. Article
  13. Article
  14. Article
  15. Review
  16. Article
  17. Computational models of cardiac hypertrophy.Progress in biophysics and molecular biology · 2021
    Review
  18. Article
  19. Article
  20. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 2 institutions in 1 country.

Fadia A KamalThe Heart Institute, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio.
Deanne M MickelsenAab Cardiovascular Research Institute, Department of Medicine, University of Rochester Medical Center, Rochester, New York.
Katherine M WegmanThe Heart Institute, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio.
Joshua G TraversThe Heart Institute, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio.
Jacob MoalemDepartment of Surgery, University of Rochester Medical Center, Rochester, New York; Department of Medicine, University of Rochester Medical Center, Rochester, New York.
Stephen R HammesDepartment of Medicine, University of Rochester Medical Center, Rochester, New York.
Alan V SmrckaDepartment of Pharmacology and Physiology, University of Rochester Medical Center, Rochester, New York.
Burns C BlaxallThe Heart Institute, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio. Electronic address: burns.blaxall@cchmc.org.
Cincinnati Children's Hospital Medical Center · USUniversity of Rochester Medical Center · US

Funding

Selective Targeting of G Protein beta gamma Subunits with Small MoleculesR01GM081772 · NIGMS · UNIVERSITY OF ROCHESTER · PI SMRCKA, ALAN V. · 2008 to 2017
$3.2M
A Role for Mena in the HeartR01HL089885 · NHLBI · UNIVERSITY OF ROCHESTER · PI BLAXALL, BURNS C · 2008 to 2012
$2.2M
Targeting of B-AR/GBy signaling in the heart with small moleculesR01HL091475 · NHLBI · UNIVERSITY OF ROCHESTER · PI BLAXALL, BURNS C · 2010 to 2013
$1.5M
Paxillin as a Liaison between Extranuclear and Intranuclear Steroid SignalingR01GM101709 · NIGMS · UNIVERSITY OF ROCHESTER · PI HAMMES, STEPHEN R. · 2013 to 2016
$1.2M
NHLBI NIH HHS R01 HL089885NHLBI NIH HHS R01 HL091475NIGMS NIH HHS R01 GM081772NIGMS NIH HHS R01 GM101709
6 · The paper itself

Abstract

objectivesThe authors propose simultaneous inhibition of Gβγ signaling in the heart and the adrenal gland as a novel therapeutic approach for heart failure (HF).

backgroundElevated sympathetic nervous system activity is a salient characteristic of HF progression. It causes pathologic desensitization of β-adrenergic receptors (β-AR), facilitated predominantly through Gβγ-mediated signaling. The adrenal glands are key contributors to the chronically elevated plasma catecholamine levels observed in HF, where adrenal α2-AR feedback inhibitory function is impaired also through Gβγ-mediated signaling.

methodsWe investigated the efficacy of a small molecule Gβγ inhibitor, gallein, in a clinically relevant, pressure-overload model of HF.

resultsDaily gallein treatment (10 mg/kg/day), initiated 4 weeks after transverse aortic constriction, improved survival and cardiac function and attenuated cardiac remodeling. Mechanistically, gallein restored β-AR membrane density in cardiomyocytes, attenuated Gβγ-mediated G-protein-coupled receptor kinase 2-phosphoinositide 3-kinase γ membrane recruitment, and reduced Akt (protein kinase B) and glycogen synthase kinase 3β phosphorylation. Gallein also reduced circulating plasma catecholamine levels and catecholamine production in isolated mouse adrenal glands by restoring adrenal α2-AR feedback inhibition. In human adrenal endocrine tumors (pheochromocytoma), gallein attenuated catecholamine secretion, as well as G-protein-coupled receptor kinase 2 expression and membrane translocation.

conclusionsThese data suggest small molecule Gβγ inhibition as a systemic pharmacologic therapy for HF by simultaneously normalizing pathologic adrenergic/Gβγ signaling in both the heart and the adrenal gland. Our data also suggest important endocrine/cardiovascular interactions and a possible role for small molecule Gβγ inhibition in treating endocrine tumors such as pheochromocytoma, in addition to HF.

Indexed as

Adrenal GlandsAnimalsCells, CulturedDisease Models, AnimalDisease ProgressionDose-Response Relationship, DrugG-Protein-Coupled Receptor Kinase 2HeartHeart FailureHumansMaleMiceMice, Inbred C57BLMyocardial ContractionMyocardiumStroke VolumegalleinG-Protein-Coupled Receptor Kinase 2Xanthenescatecholaminesfibrosisheart failurehypertrophysympathetic nervous system

Identifiers

PMID24703913
PMCPMC4083020
OpenAlexW2092405677

What OpenQuestion holds

Textmetadata
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Read underepoch 390

Registered trials

None linked

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.