G-Protein-Coupled Receptor Kinases in Hypertension

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EDITORIAL

G-Protein-Coupled Receptor Kinases in Hypertension Daniela Carnevale • Giuseppe Lembo

Published online: 13 April 2013 Ó Springer International Publishing Switzerland 2013

G-protein-coupled receptors (GPCRs) are one of the most important classes of proteins in living organisms. The pioneer studies of Brian Kobilka (from Stanford University) and Robert Lefkowitz (from Duke University) led to breakthroughs that have opened the way to a detailed dissection of the mechanisms of GPCR function and made them recently earn the 2012 Nobel Prize in Chemistry. Notably, the class of proteins and their physiological importance makes this prize extremely well deserved and this has been one of the fastest discovery-to-prize transitions in recent decades. GPCRs provide a superb example of a molecular machine whose subtle workings we have only started to understand. There is a variety of ways in which GPCRs are regulated, activated and inactivated and G-protein binding is just one of them. A recently highlighted class of proteins called arrestins, for instance, can deactivate GPCRs when they are overstimulated and internalize them for degradation [1]. Thus, what is emerging is that molecules that are functionally linked to these proteins and are intertwined to regulate and transduce their functions, can come into manifold types.

D. Carnevale  G. Lembo Department of Angiocardioneurology, IRCCS Neuromed, Pozzilli, Isernia, Italy D. Carnevale  G. Lembo (&) Department of Molecular Medicine, ‘‘Sapienza’’ University of Rome, c/o IRCCS Neuromed, 86077 Pozzilli (IS), Italy e-mail: [email protected]; [email protected]

The review article by Santulli et al. [2], published in this issue, explores this intriguing subject. The authors extensively review the role of one pivotal signalling pathway linked to GPCR and strictly linked to cardiovascular diseases: G-protein-coupled receptor kinases (GRKs). GRKs are found in nearly all mammalian cells but possess broad and diverse effects ranging from GPCR signal termination to transcriptional regulation [3]. In particular, GRKs terminate the G-protein signalling by phosphorylating the intracellular domains of the receptor and increasing the affinity for arrestin proteins. This regulation allows the receptors to be uncoupled from GPCRs for internalization. What sounds most interesting is that, among the various human pathophysiologies correlated with hyper-/hypoactivity of GRKs, cardiovascular disease comes to light regarding the intriguing perspective of modulating the expression and/or activity of specific GRKs and their interacting partners as a novel therapeutic strategy. The GRK family is composed of different members among which GRK2 seems the most important, being the homozygous GRK2-deficient mice embryonic lethal [4]. As extensively reviewed by Santulli et al. [2], the pathophysiological relevance of this isoform in hypertension is revealed by the multitude of studies conducted to discriminate its roles in the different components that may be involved in its onset and end