Cardiometabolic & kidney

G Protein–Coupled Receptor Kinase 3 Exacerbates Diabetic Heart Injuries Through Direct Phosphorylation of Cannabinoid Receptor 2 in Humans and Mice

CirculationPublished Mechanistic study

Authors' conclusion

GRK3 is the predominant GRK that aggravates diabetic heart injury. YY1-dependent upregulation of GRK3 functions through direct phosphorylation of CB2R.

Study context

Population
Human and mouse diabetic heart tissues; diabetic mouse models

Main finding

As reported in the abstract

  • GRK3 was the predominant GRK, significantly upregulated in cardiomyocytes of human and mouse diabetic hearts
  • GRK3 expression positively correlated with cardiac fibrosis and hypertrophy in human diabetic hearts
  • Heart-restricted GRK3 overexpression aggravated, and cardiomyocyte conditional GRK3 knockout significantly relieved, hyperglycemia-induced heart injury
  • Hyperglycemia upregulated GRK3 by inhibiting the transcriptional repressor YY1
  • GRK3 phosphorylated CB2R at S335, promoting β-arrestin 2-mediated internalization and ubiquitin-dependent degradation of CB2R
  • Modulation of YY1 or CB2R perturbed GRK3 functions in diabetic hearts
  • Isochlorogenic acid A identified by virtual screening as an efficient GRK3 inhibitor protecting the heart from diabetic injury without additional side effects

Original publication

G Protein–Coupled Receptor Kinase 3 Exacerbates Diabetic Heart Injuries Through Direct Phosphorylation of Cannabinoid Receptor 2 in Humans and Mice. Circulation. Published 7 August 2025. doi:10.1161/circulationaha.125.073947

Summarised from the published abstract; every number is checked against it

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