
Heart failure occurs when the heart is unable to effectively pump blood and maintain tissue perfusion. Despite numerous therapeutic advancements over previous decades, the prognosis of patients with chronic heart failure remains poor, emphasizing the need to identify additional pathophysiological factors. Here, we show that corticotropin releasing hormone receptor 2 (Crhr2) is a G protein–coupled receptor highly expressed in cardiomyocytes and continuous infusion of the Crhr2 agonist, urocortin 2 (Ucn2), reduced left ventricular ejection fraction in mice. Moreover, plasma Ucn2 levels were 7.5-fold higher in patients with heart failure compared to those in healthy controls. Additionally, cardiomyocyte-specific deletion of Crhr2 protected mice from pressure overload-induced cardiac dysfunction. Mice treated with a Crhr2 antagonist lost maladaptive 3′-5′-cyclic adenosine monophosphate (cAMP)–dependent signaling and did not develop heart failure in response to overload. Collectively, our results indicate that constitutive Crhr2 activation causes cardiac dysfunction and suggests that Crhr2 blockade is a promising therapeutic strategy for patients with chronic heart failure.
Heart Failure, Male, Mice, Knockout, Reverse Transcriptase Polymerase Chain Reaction, Blotting, Western, Gene Expression, Middle Aged, Receptors, Corticotropin-Releasing Hormone, Ventricular Function, Left, Mice, Inbred C57BL, Cyclic AMP, Animals, Humans, Female, Myocytes, Cardiac, Cyclic AMP Response Element-Binding Protein, Research Articles, Cells, Cultured, Urocortins, Aged, Signal Transduction
Heart Failure, Male, Mice, Knockout, Reverse Transcriptase Polymerase Chain Reaction, Blotting, Western, Gene Expression, Middle Aged, Receptors, Corticotropin-Releasing Hormone, Ventricular Function, Left, Mice, Inbred C57BL, Cyclic AMP, Animals, Humans, Female, Myocytes, Cardiac, Cyclic AMP Response Element-Binding Protein, Research Articles, Cells, Cultured, Urocortins, Aged, Signal Transduction
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| influence This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically). | Top 10% | |
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