
Development of CKD secondary to chronic heart failure (CHF), known as cardiorenal syndrome type 2 (CRS2), clinically associates with organ failure and reduced survival. Heart and kidney damage in CRS2 results predominantly from chronic stimulation of G protein–coupled receptors (GPCRs), including adrenergic and endothelin (ET) receptors, after elevated neurohormonal signaling of the sympathetic nervous system and the downstream ET system, respectively. Although we and others have shown that chronic GPCR stimulation and the consequent upregulated interaction between the G–proteinβγ–subunit (Gβγ), GPCR-kinase 2, andβ-arrestin are central to various cardiovascular diseases, the role of such alterations in kidney diseases remains largely unknown. We investigated the possible salutary effect of renal GPCR–Gβγinhibition in CKD developed in a clinically relevant murine model of nonischemic hypertrophic CHF, transverse aortic constriction (TAC). By 12 weeks after TAC, mice developed CKD secondary to CHF associated with elevated renal GPCR–Gβγsignaling and ET system expression. Notably, systemic pharmacologic Gβγinhibition by gallein, which we previously showed alleviates CHF in this model, attenuated these pathologic renal changes. To investigate a direct effect of gallein on the kidney, we used a bilateral ischemia-reperfusion AKI mouse model, in which gallein attenuated renal dysfunction, tissue damage, fibrosis, inflammation, and ET system activation. Furthermore,in vitrostudies showed a key role for ET receptor–Gβγsignaling in pathologic fibroblast activation. Overall, our data support a direct role for GPCR-Gβγin AKI and suggest GPCR-Gβγinhibition as a novel therapeutic approach for treating CRS2 and AKI.
Heart Failure, Male, Cardio-Renal Syndrome, GTP-Binding Protein beta Subunits, Kidney, Fibrosis, Receptors, G-Protein-Coupled, Mice, Inbred C57BL, Mice, GTP-Binding Protein gamma Subunits, Animals, Signal Transduction
Heart Failure, Male, Cardio-Renal Syndrome, GTP-Binding Protein beta Subunits, Kidney, Fibrosis, Receptors, G-Protein-Coupled, Mice, Inbred C57BL, Mice, GTP-Binding Protein gamma Subunits, Animals, Signal Transduction
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