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Glycogen synthase kinase 3 (GSK3) in the heart

Glycogen synthase kinase 3 (GSK3) in the heart
Glycogen synthase kinase 3 (GSK3) in the heart

REVIEW

Glycogen synthase kinase 3(GSK3)in the heart:a point of integration in hypertrophic signalling and a therapeutic target?A critical analysis

PH Sugden,SJ Fuller,SC Weiss and A Clerk

National Heart and Lung Institute (NHLI)Division,Faculty of Medicine,Imperial College London,London,UK

Glycogen synthase kinase 3(GSK3,of which there are two isoforms,GSK3a and GSK3b )was originally characterized in the context of regulation of glycogen metabolism,though it is now known to regulate many other cellular processes.Phosphorylation of GSK3a (Ser21)and GSK3b (Ser9)inhibits their activity.In the heart,emphasis has been placed particularly on GSK3b ,rather than GSK3a .Importantly,catalytically-active GSK3generally restrains gene expression and,in the heart,catalytically-active GSK3has been implicated in anti-hypertrophic signalling.Inhibition of GSK3results in changes in the activities of transcription and translation factors in the heart and promotes hypertrophic responses,and it is generally assumed that signal transduction from hypertrophic stimuli to GSK3passes primarily through protein kinase B/Akt (PKB/Akt).However,recent data suggest that the situation is far more complex.We review evidence pertaining to the role of GSK3in the myocardium and discuss effects of genetic manipulation of GSK3activity in vivo .We also discuss the signalling pathways potentially regulating GSK3activity and propose that,depending on the stimulus,phosphorylation of GSK3is independent of PKB/Akt.Potential GSK3substrates studied in relation to myocardial hypertrophy include nuclear factors of activated T cells,b -catenin,GATA4,myocardin,CREB,and eukaryotic initiation factor 2B e .These and other transcription factor substrates putatively important in the heart are considered.We discuss whether cardiac pathologies could be treated by therapeutic intervention at the GSK3level but conclude that any intervention would be premature without greater understanding of the precise role of GSK3in cardiac processes.

British Journal of Pharmacology (2008)153,S137–S153;doi:10.1038/sj.bjp.0707659;published online 21January 2008

Keywords:cardiac myocytes;transgenic mouse models;myocardial hypertrophy;glycogen synthase kinase 3;protein kinase

B/Akt;mitogen-activated protein kinases;transcription factors;nuclear factor of activated T cells;b -catenin

Abbreviations:APC,adenomatous polyposis coli;BW,body weight;eIF,eukaryotic initiation factor;ERK,extracellular signal-

regulated kinase;GSK3,glycogen synthase kinase 3;HDAC,histone deacetylase;HW,heart weight;IGF 1,insulin-like growth factor 1;LRP,lipoprotein receptor-related protein;MAPK,mitogen-activated protein kinase;MSK,mitogen-and stress-activated protein kinase;NFAT,nuclear factor of activated T cell;PtdIns(4,5)P 2,phosphatidylinositol 4,5-bis phosphate;PtdIns(3,4,5)P 3,phosphatidylinositol 3,4,5-tris phosphate;PI3K,phos-phoinositide 30kinase;PKA,cyclic AMP-dependent protein kinase A;PKB,protein kinase B;PKC,protein kinase C;RSK,p90-ribosomal S6kinase;TAC,transverse aortic constriction;TCF/LEF1,T-cell-specific transcription factor/lymphoid enhancer binding factor 1;TL,tibial length

Introduction

Glycogen synthase kinase 3(GSK3)is emerging as an important therapeutic target in a variety of pathologies (Cohen and Goedert,2004).Here,we will be principally concerned with its role in cardiac growth and heart failure,particularly with that occurring during myocardial hyper-trophy.GSK3may also play an important role in the

cardioprotection afforded by ischaemic preconditioning (Tong et al .,2002),but this is beyond the scope of this review.GSK3was originally identified as a Ser/Thr protein kinase that phosphorylates glycogen synthase on multiple sites in its C-terminal region (Figure 1a)to inhibit its activity (Embi et al .,1980).It is a key signalling protein in the regulation of glycogen synthesis and the activity of GSK3itself is regulated by phosphorylation–dephosphorylation,phosphorylation being inhibitory (Figure 1b).Phosphoryla-tion of GSK3is increased by insulin and this represents a major mechanism by which insulin promotes glycogen accumulation (Cohen,

2006).

Received 26July 2007;revised 16November 2007;accepted 4December 2007;published online 21January 2008

Correspondence:Professor PH Sugden,National Heart and Lung Institute (NHLI)Division,Faculty of Medicine,Imperial College London,Flowers Building (4th Floor),Armstrong Road,London SW72AZ,UK.E-mail:

p.sugden@https://www.doczj.com/doc/de10860588.html,

British Journal of Pharmacology (2008)153,S137–S153

&2008Nature Publishing Group All rights reserved 0007–1188/08$30.00

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Since its discovery around 25years ago,GSK3has been implicated in the regulation of many additional biological processes apart from glycogen metabolism.Particular emphasis has been placed on its role in the phosphorylation of transcriptional regulators and translation initiation factors,and the consequent effects on gene and protein expression.It is also notable that GSK3regulates metazoan development by modulating transcriptional activity in the context of the ‘canonical’Wnt pathway (Logan and Nusse,2004;Cadigan and Liu,2006;Gordon and Nusse,2006).The potential role of GSK3in diseases,including diabetes mellitus and neurodegenerative disorders,has led to the proposal that inhibition of GSK3may be therapeutically useful (Cohen and Goedert,2004).However,as discussed by Cohen and Goedert (2004),long-term pharmacological inhibition of GSK3may result in increased malignancies because active GSK3generally restrains gene expression.Analogously,in myocardial hypertrophy (which also involves altered patterns and rate of gene expression),the active forms of GSK3are thought to act as a restraint.Thus,systemic inhibition of GSK3may also promote anomalous hypertrophic growth of the heart possibly leading to heart failure.Conversely,systemic activation of GSK3should reduce hypertrophic growth but might promote diabetes and neurodegeneration.We will return to the topic of GSK3as a point for therapeutic intervention subsequently.

General properties and regulation of GSK3

Mammalian cells express two isoforms of GSK3,GSK3a (molecular mass B 51kDa)and GSK3b (molecular mass B 47kDa).The catalytic domains of GSK3exhibit a high degree of sequence similarity,but the isoforms diverge in their N-and C-terminal sequences (Figure 1c).GSK3a and GSK3b are each phosphorylated on at least two residues (Figure 1c).In terms of their diurnal regulation by hormones,such as insulin,probably the most significant residues are GSK3a (Ser21)and GSK3b (Ser9),phosphorylation of which inhibits their protein kinase activities (Ali et al .,2001;Cohen and Frame,2001;Frame and Cohen,2001;Woodgett,2001;Cohen and Goedert,2004).In addition,‘maturational’or ‘facilitative’phosphorylations of GSK3a (Tyr279)and GSK3b (Tyr216)are required for GSK3activity and may play a structural role (Wang et al .,1994;Cole et al .,2004).They probably involve intramolecular autophosphorylation catalysed by GSK3itself and there is no consistent evidence that changes in the degree of phosphorylation of GSK3a (Tyr279)or GSK3b (Tyr216)play any role in the diurnal regulation of its in vivo activity (Cohen and Goedert,2004;Cole et al .,2004).In other words,GSK3a (Tyr279)and GSK3b (Tyr216)are always stoichiometrically phosphory-lated under physiological conditions.

The protein kinases that phosphorylate and regulate GSK3a (Ser21)and GSK3b (Ser9)are reasonably well estab-lished (Figure 2;Ali et al .,2001;Cohen and Frame,2001;Frame and Cohen,2001;Woodgett,2001;Cohen and Goedert,2004).These sites of phosphorylation lie within an established consensus sequence for cyclic AMP-dependent protein kinase B/Akt (PKB/Akt),namely Arg-Xaa-Arg-Xaa-Xaa-Ser(P)/Thr(P),the optimal site being Arg-Lys-Arg-Xaa-Arg-Thr-Tyr-Ser(P)-Phe-Gly as defined by peptide library screening (Obata et al .,2000).Within Homo sapiens GSK3,the sequences are Ser-Gly-Arg-Ala-Arg-Thr-Ser-Ser(P)-Phe-Ala in GSK3a and Ser-Gly-Arg-Pro-Arg-Thr-Thr-Ser(P)-Phe-Ala in GSK3b .In terms of insulin signalling and glycogen accumulation,PKB/Akt is activated by phosphorylation downstream from phosphoinositide 30kinases (PI3Ks),phos-phatidylinositol 3,4,5-tris phosphate (PtdIns(3,4,5)P 3)and 3-phosphoinositide-dependent kinase 1(Vanhaesebroeck

and

Figure 1Regulation of glycogen metabolism by glycogen synthase kinase 3(GSK3).(a )Casein kinase 2(CK2)phosphorylates a priming Ser residue in the C terminus of glycogen synthase (Ser657in the muscle isoform of Homo sapiens )to initiate a relay of GSK3-catalysed phosphorylations,as described in the text.(b )Glycogen synthase activity is regulated by a phosphorylation–dephosphorylation cycle.In the preprandial state,plasma insulin concentrations are low and GSK3is active.GSK3phosphorylates glycogen synthase and converts it to the less-active (glucose-6-phosphate (G6P)dependent)form,thus inhibiting glycogen synthesis.When plasma insulin concentrations rise after feeding,insulin promotes phosphorylation of GSK3and inhibits GSK3activity.Dephosphorylation of glycogen synthase by protein phosphatases (GS phosphatase)subsequently increases the activity of glycogen synthase and promotes glycogen synthesis.(c )GSK3a and GSK3b exhibit a high degree of homology in their kinase domains,diverging at their N-and C-terminal regions.GSK3a contains an N-terminal Gly-rich domain of unknown function.However,Gly-rich domains are classically associated with binding of nucleotides (Bossemeyer,1994),though this domain is distinct from the ATP-binding site in the kinase domain.Both isoforms are constitutively phosphorylated on a Tyr residue in the kinase domain and this phosphorylation is required for activity.Phosphorylation of a conserved N-terminal Ser residue inhibits the activity of GSK3.

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Alessi,2000;Cohen,2006),and this pathway probably represents the most important regulatory route to inhibition of GSK3by insulin (Cohen,2006).Other kinases also phosphorylate the Arg-Xaa-Arg-Xaa-Xaa-Ser(P)/Thr(P)motif and,for GSK3,the best studied are the p70/p85-S6

kinases (S6Ks)and the p90-ribosomal S6kinase (RSK)family (Fro

¨din and Gammeltoft,1999;Cohen and Frame,2001;Frame and Cohen,2001;Cohen and Goedert,2004).Other kinases including serum/glucocorticoid-regulated kinases (Kobayashi and Cohen,1999)and the RSK-related mitogen-and stress-activated protein kinases (MSKs,Fro

¨din and Gammeltoft,1999)also phosphorylate GSK3.Whereas S6Ks are activated downstream from PKB/Akt,RSKs are activated downstream from the best characterized of the mitogen-activated protein kinases (MAPKs),the extracellular signal-regulated kinases 1/2(ERK1/2).MSKs are activated by both ERK1/2and p38-MAPKs.In addition,cell mem-brane-permeating cyclic AMP analogues,agents which raise cyclic AMP or overexpression of the cyclic AMP-dependent protein kinase A (PKA)catalytic subunit stimulate phosphory-lation of GSK3a (Ser21)and GSK3b (Ser9)(Fang et al .,2000).Furthermore,PKA physically associates with GSK3b in cell cultures ex vivo ,and the PKA catalytic subunit phosphory-lates GSK3a (Ser21)and GSK3b (Ser9)in vitro .The GSK3a (Ser21)and GSK3b (Ser9)phosphorylation sites lie within an ‘adequate’consensus sequence for PKA,the optimum being Arg-Arg-Arg-Arg-Ser(P)-Ile-Hydrophobic-Hydrophobic-Ile as defined by peptide library screening (Songyang et al .,1994),that is basic (Arg-)residues lying N-terminal,hydrophobic residues lying C-terminal to the phosphorylated Ser-residue.Effects of cyclic AMP/PKA on GSK3phosphorylation have been identified sporadically in non-cardiomyocytic cells and tissues (Li et al .,2000;Jensen et al .,2007;Taurin et al .,2007).However,to quote Frame and Cohen (2001)directly,who were admittedly writing some years ago,‘the physiological relevance (of these observations)is not yet clear’.As a major function of cyclic AMP is to promote glycogen breakdown rather than glycogen synthesis,the phosphorylation of GSK3by PKA in the context of glycogen metabolism is somewhat dissonant.

GSK3is also regulated through the so-called ‘canonical’Wnt pathway (Figure 3a),which is important in metazoan development (Figure 3a;Logan and Nusse,2004;Cadigan and Liu,2006;Gordon and Nusse,2006;see also https://www.doczj.com/doc/de10860588.html,/~rnusse/wntwindow.html).Wnts are a family of extracellular palmitoylated glycoproteins encoded by 19genes in H.sapiens .It is still not entirely clear how Wnts are presented to their target cells,two possibilities being presentation by a ‘donor’cell in the form of cell surface-tethered molecules or presentation in a diffusible form.On presentation to its target cell,Wnt interacts with heptahelical (seven transmembrane spanning)receptors known collectively as Frizzled (10genes in H.sapiens ),and with single transmembrane-pass co-receptors known as low-density lipoprotein receptor-related proteins (LRPs).In the absence of Wnt,GSK3is catalytically active in a complex with axin and the adenomatous polyposis coli (APC)protein and phosphorylates b -catenin.The pool of b -catenin,which is phosphorylated by GSK3,seems to be specifically involved in regulating gene expression,and a separate additional pool is involved in cell–cell interactions at adherens junctions (Perez-Moreno and Fuchs,2006).Phosphorylation of b -catenin by GSK3is a signal for its ubiquitination and degradation by the ubiquitin–proteasome system.In the presence of Wnt,the intracellular scaffolding

protein

Figure 2Signalling pathways leading to the phosphorylation and inhibition of glycogen synthase kinase 3(GSK3).The following scheme is a simplification of the events and only the salient features of the pathways are outlined.Receptor protein tyrosine kinase (RPTK)agonists (for example,insulin)stimulate the activity of phosphoinositide 30kinase (PI3K),which phosphorylates the membrane phospholipid phosphatidylinositol 4,5-bis phosphate (PtdIns(4,5)P 2),to produce phosphatidylinositol 3,4,5-tris phosphate (PtdInsP 3).PtdInsP 3remains in the plane of the membrane,activating 3-phosphoinositide-dependent kinase 1(PDK1)and also causing translocation of protein kinase B/Akt (PKB/Akt)to the membrane where it is phosphorylated on Thr308and partially activated by PDK1.Phosphorylation of PKB/Akt(Ser473)by the mammalian target-of-rapamycin complex 2(not shown)fully activates the kinase.PKB/Akt subsequently phosphorylates the two GSK3isoforms on a Ser-residue in each of their N-terminal domains to inhibit their activities (see Figure 1c).Gq-protein-coupled receptor (GqPCR)agonists (for example,endothelin-1(ET-1))stimulate phospholipase C b which hydrolyses PtdIns(4,5)P 2to produce diacylglycerol and inositol 1,4,5-tris phosphate.The former is the physiological activator of the diacylglycerol-regulated protein kinase C isoforms (which can also be activated by the tumour-promoting phorbol esters),whereas the latter is important in the regulation of intracellular Ca 2tmovements.Protein kinase C activates the extracellular signal-regulated kinases 1/2(ERK1/2)cascade,which involves the small guanine nucleotide-binding protein Ras.Conver-sion of Ras.GDP to its biologically active form,Ras.GTP,leads to the hierarchical activation of three levels of protein kinases.Raf phosphorylates and activates mitogen-activated protein kinase kinases 1/2(MKK1/2),which then phosphorylate and activate ERK1/2.The signalling pathway then diverges.One consequence of activation of ERK1/2is their phosphorylation and activation of the p90-ribosomal subunit S6kinases (RSKs),which phosphorylate and inhibit GSK3.Some RPTK agonists (for example,epidermal growth factor,EGF),in addition to activating PKB/Akt (Clerk et al .,2006),activate the ERK1/2cascade by stimulating GTP/GDP exchange on Ras via the Grb2/Sos guanine nucleotide exchange factor system,and thus activate Ras.In addition,PKB/Akt also activates the mammalian target-of-rapamycin complex 1(mTOR).This leads to phosphorylation and activation of p70/p85-ribosomal subunit S6kinases (S6Ks),thence to phosphorylation and inhibition of GSK3.Agents that raise cyclic AMP concentrations and activate cyclic AMP-dependent protein kinase A (PKA)may bring about phosphorylation and inhibition of GSK3,though the physiological significance of this mode of regulation is somewhat obscure.

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Dishevelled associates with the transmembrane Wnt–Frizzled–LRP complex (Figure 3a).The axin–APC–GSK3complex is then recruited,with coordinate phosphorylation of Dishevelled and of the intracellular domain of LRP.In this context,GSK3is unable to phosphorylate b -catenin,dephospho-b -catenin accumulates and subsequently migrates into the nucleus.In the nucleus,T-cell-specific transcription factor/lymphoid enhancer binding factor 1(TCF/LEF1)is normally maintained in a repressed state by association with Groucho.b -Catenin displaces Groucho and,with TCF/LEF1,forms a complex that activates transcription of TCF/LEF1-regulated genes.

Substrates of GSK3:general points

GSK3preferentially phosphorylates substrates on Ser/Thr residues in a ‘relay’fashion.A ‘priming’phosphorylation on a Ser/Thr residue is catalysed by a protein kinase distinct from GSK3.This increases the rate of phosphorylation by GSK3at a Ser/Thr residue à4to the priming phosphorylation (that is,the fourth residue lying N-terminal to the priming phosphorylation,for example,Ser -Xaa-Xaa-Xaa-Ser(P )).The first GSK3-mediated phosphorylation may serve to prime a second phosphorylation at any Ser/Thr residue lying à4relative to this.The extent of such relays may be limited and consist of only two residues as in the transcription factor c-Jun (residues 239and 243for H.sapiens c-Jun,the former being the GSK3site and the latter being the priming site;Cohen and Goedert,2004).In contrast,a relay system of up to five Ser residues between residues 641and 657(the latter representing the priming site;Figure 1a)potentially operates in the N terminus of H.sapiens muscle glycogen synthase.Individual priming phosphorylations are catalysed by one of a number of different protein kinases,including casein kinases (for example,casein kinase 2catalyses the priming phosphorylation in glycogen synthase),PKA,cyclin-depen-dent protein kinases,MSKs and dual specificity tyrosine phosphorylated and regulated kinases (Cohen and Goedert,2004).The crystal structure of GSK3b accounts for the requirement for a priming phosphorylation and for the inhibitory effect of phosphorylation of Ser9(Dajani et al .,2001;Frame et al .,2001).Thus,GSK3b (Arg96)interacts with the priming phosphate in a substrate,orientating it for phosphorylation at the à4position.Phosphorylation of GSK3b (Ser9)causes an intramolecular interaction with Arg96,and the N terminus of the enzyme then serves as a pseudosubstrate to block both the binding site for the priming phosphate and access of any substrate to the catalytic pocket.

A brief overview of myocardial/cardiac myocyte hypertrophy

In this review,we use the term ‘hypertrophy’to indicate an increase in heart or cardiac myocyte size above that which would normally be achieved at any given stage of postnatal mammalian growth (Dorn et al .,2003;Dorn,2007),though the boundaries are not absolute as discussed later.Cardiac

Figure 3Regulation of the transcriptional co-regulator b -catenin.(a )Glycogen synthase kinase 3(GSK3)participates in the regulation of the canonical Wnt pathway.In the absence of Wnt,a pool of GSK3is present in a complex with axin and the adenomatous polyposis coli (APC)protein.In this complex,GSK3is catalytically active and it phosphorylates previously ‘primed’b -catenin (that is,phosphorylated by casein kinase 1on Ser45)at three further sites:Thr41,Ser37and Ser33.This polyphospho-b -catenin is then degraded through the ubiquitin–proteasome system.When Wnts engage to the extracellular domain of their transmembrane receptors (Frizzled)and to the lipoprotein receptor-related protein (LRP)co-receptor,the axin–APC–GSK3complex in association with the scaffold protein Dishevelled (Dsh)binds to the intracellular domains of Frizzled and LRP,and phosphorylations occur.GSK3is now unable to phosphorylate b -catenin,which accumulates and enters the nucleus.Here,it displaces the co-repressor Groucho from its complex with T-cell-specific transcription factor/lymphoid enhancer binding factor 1(TCF/LEF1),initiating gene expression.(b )It is suggested (Shevtsov et al .,2006)that a similar scheme may operate when endothelin-1(ET-1)binds to its receptor in cardiac myocytes (the ET A receptor seems to be the principal endothelin-1receptor).This leads to phosphorylation and activation of protein kinase B/Akt (PKB/Akt)(Figure 2)which then phosphorylates and inhibits GSK3promoting b -catenin accumulation.It is however unclear which pool(s)of GSK3is/are involved in this particular phosphorylation of b -catenin.

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myocytes terminally differentiate during the perinatal period and are unable to undergo any further complete cycles of cell division.They therefore grow as the organism grows,a process that we call‘eutrophy’(Dorn et al.,2003).They are additionally capable of considerable growth on suitable stimulation(hypertrophy).In vivo,myocyte hypertrophy is an important adaptational response that allows the heart to maintain an adequate cardiac output with improved cardiac contractility in a variety of physiological conditions.‘Physiological’,‘compensated’or‘adaptive’(all are synony-mous)hypertrophy such as is seen in pregnancy(Eghbali et al.,2005),endurance exercise,for example,voluntary running(Allen et al.,2001)or post-prandially in Burmese pythons(Andersen et al.,2005)is probably beneficial(or at least not disadvantageous)and is reversible upon removal of the stimulus.Post-prandial hypertrophy is perhaps an area which is perhaps semantically difficult to differentiate from eutrophy,because,in Burmese pythons,it represents normal behaviour.Even in‘pathological’conditions(for example,hypertension or following a survived myocardial infarction),the heart may initially adapt beneficially.However, such a beneficial consequence may ultimately prove detri-mental,leading to heart failure(Opie et al.,2006).This is the stage when cardiac hypertrophy becomes symptomatic,thus in a clinical context the term is usually associated with heart failure and the hypertrophy is‘pathological’,‘decompen-sated’or‘maladaptive’,possibly because of ancillary changes (for example,fibrosis,reduced contractile performance and chamber dilatation/wall thinning).It is not clear whether, in pathological conditions,the compensated phase is a compulsory waypoint on the path to decompensation or whether it is dispensable.

A number of extracellular stimuli and receptors are implicated in the development of myocyte hypertrophy (Sugden and Clerk,1998;Heineke and Molkentin,2006). These include particularly Gq-protein-coupled receptor (GqPCR)agonists(for example,endothelin-1,a-adrenergic stimuli),peptide growth factors that bind to receptor protein tyrosine kinases(for example,epidermal growth factor, platelet-derived growth factor,fibroblast growth factor)and cytokines binding to gp130family receptors(for example, cardiotrophin-1,leukemia inhibitory factor).b-Adrenergic receptors may also promote hypertrophy,though whether this is through classical coupling to GsPCRs or GiPCRs is less clear.The signalling pathways activated by the various stimuli and the role(s)of each pathway in the hypertrophic response have been subject to considerable debate over recent years(Sugden and Clerk,1998;Heineke and Molkentin,2006).These pathways frequently operate through phosphorylation and/or dephosphorylation events, and a number of protein kinases and phosphatases may be involved.In the context of hypertrophy,much emphasis has been placed on cyclic AMP-dependent protein kinase C (PKC),the four principal MAPK cascades(ERK1/2,ERK5, p38-MAPKs and c-Jun N-terminal kinases),calcineurin (protein phosphatase2B)and PKB/Akt.Other protein kinases may be involved in a specific context.For example,Janus kinases are predominantly activated by cytokine receptors (Haan et al.,2006),whereas activation of Ca2t/calmodulin-dependent kinases may be a particularly important response to increased nuclear Ca2tconcentrations(Wu et al.,2006). The dogma is that activation of intracellular signalling pathways leads to changes in the phosphorylation status of transcription and translation factors,and these modulate cardiac myocyte gene and protein expression.Such changes lead to and are ultimately responsible for the hypertrophic state.

In vivo or ex vivo,hypertrophy is characterized by increased myocyte size and sarcomerogenesis,and changes in the expression of characteristic index genes(for example, increased expression of atrial natriuretic factor,B-type natriuretic peptide,b-myosin heavy chain),though there is discussion about how closely these are linked to hypertrophy as opposed to heart failure(Dorn et al.,2003).Other variables are assessed frequently in whole animals,for example,heart (ventricular)weight to body weight ratio(HW/BW).In cases of specific regional hypertrophy(left or right ventricular), these weights are used as numerators.Sometimes,tibial length(TL)is used as a denominator as it is less sensitive to dietary state than BW.In vivo,the extent of fibrosis can also be assessed(unchanged in compensated hypertrophy, increased in decompensated hypertrophy)as can the con-tractile properties of the heart(increased contractility in compensated hypertrophy,decreased contractility in decom-pensated hypertrophy).Indeed,the decreased contractility may be linked to the increased fibrosis.Ex vivo,increases in the rate of protein synthesis(difficult to measure in vivo) are often used.In many publications,authors choose to examine only a limited number of aspects of the hyper-trophic response to delineate‘hypertrophy’(for example, increased atrial natriuretic factor expression or increased rates of protein synthesis).Whether a single index is sufficient to define hypertrophy is a different matter,but here we use the term‘hypertrophy’without any attempt at more detailed definition.

GSK3and cardiac myocyte hypertrophy

As outlined above,the canonical Wnt pathway(which involves GSK3)is important in developmental growth of the heart(Eisenberg and Eisenberg,2007).In addition,a number of studies suggest that GSK3(but GSK3b in particular)plays a pivotal role in cardiac hypertrophy(Hardt and Sadoshima,2002;Kerkela¨et al.,2007).In essence,active GSK3prevents hypertrophic growth of cardiac myocytes, probably through phosphorylation and inhibition of transcriptional regulators including b-catenin,nuclear factor of activated T cells(NFATs),GATA4,etc.,and the transla-tional regulator eukaryotic initiation factor2B e(eIF2B e),as described below.However,in H.sapiens,although inhibition of GSK3b is seen in end-stage heart failure resulting from coronary artery disease or idiopathic dilated cardiomyopathy, it is not observed in chronic hypertrophy(Haq et al., 2001).This may simply reflect the late stage at which samples were examined.We will now review the data on GSK3and cardiac hypertrophy(some of which is very recent)and also highlight specific questions which remain.

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Inhibition of GSK3in cardiac myocyte hypertrophy Hypertrophic agonists such as endothelin-1,or a-or b-adrenoceptor ligands increase phosphorylation of GSK3b(Ser9),resulting in a40–60%inhibition of GSK3b activity(Haq et al.,2000;Morisco et al.,2000).It is notable that these particular studies do not provide any data for phosphorylation or activity of GSK3a.However,GSK3a is expressed in the heart and,at least with respect to the regulation of glycogen synthase,plays a similar though less prominent role to GSK3b(Mora et al.,2005).In neonatal rat cardiac myocytes,we detect both GSK3a and GSK3b in approximately equal abundance(though the former appears less active)and we also observe phosphorylation of both GSK3a(Ser21)and GSK3b(Ser9)in response to insulin or endothelin-1(Markou et al.,2008).This suggests that GSK3a should not be ignored and,indeed,a very recent publication (Zhai et al.,2007)has gone some way in rectifying this omission.

Inhibition of GSK3activity with Lit(as LiCl)promotes features of the hypertrophic response(Haq et al.,2000)and is likely to affect both isoforms.It is also of note that LiCl is not a particularly effective inhibitor of GSK3.The IC50is only B1–2m M and,at the concentration normally used(10m M), inhibition is only about50%(Stambolic et al.,1996;Davies et al.,2000).Furthermore,specificity may be a problem as casein kinase2and two protein kinases activated by p38-MAPK are also at least partially inhibited by Lit(Davies et al.,2000).This is pertinent as p38-MAPK is activated by endothelin-1or a-adrenergic agonism in cardiac myocytes (Clerk et al.,1998),and casein kinase2sometimes catalyses the priming phosphorylation of GSK3substrates(for example, glycogen synthase;Picton et al.,1982;Cohen and Goedert2004).Thus,any effects of Litin isolated cells or tissues may result from inhibition of both casein kinase2 and GSK3.However,as discussed in depth by Davies et al. (2000),Litmay be a more selective inhibitor of GSK3(as opposed to casein kinase2)at physiological Ktconcentra-tions and at the lower physiological Mg2tconcentrations than those that were used in vitro.Even at these Ktand Litconcentrations,the IC50of Litfor GSK3is only B2m M, suggesting that Litshould be used at10m M.Litalso powerfully inhibits inositol monophosphatase(Hallcher and Sherman,1980),and this may influence inositol phospho-inositide signalling.

It will be interesting to determine whether more selective inhibitors of GSK3,which have been recently developed (Cohen and Goedert,2004),have the same effect on cardiac myocyte hypertrophy as Lit.As a first step here,we have shown that a relatively high concentration(10m M)of the GSK3inhibitor,1-azakenpaullone(Kunick et al.,2004), increases myocyte area but produces an‘elongated’pheno-type compared with the a-adrenergic agonist,phenylephrine (Markou et al.,2008).Like all work with inhibitors,we should add the caveat that1-azakenpaullone may not be specific.It does also inhibit cyclin-dependent kinase1/cyclin B and cyclin-dependent kinase5/p25,but the IC50is some two orders of magnitude greater(Kunick et al.,2004).Results with Litwere less convincing in our hands.Furthermore, the acute changes in transcript abundances induced by 1-azakenpaullone differ from those induced by endothelin-1.A more detailed examination of the‘pro-hypertrophic’effects of1-azakenpaullone and other GSK3inhibitors is probably justified.Interestingly,another GSK3inhibitor, 6-bromoindirubin-30-oxime,promotes proliferation(hyper-plasia)of adult or neonatal rat cardiac myocytes,with loss of phenotype in the case of the adult cell(Tseng et al.,2006). This is somewhat confusing because the mammalian cardiac myocyte is thought to undergo terminal differentiation and withdraw from the proliferative cell cycle during the perinatal period.However,the results are perhaps consonant with the ability of6-bromoindirubin-30-oxime to maintain pluripotency of embryonic stem cells through activation of the‘canonical’Wnt pathway(Sato et al.,2004). Phosphorylation of GSK3in ex vivo cardiac myocyte hypertrophy and in vivo cardiac hypertrophy

In all studies relating to phosphorylation and inhibition of GSK3by physiological means in the heart,the presumption seems to be that the signal is propagated through PKB/Akt. For insulin or insulin-like growth factor1(IGF1),which potently activates PKB/Akt but not ERK1/2in cardiac myocytes(Clerk et al.,2006),this is indeed likely to be the case(Markou et al.,2008).However,as discussed above, GSK3may be phosphorylated by other protein kinases.In relation to phosphorylation of GSK3by b-adrenergic agonism,Morisco et al.(2000)demonstrated that PKB/Akt is phosphorylated/activated in response to b-adrenoceptor stimulation,but the link from PKB/Akt to phosphorylation of GSK3b was not made.Indeed,the time course for activation of PKB/Akt is delayed relative to phosphorylation of GSK3b(Ser9),suggesting that other pathways are involved. An input from Ca2t/calmodulin-dependent kinase into GSK3phosphorylation was also detected,though any possible direct input from PKA was not considered.With respect to endothelin-1,it is interesting that Haq et al.(2000) inhibited the increase in phosphorylation of GSK3b(Ser9) with the PI3K inhibitors,LY294002or wortmannin,indicating that endothelin-1probably signals to GSK3b by activating PKB/Akt.In our hands,endothelin-1does not substantially activate PKB/Akt(Clerk et al.,2006).Further-more,the increases in phosphorylation of GSK3b(Ser9)and GSK3a(Ser21)induced by endothelin-1in cardiac myocytes are unaffected by LY294002but are suppressed by inhibitors of the ERK1/2cascade(Markou et al.,2008).This suggests that ERK1/2and thus possibly RSKs(which lie downstream from and are activated by ERK1/2)are required in this context rather than PI3K–PKB/Akt.In vivo,pro-hypertrophic manipulations such as increasing left ventricular pressure by transverse aortic constriction(TAC)rapidly(within10min) increase phosphorylation of GSK3(Brancaccio et al.,2003), but the signalling pathways are ill defined.By4weeks,these differences are no longer detectable,c.f.in man(Haq et al., 2001),and the abundance and activity of GSK3a,but not GSK3b,may even be increased(Zhai et al.,2007).

Some comments on insulin and IGF1in relation to cardiac hypertrophy and GSK3

Although perhaps tangential to the main topic of this review, we thought that it might be useful to include some

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comments on the effects of insulin(and IGF1)on the growth of the myocardium,given that insulin is probably the agonist most effective in inducing GSK3phosphoryla-tion.It has been known for many years that insulin stimulates cardiac protein synthesis(Morgan et al.,1971; Smith et al.,1986)and inhibits cardiac protein degradation (Rannels et al.,1975;Sugden and Smith,1982).Indeed,it is one of the most powerful modulators of these processes yet identified,and decreased plasma insulin concentrations probably contribute to the loss of cardiac protein mass that occurs in starvation(Preedy et al.,1984).IGF1stimulates cardiac myocyte protein synthesis to the same extent as insulin and inhibits protein degradation(Fuller et al.,1992; Decker et al.,1995).With either agonist,there is a net accumulation of protein in cardiac myocytes ex vivo(Decker et al.,1995),suggesting that they participate in the regula-tion of cardiac mass.Inducible,conditional targeted deletion of the cardiac myocyte insulin receptor gene in mice decreases heart size,but increases expression of the supposed hypertrophic index gene,b-myosin heavy chain(Belke et al., 2002),though it should be added that others have failed to detect significant differences in the expression of this gene in wild-type and insulin receptor-null mice(Hu et al.,2003). Although HW and HW/TL were decreased in the insulin receptor-null mice,they exhibited the same absolute extent of hypertrophy(HW/TL)as wild-type animals following TAC and the expression of two hypertrophic index genes was increased.However,after TAC,there was a greater degree of dilatation and fibrosis in the insulin receptor-null mice, and contractility was also decreased,suggesting that they were decompensating(Hu et al.,2003).Overall,though, insulin signalling seemed dispensable for TAC-induced hypertrophy.

In addition to the study of Decker et al.(1995),the effects of IGF1on cardiac myocyte hypertrophy(as defined earlier) have been studied both ex vivo and in vivo.Thus,Ito et al. (1993)treated myocytes with IGF1and showed that the myocyte cell area was twofold greater than controls.What is not clear is to what extent this difference was a reflection of ‘shrinkage’of control cells(this criticism can be made of most experiments of this type,including our own).There was also evidence of transcriptional changes that were consistent with a hypertrophic response.Duerr et al.(1995) infused IGF1in vivo and showed increases in left ventricular weight/TL at‘medium’or‘high’rates of infusion and in right ventricular weight/TL at‘high’rates.McMullen et al.(2004) cardiospecifically overexpressed the IGF1receptor and showed that HW/BW and cardiac myocyte size were increased,with some evidence of increased hypertrophic ‘index’gene expression.There is thus evidence that IGF1is a bona fide inducer of hypertrophy(as defined above).

At least part of the stimulation of cardiac myocyte protein synthesis by insulin is mediated through PI3K(Pham et al., 2000).Furthermore,insulin and IGF1are the most powerful activators of PKB/Akt in cardiac myocytes yet identified (Pham et al.,2000;Wang et al.,2000;Clerk et al.,2006). Insulin induces inhibition and phosphorylation of GSK3a (Ser21)and GSK3b(Ser9),an effect that in cardiac myocytes is mediated largely through the PI3K pathway(Wang et al., 2000;Markou et al.,2008).As summarized in a recent review (Clerk et al.,2007),cardiospecific activation of PI3K or PKB/ Akt signalling in transgenic mice generally promotes cardiac growth and cardioprotection(though the resulting pheno-type differs significantly between laboratories,possibly because a number of different methodologies have been used to activate PI3K or PKB/Akt signalling).Equally,there is an element of growth reversal in mice expressing‘dominant-negative’(inhibitory)transgenes.

In contrast to the studies of others(for example,Ito et al., 1993),we have never been able to detect any increases in surface area or sarcomerogenesis in primary cultures of neonatal rat cardiac myocytes treated with insulin or IGF1 (Clerk et al.,2006),nor have we been able to establish that IGF1greatly increased activities of promoters for hyper-trophic‘index’genes using luciferase reporter assays as compared with more established hypertrophic agonism,for example,a-adrenergic agonists(SJ Fuller and PH Sugden, unpublished observations).Thus,while some of the experi-ments with insulin or IGF1are consistent with a primary or exclusive role for GSK3in cardiac myocyte hypertrophy,the simple interpretation of our own experiments is not.Of course,it is possible that other PI3K-or PKB/Akt-dependent pathways override the input from GSK3inhibition or that signalling inputs additional to GSK3may be required,but those are imponderables.Indeed,inhibition of GSK3by insulin or IGF1may contribute to their antiapoptotic effects,as discussed elsewhere in this review.Our view coincides closely with that of Shiojima and Walsh(2006),as expressed in their eloquent review.Thus,insulin couples cardiac protein mass to nutritional status through its pancreatic secretion,whereas IGF1controls maturational eutrophy through the hypothalamopituitary axis(Shiojima and Walsh,2006;Catalucci et al.,2008).

Effects of genetic manipulation of GSK3signalling on cardiac myocyte hypertrophy ex vivo

Further evidence to support a role for GSK3b in cardiac myocyte hypertrophy derives from overexpression of wild-type GSK3b or expression of a constitutively active mutant form of GSK3b,GSK3b(Ser9Ala),which renders GSK3b resistant to the inhibitory phosphorylation.These approaches prevent or reduce the development of the hypertrophic phenotype induced by endothelin-1or b-adrenergic agonism in isolated cardiac myocytes(Haq et al.,2000;Morisco et al.,2000).Compensated hypertrophy is usually associated with increased myocyte survival(in part through activation of the ERK1/2cascade and PKB/Akt)and an enzymically inactive‘dominant-negative’inhibitor of GSK3,GSK3b(Lys85Met/Lys86Ile),inhibits tumour necrosis factor a/cycloheximide-induced apoptosis(Hirotani et al., 2007).A recent publication by Zhai et al.(2007)likewise concluded that overexpression of GSK3a reduces cardiac myocyte size and decreases the hypertrophic response to phenylephrine but increases apoptosis,whereas‘knock-down’of GSK3a with shRNA has the opposite effects (increased cell size and reduced apoptosis).These studies suggest that inhibition of GSK3is pro-hypertrophic but, importantly,is also pro-survival whereas GSK3activity is antihypertrophic and antisurvival.

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Effects of genetic manipulation of GSK3signalling on myocardial hypertrophy in vivo

A number of studies have also been performed in genetically manipulated mice in which transgene expression is placed under the control of the a-myosin heavy chain promoter to ensure a high degree of cardiospecific expression(Palermo et al.,1995).In the ventricles of these animals,the transgene is expressed in myocytes largely from the perinatal period through to adulthood.Overexpression of wild-type GSK3b or expression of GSK3b(Ser9Ala)reduces maturational growth of the heart(Antos et al.,2002;Michael et al.,2004),and reduces the cardiac hypertrophy induced by isoprenaline infusion,TAC or overexpression of constitutively activated calcineurin(Antos et al.,2002).Furthermore,inducible expression of GSK3b(Ser9Ala)in the adult heart reduces the extent of established hypertrophy produced by TAC,as assessed by left ventricular weight/BW(Sanbe et al.,2003).In a mouse model of familial hypertrophic cardiomyopathy resulting from expression of a mutant b-myosin heavy chain transgene(simulating the inheritable human disease to a greater or lesser extent),the increase in cardiac mass was reduced by co-expression of GSK3b(Ser9Ala),although gender and diet were complicating factors(Luckey et al., 2007).These studies suggest that activation of GSK3may be therapeutically valuable.However,to complicate matters, overexpression of wild-type GSK3b also induces diastolic dysfunction because of disturbances in Ca2tmovements (Michael et al.,2004).The heart becomes unable to regulate its diastolic Ca2tconcentration because of reduced Ca2treuptake into the sarcoplasmic reticulum through inhibition of the sarcoplasmic(endoplasmic)reticulum Ca2tATPase pump.

Two very recent publications from the group of Junichi Sadoshima have extended these observations.In the first of these,Hirotani et al.(2007)generated mice cardiospecifically expressing‘dominant-negative’GSK3b(Lys85Met/Lys86Ile). These mice displayed cardiac hypertrophy(as expected)with improved cardiac contractility(adaptive hypertrophy)in the absence of further interventions.Following TAC that was adequate to induce decompensation,there were no differ-ences in terms of relative(to sham-operated controls) hypertrophy of GSK3b(Lys85Met/Lys86Ile)mice compared with non-transgenic mice,but the GSK3b(Lys85Met/Lys86Ile) mice displayed greater cardiac contractility with less fibrosis or apoptosis.Conversely,inducible postnatal cardio-specific overexpression of GSK3b increased GSK3activity and resulted in the development of left ventricular dysfunc-tion,increased HW/TL,fibrosis and apoptosis,and induced early death.(Quite why cardiomyocyte-specific overexpression of a transgene should lead to fibrosis is unclear.Cardiac myocytes are not normally thought to participate in synthesis of the extracellular matrix.Explanations could include secretion of pro-fibrotic paracrine factors(Kemp et al.,2004)or compulsory coupling of changes in contrac-tility to fibrosis.)The conclusions from these experiments are that inhibition of GSK3leads to a compensated cardiac phenotype,but perversely activation of GSK3leads to decompensation(c.f.Michael et al.,2004).In the second publication(Zhai et al.,2007),the focus was GSK3a which,as summarized by Zhai et al.(2007),may differ to some extent from GSK3b in terms of the biological responses which they each provoke.Indeed,TAC induced expression of GSK3a and caused an overall increase in its activity in the absence of changes in GSK3b(Zhai et al.,2007).Cardiospecific over-expression of wild-type GSK3a reduced cardiac growth(c.f. GSK3b;Michael et al.,2004;Hirotani et al.,2007),and reciprocally reduced expression and activity of GSK b.After TAC,the authors conclude that left ventricular hypertrophy is inhibited in the GSK3a transgenic mice.This is true in absolute terms,but the differences are less clear in relative terms because the GSK3a transgenic mice have lower HW/BW or HW/TL ratios at the outset.This shows the type of consideration that can bedevil such work.Be that as it may, contractile function in the control and GSK3a transgenic mice did not differ at baseline,but was worse in the GSK3a transgenic after TAC,possibly because of increased apoptosis and fibrosis.In other words,the‘antihypertrophic’effects of GSK3activation could simply result from increased myocyte loss.On the basis of experiments with inhibitors and GSK3 constructs,the authors devise what,to our minds,is a rather fanciful signalling pathway to account for their findings. They suggest that increased expression/activity of GSK3a in transgenic mice leads to inhibition of ERK1/2signalling by inhibiting PKC d and PKC e.Assuming that the central roles of ERK1/2as being pro-hypertrophic and pro-survival are accepted,inhibition of ERK1/2should decrease hypertrophy and increase apoptosis,but the proposed signalling pathway could also effectively constitute a positive feedback loop, whereby inhibition of ERK1/2would promote further activation of GSK3through inhibiting phosphorylation of GSK3a(Ser21)and GSK3b(Ser9),presumably increasing myocyte losses.

As in the ex vivo experiments,these in vivo experiments are consistent with an antihypertrophic role for active GSK3,but also with a potentially undesirable pro-apoptotic role with concurrent reductions in contractility.Thus,the question becomes whether the antihypertrophic action is simply a reflection of the pro-apoptotic effects?Leaving this aside for the time being,it is worth considering the potential effects of GSK3activation on the best-established substrate for GSK3, glycogen synthase,and on glycogen metabolism generally. Active(dephosphorylated)GSK3phosphorylates glycogen synthase to inhibit glycogen synthesis,and inhibition (phosphorylation)of GSK3a(Ser21)/GSK3b(Ser9)increases the rate of glycogen synthesis(Figures1a and b).Over-expression of GSK3or expression of the GSK3b(Ser9Ala) mutant might therefore be expected to diminish glycogen stores.In the non-stressed heart,changes in GSK3activity as a consequence of phosphorylation appear to play a minimal role in regulating cardiac glycogen levels,as transgenic mice in which wild-type GSK3a/b genes are replaced by transgenes encoding Ser21Ala/Ser9Ala-mutated forms of GSK3a/b(that is,a GSK3a(Ser21Ala)/GSK3b(Ser9Ala)‘knock-in’)exhibit similar levels of cardiac glycogen as their wild-type litter-mates(Mora et al.,2005).However,during pathophysiolo-gical cardiac stresses(for example,TAC),it is possible that altered glycogen metabolism resulting from GSK3activation may affect cardiac metabolism and mass and,ultimately,the development of cardiac pathologies.Furthermore,the con-centration of glycogen and the activity of the‘intracellular

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fuel gauge’,AMP-activated protein kinase,are reciprocally related,the link possibly being the glycogen-binding b subunit of AMP-activated protein kinase (Hardie,2007).A decrease in cardiac glycogen should activate AMP-activated protein kinase,which would lead to inhibition of anabolic processes such as protein accumulation (Hardie et al .,2003;Wojtaszewski et al .,2003;Hardie,2007).Although such a scheme is hypothetical,it suggests that the consequences of GSK3activation or inhibition might not simply rely directly on its own ability to regulate transcription and translation (see below)directly.Perhaps unexpectedly,the GSK3a (Ser21-Ala)/GSK3b (Ser9Ala)‘knock-in’mice have significantly high-er HW/BW ratios than the wild-type animals in the absence of any significant differences in absolute HW or BW (K Sakamoto,personal communication),though it is not clear that this is attributable to increased myocytic protein mass.Obviously,further experimentation is needed.

Potential downstream targets of GSK3in cardiac myocyte hypertrophy

As mentioned,GSK3requires a priming phosphorylation of its substrates to direct it to Ser/Thr residues in the à4position,but the identities of kinases responsible for the

priming phosphorylations are not always clear (Cohen and Goedert,2004).GSK3phosphorylates a range of substrates and,generally,inhibits their biological activities (Cohen and Goedert,2004).Here,we will focus on substrates for which there is evidence of a potential role in hypertrophy.It is entirely possible that several or even all of the protein enumerated may participate in the hypertrophic response.Although most of the substrates identified are transcriptional regulators,the specific changes in transcription associated with changes in GSK3activity have not been thoroughly characterized.

Nuclear factors of activated T cells

The role of NFATs,which are encoded by five genes (NFATc1–NFATc4,NFAT5)producing multiple alternatively spliced transcripts,is best defined in T-cell activation (Crabtree and Olson,2002;Gallo et al .,2006).NFATs are phosphorylated on Ser-(and maybe Thr-)residues in their N-terminal regions.These phosphorylations mask nuclear localization signals and retain NFATs in the cytoplasm possibly by binding of 14-3-3proteins,inhibition of which promotes cardiac myocyte hypertrophy (Liao et al .,2005).T-cell receptor engagement increases intracellular Ca 2t,which binds to the Ca 2tsensor protein calmodulin,and the Ca 2t–calmodulin complex binds to and

activates

Figure 4Potential glycogen synthase kinase (GSK3)Ser/Thr-directed phosphorylation relays in nuclear factor of activated T cells (NFATs).(a )Sequences for Homo sapiens NFATs were aligned by CLUSTAL W (1.83).Accession numbers are NFATc1,NP_006153.2(825residues);NFATc2,NP_036472.2(921residues);NFATc3,NP_004546.1(1068residues)and NFATc4,NP_004545.2(902residues).Alignment of the ‘atypical’NFAT,NFAT5,has been omitted.The extended and highly conserved Ser/Thr relays (potentially phosphorylated by GSK3)present in the N-terminal regions of NFATc1,NFATc2,NFATc3and NFATc4are in underlined,bold italicized type.In NFATc1,these sites are thought to be phosphorylated by GSK3.Other more limited relays are present in individual NFATs and all contain a Ser-rich domain N-terminal to the GSK3consensus sequences that is phosphorylated by casein kinase 1.(b )GSK3relays (underlined,bold italicized type)present in GATA4(1–217).(c )GSK3relays (underlined,bold italicized type)in mouse myocardin (residues 454–466and 624–636)as identified by Badorff et al .(2005).Identical sequences are present in H.sapiens myocardin.There are also ‘out-of-phase’relays in these regions (shaded,bold and italicized),which are not as strongly conserved in H.sapiens myocardin.

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calcineurin(protein phosphatase2B).Calcineurin dephos-phorylates cytoplasmically localized NFATs,allowing them to migrate into the nucleus to promote gene expression. GSK3phosphorylates PKA-primed NFATc1on relays of Ser residues(Figure4a;Beals et al.,1997;Neal and Clipstone, 2001;Sheridan et al.,2002),and thus inhibits NFATc1-dependent gene expression.Whether PKA is the physiologi-cal priming kinase for NFATs is unclear.A‘systems biology’approach has suggested that dual specificity tyrosine phos-phorylated and regulated kinases may catalyse the priming phosphorylation of at least NFATc2(Gwack et al.,2006). Although these relays are conserved in other NFATs (Figure4a),the individual identities of the sites phosphory-lated are not as well characterized as for NFATc1.However, GSK3is thought to be involved in the phosphorylation of other NFATs,viz NFATc2(Okamura et al.,2004),NFATc3 (Nilsson et al.,2006)and NFATc4(Graef et al.,1999).Equally, it is important to note that GSK3is not the only kinase that phosphorylates and regulates the localization of NFATs. Casein kinase1phosphorylates NFATc2in a Ser-rich region more N-terminal than the GSK3sites and in the region of the nuclear localization signal(Okamura et al.,2004).This retains NFATc2in the cytoplasm and the region is conserved in other NFATs.

Some years ago,the calcineurin/NFAT system was identi-fied as an important signalling component in cardiac hypertrophy,with NFATc3(rather than the NFATc4species studied in the original report)ultimately emerging as a particularly important mediator of the response(Molkentin et al.,1998;Wilkins et al.,2002;Wilkins and Molkentin, 2004).The NFAT isoforms expressed in the heart are not fully defined,partly because of alternative splicing and partly because of the limited specificity of the commercially available antibodies previously available.However,at the mRNA level,NFATc2transcripts appear to be expressed in considerably greater abundance than the others(LJ De Windt,personal communication).In cardiac myocytes, endothelin-1reportedly promotes translocation of both GSK3and NFATs to the nucleus,and the translocation of NFATs is opposed by expression of GSK3b(Ser9Ala)(Haq et al.,2000).Furthermore,in transgenic mice,cardiospecific expression of GSK3b(Ser9Ala)attenuates the increase in nuclear NFAT induced by constitutively activated calcineur-in(Antos et al.,2002).These two studies suggest that NFATs may be a target for GSK3in the heart,and phosphorylation of NFATs by GSK3may constitute one aspect of the antihypertrophic effect of GSK3.However,the NFAT isoforms involved and the physiological conditions which inhibit GSK3and promote dephosphorylation of NFATs remain to be fully defined.

b-Catenin

In the canonical Wnt pathway(described above),the Wnt–Frizzled–LRP complex in association with Dishevelled prevents GSK3from phosphorylating b-catenin and thus promotes b-catenin accumulation(Logan and Nusse,2004; Cadigan and Liu,2006;Gordon and Nusse,2006).b-Catenin migrates to the nucleus to promote gene expression via TCF/ LEF1.Although this pathway is important in cardiac development(Eisenberg and Eisenberg,2007),the influence of GSK3signalling through b-catenin in the context of myocardial hypertrophy is less clear.It has been proposed that hypertrophic G-protein-coupled receptor agonists pro-mote accumulation of b-catenin in cardiac myocytes in a Wnt-independent manner,but which requires phosphoryla-tion and inhibition of GSK3by PKB/Akt(Figure3b;Haq et al.,2003;Shevtsov et al.,2006).Consistent with this,the pro-hypertrophic inhibition of GSK3in the GSK3b(Lys85-Met/Lys86Ile)transgenic mouse promotes accumulation of b-catenin(Hirotani et al.,2007).Furthermore,hearts from Dishevelled-1null mice(three Dishevelled genes are expressed in mice)or from mice with cardiospecific deletion of b-catenin exhibit a reduced hypertrophic response to TAC (Chen et al.,2006;van der Schans et al.,2007).However,in another setting,cardiospecific deletion of b-catenin causes mild cardiac hypertrophy and does not inhibit the cardiac hypertrophy induced by infusion of angiotensin II(Baurand et al.,2007).Indeed,stabilization(and therefore increased protein expression)of b-catenin impairs adaptive hyper-trophic growth response to angiotensin II(Baurand et al., 2007;Zelarayan et al.,2007).It would seem that further studies are required to clarify the role of b-catenin in cardiac myocyte hypertrophy and any influence of GSK3 upon this.

GATA4and myocardin

GATA4(Liang and Molkentin,2002)and myocardin(Liu and Olson,2006;Parmacek,2007)are two more transcriptional regulators which may be involved in hypertrophy and which are potentially phosphorylated by GSK3to inhibit their effects on gene expression.The transcriptional transactiva-ting activity of GATA4is,at least in part,regulated by nucleocytoplasmic shuttling.Thus,GATA4contains a‘non-classical’nuclear localization signal lying within residues 270–324,and a nuclear export signal lying within residues 49–54(Philips et al.,2007).In a transgenic mouse over-expressing constitutively active PKB/Akt,the nuclear pool of GATA4was increased,though whether this resulted from any GSK3-mediated phosphorylation was not readily amen-able to investigation(Condorelli et al.,2002).In the context of stimulation of cardiac myocytes by b-adrenergic receptor agonists,GSK3phosphorylates GATA4to promote its export from the nucleus through the exportin,Crm1(Morisco et al., 2001).Circumstantial evidence from in vitro experiments suggests that the site of phosphorylation lies within the N terminus(2–116)when this region is primed by PKA,but the site(s)has not been clearly defined in vivo(Morisco et al., 2001).There are three potential GSK3phosphorylation relay systems within GATA4(2–116)(Figure4b).Although Morisco et al.(2001)do not exclude the possibility that other sites exist in GATA4(117–205),there are no Ser/Thr‘relays’in this region(Figure4b).PKA requires an Arg residue(s)within four residues N-terminal to the phosphorylation site and a hydrophobic residue att1(Songyang et al.,1994).The most likely site for GSK3-mediated phosphorylation is thus Ser105with the priming site lying at Ser109.It is not clear whether such a scheme applies in vivo.However,Ser105can also be phosphorylated by ERK1/2and,in this instance,

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phosphorylation of GATA4increases its transcriptional transactivating activity(Liang et al.,2001).The location of the GSK3phosphorylation sites in GATA4awaits resolution. Myocardin was identified as a muscle-specific transcrip-tional co-regulator,which modulates gene expression in association with serum response factor(Wang et al.,2001a). It may be phosphorylated by GSK3on two relays of Ser residues,Ser454–Ser466and Ser624–Ser636,(Figure4c; Badorff et al.,2005).Although Ser466and Ser636presumably serve as priming phosphorylations,the kinases responsible have not been identified.GSK3catalyses phosphorylation of myocardin and inhibits its effects on cardiac myocyte gene expression and hypertrophy,but the biochemical mecha-nisms have not been explored further(Badorff et al.,2005). The Jun family,CREB and c-Myc

Other transcriptional regulators that are likely to be important in cardiac hypertrophy are phosphorylated by GSK3in other systems.These include CREB,Jun family proteins(c-Jun,JunB,JunD)and c-Myc(Clerk et al.,2007). Phosphorylation of CREB presents something of a conundrum.Phosphorylation of CREB catalysed by PKA (and possibly a variety of other kinases,for example, especially the RSK-related MSKs,see Deak et al.,1998)at Ser133or Ser119in the H.sapiens‘long’or‘short’CREB isoform,respectively,was thought originally to increase its transactivating activity,though it now deemed‘necessary, but not sufficient’(Johannessen and Moens,2007).The site (Ser129-Arg-Arg-Pro-Ser133(P)-Tyr)is actually closer to a PKA consensus sequence than to one for RSK-related kinases, though GqPCR-coupled hypertrophic agonists certainly induce phosphorylation of CREB(Ser133)in an ERK1/2 cascade-dependent(RSK-dependent?)manner in cardiac myocytes(Harrison et al.,2004).However,phosphorylation of CREB by GSK3at Ser129in the‘long’CREB isoform with a PKA priming phosphorylation at Ser133decreases its DNA-binding activity(Bullock and Habener,1998).It would therefore seem that phosphorylation of Ser129is dependent on phosphorylation of Ser133,but their effects on transcrip-tion could be opposite.It has been proposed that reduction in the GSK3-mediated phosphorylation of CREB(Ser129) plays a role in the cardiac myocyte hypertrophy induced by hypoxia/reoxygenation and the inhibition of GSK3may involve the ERK1/2cascade,PKB/Akt and/or PKA(El Jamali et al.,2004).Further study of the role of the various CREB phosphorylation sites in relation to cardiac myocyte hyper-trophy is warranted.

In non-myocytes,c-Jun,JunB and JunD are phosphory-lated by GSK3close to their DNA-binding domains to inhibit DNA binding and prevent Jun-directed gene expression (Nikolakaki et al.,1993).Phosphorylation of c-Jun by GSK3 also promotes its ubiquitination and degradation(Wei et al., 2005).Similarly,phosphorylation of c-Myc by GSK3may prime it for proteolysis by the ubiquitin–proteasome system (Henriksson et al.,1993;Sears et al.,2000;Gregory et al., 2003).We have recently shown that1-azakenpaullone or insulin rapidly increases Jun/Fos binding to the AP-1 consensus sequence(TGAGTCA)in cardiac myocytes,but to a lesser extent than endothelin-1(Markou et al.,2008).The transcription factor most clearly associated with the AP-1sequence is JunB.Consistent with this,binding of JunB to the AP-1sequence is negatively regulated by GSK3,thus inhibition of GSK3should increase JunB binding to the AP-1 sequence(Nikolakaki et al.,1993).H.sapiens JunB contains a GSK3relay close to the DNA-binding site between residues 251and259(248–256in rat)with Ser259(Ser256in rat) representing the priming site.Interestingly,expression of JunB protein is also increased by1-azakenpaullone or insulin,a finding which complicates interpretation of AP-1-binding data because increased binding could simply represent a mass action effect rather than a dephosphoryla-tion event(Markou et al.,2008).

Eukaryotic initiation factor2B

In addition to changes in gene expression,cardiac myocyte hypertrophy is associated with increases in the rate of protein synthesis.One point of translational regulation involves eIF2(Proud,2007).During translational initiation, eIF2.GTP brings the initiator Met-tRNA i to the40S ribosomal subunit.GTP is hydrolysed during the initiation process, generating eIF2.GDP which is released and must be recharged with GTP before being recycled.eIF2B is the guanine nucleotide exchange factor for eIF2.Of the five eIF2B subunits,the e subunit binds to eIF2and enhances GTP/GDP exchange.eIF2B e is phosphorylated on at least four sites,including a GSK3site at Ser535in rat eIF2B e (Ser540in H.sapiens;Ser536in mouse)with a priming site at Ser539(Ser544in H.sapiens;Ser540in mouse)(Wang et al., 2001b).Phosphorylation of rat eIF2B e(Ser535)by GSK3 inhibits its activity,preventing recycling of eIF2and inhibiting translational initiation.Conversely,inhibition of GSK3reduces phosphorylation of eIF2B e(Ser535),increases the recycling of eIF2and hence increases translational initiation.Although dephosphorylation of eIF2B e(Ser535) has the potential to increase the rate of protein synthesis, it is not clearly established that this is the case.Thus, in Chinese hamster ovary cells,dephosphorylation of ‘eIF2B e(Ser535)’(residue numbering for the hamster unknown) occurs in response to insulin(a powerful stimulator of protein synthesis generally and the initiation step in particular)via a PI3K-dependent pathway(Wang et al., 2002).Although GSK3inhibitors(Litand two pharmacolo-gical inhibitors)also cause the dephosphorylation of eIF2B e (Ser535),they do not affect overall eIF2B activity(Wang et al.,2002).Thus,the significance of eIF2B e(Ser535) phosphorylation in translational initiation is difficult to assess but again,the GSK3inhibitors have‘additional effects’on the protein synthesis machinery,suggesting that the results should be interpreted cautiously.

In rat cardiac myocytes,b-adrenergic receptor agonism decreases phosphorylation of eIF2B e(phospho-Ser535),prob-ably through inhibition of GSK3(Hardt et al.,2004).(Note that there is some confusion about the residue numbering because the commercial suppliers state that the anti-phospho-eIF2B e antibody is raised against H.sapiens eIF2B e (phospho-Ser539),which is the correct numbering for the GSK3site if the N-terminal Met-residue is not included.) In the GSK3b(Lys85Met/Lys86Ile)transgenic mouse, Glycogen synthase kinase3and cardiac hypertrophy

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pro-hypertrophic inhibition of GSK3promotes dephosphory lation of the GSK3phosphorylation site(eIF2B e(phospho-Ser540))(Hirotani et al.,2007).Thus,eIF2B e may represent a relevant site of regulation in the hypertrophic response. Relationship of GSK3signalling to class I histone deacetylases in the heart

Histone acetylation and deacetylation regulate gene expres-sion in eukaryotic cells and tissues,including the heart (Backs and Olson,2006).Whereas histone acetyltransferases stimulate gene expression by disrupting chromatin,histone deacetylases(HDACs)repress gene expression.However, because individual genes may encode positive or negative regulators of cell processes,histone acetylases and HDACs can each exert individual positive or negative effects. Mammalian HDACs fall into three classes based on their similarity to yeast orthologues.Generally,class II HDACs repress cardiac gene expression and myocyte growth but the situation regarding the classes I and III HDACs is less clear.It has been proposed that class I HDACs might repress antihypertrophic pathways and thus promote the hyper-trophic response(Kook et al.,2003).Hence,pharmacologi-cally or genetically induced deficiency in class I HDAC activity leads to an inhibition of the hypertrophic response. Recently,an interesting connection between the class I HDAC,HDAC2,and GSK3has been revealed(Trivedi et al., 2007).This does not involve positioning of HDACs down-stream from GSK3,but vice versa.The pathway proposes that HDAC2normally represses expression of the gene encoding inositol polyphosphate-5-phosphatase f.This enzyme (Minagawa et al.,2001)hydrolyses the50phosphate in PtdIns(3,4,5)P3(Figure5),the phospholipid signalling molecule controlling the activation of PKB/Akt(Figure2; Vanhaesebroeck and Alessi,2000).The proposal(Trivedi et al.,2007)is that a decrease in HDAC2increases expression of inositol polyphosphate-5-phosphatase f,which decreases the plasma membrane pools of PtdIns(3,4,5)P3.This prevents activation of PKB/Akt and the subsequent inhibition of GSK3,ultimately preventing the development of hyper-trophy induced by,for example,TAC.The evidence for involvement of HDAC2in hypertrophy via GSK3is primarily genetic or morphological,though the phosphorylation of PKB/Akt and GSK3is decreased in HDAC2-null mice (Trivedi et al.,2007).

It should be noted that inositol polyphosphate-5-phos-phatase f will not only deplete the plasma membrane of PtdIns(3,4,5)P3but also of any5-phosphoinositides,includ-ing phosphatidylinositol4,5-bis phosphate(PtdIns(4,5)P2) (Minagawa et al.,2001).In an analogous paradigm,depletion of PtdIns(4,5)P2(induced by overexpression of constitutively active G a q and hence supranormal activation of phospho-lipase C b(Adams et al.,1998)has profound effects in cardiac myocytes and promotes apoptosis(Howes et al.,2003),a phenomenon not examined in detail by Trivedi et al.(2007). The pro-apoptotic effects of PtdIns(4,5)P2depletion observed by Howes et al.(2003)were attributed to resultant decreases in PtdIns(3,4,5)P3and repression of the PKB/Akt-dependent pro-survival and-growth pathways.The low level of

tonic Figure5Relevant aspects of phosphoinositide metabolism.Phosphatidylinositol4,5-bis phosphate(PtdIns(4,5)P2)is an important phospholipid in cell signalling producing three separate‘second messenger’molecules.It is hydrolysed by a variety of phospholipase C (PLC)isoforms to produce diacylglycerol and inositol1,4,5-tris phosphate.The former is the physiological activator of the diacylglycerol-regulated protein kinase C isoforms(see Figure2),whereas the latter is important in the regulation of intracellular Ca2tmovements.In cardiac myocytes,the phospholipase C b isoforms are best studied in this regard.In a second signalling pathway,PtdIns(4,5)P2is phosphorylated by phosphoinositide30kinase(PI3K)to form phosphatidylinositol3,4,5-tris phosphate(PtdIns(3,4,5)P3).This regulates the activity of the 3-phosphoinositide-dependent kinase/protein kinase B(Akt)signalling pathway(see Figure2).Phosphoinositides are dephosphorylated (hydrolysed)by a number of lipid phosphatases.One such phosphatase which hydrolyses the5-phosphate of phosphatidylinositol4,5-bis phosphate and PtdIns(3,4,5)P3is inositol polyphosphate-5-phosphatase f,which produces phosphatidylinositol4-phosphate and phosphatidylinositol3,4-bis phosphate,respectively.

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activity exhibited by PKB/Akt in cardiac myocytes that can be reduced by PI3K inhibitors(Pham et al.,2000)may be relevant because this may be important in diurnal growth and survival.However,it seems unlikely that PKB/Akt and GSK3would be the sole signalling proteins affected by inositol polyphosphate-5-phosphatase f expression(or by supranormal phospholipase C b activation).Depletion of PtdIns(4,5)P2would ultimately be expected to interfere with GqPCR-mediated activation of phospholipase C b,PKC and the ERK1/2cascade(and maybe with phosphorylation of GSK3via the ERK1/2cascade)with consequent repression of hypertrophy,but we are not aware of any studies in myocardial preparations.This is important because GqPCR/ G a q signalling is involved in in vivo hypertrophy induced, for example,by TAC(Akhter et al.,1998).Further examina-tion of paradigms involving modulation of HDCA2expres-sion(for example,further biochemical evidence from measurement of phosphoinositide concentrations and sig-nalling protein activities)is needed.

GSK3and apoptosis

GSK3activity has been associated with both apoptosis and cell survival,though it is perhaps the former as is seen in neuroblastoma cells(Bijur et al.,2000)and cardiac myocytes (Menon et al.,2007)that has attracted more attention(Jope and Johnson,2004).A pro-apoptotic role of GSK3in the heart is consistent with the findings of Hirotani et al.(2007) in the GSK3b(Lys85Met/Lys86Ile)-expressing transgenic mouse and in cardiac myocytes,as discussed earlier.Hirotani et al.(2007)also show that expression of the antiapoptotic and rapidly turning-over Bcl2family member,Mcl-1 (Yang-Yen,2006),is increased in GSK3b(Lys85Met/Lys86Ile)-expressing mice,though whether increased expression of Mcl-1is a prime determinant of the improved myocyte survival is unclear.As suggested,a pro-apoptotic role of GSK3is important because promotion of apoptosis in experimental situations could be equated with inhibition of hypertrophy. GSK3research in relation to myocardium

hypertrophy:some unanswered questions

Although a number of studies support the notion of an antihypertrophic function for active GSK3(particularly GSK3b),it is our view that the information is incomplete and a number of issues remain to be addressed.First,there seems to be confusion over likely signalling events leading to GSK3phosphorylation and inhibition.The presumption is that PKB/Akt(through the PI3K pathway)exclusively regulates GSK3,but other kinases clearly phosphorylate the same inhibitory sites.Second,although a very recent publication(Zhai et al.,2007)has helped to redress the balance,too much emphasis may have been placed on GSK3b as opposed to GSK3a.Our results(Markou et al.,2008) clearly demonstrate phosphorylation of both isoforms and others have identified a role for GSK3a in the regulation of glycogen synthesis in the heart(Mora et al.,2005).Third, although Litions are widely used as inhibitors of GSK3,their use is compromised by their low efficacy and specifi-city.More selective small molecule inhibitors(Cohen and Goedert,2004)are becoming increasingly available and should probably be used in preference to Lit.In our experiments(Markou et al.,2008),we have made use of 1-azakenpaullone,as described above.Fourth,if GSK3is involved with the export of transcription factors from the nucleus or in the regulation of nuclear-localized transcrip-tion factors,it should be present in that compartment,as we have observed(Markou et al.,2008).However,glycogen synthesis is primarily a cytoplasmic process.The implication is that at least two pools of GSK3must exist.There is some evidence of this in skeletal muscle(Jensen et al.,2007),but there is very little information on subcellular compartmen-talization of GSK3signalling within cardiac myocytes.Fifth, even though some transcription factors are already impli-cated in GSK3signalling,the integration of transcription factor activities and the genes that they regulate is still unknown.Sixth,the studies in transgenic mice are confu-sing.Several studies using overexpression of wild-type GSK3b or GSK3a,or expression of GSK3b(Ser9Ala)suggest that catalytically active forms of GSK3are antihypertrophic in the heart in vivo.However,other studies have suggested that GSK3activity,although antihypertrophic,is also pro-fibrotic and pro-apoptotic and that it decreases contractile function, with inhibition of GSK3by transgenesis having the opposite effect(Michael et al.,2004;Hirotani et al.,2007;Zhai et al., 2007).All these studies involve transgene overexpression that is difficult to control(for example,differences in copy number and genetic background between lines can be problematical),and the effects can be difficult to interpret. Further studies with GSK3a(Ser21Ala)/GSK3b(Ser9Ala)‘knock-in’mice in which single copies of the transgenes are under the control of their endogenous promoters may be more informative,but here,preliminary experiments suggest that HW/BW is increased in the‘knock-in’mice(K Sakamoto, personal communication).Overall,we consider that the precise molecular mechanisms through which GSK3partici-pates in the hypertrophic response still need to be determined.

Is manipulation of GSK3activity a viable myocardial therapy?

In the introduction to this article,we briefly assessed the possible utility of GSK3activation as an antihypertrophic therapy.This was the most obvious clinical application of the earlier findings(Haq et al.,2000;Antos et al.,2002),but perhaps the utility of such manoeuvres should be recon-sidered in the light of more recent work that has shown increased fibrosis,apoptosis and decreased contractility in mice in which GSK3is activated(Michael et al.,2004; Hirotani et al.,2007;Zhai et al.,2007).Indeed,inhibition may be a better course of action.If activation of GSK3is beneficial,it is difficult to see how this could be achieved directly using small molecules.In contrast,if inhibition is beneficial,small molecule inhibitors are available and ex vivo experiments have shown that inhibition may represent the philosopher’s stone of myocardial therapeutics,namely Glycogen synthase kinase3and cardiac hypertrophy

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myocyte regeneration(Tseng et al.,2006).However,as pointed out by Cohen and Goedert(2004),there are fears about the potential oncogenicity of pleiotropic GSK3 inhibition.Currently,the only feasible method which we can envisage whereby therapeutic modulation of GSK3in the heart could be achieved cardiospecifically is through a ‘gene therapy’approach.To summarize,we just do not know whether to inhibit or activate GSK3,or simply not to interfere.What might be useful would be the further study of a transgenic mouse model involving inducible expression of GSK3a(Ser21Ala)or GSK3b(Ser9Ala)at a stage that would be most clinically relevant,that is,when the heart is already failing.Admittedly,Sanbe et al.(2003)carried out such a study in mice with established TAC-induced left ventricular hypertrophy,but did not examine the contractile function of the hearts.Perhaps this is one model that should be revisited. Conflict of interest

The authors state no conflict of interest.

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【信号通路解析】Hippo信号通路

Hippo信号通路 一、Hippo信号通路概述 Hippo 信号通路,也称为Salvador / Warts / Hippo(SWH)通路,命名主要源于果蝇中的蛋白激酶Hippo(Hpo),是通路中的关键调控因子。该通路由一系列保守激酶组成,主要是通过调控细胞增殖和凋亡来控制器官大小。 Hippo信号通路是一条抑制细胞生长的通路。哺乳动物中,Hippo信号通路上游膜蛋白受体作为胞外生长抑制信号的感受器,一旦感受到胞外生长抑制信号,就会激活一系列激酶级联磷酸化反应,最终磷酸化下游效应因子YAP和TAZ。而细胞骨架蛋白会与磷酸化后的YAP和TAZ结合,使它滞留在细胞质内,降低其细胞核活性,从而实现对器官大小和体积的调控。 二、Hippo信号通路家族成员 虽然Hippo信号通路在各个物种中保守性很高,但是相同功能的调控因子或效应因子在不同物种间还是存在着差异,下表中我们对比了果蝇与哺乳动物中Hippo信号通路相同功能的关键因子[1]。

Expanded(Ex) FRMD6/Willin 含有FERM结构域的蛋白,能与Kibra及Mer结合,调控Hippo信号通路的上游信号 Dachs(Dachs) 肌浆球蛋白myosin的一种,能结合Wts 并促进其降解 Kibra(Kibra) WWC1 含有WW结构域的蛋白,能与Ex及Mer 结合,调控Hippo信号通路的上游信号 Merlin(Mer) NF2 含有FERM结构域的蛋白,能与Kibra及Ex结合,调控Hippo信号通路的上游信号 Hippo(Hpo) MST1,MST2 Sterile-20-样激酶,磷酸化并激活Wts Salvador(Sav) WW45(SAV1) 含有WW结构域的蛋白,能起到一个脚手架蛋白的作用,易化Hippo对Warts的磷酸化 Warts(Wts)LATS1,LATS2 核内DBF-2相关激酶,能磷酸化Yki并使之失活 Mob as tumor suppressor(Mats) MOBKL1A,MOBKL1B 能与Wts结合的激酶,与Wts结合后能 促进Wts的催化活性 Yorkie(YKi) YAP,TAZ 转录共激活因子,能在非磷酸化的激活状态下与转录因子Sd结合,并激活下游靶基因的转录。这些受调控的下游靶基因主要参与了细胞的增殖、生长并抑制凋亡的发生 Scalloped(Sd) TEAD1,TEAD2,TEAD3, TEAD4 能与Yki结合的转录因子,与Yki共同 作用,调控靶基因的转录 三、Hippo信号通路的功能 近十年相关研究结果表明,无论是果蝇还是哺乳动物,Hippo信号通路都可以通过调节细胞增殖、凋亡和干细胞自我更新能力实现对器官大小的调控。Hippo信号通路异常会导致大量组织过度生长。此外,大量研究证实,Hippo信号通路在癌症发生、组织再生以及干细胞功能调控上发挥着重要功能[2][3][4]。 a.Hippo信号通路在器官大小控制中的作用 起初,关于Hippo信号通路的研究主要集中在器官大小的调控。大量研究表明,Hippo 途径主要通过抑制细胞增殖并促进细胞凋亡,继而实现对器官大小的调控。激酶级联反应是该信号传导的关键。Mst1/2激酶与SA V1形成复合物,然后磷酸化LATS1/2;活化后的LATS1/2激酶随即磷酸化Hippo信号通路下游关键效应分子——Y AP和TAZ,同时抑制了

大学英语(3) ( 第3次 )

第3次作业 一、作文题(本大题共60分,共 2 小题,每小题 30 分) 1. For this part, you are allowed thirty minutes to write a composition on the topic Work and Leisure in no less than 100 words. You may begin your composition with “People generally believe that a life without leisure is really terrible.” Remember to write clearly. 2. Instructions:建议你在30分钟内,根据下面所给的题目和提纲用英语写出一篇不少于80词的短文。 1.你在英语学习中遇到什么困难; 2.你如何克服这些困难。 二、填空题(本大题共40分,共 10 小题,每小题 4 分) 1. Negative student''s ______ (respond) to online learning are also due to time factors, particularly for students with part-time or full-time jobs. 2. The meeting began ______ (punctuality) at nine o’clock. 3. It’s Friday again. What about going to the pub to have some ______ (entertain)? 4. She felt quite ______ (loose) after taking a trip to the seaside. 5. In the United States, all children between the ages of 5 and 18 must ______ (attendance) school. 6. The reporter checked with a variety of sources to guard against ______ reports. (accurate ) 7. The criminal was sent to a mental hospital for ______ by doctors. (assess) 8. Only a few of us could ______ his statement, because it was too profound. (comprehension) 9. ______ , he failed in the examination again though he tried many times.( fortunate) 10. At the Olympic Games our representatives were in ______ with the best swimmers from all parts of the world. (compete) 答案: 一、作文题(60分,共 2 题,每小题 30 分) 1. 参考答案: Work and Leisure People generally believe that life without leisure is really terrible. A person who works day and night will gradually feel rather tired. This tiredness, if continues for quite a long time,

信号注入法在防窃电中的应用

一种新型防窃电装置的设计和应用 赵兵吕英杰邹和平 (中国电力科学研究院,北京市,100192) The Design and Application of a New Anti-stealing Electricity Device ZHAO Bing,LV Yingjie, ZOU Heping (China Electric Power Research Institute, Beijing, 100192) ABSTRACT: Even though effectively interdicting the action of stealing electricity is significant, reliable and practical means of anti-stealing electricity is lacking. Now, a new anti-stealing electricity device is introduced in this article. The electro- information is directly collected from high-tension side and which is acted as the criterion of stealing Electricity. Further more, the design method and the function of this device is explained, especially the power module. In the end an ensample is given to explain the feasible and reliable. KEYWORDS:Anti-stealing Electricity, Data collection Device, Power Supply 摘要:有效遏制窃电行为具有重大意义,但目前缺乏可靠实用的防窃电手段。为此本文介绍了一种新型防窃电装置,该装置直接采集用户一次侧用电信息,作为判断窃电的依据,本文对该装置的功能及设计方法进行了说明,并详细说明介绍了从高压侧获取电源的方法。最后给出了防窃电实例证明该装置的实用性。 关键词:防窃电,采集器,高压侧获取电源 1 引言 随着市场经济的发展和人民生活水平的提高。用电需求日益扩大。为节省用电开支,追求高额利润。许多不法个人或单位采取各种方式窃电。使国家蒙受巨大的经济损失。据统计,北京市供电企业的被窃电量1996年时为1.36亿千瓦时,折合人民币4030万元;2001年,北京地区被窃电量2亿千瓦时,折合人民币9050万元;到2002年,被窃电量已经上升为2.22亿千瓦时,折合人民币1.02亿元。吉林省年售电量230亿千瓦时,窃电造成的线损如果为一个百分点,就丢失电量2亿多千瓦时,折合人民币1亿多元。湖北省用电量859亿千瓦时,被窃的电占线损比例高达21.3%,窃电量约为15亿千瓦时,折合人民币7亿多元,居全国第一。因此,完善防窃电技术,有效遏制窃电行为具有重大意义。 2 现有窃电方式及防窃电技术 计量的电能取决于电压、电流、功率因数三者与时间的乘积,改变以上任一要素,都可达到窃电 的目的。现存的窃电手法种类很多,归纳起来主要分为以下几种方式[1]:(1)电压法窃电。即将接人电能计量设备的电压回路断开或松掉,导致电压回路失压或欠压。(2)电流法窃电。即对接入电能计量 设备的电流回路(计量电流互感器——CT,current transformer一二次侧)实施短路或开路,造成流入计量设备的电流减少。(3)错相法窃电,也称移相 法窃电或相角法窃电。即改变电能计量设备电压回路或电流回路的接线。从而改变计量设备正确的电压或电流相位关系。使电能计量不准。(4)扩差法 窃电。从物理上破坏电能计量设备的计量机理,扩 大电能计量设备误差。(5)表前分流窃电。在电能 计量设备前私自接线用电,使一部分电流没有流经计量设备,从而使电量少计。 对于电压法及错相法窃电可采用高速交流采 样芯片采集相电压、电流信号,通过与阈值电压相 比较可判断是否存在失压或欠压;同时,采用傅立叶算法可计算电流与电压间的相量角,从而判断是否存在错相窃电。对于扩差法窃电及表前分流窃电,主要采取硬件防范措施,如采用专用计量箱或 电表箱、封闭变压器低压出线端至计量设备的导体、采用防撬铅封等,均可取得一定的效果。但是,

数字信号处理期末重点复习资料

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交通标志及交通指挥信号示意图1

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