Right ventricular (RV) remodeling has been associated with many diseases, such as pulmonary hypertension (PH), left ventricular (LV) pathology, Chagas' disease, and arrhythmogenic right ventricular cardiomyopathy, in which the disease progression may lead to further right ventricle (RV) changes, including hypertrophy, dilatation, and subsequently to variable alterations in RV hemodynamic status. 1) Although the proportionately limited information is related to RV function, its impairment in various disease states, and its impact on the outcome of those diseases suggests that the RV is an important contributor and that further understanding of these issues is of pivotal importance.2)It has been well known that some Gq protein-coupled receptor agonists, such as angiotensin II (Ang II), endothelin-1 (ET-1) and phenylephrine can trigger hypertrophic responses in cultured myocytes, 3,4) and transgenic mice with cardiac overexpression of Gaq present with myocardial hypertrophy.
5)The facts are consistent with the conclusion that in the signal transduction pathway inducing cardiac hypertrophy, the Gq protein and its downstream effectors play a key role, 6) and Gq protein Gaq is thought to locate at the convergent point in the signal transduction pathway leading to cardiac hypertrophy. 7,8) Although some anti-hypertension agents can alleviate cardiac hypertrophy to some extent, the effects of these drugs with a single target are limited, 9) due to the compensatory role of other factors. Theoretically, an inhibition on the Gq signaling pathway may have more satisfactory effect on the cardiac hypertrophy therapy. In the a-subunit of heterotrimetic G-protein, the carboxyl terminus is surface exposed and, thus, easily accessible for contacting the receptor protein, 10) so the C-terminal portion of Ga is critical for the specificity of G-protein-coupled receptor.11) Therefore, to inhibit Gaq signaling may be an approach to prevent cardiac hypertrophy from overloaded pressure and other pathological stimuli.
12)Gaq protein carboxyl terminus imitation polypeptide (GCIP), a peptide cloned and constructed in our laboratory previously, could inhibit the cardiomyocyte hypertrophy induced by noradrenaline (NA) in rats through acting as a competition candidate of the activated binding sites on Gaq.
13)GCIP-27, the optimized form of GCIP, could inhibit the left ventricular (LV) hypertrophy induced by NA in mice and induced by the aortic stenosis in rats, 14) and could also inhibit the LV remodeling in spontaneously hypertensive rats.15) In addition, GCIP-27 could also prevent the hypertrophic responses in cultured rat cardiomyocytes induced by NA or Ang II.14) However, little is known about the effect of GCIP-27 on RV hypertrophy. Because the pathophysiology of RV remodeling is a complex process and may include unique elements not observed in LV remodeling, and the structure and function between the two chambers are very different, 1) it is necessary to characterize the effect of GCIP-27 on the RV remodeling. The present work is desig...