the distillery SciBX: Science–Business eXchange Copyright © 2008 Nature Publishing Group � This week in therapeutics Indication Target/marker/ pathway Summary Licensing status Publication and contact information Cardiovascular disease Left ventricular hypertrophy (LVH) G protein–coupled receptor kinase 5 (GRK5); guanine nucleotide binding protein, q polypeptide (GNAQ; Gq); histone deacetylase 5 (HDAC5); myocyte enhancing factor 2 (Mef2; D-Mef2) Studies in mice and in cell culture suggest that targeting GRK5 could help treat LVH associated with heart failure. In mouse models of pressure- overload cardiac stress, GRK5 overexpression led to cardiac hypertrophy and increased the incidence of heart failure compared with what was seen in wild-type mice or mice that overexpressed a GRK5 variant that did not enter the nucleus. In vitro, cardiac stress–induced G protein–coupled receptor signaling led to upregulation of GRK5 and its subsequent translocation to the nucleus, where it induced HDAC5-mediated expression of hypertrophy genes. Ongoing studies will assess the specificity of GRK5’s activation of HDAC5 and the effects of targeting GRK5 with a GRK5-specific microRNA. Many companies market or are developing compounds to treat or prevent hypertrophy via treatment of hypertension and/or ischemia, two conditions that can lead to LVH and subsequent heart failure. Not patented; licensing status undisclosed Martini, J. et al. Proc Natl. Acad. Sci. USA; published online Aug. 4, 2008; doi:10.1073/pnas.0803153105 Contact: Walter J. Koch, Thomas Jefferson University, Philadelphia, Pa. e-mail: walter.koch@jefferson.edu http://www.scibx.com mailto:walter.koch@jefferson.edu G protein–coupled receptor kinase 5 (GRK5); guanine nucleotide binding protein, q polypeptide (GNAQ; Gq); histone deacetylase 5 (HDAC5); myocyte enhancing factor 2 (Mef2; D-Mef2) Summary Licensing Status References