Preferred Label : Cardiac Hypertrophy Pathway;
NCIt related terms : Role of EGF Receptor Transactivation by GPCRs in Cardiac Hypertrophy;
Alternative definition : BIOCARTA: One of responses to increased blood pressure is cardiac hypertrophy through
increased size of ventricular myocardial cells leading to increased thickness of the
ventricular walls. Cardiac hypertrophy allows the heart to handle the increased stress
caused by elevated blood pressure but is also a risk factor associated with heart
disease. Cardiac hypertrophy results from cross-talk between G-protein coupled receptor
signaling and the EGF receptor pathway. Several GPCR ligands are known to stimulate
cardiac hypertrophy, including factors that regulate blood pressure such as angiotensin
II and endothelin-1. These factors stimulate phospholipase C through Gq activation,
and the production of 1P3 and diacylglycerol second messengers. PKC-delta is activated
by DAG and interacts with the metalloproteinase ADAM12. ADAM12 cleaves the membrane-bound
HB-EGF to release soluble EGF ligand that activates EGF receptor in myocardial cells.
EGF receptor activation downstream through small G proteins and the MAP kinase pathway
ultimately leads to cardiac hypertrophy. Signals by GPCR ligands such as angiotensin
II result in transcriptional translation of immediate early genes like fos and other
genes involved in long-term remodeling of heart tissue and the physiological response
to stress in the heart such as the atrial natriuretic factor. Factors such as the
AKT kinase, reactive oxygen species (ROS) and NE-kB also are involved in signaling
that leads to hypertrophy, although their role is not yet clear. Blocking this pathway
at various steps may prevent heart disease through the prevention of cardiac hypertrophy,
but may also have other consequences. (This definition may be outdated - see the DesignNote.);
NCIt note : The BIOCARTA Definition (ALT_DEFINITION) for this pathway concept was provided by
BioCarta. This property was not created by, nor is it maintained by the NCI Thesaurus
staff. Additionally, BioCarta is no longer updating its pathway data; thus, the BIOCARTA
Definition might be outdated or inaccurate. Please see the Terms and Conditions for
Use at http://www.biocarta.com/.;
Biocarta ID : h_cardiacegfPathway;
Origin ID : C39011;
UMLS CUI : C1516292;
- Semantic type(s)
- has_gene_product_element
- pathway_has_gene_element