Ant-124 peptide synthesis A previously described GRK2 inhibitor peptide, KRX‐124, [2] was partially modified in order to improve intracellular localization, by adding an Antoennapoedia sequence to the N‐ terminus. Antoennapoedia conjugated peptide was synthesized using the solid‐phase approach and standard Fmoc methods in a manual reaction vessel [3]. The hybrids Antoennapoedia‐KRX‐683124 (Ant‐124) peptide and a scramble peptide containing only the Antennapoedia sequence (Ant) were synthesized by loading the synthesizer with the pre‐assembled peptide‐ resin. Conjugates were cleaved from the resin by treatment with trifluoroacetic acid (TFA, 70%) and purified by preparative RP‐HPLC (Lichrospher® 100 C18, 10 μm) using different acetonitrile gradients in aqueous 0.1 % TFA. The identity and purity was confirmed by high performance liquid chromatography (HPLC) and MALDI‐TOF mass spectrometry. Stock solutions of peptide hybrids were prepared in PBS buffer (137 mM NaCl, 2.7 mM KCl, 4.3 mM Na2HPO4, 1.4 mM KH2PO4 pH 7.3) and the concentrations were determined by UV spectroscopy and quantitative amino acid analysis. Luciferase Assay Cells were transfected with plasmid expression vectors containing the luciferase reporter gene linked to 5 repeats of an NF-κB binding site (κB-Luc) or atrial natriuretic factor (ANF) promoter and transfected with a plasmid encoding GRK2, GRK2-DN or GRK5. The empty plasmid was used as control (CTRL). Transient transfection was performed using the Lipofectamine 2000 (Invitrogen, Milano-Italy) according to the manufacturer’s instruction. Cells were stimulated with the alpha 1 adrenergic receptor agonist phenylephrine (PE, 10−7 M) for 24 hours. Lysates were analyzed using the luciferase assay system with reporter lysis buffer from Promega (Promega Italia, Milano-Italy) and measured by liquid scintillation. Luciferase activity was normalized against the coexpressed β-galactosidase activity to overcome variations in transfection efficiency between samples. Kinase activity assay The activity assays were performed as previously described [1,2]. To evaluate the effect of Ant-124 on GRK2 activity we assessed GRK2 purified proteins by light-dependent phosphorylation of rhodopsin-enriched rod outer segment membranes (ROS) using [γ-32P]-ATP. Briefly, 50 ng of active GRK2 were incubated with ROS membranes in presence of Ant-124 or Ant in a reaction buffer containing 10 mM MgCl2, 20 mM Tris–Cl, 2 mM EDTA, 5 mM EGTA, and 0.1 mM ATP and 10 μCi of [32P]γ-ATP. After incubation with white light for 15 min at room temperature, the reaction was quenched with ice-cold lysis buffer and centrifuged for 15 min at 13000g. ROS pellet was washed twice in ice-cold lysis buffer to remove the unbound [γ32P]-ATP and then resuspended in 100 μL of buffer and the level of [γ32P]-ATP incorporation into ROS was determined by liquid scintillation counter. To evaluate the ability of GRK2 to phosphorylate IB, we used purified proteins of GRK2 (Invitrogen, Milano-Italy) and IB (Santa Cruz Biotecnology Heidelberg, Germany). The reaction was electrophoresed and resolved on SDS-PAGE 4–12% gradient (Invitrogen). Phosphorylated IB was visualized by autoradiography of dried gels. In Vivo Study Experiments were carried out in accordance with the guidelines of the “Federico II” University Ethical committee on 12-week–old normotensive Wistar Kyoto (WKY n=20, subdivided as follows: untreated n=8, PE+Ant n=6, PE+Ant-124 n=6) and spontaneously hypertensive (SHR n=12, subdivided as follows: Ant n=6, Ant-124 n=6) male rats (Charles River, Calco, LC, Italy), which had access to water and food ad libitum. The animals were anesthetized by vaporized isoflurane (4%). After the induction of anesthesia, rats were orotracheally intubated, the inhaled concentration of isoflurane was reduced to 1.8%, and lungs were mechanically ventilated (New England Medical Instruments Scientific, Inc, Medway MA). The chest was opened under sterile conditions through a right parasternal minithoracotomy to expose the heart. Then, we performed 4 injections (50 μL each) of Ant-124 (10-4M) or Ant as control, into the cardiac wall (anterior, lateral, posterior, and apical). Injections were performed once a week for three weeks. Finally, the chest wall was quickly closed in layers using 3-0 silk suture, and animals were observed and monitored until recovery. In the WKY group, after cardiac injection we implanted subcutaneously a miniosmotic pump (ALZET 2004) releasing PE (100 mg/kg). In an another set of experiments, we used GRK2fl/fl mice in which hypertrophy was induced by PE release by means of miniosmotic pumps and GRK2 knockdown was induced through the intramyocardial injection of an adenovirus encoding for CRE recombinase (AdCRE, 109 pfu/ml, Vector Biolabs, Malvern PA USA). Non coding adenovirus was injected in the cardiac wall of control mice. The intra-cardiac injection of AdCre is needed to induce the downregulation of GRK2 mainly in the heart of GRK2fl/fl mice through the cre-lox system. This technique allows to target most of the adenovirus to the heart if compared with other way of drug administration, such as intraperitoneal injection or intra-venous administration. Echocardiography Transthoracic echocardiography was performed at days 0, 7, 14, and 21 after surgery using a dedicated small-animal high-resolution imaging system (VeVo 770, Visualsonics, Inc). Anesthesia in rats and mice was induced by isoflurane (4%) inhalation and maintained by mask ventilation (isoflurane 2%). The chest was shaved using a depilatory cream. LV end-diastolic and end-systolic diameters (LVEDD and LVESD, respectively) were measured at the level of the papillary muscles from the parasternal short-axis view as recommended. Intraventricular septal (IVS) and LV posterior wall thickness (PW) were measured at end diastole. LV fractional shortening (LVFS) was calculated as follows: LVFS= (LVEDD−LVESD)/LVEDD×100. LV ejection fraction (LVEF) was calculated using a built-in software. LV mass (LVM) was calculated according to the M-mode cubic method: LVM=1.05×[(IVS+LVEDD+LVPW)3−(LVEDD)3]; LVM was corrected by body weight. All of the measurements were averaged on 5 consecutive cardiac cycles and analyzed by 2 experienced investigators blinded to treatment. Immunoprecipitation and Western Blot Cells were lysed in RIPA/SDS buffer [50 mM Tris-HCl (pH 7.5), 150 mM NaCL, 1% Nonidet P40, 0, 25% deoxycholate, 9,4 mg/50 ml sodium orthovanadate, 20% SDS]. Protein concentration was determined by using BCA assay kit (Pierce). Endogenous IB or GRK2 from total extracts were immunoprecipitated with specific antibodies (Santa Cruz) and protein A/G agarose (Santa Cruz). After extensive washing, the immunocomplexes were electrophoresed by SDS/PAGE and transferred to nitrocellulose; IB or GRK2 were visualized by specific antibody (Upstate), antirabbit HRP-conjugated secondary antibody (Santa Cruz) and standard chemiluminescence (Pierce). Whole lysate was used as positive control. As negative control, the assay was performed using a non specific antibody from the same species as the IP antibody. For western blot analysis, the experiments were performed as described previously [3,4]. The antibodies anti-IκBα, actin, and GRK2 were from Santa Cruz Biotechnology, Inc. Blots from 3 independent experiments were quantified and corrected for appropriate loading control. Densitometric analysis was performed using Image Quant software (Molecular Dynamics, Inc). Results are reported as mean±SEM. Electrophoretic Mobility-Shift Assay Nuclear proteins were isolated from heart samples, and NF-κB binding activity was examined by electrophoretic mobility-shift assay, as described previously [3,5]. For the competition assay nuclear extracts were incubated with a 50-fold excess of unlabeled oligos for 20 minutes before adding the labeled oligo. Electrophoretic mobility-shift assay for organic cation transporter 1 (OCT1) binding was performed as a loading control (5′tgtcgaatgcaaatcctctcctt3′). Isolation of ventricular cardiomyocytes and Real Time PCR Adult mouse ventricular myocytes were isolated from GRK2fl/fl mice hearts by a standard enzymatic digestion procedure as previously described [6]. Total RNA was isolated and cDNA was synthesized by reverse transcription. Real-time quantitative PCR was performed with the SYBR Green real-time PCR master mix kit (Applied Biosystems-Life Technologies Italia, Monza-Italy) and quantified by built-in SYBR Green Analysis (Applied Biosystem) on a StepOne instrument (Applied Biosystem). Primers sequences are previously described [4]. References 1. Carotenuto, A., Cipolletta, E., Gomez-Monterrey, I., Sala, M., Vernieri, E., Limatola, A., et al. (2013). Design, synthesis and efficacy of novel G protein-coupled receptor kinase 2 inhibitors. [Research Support, Non-U.S. Gov't]. Eur J Med Chem, 69, 384-392, doi:10.1016/j.ejmech.2013.08.039. 2. Cipolletta, E., Campanile, A., Santulli, G., Sanzari, E., Leosco, D., Campiglia, P., et al. (2009). The G protein coupled receptor kinase 2 plays an essential role in beta-adrenergic receptorinduced insulin resistance. [Research Support, Non-U.S. Gov't]. Cardiovasc Res, 84(3), 407415, doi:10.1093/cvr/cvp252. 3. Sorriento, D., Ciccarelli, M., Santulli, G., Campanile, A., Altobelli, G. G., Cimini, V., et al. (2008). The G-protein-coupled receptor kinase 5 inhibits NFkappaB transcriptional activity by inducing nuclear accumulation of IkappaB alpha. Proc Natl Acad Sci U S A, 105(46), 17818-17823, doi:0804446105 [pii] 10.1073/pnas.0804446105. 4. Sorriento, D., Santulli, G., Fusco, A., Anastasio, A., Trimarco, B., & Iaccarino, G. (2010). Intracardiac injection of AdGRK5-NT reduces left ventricular hypertrophy by inhibiting NF-kappaB-dependent hypertrophic gene expression. [Research Support, Non-U.S. Gov't]. Hypertension, 56(4), 696-704, doi:10.1161/HYPERTENSIONAHA.110.155960. 5. Sorriento, D., Campanile, A., Santulli, G., Leggiero, E., Pastore, L., Trimarco, B., et al. (2009). A new synthetic protein, TAT-RH, inhibits tumor growth through the regulation of NFkappaB activity. Mol Cancer, 8, 97, doi:10.1186/1476-4598-8-97. 6. Ciccarelli, M., Chuprun, J. K., Rengo, G., Gao, E., Wei, Z., Peroutka, R. J., et al. (2011). G protein-coupled receptor kinase 2 activity impairs cardiac glucose uptake and promotes insulin resistance after myocardial ischemia. [Research Support, N.I.H., Extramural Research Support, Non-U.S. Gov't]. Circulation, 123(18), 1953-1962, doi:10.1161/CIRCULATIONAHA.110.988642.