“…1): i) the Gq/PLC/calcium pathway leading to receptor-induced calcineurin-mediated activation of NFAT and calciumcalmodulin-mediated inactivation of HDAC [53,55,56]; Gq can also promote cardiomyocyte growth through activation of ERK1/2 and JNK, or the stimulation of a protein kinase Cprotein kinase D mechanism; ii) receptor interaction with G12/13 proteins leading to RhoA signaling with AKAP-Lbc being an important mediator of RhoA activation [60,61]; among its multiple functional implications, the G12/RhoA pathway is involved in receptor-induced cytoskeletal reorganization, activation of important transcription factors (like Serum Response Factor and GATA-4) and increased fetal gene expression; iii) activation of all three major members of MAPK family, ERK1/2, JNK and p38, through both Ras-dependent and Rho-dependent mechanisms [60,61,78,80,82]; individual MAPKs differently contribute to increased protein synthesis and transcriptional events as well as to the activation of prosurvival signals; iv) activation of the NF-κB transcription factor through a mechanism involving AKAP-Lbc and RhoA [119]; this novel pathway leads to the production of interleukin-6, a pro-inflammatory cytokine contributing to cardiac hypertrophy; and v) activation of PKD through a mechanism involving AKAP-Lbc and PKC-mediated phosphorylation of PKD; this mechanism seems to mediate an adaptative cardiac hypertrophy [104,109].…”