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Population-based and case–control studies in different ethnicities have linked a polymorphism, C825T, in exon 10 of  GNB3  gene to hypertension and several additional diseases. The 825T allele is associated with alternative splicing and results in a shortened Gβ3 protein, referred to as Gβ3s, which loses 41 amino acids encompassing one WD40 repeat domain. The mechanism of how Gβ3 C825T polymorphism is associated with hypertension has remained unclear, but an impairment of its canonical function in G-protein-coupled receptor signaling has been ruled out. Here, we report that Gβ3, like other Gβ proteins, binds to DDB1 and assembles a DDB1-CUL4A-ROC1 E3 ubiquitin ligase (CRL4A Gβ3 ) to target GRK2 ubiquitination. The loss of the 41 amino-acid residues disrupts the Gβ3-DDB1 binding and impairs the function of Gβ3s to ubiquitinate GRK2. GRK2 ubiquitination levels were decreased and protein levels were accumulated in the blood samples of Gβ3 825T allele carriers. Deletion of  Cul4a  in mice resulted in systolic pressure increased and weakened heart function in male mice that can be partially rescued by the deletion of one  Grk 2 allele. These results reveal a mechanism explaining the link between Gβ3 C825T polymorphism and hypertension.

Hypertension-associated C825T polymorphism impairs the function of Gβ3 to target GRK2 ubiquitination