Signal cascades

The signal transduction pathways that mediate the effects of the metabolic hormone insulin are of particular medical interest (see A). The mediator nitrogen monoxide (NO) is also clinically important, as it regulates vascular caliber and thus the body s perfusion with blood (see B). 

The diverse effects of insulin (see p. 160) are mediated by protein kinases that mutually activate each other in the form of enzyme cascades. At the end of this chain there are kinases that influence gene transcription in the nucleus by phosphorylating target proteins, or promote the uptake of glucose and its conversion into glycogen. The signal transduction pathways involved have not yet been fully explained. They are presented here in a simplified form. 

The insulin receptor (top) is a dimer with subunits that have activatable tyrosine kinase domains in the interior of the cell (see p. 224). Binding of the hormone increases the tyrosine kinase activity of the receptor, which then phosphorylates itself and other proteins (receptor substrates) at various tyrosine residues. Adaptor proteins, which conduct the signal further, bind to the phosphotyrosine residues. 

The effects of insulin on transcription are shown on the left of the illustration. Adaptor proteins Crb-2 and SOS ( son of sevenless ) bind to the phosphorylated IRS (insulin-receptor substrate) and activate the G protein Ras (named after its gene, the oncogene ras see p.398). Ras activates the protein kinase Raf (another oncogene product). Raf sets in motion a phosphorylation cascade that leads via the kinases MEK and ERK (also known as MARK, mitogen-activated protein kinase ) to the phosphorylation of transcription factors in the nucleus. 

Some of the effects of insulin on the carbohydrate metabolism (right part of the illustration) are possible without protein synthesis. In addition to Grb-2, another dimeric adaptor protein can also bind to phosphorylated IRS. This adaptor protein thereby acquires phos-phatidylinositol-3-kinase activity (PI3K) and, in the membrane, phosphorylates phospholi- 

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ET-1 also stimulates anti-apoptotic signal cascades in fibroblasts, vascular smooth muscles and endothelial cells (via phosphatidylinositol-3-kinase and Akt/pro-tein kinase B). In prostate and ovarian cancer, upregulation of endothelin synthesis and ETA receptors has been associated with a progression of the disease. The inhibiton of ETA receptors results in a reduced tumour growth. In malignant melanoma, ETB receptors are associated with tumour progression. Endothelins can also stimulate apoptosis in stretch-activated vessels via the ETB receptor, which contrasts the above-mentioned effects. The molecular basis for these differential anti- and pro-apoptotic reactions mediated by endothelins remains elusive. 

These recqrtors are integral components of the wingless (Wilt) signaling cascade by acting as coreceptors to frizzled. Simultaneous binding of Wnt ligands to... 

Muscarinic acetylcholine receptors (mAChRs) form a class of cell surface receptors that are activated upon binding of the neurotransmitter, acetylcholine. Structurally and functionally, mAChRs are prototypical members of the superfamily of G protein-coupled receptors. Following acetylcholine binding, the activated mAChRs interact with distinct classes of heterotrimeric G proteins resulting in the activation or inhibition of distinct downstream signaling cascades. 

At a cellular level, the activation of mAChRs leads to a wide spectrum of biochemical and electrophysiological responses [1, 5]. The precise pattern of responses that can be observed does not only depend on the nature of the activated G proteins (receptor subtypes) but also on which specific components of different signaling cascades (e.g. effector enzymes or ion channels) are actually expressed in the studied cell type or tissue. The observed effects can be caused by direct interactions of the activated G protein(s) with effector enzymes or ion channels or may be mediated by second messengers (Ca2+, DP3, etc.) generated upon mAChR stimulation. 

The majority of GPCRs couple to three families of G protein alpha subunits which differ in their ability to activate three distinct primary signaling cascades. The stimulatory G-protein Gas, positively regulates the activity of adenylyl cyclase causing an increase of intracellular cAMP levels as second messenger. In... 

Ras is a G protein that cycle between two conformations, an activated Ras-GTP or inactivated form Ras-GDP. Ras, attached to the cell membrane by lipidation, is a key component in many signalling cascades, which couple growth factor receptors to downstream effectors that control such processes as cytoskeletal integrity, proliferation, cell adhesion, apoptosis and cell migration. Mutations and dysregulations of the Ras protein leading to increased invasion and metastasis, and decreased apoptosis are very common in cancers. 

Small GTPases are not isolated molecular switches regulating cellular processes. Signalling cascades within one subfamily as well as cross-talk between... 

It should be noted that fast inactivation of receptor signaling not only involves the desensitization of the receptor but also the components of the downstream signaling cascade. The deactivation of active Ga subunits is controlled by the intramolecular hydrolysis of bound GTP, allowing it to reform the inactive heterotrimer. Termination of G protein-mediated signaling in vivo is 10- to 100-fold faster than the in vitro rate of GTP hydrolysis by Ga subunits, suggesting... 

Once the TLRs have bound their respective ligand they initiate a signalling cascade to alert the host to the presence of a threat. This signal begins with specific adapter proteins and leads to the activation of transcription factors such as NFkB, ERF-3 and IRF-7 as shown in Fig. 1. These activated transcription factors cause changes in gene expression typically leading to the production of cytokines. 

Growth factor and hormone signalling cascades link mTORCl dysregulation to cancer and Hamartoma syndromes. 

Besides classical receptor classes that bind endogenous or naturally occurring ligands and act via prototypical intracellular signaling cascades, a considerable number of transmembrane proteins are referred to as receptors albeit their natural ligands are unknown or they do not... 

Tkaczyk C, Horej si V, Iwaki S, et al NTAL phosphorylation is a pivotal link between the signaling cascades leading to human mast cell degranulation following Kit activation and Fc epsilon RI aggregation. Blood 2004 104 207-214. 17... 

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