GPCRs are the most dynamic and most abundant all the receptors. The G protein-coupled receptor (GPCR) superfamily comprises the largest and most diverse group of proteins in mammals. GPCRs are responsible for every aspect of human biology from vision, taste, sense of smell, sympathetic and parasympathetic nervous functions, metabolism, and immune regulation to reproduction. GPCRs interact with a number of ligands ranging from photons, ions, amino acids, odorants, pheromones, eicosanoids, neurotransmitters, peptides, proteins, and hormones.
Nevertheless, for the majority of GPCRs, the identity of their natural ligands is still unknown, hence remain orphan receptors.
The simple dogma that underpins much of our current understanding of GPCRs, namely,
one GPCR gene− one GPCR protein− one functional GPCR− one G protein −one response
is showing distinct signs of wear.
GPCRs are the most dynamic and most abundant all the receptors. The G protein-coupled receptor (GPCR) superfamily comprises the largest and most diverse group of proteins in mammals. GPCRs are responsible for every aspect of human biology from vision, taste, sense of smell, sympathetic and parasympathetic nervous functions, metabolism, and immune regulation to reproduction. GPCRs interact with a number of ligands ranging from photons, ions, amino acids, odorants, pheromones, eicosanoids, neurotransmitters, peptides, proteins, and hormones.
Nevertheless, for the majority of GPCRs, the identity of their natural ligands is still unknown, hence remain orphan receptors.
The simple dogma that underpins much of our current understanding of GPCRs, namely,
one GPCR gene− one GPCR protein− one functional GPCR− one G protein −one response
is showing distinct signs of wear.
MAPK Signaling pathway (Mitogen-activated protein kinase), how the pathway helps in regulation of mitosis, It's activation and inactivation inside the cell, roles of MAPK pathway in cancerous cell, different classes of MAP kinase in human
General principles of signal transduction
G Protein-coupled Receptors (GPCRs): Structure and Mechanism.
GPCRs that Regulate Adenylyl Cyclase.
GPCRs that Activate Phospholipase C.
GPCRs that Regulate Ion Channels.
GPCRs that Regulate Gene Transcription.
MAPK Signaling pathway (Mitogen-activated protein kinase), how the pathway helps in regulation of mitosis, It's activation and inactivation inside the cell, roles of MAPK pathway in cancerous cell, different classes of MAP kinase in human
General principles of signal transduction
G Protein-coupled Receptors (GPCRs): Structure and Mechanism.
GPCRs that Regulate Adenylyl Cyclase.
GPCRs that Activate Phospholipase C.
GPCRs that Regulate Ion Channels.
GPCRs that Regulate Gene Transcription.
1.WHAT ARE GPCRs
2. CLASSIFICATION OF GPCRs
3. GPCRs SECOND MESSENGERS
4. GPCRs FAMILIES
5. STRUCTURE IF GPCRs
6. DRUG TARGETS OF GPCRs
7. CONCLUSION
8. REFERENCES
9. THANKS
GPCRs are the largest and most diverse group of integral membrane proteins. These proteins are used by cells to convert extracellular signals into intracellular responses and mediate most of our physiological responses to hormones, neurotransmitters as well as responses to vision, olfaction and taste signal. They mediate most of our and environmental stimulants, and so have a great potential as therapeutic targets for a broad spectrum of diseases. At the most basic level, all GPCRS are characterized by the presence of seven membrane-spanning alpha helical segments separated by alternating intracellular and extracellular loop regions. Coupling with G proteins, they are called seven-transmembrane receptors because they pass through the cell membrane seven times.
Do plants contain typical GPCRs?” How is G-protein signaling operating in plants.
G-proteins are universal signal transducers mediating many cellular responses. In animal systems the G-protein signaling cycle is activated by seven transmembrane-spanning G-protein coupled receptors (or GPCRs, popularly known as “serpentine receptors”). Whether typical G protein-coupled receptors (GPCRs) exist in plants or not is a fundamental question. In contrast to the animal system, the existence of these types of receptors in plants still remains controversial. While in animals ligand binding causes a change in receptor conformation that activate a particular G Protein, in plants, such mechanism is unknown. In fact, it is considered that the plants G-Proteins are self-activating. The G Proteins have their respective GPCRs in animal system. A lot of information is already accumulated in animal system and hence the animal GPCRs are considered “canonical.” Thus, from the very beginning, plant G-proteins have been compared with the animal counterparts and studied as an extrapolation of the animal model. This presentation provides an insight into the molecular mechanisms of G Protein activation in plants as well as whether “canonical” GPCRs are present in any plant species or not.
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TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Ve...kevinkariuki227
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
These lecture slides, by Dr Sidra Arshad, offer a quick overview of physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar leads (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists Saeid Safari
Preoperative Management of Patients on GLP-1 Receptor Agonists like Ozempic and Semiglutide
ASA GUIDELINE
NYSORA Guideline
2 Case Reports of Gastric Ultrasound
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...Oleg Kshivets
RESULTS: Overall life span (LS) was 2252.1±1742.5 days and cumulative 5-year survival (5YS) reached 73.2%, 10 years – 64.8%, 20 years – 42.5%. 513 LCP lived more than 5 years (LS=3124.6±1525.6 days), 148 LCP – more than 10 years (LS=5054.4±1504.1 days).199 LCP died because of LC (LS=562.7±374.5 days). 5YS of LCP after bi/lobectomies was significantly superior in comparison with LCP after pneumonectomies (78.1% vs.63.7%, P=0.00001 by log-rank test). AT significantly improved 5YS (66.3% vs. 34.8%) (P=0.00000 by log-rank test) only for LCP with N1-2. Cox modeling displayed that 5YS of LCP significantly depended on: phase transition (PT) early-invasive LC in terms of synergetics, PT N0—N12, cell ratio factors (ratio between cancer cells- CC and blood cells subpopulations), G1-3, histology, glucose, AT, blood cell circuit, prothrombin index, heparin tolerance, recalcification time (P=0.000-0.038). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and PT early-invasive LC (rank=1), PT N0—N12 (rank=2), thrombocytes/CC (3), erythrocytes/CC (4), eosinophils/CC (5), healthy cells/CC (6), lymphocytes/CC (7), segmented neutrophils/CC (8), stick neutrophils/CC (9), monocytes/CC (10); leucocytes/CC (11). Correct prediction of 5YS was 100% by neural networks computing (area under ROC curve=1.0; error=0.0).
CONCLUSIONS: 5YS of LCP after radical procedures significantly depended on: 1) PT early-invasive cancer; 2) PT N0--N12; 3) cell ratio factors; 4) blood cell circuit; 5) biochemical factors; 6) hemostasis system; 7) AT; 8) LC characteristics; 9) LC cell dynamics; 10) surgery type: lobectomy/pneumonectomy; 11) anthropometric data. Optimal diagnosis and treatment strategies for LC are: 1) screening and early detection of LC; 2) availability of experienced thoracic surgeons because of complexity of radical procedures; 3) aggressive en block surgery and adequate lymph node dissection for completeness; 4) precise prediction; 5) adjuvant chemoimmunoradiotherapy for LCP with unfavorable prognosis.
Title: Sense of Taste
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the structure and function of taste buds.
Describe the relationship between the taste threshold and taste index of common substances.
Explain the chemical basis and signal transduction of taste perception for each type of primary taste sensation.
Recognize different abnormalities of taste perception and their causes.
Key Topics:
Significance of Taste Sensation:
Differentiation between pleasant and harmful food
Influence on behavior
Selection of food based on metabolic needs
Receptors of Taste:
Taste buds on the tongue
Influence of sense of smell, texture of food, and pain stimulation (e.g., by pepper)
Primary and Secondary Taste Sensations:
Primary taste sensations: Sweet, Sour, Salty, Bitter, Umami
Chemical basis and signal transduction mechanisms for each taste
Taste Threshold and Index:
Taste threshold values for Sweet (sucrose), Salty (NaCl), Sour (HCl), and Bitter (Quinine)
Taste index relationship: Inversely proportional to taste threshold
Taste Blindness:
Inability to taste certain substances, particularly thiourea compounds
Example: Phenylthiocarbamide
Structure and Function of Taste Buds:
Composition: Epithelial cells, Sustentacular/Supporting cells, Taste cells, Basal cells
Features: Taste pores, Taste hairs/microvilli, and Taste nerve fibers
Location of Taste Buds:
Found in papillae of the tongue (Fungiform, Circumvallate, Foliate)
Also present on the palate, tonsillar pillars, epiglottis, and proximal esophagus
Mechanism of Taste Stimulation:
Interaction of taste substances with receptors on microvilli
Signal transduction pathways for Umami, Sweet, Bitter, Sour, and Salty tastes
Taste Sensitivity and Adaptation:
Decrease in sensitivity with age
Rapid adaptation of taste sensation
Role of Saliva in Taste:
Dissolution of tastants to reach receptors
Washing away the stimulus
Taste Preferences and Aversions:
Mechanisms behind taste preference and aversion
Influence of receptors and neural pathways
Impact of Sensory Nerve Damage:
Degeneration of taste buds if the sensory nerve fiber is cut
Abnormalities of Taste Detection:
Conditions: Ageusia, Hypogeusia, Dysgeusia (parageusia)
Causes: Nerve damage, neurological disorders, infections, poor oral hygiene, adverse drug effects, deficiencies, aging, tobacco use, altered neurotransmitter levels
Neurotransmitters and Taste Threshold:
Effects of serotonin (5-HT) and norepinephrine (NE) on taste sensitivity
Supertasters:
25% of the population with heightened sensitivity to taste, especially bitterness
Increased number of fungiform papillae
Pulmonary Thromboembolism - etilogy, types, medical- Surgical and nursing man...VarunMahajani
Disruption of blood supply to lung alveoli due to blockage of one or more pulmonary blood vessels is called as Pulmonary thromboembolism. In this presentation we will discuss its causes, types and its management in depth.
New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...i3 Health
i3 Health is pleased to make the speaker slides from this activity available for use as a non-accredited self-study or teaching resource.
This slide deck presented by Dr. Kami Maddocks, Professor-Clinical in the Division of Hematology and
Associate Division Director for Ambulatory Operations
The Ohio State University Comprehensive Cancer Center, will provide insight into new directions in targeted therapeutic approaches for older adults with mantle cell lymphoma.
STATEMENT OF NEED
Mantle cell lymphoma (MCL) is a rare, aggressive B-cell non-Hodgkin lymphoma (NHL) accounting for 5% to 7% of all lymphomas. Its prognosis ranges from indolent disease that does not require treatment for years to very aggressive disease, which is associated with poor survival (Silkenstedt et al, 2021). Typically, MCL is diagnosed at advanced stage and in older patients who cannot tolerate intensive therapy (NCCN, 2022). Although recent advances have slightly increased remission rates, recurrence and relapse remain very common, leading to a median overall survival between 3 and 6 years (LLS, 2021). Though there are several effective options, progress is still needed towards establishing an accepted frontline approach for MCL (Castellino et al, 2022). Treatment selection and management of MCL are complicated by the heterogeneity of prognosis, advanced age and comorbidities of patients, and lack of an established standard approach for treatment, making it vital that clinicians be familiar with the latest research and advances in this area. In this activity chaired by Michael Wang, MD, Professor in the Department of Lymphoma & Myeloma at MD Anderson Cancer Center, expert faculty will discuss prognostic factors informing treatment, the promising results of recent trials in new therapeutic approaches, and the implications of treatment resistance in therapeutic selection for MCL.
Target Audience
Hematology/oncology fellows, attending faculty, and other health care professionals involved in the treatment of patients with mantle cell lymphoma (MCL).
Learning Objectives
1.) Identify clinical and biological prognostic factors that can guide treatment decision making for older adults with MCL
2.) Evaluate emerging data on targeted therapeutic approaches for treatment-naive and relapsed/refractory MCL and their applicability to older adults
3.) Assess mechanisms of resistance to targeted therapies for MCL and their implications for treatment selection
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
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Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
Prix Galien International 2024 Forum ProgramLevi Shapiro
June 20, 2024, Prix Galien International and Jerusalem Ethics Forum in ROME. Detailed agenda including panels:
- ADVANCES IN CARDIOLOGY: A NEW PARADIGM IS COMING
- WOMEN’S HEALTH: FERTILITY PRESERVATION
- WHAT’S NEW IN THE TREATMENT OF INFECTIOUS,
ONCOLOGICAL AND INFLAMMATORY SKIN DISEASES?
- ARTIFICIAL INTELLIGENCE AND ETHICS
- GENE THERAPY
- BEYOND BORDERS: GLOBAL INITIATIVES FOR DEMOCRATIZING LIFE SCIENCE TECHNOLOGIES AND PROMOTING ACCESS TO HEALTHCARE
- ETHICAL CHALLENGES IN LIFE SCIENCES
- Prix Galien International Awards Ceremony
Report Back from SGO 2024: What’s the Latest in Cervical Cancer?bkling
Are you curious about what’s new in cervical cancer research or unsure what the findings mean? Join Dr. Emily Ko, a gynecologic oncologist at Penn Medicine, to learn about the latest updates from the Society of Gynecologic Oncology (SGO) 2024 Annual Meeting on Women’s Cancer. Dr. Ko will discuss what the research presented at the conference means for you and answer your questions about the new developments.
Ethanol (CH3CH2OH), or beverage alcohol, is a two-carbon alcohol
that is rapidly distributed in the body and brain. Ethanol alters many
neurochemical systems and has rewarding and addictive properties. It
is the oldest recreational drug and likely contributes to more morbidity,
mortality, and public health costs than all illicit drugs combined. The
5th edition of the Diagnostic and Statistical Manual of Mental Disorders
(DSM-5) integrates alcohol abuse and alcohol dependence into a single
disorder called alcohol use disorder (AUD), with mild, moderate,
and severe subclassifications (American Psychiatric Association, 2013).
In the DSM-5, all types of substance abuse and dependence have been
combined into a single substance use disorder (SUD) on a continuum
from mild to severe. A diagnosis of AUD requires that at least two of
the 11 DSM-5 behaviors be present within a 12-month period (mild
AUD: 2–3 criteria; moderate AUD: 4–5 criteria; severe AUD: 6–11 criteria).
The four main behavioral effects of AUD are impaired control over
drinking, negative social consequences, risky use, and altered physiological
effects (tolerance, withdrawal). This chapter presents an overview
of the prevalence and harmful consequences of AUD in the U.S.,
the systemic nature of the disease, neurocircuitry and stages of AUD,
comorbidities, fetal alcohol spectrum disorders, genetic risk factors, and
pharmacotherapies for AUD.
1. Dr. Pavani
1st yr post graduate
Department of Pharmacology
G-PROTEIN COUPLED
RECEPTORS
2. CONTENTS
• Introduction
• Structure
• Classification
• Alternative mechanisms for GPCR activation
• G- proteins and their role
• Targets for G- proteins
• Further development in GPCR biology
• GPCR related diseases
• GPCR binding drugs
• Summary
• References
3. NOBEL PRIZE IN MEDICINE /PHYSIOLOGY
Martin rodbell shared the 1994 Nobel Prize in Physiology or
Medicine with Alfred G. Gilman for their discovery of G-proteins and
the role of these proteins in signal transduction in cells.
4.
5. Introduction
Around 800 GPCR are found in humans
olfaction (~400).
taste (33)
light perception (10)
pheromone signalling (5)
~350 non-sensory GPCRs mediate signalling
Around 100-200 orphan GPCRs are known in
human.
6. GPCR
• First GPCR to be fully characterised was the β
adreno receptor(1986).
• X-ray crystallography -to study the molecular
structure of these receptors.
• Flourescence methods -to study the kinetics of
ligand binding and changes associated with
activation.
7. CRYSTAL STRUCTURE
OF RHODOPSIN
• First X-ray crystal structure of
GPCR - 2000
• 72 structures of GPCRs -
Protein Data Bank.
• Rhodopsin, is by far the best
structurally defined GPCR.
• GPCR signaling can be
activated in 200-500 millisec
8. STRUCTURE OF GPCR
• Single polypeptide with
– an extracellular N-terminus
– an intracellular C-terminus
– seven hydrophobic transmembrane α helices (TM1-TM7)
linked by
• three extracellular loops (ECL1-ECL3)
• three intracellular loops (ICL1-ICL3).
• The third intracellular loop interacts with the G-protein
10. FAMILY RECEPTORS STRUCTURAL
FEATURES
A:Rhodopsin
family
•Largest group
•receptors for most amine
neuro transmitters,
neuropeptides, purines etc
Short extra
cellular tail
B:Secretin/Glucag
on receptor family
•Receptor for peptides
including glucagon, secretin,
calcitonin
Intermediate
extra cellular tail
C:Metabotropic
glutamate
receptor
•Small group.
•Metabotropic glutamate
receptor, GABA b receptors
Long extra
cellular tail
11. Protease activated receptors
• Alternative mechanisms for GPCR activation
Thrombin
by snipping off the N-terminal tail of the receptor
expose 5 or 6 residues
bind intramolecularly
activate the PAR
13. • PAR molecule can be activated only once
• As cleavage cannot be reversed
• Continuous resynthesis of receptor is
necessary.
14. RESYNTHESIS OF RECEPTOR
Inactivation
further proteolytic cleavage
frees the tethered ligand,
Desensitisation, involving
phosphorylation
receptor is
internalised and degraded
to be replaced by newly
synthesised protein.
15. There are 4 known protease-activated
receptors
• PAR1(thrombin)
• PAR2( trypsin)
• PAR3(thrombin)
• PAR4(thrombin)
PAR are located in myocytes , neurons
and platelets and also in endothelial cells
16. FUNCTION OF PAR
• a) Coagulation cascade( contributes to hemostasis)
• b) Inflammatory cells(play a role in inflammatory
pain)
• c) Digestive tract
17. G- proteins and their role
Actually called G-proteins because of their interaction
with the guanine nucleotides, GTP and GDP.
Recognise activated GPCRs and
pass on the message to effector systems
generate a cellular response
18. α( 21 sub units)
G-proteins β (6 sub units)
γ(12 sub units)
• Subunits are anchored to the membrane through a
fatty acid chain, coupled to the G-protein through a
reaction known as prenylation.
19. Function of GPCR
• Resting state,
– G protein exists as αβγ trimer
– GDP is occupying site on α sub unit
– May or may not be precoupled by receptor
20. • Activated state
Activated by agonist molecule
Agonist –induced interaction of αβγ
GDP replaced with GTP
Dissociation of G protein
α-GTP βγ subunits
21. Active forms + ion channels and enzymes
Activation /Inhibition of target
Single agonist-receptor complex
Many G protein molecules activated (amplification)
Product is often a second messenger
29. cAMP SYSTEM
Adenylyl cyclase can be activated
directly by
drugs such as Forskolin, which is used
experimentally to
study the role of the cAMP system
30. Phosphodiesterases
– 11 PDE subtypes exist
– PDE3 and PDE4 are cAMP-selective
– while others (e.g. PDE5) are cGMP-selective
– Nonselective PDE inhibitors- methylxanthines(theophylline
and caffeine)
32. PHOSPHOLIPASE C/IP3 SYSTEM
• Second messenger system
• First discovered in the 1950s by Hokin and Hokin
• They centred interest on the mechanism of salt secretion by
the nasal glands of seabirds.
• Found that secretion was accompanied by increased turnover
of phosphoinositides(PI)
33. • Michell and Berridge found that many hormones that
produce an increase in free intracellular Ca2+
concentration also increase PI turnover
• PIP2 (phosphatidylinositol (4,5) bisphosphate)is the
substrate for phospholipase Cβ (PLCβ), which splits it
into diacylglycerol (DAG) and inositol (1,4,5)
trisphosphate (IP3)
• both function as second messengers
34. Phospholipase C cycle
hormone + receptor
activate receptors (GPCR)
PLC activation
cleaves (PIP2)
IP3 DAG
calcium release from the ER activate PKC
ca2+ controls the activity of PKC key role in signal
transduction
36. Ion channels
• Major function of GPCR
– to control ion channel function without involving second
messengers.
• Direct G protein–channel interaction,
βγ subunits of Gi and Go proteins
+
ion channel
controlling K+ and Ca2+ channels
37. Rho/Rho kinase system
• Activated by certain GPCRs and also by non-GPCR
mechanisms
• Couple to G proteins of the G12/13 type
Rho–GDP ( resting form/inactive)
GDP–GTP exchange occurs,
Rho is activated,
activates Rho kinase
38. Rho kinase phosphorylates substrate proteins
Control cellular functions
Smooth muscle contraction,proliferation,synaptic
remodeling,angiogenesis
Rho kinase inhibitors (e.g. Fasudil) are in development
39. MAP KINASE SYSTEM
• Involves several signal transduction
• pathways activated by
cytokines
growth factors acting on kinase-linked receptors
ligands activating GPCRs
40. • coupling of GPCRs to MAP kinases involve
• G protein α and βγ subunits
• Src and arrestins
• MAP kinase system controls
• Gene expression
• cell division
• apoptosis
• tissue regeneration
41. GPCR DESENSITISATION
• Decrease in drug response due to frequent
administration
• Continuous stimulation of cells by agonist leads to a
state of desensitization.
• Also called as Refractoriness
Downregulation
Adaptation
42. TYPES OF DESENSITISATION:
HOMOLOGOUS DESENSITISATION:
– Desensitize stimulated receptor as well as other
inactive receptors on the same cell.
– Receptor decreases its response to an agonist at
high concentration
– Helps organisms to maintain homeostasis
43. HETEROLOGOUS DESENSITISATION:
– also known as cross-desensitization.
– unresponsiveness of cells to one or
more agonists to which they are normally
responsive.
– heterologous desensitization occurs rapidly at low
agonist concentrations.
44.
45. GPCR OLIGOMERISATION
• GPCRs exist and function as monomeric
protein
• First overturned by work on the GABAB
receptor.
• Two subtypes of GPCR exist, encoded by
different genes, and the functional receptor
consists of a heterodimer of the two.
46. • Such dimers have two agonist binding sites,
one on each subunit
• Only one is functional
• Signalling is transmitted through the dimer to
the other receptor in the dimer which couples
to the G protein
47. Pregnant women with hypertension
increased expression of B2(BRADYKININ) receptors
number of these dimers increase
increased sensitivity to the vasoconstrictor action of
angiotensin.
First instance of the role of dimerisation in human
disease
48. GPCR related diseases
Abnormal G protein signalling can result by
• Bacterial toxins(cholera & pertussis)
• Gene mutations
– Loss of function
– Gain of function
• Altered GPCR folding
50. • To date, over 600 inactivating and almost 100
activating mutations in GPCR have been
identified which are responsible for more than 30
different human disease.
• The number of human disorders is expected to
increase given the fact that over 160 GPCR have
been targeted in mice
51. GPCR BINDING DRUGS
• α1 (Oxymetazoline)and α2 agonist(Clonidine)
• β1 (Dobutamine) and β2 agonist(Terbutaline)
• Anti histaminics (Chlorpheniramine)
• Cholinergics (Pilocarpine) and Anti-cholinergics(Atropine)
• Anti emetics (Promethazine)
• H2 antagonists(Ranitidine)
53. REFERENCES
• H.P.Rang; How drugs act: Molecular aspects; Rang and Dale’s
Pharmacology; 8th edition
• Goodman&Gilmans The pharmacological basis of
therapeutics; 13th edition
• BertramG.Katzung; Pharmacokinetics & Pharmacodynamics;
BASIC AND CLINICAL PHARMACOLOGY; 13th edition
• R.S.Satoskar; General considerations and pharmacokinetics;
PHARMACOLOGY AND PHARMACO THERAPEUTICS;25th
edition.
Editor's Notes
He shared the 1994 Nobel Prize in Physiology or Medicine with Alfred G. Gilman for "their discovery of G-proteins and the role of these proteins in signal transduction in cells.
Rodbell postulated, was the "second messenger“
Rodbell was working with a laboratory team that studied the effect of the hormone glucagon on a rat liver membrane receptor—the cellular discriminator that receives outside signals. Rodbell discovered that ATP (adenosine triphosphate) could reverse the binding action of glucagon to the cell receptor and thus dissociate the glucagon from the cell altogether. He then noted that traces of GTP (guanosine triphosphate) could reverse the binding process almost one thousand times faster than ATP. Rodbell deduced that GTP was probably the active biological factor in dissociating glucagon from the cell's receptor, and that GTP had been present as an impurity in his earlier experiments with ATP. This GTP, he found, stimulated the activity in the guanine nucleotide protein (later called the G-protein), which, in turn, produced profound metabolic effects in the cell.
Brian kobilka and Robert Lefkowitz also discovered that the receptor was similar to receptors located in the eye that capture light. It was later discovered that there is an entire family of receptors that look and act in similar ways - "G-protein-coupled receptors"
Pheromone means a secreted or excreted chemical factor that triggers a social response in members of the same species.
Pheromones are chemical substances which may be secreted in urine, dung or produced by special glands. They are usually given off by the female of the species to attract males.
Protein Data Bank (PDB) is a crystallographic database for the three-dimensional structural data of large biological molecules, such as proteins and nucleic acids. The data, typically obtained by X-ray crystallography, NMR spectroscopy, or, increasingly, cryo-electron microscopy
Attwood and Findlay CATEGORISED GPCR INTO 6 FAMILIES
When the eye is exposed to light, the 11-cis-retinal component of rhodopsin is converted to all-trans-retinal, resulting in a fundamental change in the configuration of the rhodopsin ..
Mechanism of protease-activated receptor 1 (PAR-1) activation by thrombin. Thrombin (large sphere) activates human platelets via PAR-1 by binding to the extracellular loop of the receptor, which is then cleaved to form a new amino terminus with its tethered ligand (diamond). This exposed tethered ligand activates the autoreceptor.
Βγ serve as chaperon and keep alpha subunits away from effectors which otherwise excite
Second messengers are intracellular signalling molecules released by the cell in response to extracellular signalling response
milrinone supports ventricular functioning of the heart by decreasing the degradation of cAMP and thus increasing phosphorylation levels of many components in the heart that contribute to contractility and heart rate
Milrinone is a phosphodiesterase-3 inhibitor. This drug inhibits the action of phosphodiesterase-3 and thus prevents degradation of cAMP. With increased cAMP levels there is an increase in the activation of PKA. This PKA will phosphorylate many components of the cardiomyocyte such as calcium channels and components of the myofilaments. Phosphorylation of calcium channels permits an increase in calcium influx into the cell. This increase in calcium influx results in increased contractility. PKA also phosphorylates potassium channels promoting their action. Potassium channels are responsible for repolarization of the cardiomyocytes therefore increasing the rate at which cells can depolarize and generate contraction.
muscarinic agonists and α-adrenoceptor agonists ,vasopressin
IP3 is a water-soluble mediator that is released into the cytosol and acts on a specific receptor – the IP3 receptor
IP3 receptor – which is a ligand-gated calcium channel present on the membrane of the endoplasmic reticulum
main effect of DAG is to activate a protein kinase C (PKC),which catalyses the phosphorylation of a variety of intracellular proteins
DAG, unlike the inositol phosphates, is highly lipophilic
Protein phosphorylation by kinases plays a central role in signal transduction
In cardiac muscle, for example, mAChRs enhance K+ permeability in this way (thus hyperpolarising the cells
and inhibiting electrical activity
The ß2 adrenergic receptor was the first to have its desensitization studied and characterized. The mechanism of desensitization involves the action of a specific GRK, denoted ßARK, and also ß-arrestins. The
whether heterologous or homologous, may contribute to human pathology. For example, excessive desensitization due to the overexpression of GRK2 leads to the loss of β-adrenergic receptor signaling in hearts.
β-Blockade and direct inhibition of GRK2 restores β-adrenergic receptor signaling and has been proven beneficial for the treatment of chronic heart failure in humans and animal models.
nactivating mutations of GRK1 lead to faulty rhodopsinreceptor desensitization and are linked to Oguchi disease, a non-progressive form of night blindness