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Dr. Pavani
1st yr post graduate
Department of Pharmacology
G-PROTEIN COUPLED
RECEPTORS
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
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.
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.
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.
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
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
STRUCTURE OF GPCR
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
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
MECHANISM OF PAR-1
• PAR molecule can be activated only once
• As cleavage cannot be reversed
• Continuous resynthesis of receptor is
necessary.
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.
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
FUNCTION OF PAR
• a) Coagulation cascade( contributes to hemostasis)
• b) Inflammatory cells(play a role in inflammatory
pain)
• c) Digestive tract
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
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.
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
• Activated state
Activated by agonist molecule
Agonist –induced interaction of αβγ
GDP replaced with GTP
Dissociation of G protein
α-GTP βγ subunits
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
Signalling termination
GTP
hydrolysis GTPase
α- GDP
α-GDP dissociates from effector
reunites with βγ
αβγ
Function of GPCR
G protein sub types and their functions
Ligands
• Muscarinic receptors of Ach
• Norepinephrine
• Eicosanoids(TX,LT,PG)
• Peptide hormones
• Opioids
• Amino acids such as GABA
• Dopamine
• Serotonin(5-HT2A receptor)
TARGETS FOR G-PROTEINS
• Adenylyl cyclase cAMP formation
• Phospholipase C IP,DAG formation
• Ion channels Calcium and potassium channels
• Rho A/Rho kinase Signaling pathways regulation
• MAP controls cell functions
cAMP
• cAMP (cyclic 3′,5′-adenosine monophosphate)is
synthesised from ATP
PDE
• cAMP 5’AMP(inactivated)
• Drugs + GPCR increase /decrease adenylcyclase
Increase /decrease cAMP
Regulate cell functions
β-adrenoceptor activation
affects glycogen and fat metabolism
energy is made available as glucose
fuel for muscle contraction
Protein
kinase
cAMP
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
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)
PDE inhibitors:
• Vinpocetine-PDE1
• Oxindole-PDE2
• Milrinone - heart failure - PDE3
• Rolipram -asthma -PDE4
• Sildenafil- PAH-PDE5
• Quinazoline-PDE7
• Papaverine-PDE10
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)
• 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
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
Phospholipase C cycle
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
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
Rho kinase phosphorylates substrate proteins
Control cellular functions
Smooth muscle contraction,proliferation,synaptic
remodeling,angiogenesis
Rho kinase inhibitors (e.g. Fasudil) are in development
MAP KINASE SYSTEM
• Involves several signal transduction
• pathways activated by
 cytokines
 growth factors acting on kinase-linked receptors
 ligands activating GPCRs
• 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
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
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
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.
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.
• 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
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
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
• Retinitis pigmentosa (Rhodopsin mutation),
• Hypothyroidism & Hyperthyroidism (mutation in
TSHR gene
• Nephrogenic diabetes insipidus(Vasopressin
receptor mutation)
• Several fertility disorders(mutation in FSH/LH
receptor)
• Carcinomas(abberant GPCR expression)
• 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
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)
SUMMARY
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.
G protein coupled  receptors

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G protein coupled receptors

  • 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
  • 22. Signalling termination GTP hydrolysis GTPase α- GDP α-GDP dissociates from effector reunites with βγ αβγ
  • 24. G protein sub types and their functions
  • 25. Ligands • Muscarinic receptors of Ach • Norepinephrine • Eicosanoids(TX,LT,PG) • Peptide hormones • Opioids • Amino acids such as GABA • Dopamine • Serotonin(5-HT2A receptor)
  • 26. TARGETS FOR G-PROTEINS • Adenylyl cyclase cAMP formation • Phospholipase C IP,DAG formation • Ion channels Calcium and potassium channels • Rho A/Rho kinase Signaling pathways regulation • MAP controls cell functions
  • 27. cAMP • cAMP (cyclic 3′,5′-adenosine monophosphate)is synthesised from ATP PDE • cAMP 5’AMP(inactivated) • Drugs + GPCR increase /decrease adenylcyclase Increase /decrease cAMP Regulate cell functions
  • 28. β-adrenoceptor activation affects glycogen and fat metabolism energy is made available as glucose fuel for muscle contraction Protein kinase cAMP
  • 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)
  • 31. PDE inhibitors: • Vinpocetine-PDE1 • Oxindole-PDE2 • Milrinone - heart failure - PDE3 • Rolipram -asthma -PDE4 • Sildenafil- PAH-PDE5 • Quinazoline-PDE7 • Papaverine-PDE10
  • 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
  • 49. • Retinitis pigmentosa (Rhodopsin mutation), • Hypothyroidism & Hyperthyroidism (mutation in TSHR gene • Nephrogenic diabetes insipidus(Vasopressin receptor mutation) • Several fertility disorders(mutation in FSH/LH receptor) • Carcinomas(abberant GPCR expression)
  • 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

  1. 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. 
  2. 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"
  3. 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.
  4. 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
  5.  Attwood and Findlay  CATEGORISED GPCR INTO 6 FAMILIES
  6. 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 ..
  7. 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.
  8. 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
  9. 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. 
  10. muscarinic agonists and α-adrenoceptor agonists ,vasopressin
  11. 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
  12. In cardiac muscle, for example, mAChRs enhance K+ permeability in this way (thus hyperpolarising the cells and inhibiting electrical activity
  13. 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
  14.  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