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In the field of molecular biology, the cAMP-dependent pathway, also known as the adenylyl cyclase pathway, is a G protein-coupled receptor-triggered signaling cascade used in cell communication.^[1]

Discovery

cAMP was discovered by Earl Sutherland and Ted Rall in the mid 1950s. cAMP is considered a secondary messenger along with Ca²⁺. Sutherland won the Nobel Prize in 1971 for his discovery of the mechanism of action of epinephrine in glycogenolysis, that requires cAMP as secondary messenger.^[2]

Mechanism

G protein-coupled receptors (GPCRs) are a large family of integral membrane proteins that respond to a variety of extracellular stimuli. Each GPCR binds to and is activated by a specific ligand stimulus that ranges in size from small molecule catecholamines, lipids, or neurotransmitters to large protein hormones.^[3] When a GPCR is activated by its extracellular ligand, a conformational change is induced in the receptor that is transmitted to an attached intracellular heterotrimeric G protein complex. The G_s alpha subunit of the stimulated G protein complex exchanges GDP for GTP and is released from the complex.^[4]

In a cAMP-dependent pathway, the activated G_s alpha subunit binds to and activates an enzyme called adenylyl cyclase, which, in turn, catalyzes the conversion of ATP into cyclic adenosine monophosphate (cAMP).^[5] Increases in concentration of the second messenger cAMP may lead to the activation of

cyclic nucleotide-gated ion channels^[6]
exchange proteins activated by cAMP (EPAC)^[7] such as RAPGEF3
popeye domain containing proteins (Popdc) ^[8]
an enzyme called protein kinase A (PKA).^[9]

The PKA enzyme is also known as cAMP-dependent enzyme because it gets activated only if cAMP is present. Once PKA is activated, it phosphorylates a number of other proteins including:^[10]

enzymes that convert glycogen into glucose
enzymes that promote muscle contraction in the heart leading to an increase in heart rate
transcription factors, which regulate gene expression
also phosphorylate AMPA receptors^[11]

Specificity of signaling between a GPCR and its ultimate molecular target through a cAMP-dependent pathway may be achieved through formation of a multiprotein complex that includes the GPCR, adenylyl cyclase, and the effector protein.^[12]

Importance

In humans, cAMP works by activating protein kinase A (PKA, cAMP-dependent protein kinase), one of the first few kinases discovered. It has four sub-units two catalytic and two regulatory. cAMP binds to the regulatory sub-units.^[13] It causes them to break apart from the catalytic sub-units. The catalytic sub-units make their way in to the nucleus to influence transcription. Further effects mainly depend on cAMP-dependent protein kinase, which vary based on the type of cell.

cAMP-dependent pathway is necessary for many living organisms and life processes. Many different cell responses are mediated by cAMP; these include increase in heart rate, cortisol secretion, and breakdown of glycogen and fat. cAMP is essential for the maintenance of memory in the brain, relaxation in the heart, and water absorbed in the kidney.^[14] This pathway can activate enzymes and regulate gene expression. The activation of preexisting enzymes is a much faster process, whereas regulation of gene expression is much longer and can take up to hours. The cAMP pathway is studied through loss of function (inhibition) and gain of function (increase) of cAMP.

If cAMP-dependent pathway is not controlled, it can ultimately lead to hyper-proliferation, which may contribute to the development and/or progression of cancer.

Activation

Activated GPCRs cause a conformational change in the attached G protein complex, which results in the G_s alpha subunit's exchanging GDP for GTP and separation from the beta and gamma subunits. The G_s alpha subunit, in turn, activates adenylyl cyclase, which quickly converts ATP into cAMP. This leads to the activation of the cAMP-dependent pathway. This pathway can also be activated downstream by directly activating adenylyl cyclase or PKA.

Molecules that activate cAMP pathway include:

cholera toxin - increases cAMP levels
forskolin - a diterpene natural product that activates adenylyl cyclase
caffeine and theophylline inhibit cAMP phosphodiesterase, which degrades cAMP - thus enabling higher levels of cAMP than would otherwise be had.
bucladesine (dibutyryl cAMP, db cAMP) - also a phosphodiesterase inhibitor
pertussis toxin, which increases cAMP levels by inhibiting Gi to its GDP (inactive) form. This leads to an increase in adenylyl cyclase activity, thereby increasing cAMP levels, which can lead to an increase in insulin and therefore hypoglycemia

Deactivation

The G_s alpha subunit slowly catalyzes the hydrolysis of GTP to GDP, which in turn deactivates the G_s protein, shutting off the cAMP pathway. The pathway may also be deactivated downstream by directly inhibiting adenylyl cyclase or dephosphorylating the proteins phosphorylated by PKA.

Molecules that inhibit the cAMP pathway include:

cAMP phosphodiesterase converts cAMP into AMP by breaking the phosphodiester bond, in turn reducing the cAMP levels
G_i protein, which is a G protein that inhibits adenylyl cyclase, reducing cAMP levels.

^[15]

References

^ Bruce Alberts; Alexander Johnson; Julian Lewis; Martin Raff; Dennis Bray; Karen Hopkin; Keith Roberts; Peter Walter (2004). Essential cell biology (2nd ed.). New York: Garland Science. ISBN 978-0-8153-3480-4.
^ Hofer, Aldebaran M.; Lefkimmiatis, Konstantinos (1 October 2007). "Extracellular Calcium and cAMP: Second Messengers as "Third Messengers"?". Physiology. 22 (5): 320–327. doi:10.1152/physiol.00019.2007. ISSN 1548-9213. PMID 17928545.
^ Willoughby, Debbie; Cooper, Dermot M. F. (1 July 2007). "Organization and Ca2+ Regulation of Adenylyl Cyclases in cAMP Microdomains". Physiological Reviews. 87 (3): 965–1010. CiteSeerX 10.1.1.336.3746. doi:10.1152/physrev.00049.2006. ISSN 0031-9333. PMID 17615394.
^ Willoughby, Debbie; Cooper, Dermot M. F. (1 July 2007). "Organization and Ca2+ Regulation of Adenylyl Cyclases in cAMP Microdomains". Physiological Reviews. 87 (3): 965–1010. CiteSeerX 10.1.1.336.3746. doi:10.1152/physrev.00049.2006. ISSN 0031-9333. PMID 17615394.
^ Hanoune J, Defer N (2001). "Regulation and role of adenylyl cyclase isoforms". Annu. Rev. Pharmacol. Toxicol. 41: 145–74. doi:10.1146/annurev.pharmtox.41.1.145. PMID 11264454.
^ Kaupp UB, Seifert R (July 2002). "Cyclic nucleotide-gated ion channels". Physiol. Rev. 82 (3): 769–824. CiteSeerX 10.1.1.319.7608. doi:10.1152/physrev.00008.2002. PMID 12087135.
^ Bos JL (December 2006). "Epac proteins: multi-purpose cAMP targets". Trends Biochem. Sci. 31 (12): 680–6. doi:10.1016/j.tibs.2006.10.002. PMID 17084085.
^ Simrick S (April 2013). "Popeye domain-containing proteins and stress-mediated modulation of cardiac pacemaking". Trends Cardiovasc. Med. 23 (7): 257–63. doi:10.1016/j.tcm.2013.02.002. PMC 4916994. PMID 23562093.
^ Meinkoth JL, Alberts AS, Went W, Fantozzi D, Taylor SS, Hagiwara M, Montminy M, Feramisco JR (November 1993). "Signal transduction through the cAMP-dependent protein kinase". Mol. Cell. Biochem. 127–128: 179–86. doi:10.1007/BF01076769. PMID 7935349. S2CID 24755283.
^ Walsh DA, Van Patten SM (December 1994). "Multiple pathway signal transduction by the cAMP-dependent protein kinase". FASEB J. 8 (15): 1227–36. doi:10.1096/fasebj.8.15.8001734. PMID 8001734. S2CID 45750089.
^ Man, Heng-Ye; Sekine-Aizawa, Yoko; Huganir, Richard L. (27 February 2007). "Regulation of α-amino-3-hydroxy-5-methyl-4-isoxazolepropionic acid receptor trafficking through PKA phosphorylation of the Glu receptor 1 subunit". Proceedings of the National Academy of Sciences. 104 (9): 3579–3584. Bibcode:2007PNAS..104.3579M. doi:10.1073/pnas.0611698104. ISSN 0027-8424. PMC 1805611. PMID 17360685.
^ Davare MA, Avdonin V, Hall DD, Peden EM, Burette A, Weinberg RJ, Horne MC, Hoshi T, Hell JW (July 2001). "A β₂ adrenergic receptor signaling complex assembled with the Ca²⁺ channel Cav1.2". Science. 293 (5527): 98–101. doi:10.1126/science.293.5527.98. PMID 11441182.
^ Cheng, Xiaodong; Ji, Zhenyu; Tsalkova, Tamara; Mei, Fang (8 November 2016). "Epac and PKA: a tale of two intracellular cAMP receptors". Acta Biochimica et Biophysica Sinica. 40 (7): 651–662. doi:10.1111/j.1745-7270.2008.00438.x. ISSN 1672-9145. PMC 2630796. PMID 18604457.
^ Cheng, Xiaodong; Ji, Zhenyu; Tsalkova, Tamara; Mei, Fang (8 November 2016). "Epac and PKA: a tale of two intracellular cAMP receptors". Acta Biochimica et Biophysica Sinica. 40 (7): 651–662. doi:10.1111/j.1745-7270.2008.00438.x. ISSN 1672-9145. PMC 2630796. PMID 18604457.
^ Kamenetsky, Margarita; Middelhaufe, Sabine; Bank, Erin M.; Levin, Lonny R.; Buck, Jochen; Steegborn, Clemens (September 2006). "Molecular Details of cAMP Generation in Mammalian Cells: A Tale of Two Systems". Journal of Molecular Biology. 362 (4): 623–639. doi:10.1016/j.jmb.2006.07.045. PMC 3662476. PMID 16934836.