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LAB EVALUATION OF
CELL DISORDERS
4) Signaling
Ola H. Elgaddar
MD, PhD, CPHQ, LSSGB
Lecturer of Chemical Pathology
Medical Research Institute
Alexandria University
Ola.elgaddar@alexu.edu.eg
- There are large numbers of intracellular
signaling pathways responsible for transmitting
information within the cell.
They fall into two main categories:
The majority respond to external stimuli
arriving at the cell surface
Pathways that are activated by signals
generated from within the cell
- All of these signalling pathways generate an
internal messenger that is responsible for
relaying information to the sensors that then
engage the effectors that activate cellular
responses
- The names of these signalling pathways usually
reflect a major component(s) of the pathway
1. Cyclic AMP signaling pathway
The idea is that the external stimulus arriving at
the cell surface is the first messenger, which is
then transformed at the cell surface by adenylyl
cyclase (AC) into a second messenger, cyclic
AMP, which is a part of the signaling cascade
that then activates down-stream effectors.
(AC converts ATP into cAMP)
- Many of the actions of cyclic AMP
are carried out by protein kinase A
(PKA), which phosphorylates
specific sites on downstream effector
processes.
- The cyclic AMP signalling pathway
functions in the control of a wide
range of cellular processes, like
oocyte maturation, heat production in
brown fat & glycogenolysis in
skeletal muscles.
2. Cyclic ADP-ribose (cADPR) and nicotinic
acid–adenine dinucleotide phosphate (NAADP)
signaling systems
- The enzyme ADP-ribosyl cyclase is a bifunctional
enzyme that has a synthase (S) component that
synthesizes cADPR and NAADP from the
precursors NAD+ and NADP respectively, but it
also has a hydrolase (H) activity that converts
cADPR into ADPR.
- This hydrolase is sensitive to metabolism because
it is inhibited by either ATP or NADH.
- The cADPR may act by stimulating
the sarco/endo-plasmic reticulum
Ca2+-ATPase (SERCA) pump to
increase the uptake of Ca2+ into the
endoplasmic reticulum.
- NAADP acts on a channel to
release Ca2+ from a lysosome related
organelle.
- Both cADPR and NAADP have rule
in insulin secretion by pancreatic β-
cells.
3. Voltage-operated channels (VOCs)
-Contribute to Ca2+ signals by controlling the entry
of external Ca2+ in excitable cells
- At resting membrane potential, the channels are
normally closed. They are activated (i.e., opened) at
depolarized membrane potentials.
- Activation of particular channel allows Ca2+ entry
into the cell resulting in muscular contraction or
excitation of neurons.
4. Receptor-operated channels (ROCs)
- They are a group of transmembrane ion channels
that are opened or closed in response to the binding
of a chemical messenger (i.e., a ligand), such as a
neurotransmitter.
- Contribute to Ca2+ signals by controlling Ca2+
entry in both excitable and non-excitable cells.
5. Stimuli activating phospholipase C
(PLC) to hydrolyse PtdIns 4,5P2 (PIP2)
Generate a number of signaling pathways:
 Inositol 1,4,5-trisphosphate (InsP3)/Ca2+
signaling cassette
 Diacylglycerol (DAG)/protein kinaseC (PKC)
signaling cassette
6. PtdIns 3-kinase signaling
- Is activated by stimuli that stimulate PtdIns 3-
kinase to phosphorylate PIP2 to form the lipid
second messenger PtdIns3,4,5P3 (PIP3).
7. Nitric oxide (NO) signaling pathway
- Nitric oxide (NO) is a highly diffusible messenger,
which passes rapidly through cell membranes.
- It can act as a second messenger within its cell of
origin or it can diffuse across membranes to act on
neighboring cells as a paracrine signaling agent.
- NO synthesis is carried out by nitric oxide
synthase (NOS)
NO actions are mediated in two ways:
Through the cyclic GMP signaling
pathway,
where it stimulates soluble guanylyl
cyclase to produce the cyclic GMP
that can modify the properties of Ca+2
channels to promote Ca2+ entry or it
can activate cyclic GMP-dependent
protein kinase
Through the reactive nitrogen
species (RNS) signaling pathways
- whereby the NO alters the activity of
a variety of protein targets through a
nitrosylation reaction.
NO/cyclic GMP signaling pathway
operates to control many cellular
processes such as smooth muscle
relaxation, platelet inhibition and
changes in gene expression.
8. Redox signaling
- Cells have evolved a sophisticated mechanism of
intracellular signaling based on localized changes in
the oxidation state of specific proteins.
- The internal environment of cells is normally
highly reduced.
- Certain forms of stress are associated with an
increase in the oxidative state.
Two main types of redox signaling
Reactive oxygen species (ROS) signaling
Reactive nitrogen species (RNS) signaling,
which is carried out by RNS and is linked to the
nitric oxide (NO)/cyclic GMP signaling pathway.
9. Mitogen-activated protein kinase
(MAPK) signaling
-MAP kinases are serine/threonine-specific protein
kinases that respond to extracellular stimuli (mitogens,
osmotic stress, heat shock and pro-inflammatory
cytokines) and regulate various cellular activities, such
as gene expression, mitosis, differentiation,
proliferation, and cell survival/apoptosis.
-MAP kinases are activated within the protein kinase
cascades called MAPK cascade or MAPK signaling
toolkit
- Each one consists of three enzymes, MAP kinase,
MAP kinase kinase (MKK, MEK, or MAP2K) and
MAP kinase kinase kinase (MKKK, MEKK or
MAP3K) that are activated in series.
- MAP3K that is activated by extracellular stimuli
phosphorylates a MAP2K on its serine and threonine
residues, and this MAP2K activates a MAP kinase
through phosphorylation on its serine and tyrosine
residues.
10. Nuclear factor κB (NF-κB) signaling
pathway
-The transcription factor nuclear factor κB (NF-κB) is
activated by a large number of external stimuli such as
the tumour necrosis factors (TNFs) and interleukin-1
(IL-1), which are responsible for controlling processes
such as inflammation, cell proliferation and apoptosis.
- NF-κB belongs to the group of transcription factors
that lie latent in the cytoplasm and then translocate into
the nucleus upon activation.
Mechanism:
NF-κB resides in the cytosol bound to an inhibitor called IκB.
Binding of ligand to the receptor triggers phosphorylation of IκB
IκB then becomes ubiquinated (added to Ubiquitin protein) and
destroyed by proteasomes.
This liberates NF-κB so that it is now free to move into the
nucleus where
It acts as a transcription factor binding to the promoters and/or
enhancers of many genes
11. Phospholipase D (PLD) signaling
pathway
- PLD is an enzyme that hydrolyzes the
phosphodiester bond in phosphatidylcholine (PC),
yielding choline and phosphatidic acid (PA)
- PA is the primary messenger in PLD signaling
pathway, which acts to regulate a wide range of
cellular processes, including cytoskeletal
rearrangement, vesicle trafficking, exocytosis,
phagocytosis, oncogenesis, and neuronal and cardiac
stimulation
- Phosphatidic acid (PA) action is carried out
through a number of downstream effectors such as
protein kinase C, G-proteins, PIP3 and GTP.
- The action of PA is terminated either by a PA
phosphohydrolase, which removes phosphate to
leave behind diacylglycerol (DAG), or by a
phospholipase A2 (PLA2) to produce
lysophosphatidic acid (LPA).
12. Sphingomyelin signaling pathway
- Certain growth factors and cytokines hydrolyse
sphingomyelin to generate two secondary messengers that
appear to have opposing effects in the cell.
- Ceramide seems to promote apoptosis, whereas
sphingosine 1-phosphate (S1P) stimulates cell
proliferation.
- The action of S1P is complicated in that it is released
from the cell, where it can act as a hormone to stimulate
external receptors.
13. Janus kinase (JAK)/signal transducer and
activator of transcription (STAT) signaling
pathway
- The Janus kinases (JAKs) are tyrosine kinases that
phosphorylate the signal transducers and activators of
transcription (STATs), which are latent transcription
factors.
- Once phosphorylated, these STATs leave the membrane
and then dimerize before migrating into the nucleus
where they bind to specific DNA-binding elements to
activate transcription.
This signaling pathway is mainly activated by
cytokines such as interferon, but is also used by
receptor tyrosine kinases [epidermal growth
factor receptor (EGFR), platelet-derived growth
factor receptor (PDGFR)], nonreceptor tyrosine
kinases and G-protein-coupled receptors
14. Smad signaling pathway
- This signaling pathway takes its name from the Smads,
which are a collection of intracellular signaling molecules
that act collectively to transfer information from cell
surface receptors into the nucleus.
- As such, some of the Smads function as transcription
factors, whereas others either facilitate or inhibit this
transcriptional activity.
- These Smads mediate the action of the transforming
growth factorβ (TGF-β) superfamily
-The Smad signaling mechanism can be divided into
two parts. Firstly, there is the process of TGF-β
receptor activation, which concerns the way in which
ligands (TGF-β) interact with the signaling receptors.
-The critical aspects of this activation process are the
phosphorylation reactions that occur within the receptor
complex. The Type II receptors are constitutively active
and phosphorylate the Type I receptors. These activated
Type I receptors then act to phosphorylate the Smads.
The second part is the Smad activation of
transcription, during which the phosphorylated
receptor-regulated Smads (R-Smads), together
with their partner Smad4, translocate into the
nucleus to induce gene transcription
15. Wnt signaling pathways
- The Wnt signalling pathways play a critical role in the
control of cell proliferation and differentiation.
- These different pathways are activated by extracellular
lipoprotein signaling molecules called Wnts, responsible
for transmitting information between cells over relatively
short distances.
- This pathway is involved in the development of many
diseases such as obesity, early coronary diseases,
Alzheimer and Polyposis coli.
16. Hedgehog signaling pathway
- Hedgehog mediates its effects by activating gene
transcription.
- It gives cells information that they need to make the
embryo develop properly. Different parts of the embryo
have different concentrations of hedgehog signaling
proteins.
- There are three Hedgehog transcription factors (GLI 1–3),
which are held in an inactive state within the cytoplasm in
resting cells.
- This inactive state is maintained by the Hedgehog
receptor patched (PTC), which inhibits the seven
membrane- spanning protein smoothened (SMO)
that acts as the Hedgehog transducer.
- In the absence of a signal from SMO, theGLI
transcription factors are maintained in a latent state
by interacting with a large number of cytoplasmic
factors
- Hedgehog arriving at the cell surface induces a
cascade of events that activate these transcription
factors so that they translocate into the nucleus to
induce gene transcription.
- First of all, Hedgehog binds to its receptor PTC
and this removes the inhibitory effect of PTC on
SMO. The latter is then able to activate GLI by
removing it from the inhibitory constraints of the
cytoplasmic factors so that it is now free to
translocate into the nucleus to activate
transcription
17. Notch signaling pathway
- This is a short-range information transfer mechanism that
depends upon direct contact between the cells, which is a
hallmark of this signaling pathway.
- For example, the stimuli Jagged or delta are integral
membrane proteins located on the surface of communicating
cells, whereas the Notch receptor that responds to them is
embedded in the surface of the receiving cell.
- When Delta or Jagged interacts with Notch (through
their [DSL] = Delta, Serrate and LAG-2 domain), this
triggers a series of steps that result in the proteolytic
release of the Notch intracellular domain (NICD),
which then enters the nucleus to activate transcription of
Notch target genes.
- Notch pathway is involved in many functions
including, neuronal development, angiogenesis, cardiac
valve homeostasis and bone formation.
18. Endoplasmic reticulum (ER) stress signaling
- It is concerned with the mechanisms used by the ER to
transmit information to the nucleus about the state of protein
processing within the lumen of the ER.
- Maintenance of a constant level of Ca2+ within the lumen of
the ER is essential for the post translational processing,
folding and export of proteins.
- This protein processing is carried out by a number of Ca2+-
sensitive chaperones.
- Any decline in the luminal level of Ca2+
results in the accumulation of misfolded
proteins and the activation of the ER stress
signaling pathways.
- Oligomerization and autophosphorylation
of PKR (protein kinase R)-like ER
kinase (PERK) sets off a phosphorylation
cascade resulting in protein synthesis being
switched off.
- ER stress pathway contributes to
apoptosis through activation of caspase 12
and transcription factor nuclear factor κB
(NF-κB).
19. AMP signaling pathway
- Cells have an AMP signaling pathway that is activated by
an increase in the AMP/ATP ratio, which results in the
activation of an AMP-activated protein kinase (AMPK)
- AMP thus functions as a second messenger, since it is
responsible for activating the signaling pathway.
- The AMPK that responds to AMP has been referred to as
the “fuel gauge” in that it responds to a decrease in the level
of ATP.
- This signaling cascade is sensitive to many
stimuli, such as cell stress, oxidative damage,
hypoxia and glucose deprivation.
- Once activated, AMPK induces an up-
regulation of ATP-generating systems while
simultaneously down-regulating processes that
consume energy, such as reducing protein
synthesis.
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4) Signaling, Ola Elgaddar

  • 1. LAB EVALUATION OF CELL DISORDERS 4) Signaling Ola H. Elgaddar MD, PhD, CPHQ, LSSGB Lecturer of Chemical Pathology Medical Research Institute Alexandria University Ola.elgaddar@alexu.edu.eg
  • 2. - There are large numbers of intracellular signaling pathways responsible for transmitting information within the cell. They fall into two main categories: The majority respond to external stimuli arriving at the cell surface Pathways that are activated by signals generated from within the cell
  • 3. - All of these signalling pathways generate an internal messenger that is responsible for relaying information to the sensors that then engage the effectors that activate cellular responses - The names of these signalling pathways usually reflect a major component(s) of the pathway
  • 4.
  • 5. 1. Cyclic AMP signaling pathway The idea is that the external stimulus arriving at the cell surface is the first messenger, which is then transformed at the cell surface by adenylyl cyclase (AC) into a second messenger, cyclic AMP, which is a part of the signaling cascade that then activates down-stream effectors. (AC converts ATP into cAMP)
  • 6. - Many of the actions of cyclic AMP are carried out by protein kinase A (PKA), which phosphorylates specific sites on downstream effector processes. - The cyclic AMP signalling pathway functions in the control of a wide range of cellular processes, like oocyte maturation, heat production in brown fat & glycogenolysis in skeletal muscles.
  • 7.
  • 8.
  • 9. 2. Cyclic ADP-ribose (cADPR) and nicotinic acid–adenine dinucleotide phosphate (NAADP) signaling systems - The enzyme ADP-ribosyl cyclase is a bifunctional enzyme that has a synthase (S) component that synthesizes cADPR and NAADP from the precursors NAD+ and NADP respectively, but it also has a hydrolase (H) activity that converts cADPR into ADPR. - This hydrolase is sensitive to metabolism because it is inhibited by either ATP or NADH.
  • 10. - The cADPR may act by stimulating the sarco/endo-plasmic reticulum Ca2+-ATPase (SERCA) pump to increase the uptake of Ca2+ into the endoplasmic reticulum. - NAADP acts on a channel to release Ca2+ from a lysosome related organelle. - Both cADPR and NAADP have rule in insulin secretion by pancreatic β- cells.
  • 11.
  • 12.
  • 13. 3. Voltage-operated channels (VOCs) -Contribute to Ca2+ signals by controlling the entry of external Ca2+ in excitable cells - At resting membrane potential, the channels are normally closed. They are activated (i.e., opened) at depolarized membrane potentials. - Activation of particular channel allows Ca2+ entry into the cell resulting in muscular contraction or excitation of neurons.
  • 14.
  • 15.
  • 16. 4. Receptor-operated channels (ROCs) - They are a group of transmembrane ion channels that are opened or closed in response to the binding of a chemical messenger (i.e., a ligand), such as a neurotransmitter. - Contribute to Ca2+ signals by controlling Ca2+ entry in both excitable and non-excitable cells.
  • 17.
  • 18.
  • 19.
  • 20. 5. Stimuli activating phospholipase C (PLC) to hydrolyse PtdIns 4,5P2 (PIP2) Generate a number of signaling pathways:  Inositol 1,4,5-trisphosphate (InsP3)/Ca2+ signaling cassette  Diacylglycerol (DAG)/protein kinaseC (PKC) signaling cassette
  • 21. 6. PtdIns 3-kinase signaling - Is activated by stimuli that stimulate PtdIns 3- kinase to phosphorylate PIP2 to form the lipid second messenger PtdIns3,4,5P3 (PIP3).
  • 22.
  • 23. 7. Nitric oxide (NO) signaling pathway - Nitric oxide (NO) is a highly diffusible messenger, which passes rapidly through cell membranes. - It can act as a second messenger within its cell of origin or it can diffuse across membranes to act on neighboring cells as a paracrine signaling agent. - NO synthesis is carried out by nitric oxide synthase (NOS)
  • 24. NO actions are mediated in two ways: Through the cyclic GMP signaling pathway, where it stimulates soluble guanylyl cyclase to produce the cyclic GMP that can modify the properties of Ca+2 channels to promote Ca2+ entry or it can activate cyclic GMP-dependent protein kinase
  • 25. Through the reactive nitrogen species (RNS) signaling pathways - whereby the NO alters the activity of a variety of protein targets through a nitrosylation reaction. NO/cyclic GMP signaling pathway operates to control many cellular processes such as smooth muscle relaxation, platelet inhibition and changes in gene expression.
  • 26.
  • 27.
  • 28. 8. Redox signaling - Cells have evolved a sophisticated mechanism of intracellular signaling based on localized changes in the oxidation state of specific proteins. - The internal environment of cells is normally highly reduced. - Certain forms of stress are associated with an increase in the oxidative state.
  • 29. Two main types of redox signaling Reactive oxygen species (ROS) signaling Reactive nitrogen species (RNS) signaling, which is carried out by RNS and is linked to the nitric oxide (NO)/cyclic GMP signaling pathway.
  • 30.
  • 31.
  • 32. 9. Mitogen-activated protein kinase (MAPK) signaling -MAP kinases are serine/threonine-specific protein kinases that respond to extracellular stimuli (mitogens, osmotic stress, heat shock and pro-inflammatory cytokines) and regulate various cellular activities, such as gene expression, mitosis, differentiation, proliferation, and cell survival/apoptosis. -MAP kinases are activated within the protein kinase cascades called MAPK cascade or MAPK signaling toolkit
  • 33. - Each one consists of three enzymes, MAP kinase, MAP kinase kinase (MKK, MEK, or MAP2K) and MAP kinase kinase kinase (MKKK, MEKK or MAP3K) that are activated in series. - MAP3K that is activated by extracellular stimuli phosphorylates a MAP2K on its serine and threonine residues, and this MAP2K activates a MAP kinase through phosphorylation on its serine and tyrosine residues.
  • 34.
  • 35.
  • 36. 10. Nuclear factor κB (NF-κB) signaling pathway -The transcription factor nuclear factor κB (NF-κB) is activated by a large number of external stimuli such as the tumour necrosis factors (TNFs) and interleukin-1 (IL-1), which are responsible for controlling processes such as inflammation, cell proliferation and apoptosis. - NF-κB belongs to the group of transcription factors that lie latent in the cytoplasm and then translocate into the nucleus upon activation.
  • 37. Mechanism: NF-κB resides in the cytosol bound to an inhibitor called IκB. Binding of ligand to the receptor triggers phosphorylation of IκB IκB then becomes ubiquinated (added to Ubiquitin protein) and destroyed by proteasomes. This liberates NF-κB so that it is now free to move into the nucleus where It acts as a transcription factor binding to the promoters and/or enhancers of many genes
  • 38.
  • 39.
  • 40. 11. Phospholipase D (PLD) signaling pathway - PLD is an enzyme that hydrolyzes the phosphodiester bond in phosphatidylcholine (PC), yielding choline and phosphatidic acid (PA) - PA is the primary messenger in PLD signaling pathway, which acts to regulate a wide range of cellular processes, including cytoskeletal rearrangement, vesicle trafficking, exocytosis, phagocytosis, oncogenesis, and neuronal and cardiac stimulation
  • 41. - Phosphatidic acid (PA) action is carried out through a number of downstream effectors such as protein kinase C, G-proteins, PIP3 and GTP. - The action of PA is terminated either by a PA phosphohydrolase, which removes phosphate to leave behind diacylglycerol (DAG), or by a phospholipase A2 (PLA2) to produce lysophosphatidic acid (LPA).
  • 42.
  • 43.
  • 44. 12. Sphingomyelin signaling pathway - Certain growth factors and cytokines hydrolyse sphingomyelin to generate two secondary messengers that appear to have opposing effects in the cell. - Ceramide seems to promote apoptosis, whereas sphingosine 1-phosphate (S1P) stimulates cell proliferation. - The action of S1P is complicated in that it is released from the cell, where it can act as a hormone to stimulate external receptors.
  • 45.
  • 46. 13. Janus kinase (JAK)/signal transducer and activator of transcription (STAT) signaling pathway - The Janus kinases (JAKs) are tyrosine kinases that phosphorylate the signal transducers and activators of transcription (STATs), which are latent transcription factors. - Once phosphorylated, these STATs leave the membrane and then dimerize before migrating into the nucleus where they bind to specific DNA-binding elements to activate transcription.
  • 47. This signaling pathway is mainly activated by cytokines such as interferon, but is also used by receptor tyrosine kinases [epidermal growth factor receptor (EGFR), platelet-derived growth factor receptor (PDGFR)], nonreceptor tyrosine kinases and G-protein-coupled receptors
  • 48.
  • 49.
  • 50. 14. Smad signaling pathway - This signaling pathway takes its name from the Smads, which are a collection of intracellular signaling molecules that act collectively to transfer information from cell surface receptors into the nucleus. - As such, some of the Smads function as transcription factors, whereas others either facilitate or inhibit this transcriptional activity. - These Smads mediate the action of the transforming growth factorβ (TGF-β) superfamily
  • 51. -The Smad signaling mechanism can be divided into two parts. Firstly, there is the process of TGF-β receptor activation, which concerns the way in which ligands (TGF-β) interact with the signaling receptors. -The critical aspects of this activation process are the phosphorylation reactions that occur within the receptor complex. The Type II receptors are constitutively active and phosphorylate the Type I receptors. These activated Type I receptors then act to phosphorylate the Smads.
  • 52. The second part is the Smad activation of transcription, during which the phosphorylated receptor-regulated Smads (R-Smads), together with their partner Smad4, translocate into the nucleus to induce gene transcription
  • 53.
  • 54.
  • 55. 15. Wnt signaling pathways - The Wnt signalling pathways play a critical role in the control of cell proliferation and differentiation. - These different pathways are activated by extracellular lipoprotein signaling molecules called Wnts, responsible for transmitting information between cells over relatively short distances. - This pathway is involved in the development of many diseases such as obesity, early coronary diseases, Alzheimer and Polyposis coli.
  • 56.
  • 57.
  • 58. 16. Hedgehog signaling pathway - Hedgehog mediates its effects by activating gene transcription. - It gives cells information that they need to make the embryo develop properly. Different parts of the embryo have different concentrations of hedgehog signaling proteins. - There are three Hedgehog transcription factors (GLI 1–3), which are held in an inactive state within the cytoplasm in resting cells.
  • 59. - This inactive state is maintained by the Hedgehog receptor patched (PTC), which inhibits the seven membrane- spanning protein smoothened (SMO) that acts as the Hedgehog transducer. - In the absence of a signal from SMO, theGLI transcription factors are maintained in a latent state by interacting with a large number of cytoplasmic factors
  • 60. - Hedgehog arriving at the cell surface induces a cascade of events that activate these transcription factors so that they translocate into the nucleus to induce gene transcription. - First of all, Hedgehog binds to its receptor PTC and this removes the inhibitory effect of PTC on SMO. The latter is then able to activate GLI by removing it from the inhibitory constraints of the cytoplasmic factors so that it is now free to translocate into the nucleus to activate transcription
  • 61.
  • 62.
  • 63. 17. Notch signaling pathway - This is a short-range information transfer mechanism that depends upon direct contact between the cells, which is a hallmark of this signaling pathway. - For example, the stimuli Jagged or delta are integral membrane proteins located on the surface of communicating cells, whereas the Notch receptor that responds to them is embedded in the surface of the receiving cell.
  • 64. - When Delta or Jagged interacts with Notch (through their [DSL] = Delta, Serrate and LAG-2 domain), this triggers a series of steps that result in the proteolytic release of the Notch intracellular domain (NICD), which then enters the nucleus to activate transcription of Notch target genes. - Notch pathway is involved in many functions including, neuronal development, angiogenesis, cardiac valve homeostasis and bone formation.
  • 65.
  • 66.
  • 67.
  • 68. 18. Endoplasmic reticulum (ER) stress signaling - It is concerned with the mechanisms used by the ER to transmit information to the nucleus about the state of protein processing within the lumen of the ER. - Maintenance of a constant level of Ca2+ within the lumen of the ER is essential for the post translational processing, folding and export of proteins. - This protein processing is carried out by a number of Ca2+- sensitive chaperones.
  • 69. - Any decline in the luminal level of Ca2+ results in the accumulation of misfolded proteins and the activation of the ER stress signaling pathways. - Oligomerization and autophosphorylation of PKR (protein kinase R)-like ER kinase (PERK) sets off a phosphorylation cascade resulting in protein synthesis being switched off. - ER stress pathway contributes to apoptosis through activation of caspase 12 and transcription factor nuclear factor κB (NF-κB).
  • 70.
  • 71.
  • 72. 19. AMP signaling pathway - Cells have an AMP signaling pathway that is activated by an increase in the AMP/ATP ratio, which results in the activation of an AMP-activated protein kinase (AMPK) - AMP thus functions as a second messenger, since it is responsible for activating the signaling pathway. - The AMPK that responds to AMP has been referred to as the “fuel gauge” in that it responds to a decrease in the level of ATP.
  • 73. - This signaling cascade is sensitive to many stimuli, such as cell stress, oxidative damage, hypoxia and glucose deprivation. - Once activated, AMPK induces an up- regulation of ATP-generating systems while simultaneously down-regulating processes that consume energy, such as reducing protein synthesis.
  • 74.