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Tachyphylaxis
Reduction in drug responsiveness brought on by repeated dosing over a short time
- caused by ongoing or sequential additions of an agonist
Clincal trial with Metaproterenol
- looked at bronchial epithelial and alveolar cells (contain B-adrenoceptors) before and after stimulation with a B-adrenoceptor agonist (metaproterenol) (6 doses over 24 hours)
- measured adrenocpetor density in the cells and after the stimulation the receptor population had decreased by more than 50% = receptor desensitisation
What are the two types of desentisisation
- homologous = reduction in signalling response is specific to the receptor being stimualted
- heterologous = where 'collateral' receptor signalling is also desensitised i.e. responses affected by receptors not directly exposed to the agonist
How do GPCRs desensitise
- upon exposure to agonist they become covalently modified
= receptor phosphorylation
phosphrylation (densensitisation) of GPCRs
- nearly all GPCRs are rapidly phosphorlyated after agonist stimulation
- occurs at multiple sites: mostly on serine, sometimes on threonine, and rarely on tyrosine residues
- phosphorylation sites are usually in the C-terminal tail and/or third intracellular loop of the GPCR
characteristics of heterologous receptor phosphorylation
- mediated by range of moelcules e.g. G-protein, effector, receptor
- agonist occupied and agonist unoccupied receptors can be phosphorylated
- phosphorylation occurs quite slowly but can occur at low occupancy
what proteins regulate homologous desensitisation
- GRK2-6
- arrestins
How do BARKs work
- B-adrenergic receptor kinase (BARK) also known as GRK2-6
- active receptor activates G-protein which then recruits BARK
- BARK phosphorylates proteins on IC domains and C terminus
Arrestins
- Family of proteins which bind to phosphorylated GPCRs and participate in their desensitization by one of two mechanisms
(1) preventing the receptors from interacting with a G protein, or
(2) serving as scaffolding proteins to couple the receptors to clathrin-dependent endocytosis machinery
- Arrestin sits where the G-protein would sit on the receptor = sterically hinders
GRK and arrestin protein families
Retinal rod and cone cells:
Rod cells = GRK1 + arrestin 1
Cone cells = GRK7 + arrestin4
Non-visual cells:
- GRK2, GRK3, GRK4, GRK5, GRK6
- arrestin 2, arrestin 3
Rhodopsin regulation by GRK1 and arrestin 1
- activated rhodopsin is a substrate for rhodopsin kinase (GRK1)
- multiple phosphorylations of C terminal serine residues of rhodopsin occur = creates high affinity binding site for rod arrestin (arrestin 1)
Clarithrin-mediated receptor endocytosis
- cells internalise specific molecules by forming vesicles on the plasma membrane
- ligand binds to receptor on cell surface = conformational change that allows IC adaptor proteins such as AP2 and clathrin
- adaptor proteins then link to clathrin molcules = assemble and bend the membrane inwards
- calthrin-coated pit continues to invaginate and eventually pinches off = clathrin coated vesicle