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What are the 4 main classifications of receptors?
G-protein coupled receptors (membrane bound)
Intrinsic enzyme receptors (membrane bound)
Ion Channel receptors (membrane bound)
DNA Binding receptors (in cytoplasm but once activated moves to membrane)
What is the cellular location of the receptors
Nuclear receptors are present in the nucleus
Intracellular receptors are present on the endoplasmic reticulum
Plasma membrane receptors are present on the membrane
what recptors are found at plasma membrane
• G-protein coupled receptors
• Tyrosine kinase receptors
• Ligand-gated ion channels
what receptors are found at the Nuclear receptors
DNA binding receptors
what are intrinsic enzyme receptors and give an example of one
recpetor that has one part that the ligand binds to and another that has an enzyme that becomes activated when the ligand binds
they are receptors for growth hormones, cytokines,insulin
e.g Tyrosine Kinase Receptors (RTKs),insulin

explain what are tyrosine kinase receptors (RTK) and how they work
a type of intrisic enzyem recpetor
it has a ligand binding site outside of the membrane the transmemebrane section and an enzyme inside the cell
before a ligand binds the RTK are monomers ( by itself)
when the ligand binds it makes 2 recpetors come together this is dimersation
wehn they dimerase the internal enzyme activate and do autophosphorylation - phosphorilate eachother
this is now the binding site for other signalling proteins making a cascade of reactions

RAS-MAP Kinase siganlling pathway
- how to controll cell growth division and differnetiation
Ligand binds to receptor on RTK
autophosphorylation of RTK makes the internal enzyme actiavte
Recruitment of RAS (monomeric G protein)
Exchange of GDP for GTP on RAS results in it becoming avtivated (startign the cascade reaction)
this activates the MAP kinase kinase kinase
This activates MAP kinase kinase
This activates MAP kinase
These 3 steps are a series of phosphorylation events
So there is an exchange of phosphate from ATP to the protein causing conformational change that activates the enzyme
This cascade can cause two effects
Cause transcription within the cell changing gene expression
Phosphorylates 2 different proteins within the cell to produce 2 different signalling cascades

describe the structure and function of insulin receptors
they are dimers ( made of 2 monomers jpined by disulfide bonds)
made of 2 alpha and 2 beta subunits each monomer made of one alpha one beta subunit
when a ligand bind it makes conformation change instead of makign a dimer
the effect is it makes a signalling cascade all to decrease blood glucose concentration: making more glucogen, increasing uptake fo glucose, increase use of glucose, dercease formation of gluose
what is the revelance of RTK signalling to dentistry
Craniofacial & Tooth Development
Periodontal & Bone Regeneration
Salivary Gland Function & Disorders
Oral Cancer & Pathology
what are other names for ion channel recpetors
Ionotropic receptor
Receptor operated ion channel
how are ion channels clasified and what are the 4 types
Can be classified by the type of stimulus that opens these channels
⚬ Ligand-gated
⚬ Voltage-gated
⚬ Temperature-sensitive ion channels
⚬ Mechano-sensitive ion channels
can also be clasified by the ion they let pass through
in genral how do ion channel receptors work
using the differnce in concentration of an ion inside/outside of a cell
what is an ionotropic ion channel and what are the 3 main types
proteins that open a pore in the membrane and when a ligand binds it allows specific ions to pass
pentameric
tetrameric
trimeric
explain pentameric ion channels
a type of ionotropic ion channel
Made of 5 proteins forming a central pore that the ions travel through
anion examples and its receptor: Na+, Ca2+,K+ → Nicotinic acetylcholine (nACh) receptors , Serotonin type 3 (5-HT3) receptors
cation examples and its receptor: Cl- → Glycine (Gly) receptors, GABA-A receptors

explain Trimeric ion channels
Made of 3 monomers forming the pore.
they are ATP actiavted ion channels e.g P2X receptors
only let anions through
Ions: Na⁺, K⁺, Ca²⁺ → depolarise cell → excitatory → generate EPSPs
help with Synaptic transmission, pain perception, inflammation,
and the contraction of smooth muscles

explain Tetrameric ion channels
Made of 4 monomers forming the pore.
Hydrophobic amino acids line the inside of each monomer.
its a volatge gated ion channel
only let anions, Ionotropic glutamate receptors
Ions: Na⁺, K⁺, sometimes Ca²⁺ → depolarise cell → excitatory
example of receptor: Ionotropic glutamate receptors ,NMDA receptors, AMPA receptors

what is the Mechanism of action of ligand-gated ion channels (LGIC)
Inactive (closed) until a ligand binds to the receptor.
Ligand binding opens the pore making a conformational change in shape that moves the hydrophobic residues from the central part of the pore and lettign hydrophilic residues ine it instead
Ions are hydrophilic, so they must pass through the channel, not the lipid membrane.
Cation entry
how does acetyl choline receptor work
Closed conformation, hydrophobic amino acid side chains at gate keep pore closed so the channel is hydrophobic and the ions which are hydrophilic cannot enter the receptor
Acetylcholine binds to receptor conformational change
Takes the hydrophobic amino acids away from the pore and allows hydrophillic amino acids to fill the pore
This allows the gate to opens and ions enter cell (open conformation)
allows Na+ to enter and bind to the post synpatic cell
chaning the membrane potential letting the elctriccal signal continue
Cell signalling cascade can occur
explain how a excitatory synpase works
Neurotransmitter binds → Na⁺ enters → depolarisation → inside becomes less negative → increases likelihood of firing an action potential if threshold met.
explain how inhibitory synapses work
Neurotransmitter binds → Cl⁻- enters → hyperpolarisation → inside becomes more negative → decreases likelihood of firing an action potentialas theshold wont be met.
what are DNA receptors
Also called: nuclear receptors
Location: inside the cell (intracellular)
Function: act as ligand-activated transcription factors → regulate gene expression
Ligands: lipophilic hormones that can cross the membrane:
Steroid hormones
Thyroid hormones
Vitamin D
Retinoic acid
there are 2 main types of DNA binding recpetors:
Type I – Cytoplasmic receptors
Type II – Nuclear receptors already in the nucleus
Mechanism of action of type I DNA binding receptors
in the cytoplasm of the cell
Usually bound to inhibitory proteins (heat-shock proteins) in the cytoplasm.
Ligand binds
receptor releases inhibitory proteins
the recpetor dimerises
dimer moves to nucleus
binds DNA making activatign trasncription
e.g of receptors are Androgen receptor, Estrogen receptor, Glucocorticoid
Mechanism of action of type II DNA binding receptors
already in nucleas and bound to DNA unliek type 1
Ligand binding to receptor
changes conformation
activates proteins that start transcription.
Examples: Thyroid hormone, Retinoic acid receptors.
Relevance of DNA binding receptors to dentistry
Vitamin D Receptor: Controls calcium & phosphate → tooth mineralisation & bone health
Estrogen Receptors: Affect periodontal tissue remodeling → may influence periodontal disease risk
Retinoic Acid Receptors: Regulate craniofacial development, tooth/salivary gland morphogenesis, and tooth mineralisation
Glucocorticoid Receptors: Modulate inflammation → important in oral inflammatory condition management
summary of receptors

Relevance of Cell Receptors to Dentistry
Drug Targets: ( drugs bind to receptors ) Pain, inflammation, bone remodelling, cancer
Precision Medicine: ( receptors are differnt in disease or normal cells) Target diseased cells, reduce side effects, develop biomarkers
Regeneration & Healing: Control stem cells, angiogenesis, and tissue repair
explain Thermo-sensitive ion channels in odontoblasts
here are thermosensitive ion channels in the dentin that when theres change in temperature it can lead to pain

explain Mechano-sensitive ion channels in dental pulp and periodontal ligament
in pulp there is mechanoreceptors
they detect pressure on teeth and help initiate bone remodoling adjusting the tooths postion making it more stable
Relevance of ion channels to dentistry
Pain: Na⁺ channels transmit signals; blocked by local anaesthetics → pain relief
Tooth Mineralisation: Ca²⁺ channels regulate enamel/dentin formation; disruption → defects
what are DNA-bidning receptors
proteins that can bind to DNA controling gene trasncription after its been actiavted by a ligand