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how many times do GPCRs span the membrane?
how many times do Enzyme Linked Receptors span the membrane?
7
1
Enzyme linked receptors either have their own intrinsic enzyme (often ___________) or they become bound to ________________
kinase
enzyme
RTKs are the most common enzyme linked receptor families, and usually have their own intrinsic ________________ ____________ activity
tyrose kinase
most RTKs dimerize after a ligand binds to them, what does that mean?
once a ligand binds the receptor pairs up with another receptor (it can be the receptor or a different kind)
what are the four enzyme linked receptors in the Epidural Growth Factor family? Include all of the names they are called
EGFR1 - ErbB1 —Her1
EGFR2—ErbB2—Her2
EGFR3—ErbB3 — Her3
EGFR4—ErbB4—-Her4
what ligands bind to EGFR1 (Erb1—Her1)?
EGF
TGF-a (tumor growth factor-a)
what ligands bind to EGFR2 (Her2— Erb2) ?
no ligands bind to EGFR2 but it attaches to other receptors (dimerizes) to strengthen their signals once a ligand binds to them
what ligands bind to EGFR3 (Erb3— Her 3) ?
HRGs
which ligands bind to EGFR4 (Erb4—Her4)?
HRGs
BTC
EREG
what are three pathways activated by RTK
MAP kinase
P13K, AKT pathway
The ________ module is highly conserved throughout evolution
MAP Kinase
SEQ: GENERAL MAP Kinase Pathway
RTK
Ras
MAPKKK(Raf)
MAPKK (MEK)
MAPK (ERK)
nuclear signals, transcription factors, gene expression
what makes up the kinase cascade (three-component system) of the MAP Kinase cascade?
MKKK (Raf)
MKK (MERK)
MK (ERK)
SEQ: MAP Kinase Pathway
Ligand binds to RTK
RTK dimerizes and dimers phosphorylate each other
Grb2 (adapter protein) binds to phosphorylated RTK
Sos, an exchange factor for Ras, binds to Grb2
By binding to this complex, Sos gets recruited to the membrane where it activates Ras
Ras recruits Raf to membrane
Raf(serine/threonine kinase) gets activated through phosphorylation
Raf phosphorylates and activates MEK
MEK phosphorylates and activates ERK
ERK translocates to the nucleus
ERK phosphorylates and regulates transcription factors
Gene expression is modulated
how does Raf (MAPKKK) get phosphorylated and activate MEK (MAPKK)?
what phosphorylates MEK?
What does MEK (MAPKK) then phosphorylate? specifically, where does it add proteins?
what happens after that?
autophosphorylation or other kinases
Raf (MAPKKK)
ERK (MAPK) on thr and tyr residues
MAPK translocated to nucleus where it phosphorylates TRANSCRIPTION FACTORS
gene expression is modulated
how many major MAP kinase pathways are there in mammalian cells? what are they?
3
ERK
JNK
p38
_______is an important signaling protein in the MAP kinase pathway functioning as a MOLECULAR SWITCH
Ras
Ras is apart of a family of monomeric ______ binding proteins
GTP
Which family members of Ras are in charge of relaying signals from RTKs?
H-Ras, K-Ras, N-Ras
Which family members of Ras are in charge of activating mTORs to stimulate cell growth?
Rheb
Which family members of Ras are activated by cyclic-AMP dependent GEF; influences cell adhesion by activating integrins
Rap1
How do MAP kinases play a role in normal cell growth?
regulate genes such as CyclinD which is important for cell cycle progression
Which components of MAP kinase, when improperly activated, can lead to cancer?
EGRR, Ras, Raf
DRUGS MADE TO INHIBIT THEM IF OVERACTIVE
Which component of the MAP kinase pathway is blocked by Krazati (adaqrasib)?
inhibits tumor growth of cells that have mutant K-ras genes
binds to KRAS locking it in its inactive state (binds to S-IIP region of ras preventing hydrolysis of GTP)
does not interfere with with wild-type KRAS minimizing side effects
used to treat metastatic, non-small lung cancer in aduolts
SEQ: P13K / AKT signaling pathway
RTK activated by ligand
RTK dimerizes and phosphorylates each other on their tyrosine regions
P-13 Kinase (P13-K) binds to the phosphorylated RTK via the SH2 domain (on the p-tyr portion region)
P-13 translocate to membrane close to substrate PIP2
P13 phosphorylates PIP2 resulting in PIP3
PDK1 binds to PIP3 via PH domain (binds to phosphoinositide)
AKT ALSO binds to PIP3 via PH domain
PDK1 phosphorylates AKT
activated AKT phosphorylates various targets associated with cell survival
how does Truqdab inhibit the P13K/AKT pathway?
Prevents AKT from being phosphorylated by PDK1
treats hormone-positive Her2 negative breast cancer
how does Joenja inhibit the P13K/AKT pathway?
inhibits overactive P13-K causing abnormal growth of white blood cells
what does mTOR stand for?
Target of Rampamysin
what is rampamysin? what is it used for?
bacterial toxin
used as immunosuppressant and anti-cancer drug
mTOR is a ________/________ kinase
serine/threonine kinase
mTOR exists in which two protein complexes?
what does each contain?
what does each do?
mTOR1 —raptor—stimulates cell growth
mTOR2 ——rictor—promote survival by activating AKT (also regulates cytoskeleton)
which mTOR promotes survival by activating AKT and also regulates the cytoskeleton?
mTOR 2 —-rictor
which mTOR stimulates cell growth
mTOR1 - raptor
which mTOR stimulates AKT? which mTOR is stimulated BY AKT?
mTOR 2—stimulates AKT
mTOR 1— stimulated BY AKT
mTOR pathways are involved in regulation of various cell processes including
cell growth
proliferation
metabolism
protein synthesis
coordinate how cells respond to nutrient availability, growth factors, energy status, and stress conditions
Does Rapamune (rapamycin/sirolimus) inhibit or enhance mTOR? what does it do?
rapamune INHIBIT mTOR leading to reduction of t-cell activation and proliferation (immunosuppressant)
used for transplant patients to avoid negative immune response
treats cancer with other medicines
VEGFR is an example of a
RTK
binding of VEGF to VEGFR on the surface of endothelial cells leads to
angiogenesis (blood vessel growth)
Vabysmo is a drug in the form of a monoclonal antibody that inhibits VEGFR. What happens as a result.
abnormal angiogenesis is blocked treating wet aged-related macular degeneration (wAMD) and diabetic macular edema
what can be used to treat the abnormal growth of blood vessels which extend into the subretinal space (area between retina and outer layers of eye) leading to vision loss?
Inhibitors of VEGFR( promotes angiogenesis) and Ang-2 (helps red blood vessel stability) — don’t want to be stable want to DIE
Herceptin (monoclonal antibody) targets HER2 receptors which are _________. what does this do?
RTKs
treats HER2 positive cancer by inhibiting increased (overexpressed) HER2 receptors to prevent rapid division
Tykerb is also used to treat HER-2 positve breast cancer. What does it do?
Inhibit overexpressed HER2 and EGFR RTKs to prevent rapid cell division
Sutenet is used for several types of cancers including kidney cancer, gastrointestinal stromal cancers, and pancreatic nueroendocrine tumors
what does it target?
RTKs : VEGFR, PDGFR, and KIT
inhibit binding to prevent growth through RTK pathway
what is the difference between Intracellular receptors and RTKs and GPCRs? (where are they found)
RTK and GPCR pathways have membrane receptors
Intracellular receptors are found in CYTOPLASM or on NUCLEAS
what are the substrates/ ligands for intracellular receptors?
steroid hormones
thyroid hormones
retinoids
vitamin D
do the ligands that bind to intracellular receptors typically travel the blood stream freely?
NO since they are LIPID soluble they require carrier proteins to be carried throughout the blood to get to their intended cell
activation of intracellular receptors leads to an activation of ___________________________ and regulation of target _____________
activate transcription factors
regulate target genes
intracellular receptor ligands:
_________________: responsible for secondary sex characteristics
_____________: main glucocorticoid! regulates blood sugar levels, suppresses inflammation, responds to stress
___________: regulates Ca2+ metabolism, uptake, and excretion, important for bone health (promotes bone reabsorption)
____________: increases metabolic rate of many cell types
______________: regulate growth and differentiation
steroid sex hormones
cortisol
vitamin D
thyroid
retinoids
an overproduction in which intracellular receptor is seen in some types of breast cancers
Estrogen Receptor (ER)
What are the major categories of drugs that can treat ER+ breast cancer?
SERMS
SERDS
Aromatase Inhibitors
how do SERMs treat ER+ breast cancer?
Selective Estrogen Receptor Modulators bind to Estrogen receptors and block the effects of estrogen
COMPETITIVE INHIBITOR OF ESTROGEN
how do SERDS treat ER+ breast cancer?
Selective Estrogen Receptor Down-regulators bind to estrogen receptors and PROMOTE THEIR DEGREDATION
how to aromatase inhibitors treat ER+ breast cancer?
inhibit aromatase which is an enzyme that helps synthesize estrogen
prevents estrogen from being made and binding to overactive/expressed ERs
example of SERM
tamoxifen binds to ER
selective estrogen receptor modulator PREVENTs estrogen from binding to estrogen receptor
example of SERDs
orsedu and faslodex used to treat ER+/HER2- metastatic breast cancer
orsedu used with SERM
how do arimidex, aromasin, and femara work?
inhibit aromatase which is used to synthesize estrogen
Glucocorticoids:
steroid hormones that are produced in the ________________
what is the primary glucocorticoid in humans? how does it work?
adrenal gland (above kidney)
cortisol (hydrocortisone
SEQ pathway of cortisol:
cortisol binds to Glucocorticoid receptor in cytosol
glucocorticoid receptor / cortisol complex translocate to nucleas
still bound to its receptor, cortisol binds to GRE at the promoters of target genes
Functions of glucocorticoids:
______- inflammatory and immuno________________ effects
regulates the metabolism of___________
released in response to ________ . _____________ blood pressure and modulate the immune system to prepare the body for _____________ situations
ANTI- inflammatory and imunoDEFICIENT effects
carbohydrates, proteins, lipids
stress— higher blood pressure fight or flight
are Deltasone (prednisone), Decadron (dexamethasone), and Cortef (hydrocortisone) synthetic agonists or antagonists for glucocorticoids?
what can they treat
agonists!
inflamatory disorders such as allergies, rheumatoid arthritis, asthma, and inflammatory bowel disease
can be used to suppress immune system after TRANSPLANT
what kind of receptor is AhR (aryl hydrocarbon receptor) ?
intracellular
SEQ AhR signalling
environmental chemicals bind to AhR
AhR dimerizes with ARNT and form transcriptional factor complex
complex binds to XRE on promoter of target genes regulating gene expression
decreased inflammation, oxidative stress, and sometimes detoxification!
what can happen if there are issues with AhR signalling?
psoriasis (thickening of skin / inflammation)
the drug tapinarof has been shown to induce the expression of _______ barrier genes related to __________ differentiation that are downregulated in psoriasis
does tapinarof act as an AcH antagonist or agonist?
skin
keratinocyte
AGONIST will lead to decreased inflammation and oxidative stress