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activation of the cAMP-dependent protein kinase A (PKA). 96 In the case of
the b 2 AR, PKA can phosphorylate the intracellular loops of the receptor,
leading to a switch from G a stoG a i protein coupling which inhibits cAMP
production and affects the signaling outcome of receptor activation. 97
Of the different types of a -AR, a 2A ARs are the predominant subtype in
the CNS. 98-100 Presynaptic a 2A AR located in the locus coeruleus function
as key regulators of the noradrenergic system, controlling the synthesis and
release of NE and also the release of other neurotransmitters. b -AR are
expressed in both gray and white matter. 101-103 In the hippocampus,
b -AR play an important role in regulating synaptic plasticity and memory
consolidation. 104,105 Almost all nuclei are positive for b 1 AR and
b 2 AR. 106 Of the three types of b -AR expressed in astrocytes, the b 2 AR
are the predominant one. 103,107-111 In astrocytes, b 2 AR promote glucose
uptake though GLUT1 and accelerate glycogen degradation via coupling
to a G a s and cAMP-dependent pathway. 112 From a clinical point of view,
studies involving patients with depression have shown an upregulation of
a 2A AR in the brain. 113-117
4.2. Noradrenergic receptors and GRK
As observed with other GPCR in transfected cells, after agonist stimulation,
the a 2A AR undergo rapid desensitization mediated by receptor phosphor-
ylation by GRK. 118,119 While a 2A AR phosphorylation appears to be depen-
dent on GRK2 and GRK3, the situation for the a 2C AR is less clear. 119,120
For this receptor, it seems that there is no agonist-induced promoted desen-
sitization nor phosphorylation by GRK2, 3, 5, or 6. The formation of
a 2A AR- a 2C AR heterodimers has been observed in cells and the a 2C AR
component of the heterodimer seems to decrease the phosphorylation by
GRK and subsequent recruitment of b -arrestin 2. From a mechanistic point
of view, it appears that the a 2A AR conformation is less favorable for GRK2
phosphorylation when in an a 2A AR- a 2C AR heterodimer compared to a
a 2A AR homodimer. 121
4.3. Arrestins and noradrenergic receptor internalization
As has been previously described for other GPCR, the rapid agonist-
induced desensitization of AR is driven by receptor phosphorylation and
the subsequent binding of b -arrestins. The relationship between receptor
phosphorylation by GRK and the ability to recruit b -arrestin 2 has been
clearly demonstrated in a a 2A AR- a 2C AR dimerization model. 121
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