Biomedical Engineering Reference
In-Depth Information
Ca
VDCC
MLC
ATP
Cam
Ca
+
MLCK
Pase
Ca
Cam
ADP
MLC−P
PKC
RoK
Cdm
actomyosin interactions
ATn2
IP3 + DAG
+
R
Ca
+
PLC
+
ET−1
G
PIP2
cAMP
GPCR
ETR−A
Gi
+
Ca
ACase
+
Gs
NAd
ATP
SR
Ad
α
β
PKG
+
GTP
cGMP
+
K
GCase
NO
Fig. 8.1 The smooth myocyte function and its regulation (Source: [ 761 ]). Two pathways are
involved: (1) the phosphatidylinositol and (2) Gs-protein axes. A ligand activates a GPCR, which
stimulates phospholipase-C (PLC), producing inositol trisphosphate (IP 3 ) and diacylglycerol
(DAG) from phosphatidylinositol bisphosphate (PIP 2 ). IP 3 releases calcium from the sarcoplas-
mic reticulum (SR) and DAG activates protein kinase-C (PKC). PKC acts on the contractile
proteins and ion channels. Calcium and calmodulin (Cam) stimulate a myosin light chain kinase
(MLCK), leading to actin-myosin interactions. Noradrenaline (NAd), acting via
1-adrenoceptors,
angiotensin-2 (ATn2) via its cognate receptors, and endothelin-1 (ET1) via ETRa receptors (ET A ;
in fugure ETR-A) activate phospholipase-C (PLC). Gs protein activated by a
α
2-adrenoceptor
agonist stimulates adenylate cyclase (ACase), which catalyzes the formation of cAMP messenger.
The latter inhibits MLCK and causes vasodilation.
β
Calmodulin isoforms (Cam1-Cam3) are encoded by 3 genes in humans. In ad-
dition to these isoforms, the calmodulin family contains calmodulin-like proteins
(CalmL1 and CalmL3-CalmL6) 6
6 Calcium-binding calmodulin-like protein-3 is also called calmodulin-like protein (CLP), CalmL5
calmodulin-like skin protein (CLSP), and CalmL6 calglandulin-like protein (CalgP or CagLPL).
 
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