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((Short description|Signal cascade used for cell to cell communication))
((more citations needed|date=May 2008))
((lowercase))

In the field of [[molecular biology]], the '''cAMP-dependent pathway''', also known as the '''[[adenylate cyclase|adenylyl cyclase]] pathway''', is a [[G protein-coupled receptor]]-triggered [[signal transduction|signaling cascade]] used in [[cell communication]].<ref name="isbn0-8153-3480-X">((cite book | author = Bruce Alberts | author2 = Alexander Johnson | author3 = Julian Lewis | author4 = Martin Raff | author5 = Dennis Bray | author6 = Karen Hopkin | author7 = Keith Roberts | author8 = Peter Walter | title = Essential cell biology | edition = 2nd | publisher = Garland Science | location = New York | year = 2004 | isbn = 978-0-8153-3480-4 | url-access = registration | url = https://archive.org/details/essentialcellbio00albe ))</ref>

==Discovery==
cAMP was discovered by [[Earl Sutherland]] and Ted Rall in the mid 1950s. cAMP is considered a secondary messenger along with [[calcium|Ca<sup>2+</sup>]]. Sutherland won the Nobel Prize in 1971 for his discovery of the mechanism of action of epinephrine in glycogenolysis, that requires cAMP as secondary messenger.<ref name=Hofer>((cite journal|last1=Hofer|first1=Aldebaran M.|last2=Lefkimmiatis|first2=Konstantinos|title=Extracellular Calcium and cAMP: Second Messengers as "Third Messengers"?|journal=Physiology|date=1 October 2007|volume=22|issue=5|pages=320–327|doi=10.1152/physiol.00019.2007|pmid=17928545|language=en|issn=1548-9213))</ref>

==Mechanism==
[[G protein-coupled receptors]] (GPCRs) are a large family of [[integral membrane protein]]s that respond to a variety of extracellular stimuli.  Each GPCR binds to and is activated by a specific [[ligand]] stimulus that ranges in size from small molecule [[catecholamine]]s, lipids, or [[neurotransmitter]]s to large protein hormones.<ref>((cite journal|last1=Willoughby|first1=Debbie|last2=Cooper|first2=Dermot M. F.|title=Organization and Ca2+ Regulation of Adenylyl Cyclases in cAMP Microdomains|journal=Physiological Reviews|date=1 July 2007|volume=87|issue=3|pages=965–1010|doi=10.1152/physrev.00049.2006|pmid=17615394|language=en|issn=0031-9333|citeseerx=10.1.1.336.3746))</ref>  When a GPCR is activated by its extracellular ligand, a conformational change is induced in the receptor that is transmitted to an attached intracellular [[heterotrimeric G protein]] complex.  The [[Gs alpha subunit|G<sub>s</sub> alpha subunit]] of the stimulated G protein complex exchanges [[guanosine diphosphate|GDP]] for [[guanosine triphosphate|GTP]] and is released from the complex.<ref>((cite journal|last1=Willoughby|first1=Debbie|last2=Cooper|first2=Dermot M. F.|title=Organization and Ca2+ Regulation of Adenylyl Cyclases in cAMP Microdomains|journal=Physiological Reviews|date=1 July 2007|volume=87|issue=3|pages=965–1010|doi=10.1152/physrev.00049.2006|pmid=17615394|language=en|issn=0031-9333|citeseerx=10.1.1.336.3746))</ref>

In a cAMP-dependent pathway, the activated G<sub>s</sub> alpha subunit binds to and activates an enzyme called [[adenylyl cyclase]], which, in turn, catalyzes the conversion of [[adenosine triphosphate|ATP]] into [[cyclic adenosine monophosphate]] (cAMP).<ref name="pmid11264454">((cite journal | vauthors = Hanoune J, Defer N | title = Regulation and role of adenylyl cyclase isoforms | journal = Annu. Rev. Pharmacol. Toxicol. | volume = 41 | pages = 145–74 | year = 2001 | pmid = 11264454 | doi = 10.1146/annurev.pharmtox.41.1.145 ))</ref>
Increases in concentration of the [[second messenger]] cAMP may lead to the activation of
* [[cyclic nucleotide-gated ion channel]]s<ref name="pmid12087135">((cite journal | vauthors = Kaupp UB, Seifert R | title = Cyclic nucleotide-gated ion channels | journal = Physiol. Rev. | volume = 82 | issue = 3 | pages = 769–824 |date=July 2002 | pmid = 12087135 | doi = 10.1152/physrev.00008.2002 | citeseerx = 10.1.1.319.7608 ))</ref>
* exchange proteins activated by cAMP (EPAC)<ref name="pmid17084085">((cite journal | author = Bos JL | title = Epac proteins: multi-purpose cAMP targets | journal = Trends Biochem. Sci. | volume = 31 | issue = 12 | pages = 680–6 |date=December 2006 | pmid = 17084085 | doi = 10.1016/j.tibs.2006.10.002 ))</ref> such as [[RAPGEF3]]
* popeye domain containing proteins (Popdc) <ref name="pmid23562093">((cite journal | author = Simrick S | title = Popeye domain-containing proteins and stress-mediated modulation of cardiac pacemaking | journal = Trends Cardiovasc. Med. | volume = 23 | issue = 7 | pages = 257–63 |date=April 2013 | pmid = 23562093 | doi = 10.1016/j.tcm.2013.02.002 | pmc=4916994))</ref> 
* an enzyme called [[protein kinase A]] (PKA).<ref name="pmid7935349">((cite journal | vauthors = Meinkoth JL, Alberts AS, Went W, Fantozzi D, Taylor SS, Hagiwara M, Montminy M, Feramisco JR | title = Signal transduction through the cAMP-dependent protein kinase | journal = Mol. Cell. Biochem. | volume = 127–128 | pages = 179–86 |date=November 1993 | pmid = 7935349 | doi = 10.1007/BF01076769 | s2cid = 24755283 ))</ref>

The PKA enzyme is also known as cAMP-dependent enzyme because it gets activated only if cAMP is present. Once PKA is activated, it [[phosphorylates]] a number of other proteins including:<ref name="pmid8001734">((cite journal | vauthors = Walsh DA, Van Patten SM | title = Multiple pathway signal transduction by the cAMP-dependent protein kinase | journal = FASEB J. | volume = 8 | issue = 15 | pages = 1227–36 |date=December 1994 | pmid = 8001734 | doi = 10.1096/fasebj.8.15.8001734| doi-access = free | s2cid = 45750089 ))</ref>
* enzymes that convert [[glycogen]] into [[glucose]]
* enzymes that promote muscle contraction in the heart leading to an increase in heart rate
* [[transcription factor]]s, which regulate gene expression
* also phosphorylate AMPA receptors<ref>((cite journal|last1=Man|first1=Heng-Ye|last2=Sekine-Aizawa|first2=Yoko|last3=Huganir|first3=Richard L.|title=Regulation of α-amino-3-hydroxy-5-methyl-4-isoxazolepropionic acid receptor trafficking through PKA phosphorylation of the Glu receptor 1 subunit|journal=Proceedings of the National Academy of Sciences|date=27 February 2007|volume=104|issue=9|pages=3579–3584|doi=10.1073/pnas.0611698104|language=en|issn=0027-8424|pmid=17360685|pmc=1805611|bibcode=2007PNAS..104.3579M|doi-access=free))</ref>

Specificity of signaling between a GPCR and its ultimate molecular target through a cAMP-dependent pathway may be achieved through formation of a multiprotein complex that includes the GPCR, adenylyl cyclase, and the effector protein.<ref name="pmid11441182">((cite journal | vauthors = Davare MA, Avdonin V, Hall DD, Peden EM, Burette A, Weinberg RJ, Horne MC, Hoshi T, Hell JW | title = A β<sub>2</sub> adrenergic receptor signaling complex assembled with the Ca<sup>2+</sup> channel Cav1.2 | journal = Science | volume = 293 | issue = 5527 | pages = 98–101 |date=July 2001 | pmid = 11441182 | doi = 10.1126/science.293.5527.98 ))</ref>

==Importance==
((Main|function of cAMP-dependent protein kinase))
In humans, cAMP works by activating protein kinase A (PKA, [[cAMP-dependent protein kinase]]), one of the first few kinases discovered.  It has four sub-units two catalytic and two regulatory. cAMP binds to the regulatory sub-units.<ref>((cite journal|last1=Cheng|first1=Xiaodong|last2=Ji|first2=Zhenyu|last3=Tsalkova|first3=Tamara|last4=Mei|first4=Fang|title=Epac and PKA: a tale of two intracellular cAMP receptors|journal=Acta Biochimica et Biophysica Sinica|date=8 November 2016|volume=40|issue=7|pages=651–662|issn=1672-9145|pmc=2630796|pmid=18604457|doi=10.1111/j.1745-7270.2008.00438.x))</ref> It causes them to break apart from the catalytic sub-units. The catalytic sub-units make their way in to the nucleus to influence transcription. Further effects mainly depend on [[function of cAMP-dependent protein kinase|cAMP-dependent protein kinase]], which vary based on the type of cell.

cAMP-dependent pathway is necessary for many living organisms and life processes. Many different cell responses are mediated by cAMP; these include increase in heart rate, cortisol secretion, and breakdown of glycogen and fat. cAMP is essential for the maintenance of memory in the brain, relaxation in the heart, and water absorbed in the kidney.<ref>((cite journal|last1=Cheng|first1=Xiaodong|last2=Ji|first2=Zhenyu|last3=Tsalkova|first3=Tamara|last4=Mei|first4=Fang|title=Epac and PKA: a tale of two intracellular cAMP receptors|journal=Acta Biochimica et Biophysica Sinica|date=8 November 2016|volume=40|issue=7|pages=651–662|issn=1672-9145|pmc=2630796|pmid=18604457|doi=10.1111/j.1745-7270.2008.00438.x))</ref>
This pathway can [[enzyme activator|activate enzyme]]s and [[gene expression|regulate gene expression]].  The activation of preexisting enzymes is a much faster process, whereas regulation of gene expression is much longer and can take up to hours. The cAMP pathway is studied through loss of function (inhibition) and gain of function (increase) of cAMP.

If cAMP-dependent pathway is not controlled, it can ultimately lead to hyper-proliferation, which may contribute to the development and/or progression of [[cancer]].

==Activation==
Activated GPCRs cause a conformational change in the attached G protein complex, which results in the G<sub>s</sub> alpha subunit's exchanging GDP for GTP and separation from the beta and gamma subunits. The G<sub>s</sub> alpha subunit, in turn, activates adenylyl cyclase, which quickly converts ATP into cAMP. This leads to the activation of the cAMP-dependent pathway.  This pathway can also be activated downstream by directly activating adenylyl cyclase or PKA.

Molecules that activate cAMP pathway include:
* [[cholera toxin]] - increases cAMP levels
* [[forskolin]] - a [[terpene|diterpene]] natural product that activates adenylyl cyclase
* [[caffeine]] and [[theophylline]] inhibit cAMP phosphodiesterase, which degrades cAMP - thus enabling higher levels of cAMP than would otherwise be had. 
* [[bucladesine]] (dibutyryl cAMP, db cAMP) - also a phosphodiesterase inhibitor
* [[pertussis toxin]], which increases cAMP levels by inhibiting Gi to its GDP (inactive) form. This leads to an increase in adenylyl cyclase activity, thereby increasing cAMP levels, which can lead to an increase in insulin and therefore hypoglycemia

==Deactivation==
The G<sub>s</sub> alpha subunit slowly catalyzes the hydrolysis of GTP to GDP, which in turn deactivates the G<sub>s</sub> protein, shutting off the cAMP pathway.  The pathway may also be deactivated downstream by directly inhibiting adenylyl cyclase or dephosphorylating the proteins phosphorylated by PKA.

Molecules that inhibit the cAMP pathway include:
* cAMP [[phosphodiesterase]] converts cAMP into AMP by breaking the phosphodiester bond, in turn reducing the cAMP levels
* [[Gi protein|G<sub>i</sub> protein]], which is a G protein that inhibits adenylyl cyclase, reducing cAMP levels.

<ref>((cite journal|last1=Kamenetsky|first1=Margarita|last2=Middelhaufe|first2=Sabine|last3=Bank|first3=Erin M.|last4=Levin|first4=Lonny R.|last5=Buck|first5=Jochen|last6=Steegborn|first6=Clemens|title=Molecular Details of cAMP Generation in Mammalian Cells: A Tale of Two Systems|journal=Journal of Molecular Biology|date=September 2006|volume=362|issue=4|pages=623–639|doi=10.1016/j.jmb.2006.07.045|pmc=3662476|pmid=16934836))</ref>

==References==
((Reflist|2))

((Intracellular signaling peptides and proteins))
((Enzymes))
((Portal bar|Biology|border=no))

[[Category:EC 4.6.1]]
[[Category:Cell signaling]]
[[Category:Signal transduction]]
[[Category:Cell biology]]
[[Category:Neurochemistry]]

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