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A
Seminar Report On
Cell communications and cellular signaling systems
Submitted by
G Vishnu priya
(Regd.no:1702-15-887-010)
Under the guidance of
Dr. M Ganga Raju
M.pharm, PhD
Department of Pharmacology
GOKARAJU RANGARAJU COLLEGE OF PHARMACY
(Affiliated to Osmania University)
Bachupally, Nizampet Road
Hyderabad-500090.
1
 Contents:
1. Cell communication & cellular signaling systems
2. Receptor theory
3. Targets of drug action
4. Cellular aspects- excitation, contraction & secretion
5. Cell proliferation, apoptosis, repair & regeneration
6. Conclusions
7. References
2
1. Cell communication & cellular signaling systems
Introduction:
 Cellular communication is an umbrella term used in biology to identify different types
of communication methods between living cells which includes cell signaling.
 Cell signaling is part of a complex system of communication that governs basic cellular
activities and coordinates cell actions.
 The ability of cell to perceive and correctly respond to their microenvironment is the
basis of development, tissue repair, and immunity as well as normal tissue homeostasis.
 By understanding cell signaling, diseases may be treated effectively and, theoretically,
artificial tissues may be created.
3
Various forms of communication between cells are
 Extracellular messenger
 GAP junctions
 Cell-cell interactions via cell surface proteins
 Electrical signaling
Types of signaling
 Endocrine signaling
 Paracrine signaling
Autocrine signaling
4
The protein targets for drug action on a cell are as follows:
1. Receptors
2. Ion channels
3. Enzymes
4. Carrier molecules
5
Fig 1. Types of receptor–effector linkage. ACh, acetylcholine; E, enzyme; G, G protein; R,
receptor.
6
2. Receptor theory
 Receptor theory is the application of receptor models to explain drug behavior.
Pharmacological receptor models preceded accurate knowledge of receptors by many
years.
 John Newport Langley and Paul Ehrlich introduced the concept of a receptor that would
mediate drug action at the beginning of the 20th century.
 A J Clark was the first to quantify drug-induced biological responses (using an equation
described firstly by A V Hill in 1909 and then in 1910) and propose a model to explain
drug-mediated receptor activation.
 All of the quantitative theoretical modelling of receptor function has centered on ligand-
gated ion channels and GPCRs
7
Postulates of receptor theory:
 Receptors must possess structural and steric specificity.
 Receptors are saturable and finite (limited number of binding sites).
 Receptors must possess high affinity for its endogenous ligand at physiological
concentrations.
 Once the endogenous ligand binds to the receptor, some early recognizable chemical
event must occur.
8
3. Targets of drug action
Ligand-gated ion channels
 These are sometimes called ionotropic receptors.
 They are involved mainly in fast synaptic transmission.
 There are several structural families, the commonest being heteromeric assemblies
of four or five subunits, with transmembrane helices arranged around a central
aqueous channel.
 Ligand binding and channel opening occur on a millisecond timescale.
 Examples include the nicotinic acetylcholine, GABA type A (GABAA), glutamate
(NMDA) and ATP (P2X) receptors.
9
Fig 2. Structure of the nicotinic acetylcholine
receptor (a typical ligand-gated ion channel).
[A] Schematic diagram in side view (upper) and
plan view (lower). The five receptor subunits (α2,
β, γ, δ) form a cluster surrounding a central
transmembrane pore, the lining of which is
formed by the M2 helical segments of each
subunit. These contain a preponderance of
negatively charged amino acids, which makes the
pore cation selective. There are two acetylcholine
binding sites in the extracellular portion of the
receptor, at the interface between the α and the
adjoining subunits. When acetylcholine binds,
the kinked α-helices either straighten out or
swing out of the way, thus opening the channel
pore.
[B] High-resolution image showing revised
arrangement of intracellular domains.
9
G protein-coupled receptors
 These are sometimes called metabotropic or seven-transmembrane domain (7-TDM)
receptors.
 Structures comprise seven membrane-spanning α-helices, often linked as dimeric
structure
 The G protein is a membrane protein comprising three subunits (α, β, γ), the α subunit
possessing GTPase activity.
 When the trimer binds to an agonist-occupied receptor, the α subunit binds GTP,
dissociates and is then free to activate an effector (e.g. a membrane enzyme). In some
cases, the βγ subunit is the activator species.
11
 Activation of the effector is terminated when the bound GTP molecule is hydrolysed,
which allows the α subunit to recombine with βγ.
 There are several types of G protein, which interact with different receptors and control
different effectors.
 Examples include muscarinic acetylcholine receptors, adrenoceptors, neuropeptide and
chemokine receptors, and protease-activated receptors.
12
13
Fig 3. The function of the G protein. The G protein consists of three subunits (α, β, γ), which are anchored to the
membrane through attached lipid residues. Coupling of the α subunit to an agonist-occupied receptor causes the bound
GDP to exchange with intracellular GTP; the α–GTP complex then dissociates from the receptor and from the βγ complex,
and interacts with a target protein (target 1, which may be an enzyme, such as adenylyl cyclase or phospholipase C). The
βγ complex also activates a target protein (target 2, which may be an ion channel or a kinase). The GTPase activity of the α
subunit is increased when the target protein is bound, leading to hydrolysis of the bound GTP to GDP, whereupon the α
subunit reunites with βγ. 14
Effectors controlled by G proteins
Two key second messenger pathways are controlled by receptors via G proteins:
 Adenylyl cyclase/cAMP:– can be activated or inhibited by pharmacological ligands,
depending on the nature of the receptor and G protein – adenylyl cyclase catalyses
formation of the intracellular messenger cAMP – cAMP activates various protein
kinases that control cell function in many different ways by causing phosphorylation
of various enzymes, carriers and other proteins.
 Phospholipase C/inositol trisphosphate (IP3)/diacylglycerol (DAG):
– catalyses the formation of two intracellular messengers, IP3 and DAG, from membrane
phospholipid
– IP3 acts to increase free cytosolic Ca2+ by releasing Ca2+ from intracellular
compartments 15
– increased free Ca2+ initiates many events, including contraction, secretion,
enzyme activation and membrane hyperpolarization
– DAG activates protein kinase C, which controls many cellular functions by
phosphorylating a variety of proteins.
Receptor-linked G proteins also control:
 Ion channels:
– opening potassium channels, resulting in membrane hyperpolarisation
– inhibiting calcium channels, thus reducing neurotransmitter release.
 Phospholipase A2 (and thus the formation of arachidonic acid and eicosanoids).
16
Fig 4. Regulation of energy
metabolism by cAMP. AC,
adenylyl cyclase.
17
Fig 5. Structure of phosphatidylinositol bisphosphate (PIP2), showing sites of cleavage by different
phospholipases to produce active mediators. Cleavage by phospholipase A2 (PLA2) yields arachidonic acid.
Cleavage by phospholipase C (PLC) yields inositol trisphosphate (I(1,4,5)P3) and diacylglycerol (DAG). PA,
phosphatidic acid; PLD, phospholipase D. 18
Fig 6. The phosphatidylinositol
(PI) cycle. Receptor-mediated
activation of phospholipase C
results in the cleavage of
phosphatidylinositol
bisphosphate (PIP2), forming
diacylglycerol (DAG) (which
activates protein kinase C) and
inositol trisphosphate (IP3)
(which releases intracellular
Ca2+). The role of inositol
tetraphosphate (IP4), which is
formed from IP3 and other
inositol phosphates, is unclear,
but it may facilitate Ca2+ entry
through the plasma membrane.
IP3 is inactivated by
dephosphorylation to inositol.
DAG is converted to
phosphatidic acid, and these two
products are used to regenerate
PI and PIP2.
19
Kinase-linked receptors
 Receptors for various growth factors incorporate tyrosine kinase in their intracellular domain.
 Cytokine receptors have an intracellular domain that binds and activates cytosolic kinases
when the receptor is occupied.
 The receptors all share a common architecture, with a large extracellular ligand-binding
domain connected via a single membrane-spanning helix to the intracellular domain.
 Signal transduction generally involves dimerisation of receptors, followed by
autophosphorylation of tyrosine residues. The phosphotyrosine residues act as acceptors for
the SH2 domains of a variety of intracellular proteins, thereby allowing control of many cell
functions.
 They are involved mainly in events controlling cell growth and differentiation, and act
indirectly by regulating gene transcription. 20
 Two important pathways are:
– the Ras/Raf/mitogen-activated protein (MAP) kinase pathway, which is important in
cell division, growth and differentiation
– the Jak/Stat pathway activated by many cytokines, which controls the synthesis and
release of many inflammatory mediators.
 A few hormone receptors (e.g. atrial natriuretic factor) have a similar architecture and
are linked to guanylyl cyclase.
21
Fig 7. The growth factor (Ras/Raf/mitogen-activated protein [MAP] kinase) pathway. Grb2 can also be phosphorylated
but this negatively regulates its signaling. 22
Fig 8. Jak/Stat pathway. 23
Nuclear receptors
 A family of 48 soluble receptors that sense lipid and hormonal signals and modulate
gene transcription.
 Their ligands are many and varied, including steroid drugs and hormone, thyroid
hormones, vitamins A and D, various lipids and xenobiotics
 There are two main categories:
– Class I NRs are present in the cytoplasm, form homodimers in the presence of their
partner, and migrate to the nucleus. Their ligands are mainly endocrine in nature (e.g.
steroid hormones)
– Class II NRs are generally constitutively present in the nucleus and form heterodimers
with the retinoid X receptor. Their ligands are usually lipids (e.g. the fatty acids). 24
 The liganded receptor complexes initiate changes in gene transcription by binding to hormone
response elements in gene promoters and recruiting co-activator or co-repressor factors.
 The receptor family is the target of approximately 10% of prescription drugs, and the enzymes
that it regulates affect the pharmacokinetics of some 60% of all prescription drugs.
Fig 9. Structure of nuclear receptor 25
Ion channels as drug targets:
Ion channels consist of protein molecules designed to form water-filled pores that span the
membrane, and they can switch between open and closed states. The rate and direction of ion
movement through the pore is governed by the electrochemical gradient for the ion, which is a
function of its concentration on either side of the membrane, and of the membrane potential.
Ion channel is characterized by:
 Their selectivity for particular ion species, which depends on the size of the pore and the
nature of its lining.
 Their gating properties i.e. the mechanisms that controls the transition between open and
closed states of the channel.
 Their molecular architecture.
26
4. Cellular aspects- excitation, contraction & secretion
Regulation of Ca2+ involves three main mechanisms:
 Control of Ca2+ entry
 Control of Ca2+ extrusion
 Exchange of Ca2+ between the cytosol and the intracellular stores.
Calcium entry mechanisms:
There are four main routes by which Ca2+ enters cell across the plasma membrane:
 Voltage-gated calcium channels
 Ligand-gated calcium channels
 Na+-Ca2+ exchange
Store-operated calcium channels 27
Fig 10. Regulation of intracellular calcium. The main routes of transfer of Ca2+ into, and out of, the cytosol,
endoplasmic reticulum and lysosomal structures are shown for a typical cell. Black arrows: routes into the cytosol.
Blue arrows: routes out of the cytosol. Red arrows: regulatory mechanisms. The state of the ER store of Ca2+ is
monitored by the sensor protein Stimuli, which interacts directly with the store-operated calcium channel (SOC) to
promote Ca2+ entry when the ER store is depleted. 28
Calcium extrusion mechanism
Calcium is extruded from cells in exchange for Na+, by Na+Ca2+exchange. The exchanger
transfers three Na+ for one Ca2+ and therefore, produces a net hyperpolarizing current when it is
extruding Ca2+.
Calcium Release Mechanisms:
The inositol triphosphate receptor [IP3R]: Is a ligand-gated receptor activated by IP3. It is a
secondary messenger produced by the action of many ligands on G-protein-coupled
receptors.
The ryanodine receptor [RyR]: Direct coupling between the RyRs of the sarcoplasmic
reticulum and the dihydropyridine receptors of the T-tubules thus results in Ca2+ release
following the action potential in the muscle fiber. RyRs are also present in other types of
cells that lack T-tubules and are activated by ADP-ribose. 29
Calmodulin
 Calmodulin is a dimeric protein, with four Ca2+ binding sites. When all are occupied, it
undergoes a conformational change, exposing a sticky hydrophobic domain that lures
many proteins into association, thereby affecting their functional properties.
The ‘Resting’ Cell
The resting cell is not resting at all but very busy controlling the state of its interior, and it
requires a continuous supply of energy to do so. The characteristics of resting cell are:
 Membrane potential
 Permeability of the plasma membrane to different ions
 Intracellular ion concentrations, especially [Ca2+]i.
30
Fig 11. The ionic balance of a typical resting cell
Electrical and ionic events underlying the action potential
 A rapid, transient increase in Na+ permeability that occurs when the membrane is
depolarised beyond about −50 mV
 A slower, sustained increase in K+ permeability.
31
Channel function
The frequency at which different cells normally discharge action potentials greatly
varies from 100Hz or more for fast conducting neurons, down to about 1Hz for
cardiac muscle cells.
Tendency of currents to initiate an action potential is governed by excitability of
cells which depends on the voltage gated sodium or calcium channels and the
potassium channels of the resting membrane.
Use Dependence And Voltage Dependence
Voltage-gated channels can exist in three functional states:
Resting (the closed state that prevails at the normal resting potential)
Activated (the open state favoured by brief depolarisation)
Inactivated
32
Sodium Channels
 In most excitable cells, the regenerative inward current that initiates the action
potential results from activation of voltage-gated sodium channels. Sodium channels
consist of a central, pore forming α subunit and two auxiliary β subunits. Nine α-
subunits and four β subunits have been identified in mammals.
 The α-subunits contain four similar domains each comprising six membrane-spanning
helices. One of these helices, S4, contains several basic amino acids and forms the
voltage sensor, and moves outwards, thus opening the channel, when the membrane is
depolarised.
33
Potassium channels
In a typical resting cell, the membrane is selectively permeable to K+, and the membrane
potential (about −60 mV) is somewhat positive to the K+ equilibrium (about −90 mV). If
more potassium channels open, the membrane hyperpolarises and the cell is inhibited. As
well as affecting excitability in this way, potassium channels also play an important role in
regulating the duration of the action potential and the temporal patterning of action
potential discharges; altogether, these channels play a central role in regulating cell
function.
Potassium channels fall into three main classes:
 Voltage-gated potassium channels
 Inwardly rectifying potassium channels
 Two-pore domain potassium channels
34
Muscle Contraction
 Effects of drugs on the contractile machinery of smooth muscle are the basis of many
therapeutic applications, for smooth muscle is an important component of most
physiological systems, including blood vessels and the gastrointestinal, respiratory and
urinary tracts. Cardiac and skeletal muscle contractility are also the targets of important
drug effects.
 Although in each case the basic molecular basis of contraction is similar, namely an
interaction between actin and myosin, fuelled by ATP and initiated by an increase in
[Ca2+], there are differences between these three kinds of muscle that account for their
different responsiveness to drugs and chemical mediators.
35
Fig 12. Comparison of excitation-contraction coupling in skeletal muscle, cardiac muscle & smooth muscle36
Fig 13. Mechanisms of controlling smooth muscle contraction and relaxation
37
Release Of Chemical Mediators
Chemical mediators that are released from cells fall into two main groups:
 Mediators that are preformed and packaged in storage vesicles – called storage
granules – from which they are released by exocytosis. This large group
comprises all the conventional neurotransmitters and neuromodulators, and many
hormones. It includes secreted proteins such as cytokines and various growth
factors.
 Mediators that are produced on demand and are released by diffusion or by
membrane carriers. This group includes nitric oxide and many lipid mediators
(e.g. prostanoids) and endocannabinoids, which are released from post synaptic
cell to act on nerve terminals.
 Calcium ions play a key role in both cases, because a rise in [Ca2+]i initiates
exocytosis and is also the main activator of the enzymes responsible for the
synthesis of diffusible mediators.
38
Exocytosis
 Exocytosis, occurring in response to an increase of [Ca2+], is the principal mechanism of
transmitter release in the peripheral and central nervous systems, as well as in endocrine
cells and mast cells.
 Exocytosis involves fusion between the membrane of synaptic vesicles and the inner
surface of the plasma membrane.
 The vesicles are preloaded with stored transmitter, and release occurs in discrete packets, or
quanta, each representing the contents of a single vesicle.
39
40
Fig 14. Role of exocytosis, carrier mediated transport and
diffusion in mediator release
Non-vesicular Release Mechanisms
 Acetylcholine, noradrenaline (norepinephrine) and other mediators can leak out of
nerve endings from the cytosolic compartment, independently of vesicle fusion, by
utilizing carriers in the plasma membrane, a mechanism that does not depend on Ca2+.
 EX: Drugs such as amphetamines
 Nitric oxide and arachidonic acid metabolites (e.g. prostaglandins) are two important
examples of mediators that are released from the cytosol by diffusion across the
membrane or by carrier-mediated extrusion, rather than by exocytosis.
41
42
Epithelial Ion Transport
 Epithelial cells are arranged in sheets separating the interior (blood-perfused)
compartment from the exterior lumen compartment, into which, or from which, secretion
takes place.
 Fluid secretion involves two main mechanisms respectively, with Na+ transport and Cl−
transport.
 In the case of Na+ transport, secretion occurs because Na+ enters the cell passively at one
end and is pumped out actively at the other, with water following passively. Regulated by
aldosterone.
 The key molecule in chloride transport is the cystic fibrosis transmembrane conductance
regulator.
Fig 15. Epithelial ion transport
43
5. Cell proliferation, apoptosis, repair & regeneration
The cell cycle:
The cell cycle is an ordered series of events consisting of several sequential phases:
 G1 phase: G1 the cell is preparing for DNA synthesis.
 S phase: it is the phase of DNA synthesis.
 G2 phase: it is the gap between S phase and the mitosis that will give rise to two daughter
cells, during this phase the cell is preparing for mitotic division into two daughter cells.
 M phase: it is the phase of mitosis.
44
45
Fig 16. The main phases of the cell cycle of dividing cells
Mitosis:
Mitosis is a continuous process and consist of four stages:
 Prophase: the duplicated chromosomes condense, each now consisting of two daughter
chromatids. These are released into the cytoplasm as the nuclear membrane disintegrates.
 Metaphase: the chromosomes are aligned at the equator.
 Anaphase: the mitotic apparatus captures the chromosomes and draws them to opposite poles
of the dividing cell.
 Telophase: a nuclear membrane forms round each set of chromosomes. Finally the cytoplasm
divides between the two forming daughter cells. Each daughter cell will be in G0 phase and will
remain there unless stimulated into G1 phase.
46
47
Fig 17. The cell cycle showing the role of cyclin/cyclin-
dependent kinase complex
Inhibition Of The Cycle At Check Point 1:
 The p53 gene is called the guardian of the genome. It codes for a protein transcription factor-
the p53 protein.
 When there is DNA damage, the protein accumulates and activates the transcription of
several genes, one of which codes for p21. Protein p21 inactivates cyclin/cdk complexes,
thus preventing Rb phosphorylation, which means the cycle is arrested at check point 1.
 This allows for DNA repair. If the repair is successful, the cycle proceeds past check point 1
into S phase. If the repair is unsuccessful, the p53 gene triggers apoptosis-cell suicide.
Inhibition Of The Cycle At Check Point 2:
 DNA damage results in the cycle being stopped at check point 2.
48
Interactions Between Cells, Growth Factors And The Extracellular Matrix
Cell proliferation is regulated by the integrated interplay between growth factors, cells, the extracellular matrix
(ECM) and the matrix metalloproteinases (MMPs). ECM profoundly influences cell behavior by signaling through
the cell’s integrins. Matrix expression by cells is regulated by growth factors and cytokines. The ECM is a target for
drug action.
Fig 18. Effect of growth factors on a cell in G0
49
The role of integrins
 Integrins are transmembrane kinase-linked receptors comprising α and β subunits.
Intracellular signaling by both growth factor receptors and integrins is important for
optimal cell proliferation.
 Following integrin stimulation an adapter protein and an enzyme (focal adhesion kinase),
activate the kinase cascade that comprises the growth factor signaling pathway.
The role of matrix metalloproteinases
 When growth factors stimulate a cell to enter the cell cycle, they stimulate secretion of
metalloprotinases, which sculpt the matrix – producing the local changes necessary for
resulting increase in cell number.
50
51
 The action of these enzymes is regulated by tissue inhibitors of metalloprotinases
(TIMPS) secreted by local cells.
Angiogenesis
 Angiogenesis, which normally accompanies cell proliferation, is the formation of new
capillaries from existing small blood vessels.
Apoptosis And Cell Removal
 Apoptosis is cell suicide. It is regulated by a built-in genetically programmed self-
destruct mechanism consisting of specific sequence of biochemical events.
 Apoptosis is a default response, i.e. continuous active signaling by tissue-specific
trophic factors, cytokines and hormones, and cell-to-cell contact factors (adhesion
molecules, integrins, etc.) are required for cell survival and viability.
 Basis for development of self tolerance in the immune system.
 Acts as first line defence against carcinogenic mutations by purging cells with abnormal
DNA that could become malignant.
 Involved in numerous physiological events – shedding of intestinal lining, death of time
expired neutrophils and turnover of tissue as the new born infant grows to maturity.
52
Fig 19. Pathways to apoptosis 53
Repair and healing
 Repair occurs when tissues are damaged or lost. It is also implicated in the resolution of the
local inflammatory reaction to a pathogen or chemical irritant. In some instances, damage
or tissue loss can lead to regeneration, which is quite different to repair and is considered
separately below.
 There is considerable overlap between the mechanisms activated in inflammation and
repair. Both entail an ordered series of events including cell migration, angiogenesis,
proliferation of connective tissue cells, synthesis of extracellular matrix and finally
remodeling – all coordinated by the growth factors and cytokines that are appropriate for
the particular tissue involved. TGF-β is a key regulator of several of these processes.
54
Stem cells and regeneration
 Regeneration of tissue replaces that lost following damage or disease and allows restoration of
function.
 The essential process is the activation of stem cells – a pool of undifferentiated cells that have
the potential to develop into any of the more specialised cells in the body (‘totipotent’ or
‘pluripotent’ cells).
 These can then multiply and retrace the fetal developmental pathways that generated the organ,
proliferating again and again and eventually differentiating into the various cell types needed to
replace the missing structure.
55
Conclusions
 Cell signaling is a part of a complex system of communication that governs basic cellular
activities and coordinates cell actions.
 Cell signaling occurs in response to a ligand that binds to a specific receptor causing changes
inside the cell.
 Cell signaling leads to muscle contraction, changes in transcription/translation, changes in
protein sensation and protein activity, apoptosis or cell division etc.
 Sensitivity of a ligand depends on the number of surface receptors. Binding of ligand to cell
surface receptors leads to the activation of intracellular molecules called secondary
messengers that include cAMP, cGMP, DAG, IP3 etc.
56
57
 Errors in cellular information processing are responsible for diseases such as cancer,
autoimmunity disorder etc. By understanding cell signaling, diseases may be treated
effectively and, theoretically artificial tissues may be created.
 Lastly of the various components of growth factor signaling pathway, receptors tyrosine
kinases, the RAS protein and cytoplasmic kinases have been the subjects of interest.
Kinase inhibitors that are introduced for cancer treatment include imatinib, geftinib and
erlotinib.
 https://en.wikipedia.org/wiki/Cell_signaling
 Rang and Dales’s pharmacology, H.P. Rang, M.M. Dale, J.M. Ritter, R.J. Flower, G. Henderson,
seventh edition, page numbers 20-75.
 https://en.wikipedia.org/wiki/Receptor_theory
 Basic & Clinical Pharmacology, Bertram G. Katzung, ninth edition, page numbers 26-27.
58
Thank you
59

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cell communications and cellular signalling systems vishnu

  • 1. A Seminar Report On Cell communications and cellular signaling systems Submitted by G Vishnu priya (Regd.no:1702-15-887-010) Under the guidance of Dr. M Ganga Raju M.pharm, PhD Department of Pharmacology GOKARAJU RANGARAJU COLLEGE OF PHARMACY (Affiliated to Osmania University) Bachupally, Nizampet Road Hyderabad-500090. 1
  • 2.  Contents: 1. Cell communication & cellular signaling systems 2. Receptor theory 3. Targets of drug action 4. Cellular aspects- excitation, contraction & secretion 5. Cell proliferation, apoptosis, repair & regeneration 6. Conclusions 7. References 2
  • 3. 1. Cell communication & cellular signaling systems Introduction:  Cellular communication is an umbrella term used in biology to identify different types of communication methods between living cells which includes cell signaling.  Cell signaling is part of a complex system of communication that governs basic cellular activities and coordinates cell actions.  The ability of cell to perceive and correctly respond to their microenvironment is the basis of development, tissue repair, and immunity as well as normal tissue homeostasis.  By understanding cell signaling, diseases may be treated effectively and, theoretically, artificial tissues may be created. 3
  • 4. Various forms of communication between cells are  Extracellular messenger  GAP junctions  Cell-cell interactions via cell surface proteins  Electrical signaling Types of signaling  Endocrine signaling  Paracrine signaling Autocrine signaling 4
  • 5. The protein targets for drug action on a cell are as follows: 1. Receptors 2. Ion channels 3. Enzymes 4. Carrier molecules 5
  • 6. Fig 1. Types of receptor–effector linkage. ACh, acetylcholine; E, enzyme; G, G protein; R, receptor. 6
  • 7. 2. Receptor theory  Receptor theory is the application of receptor models to explain drug behavior. Pharmacological receptor models preceded accurate knowledge of receptors by many years.  John Newport Langley and Paul Ehrlich introduced the concept of a receptor that would mediate drug action at the beginning of the 20th century.  A J Clark was the first to quantify drug-induced biological responses (using an equation described firstly by A V Hill in 1909 and then in 1910) and propose a model to explain drug-mediated receptor activation.  All of the quantitative theoretical modelling of receptor function has centered on ligand- gated ion channels and GPCRs 7
  • 8. Postulates of receptor theory:  Receptors must possess structural and steric specificity.  Receptors are saturable and finite (limited number of binding sites).  Receptors must possess high affinity for its endogenous ligand at physiological concentrations.  Once the endogenous ligand binds to the receptor, some early recognizable chemical event must occur. 8
  • 9. 3. Targets of drug action Ligand-gated ion channels  These are sometimes called ionotropic receptors.  They are involved mainly in fast synaptic transmission.  There are several structural families, the commonest being heteromeric assemblies of four or five subunits, with transmembrane helices arranged around a central aqueous channel.  Ligand binding and channel opening occur on a millisecond timescale.  Examples include the nicotinic acetylcholine, GABA type A (GABAA), glutamate (NMDA) and ATP (P2X) receptors. 9
  • 10. Fig 2. Structure of the nicotinic acetylcholine receptor (a typical ligand-gated ion channel). [A] Schematic diagram in side view (upper) and plan view (lower). The five receptor subunits (α2, β, γ, δ) form a cluster surrounding a central transmembrane pore, the lining of which is formed by the M2 helical segments of each subunit. These contain a preponderance of negatively charged amino acids, which makes the pore cation selective. There are two acetylcholine binding sites in the extracellular portion of the receptor, at the interface between the α and the adjoining subunits. When acetylcholine binds, the kinked α-helices either straighten out or swing out of the way, thus opening the channel pore. [B] High-resolution image showing revised arrangement of intracellular domains. 9
  • 11. G protein-coupled receptors  These are sometimes called metabotropic or seven-transmembrane domain (7-TDM) receptors.  Structures comprise seven membrane-spanning α-helices, often linked as dimeric structure  The G protein is a membrane protein comprising three subunits (α, β, γ), the α subunit possessing GTPase activity.  When the trimer binds to an agonist-occupied receptor, the α subunit binds GTP, dissociates and is then free to activate an effector (e.g. a membrane enzyme). In some cases, the βγ subunit is the activator species. 11
  • 12.  Activation of the effector is terminated when the bound GTP molecule is hydrolysed, which allows the α subunit to recombine with βγ.  There are several types of G protein, which interact with different receptors and control different effectors.  Examples include muscarinic acetylcholine receptors, adrenoceptors, neuropeptide and chemokine receptors, and protease-activated receptors. 12
  • 13. 13
  • 14. Fig 3. The function of the G protein. The G protein consists of three subunits (α, β, γ), which are anchored to the membrane through attached lipid residues. Coupling of the α subunit to an agonist-occupied receptor causes the bound GDP to exchange with intracellular GTP; the α–GTP complex then dissociates from the receptor and from the βγ complex, and interacts with a target protein (target 1, which may be an enzyme, such as adenylyl cyclase or phospholipase C). The βγ complex also activates a target protein (target 2, which may be an ion channel or a kinase). The GTPase activity of the α subunit is increased when the target protein is bound, leading to hydrolysis of the bound GTP to GDP, whereupon the α subunit reunites with βγ. 14
  • 15. Effectors controlled by G proteins Two key second messenger pathways are controlled by receptors via G proteins:  Adenylyl cyclase/cAMP:– can be activated or inhibited by pharmacological ligands, depending on the nature of the receptor and G protein – adenylyl cyclase catalyses formation of the intracellular messenger cAMP – cAMP activates various protein kinases that control cell function in many different ways by causing phosphorylation of various enzymes, carriers and other proteins.  Phospholipase C/inositol trisphosphate (IP3)/diacylglycerol (DAG): – catalyses the formation of two intracellular messengers, IP3 and DAG, from membrane phospholipid – IP3 acts to increase free cytosolic Ca2+ by releasing Ca2+ from intracellular compartments 15
  • 16. – increased free Ca2+ initiates many events, including contraction, secretion, enzyme activation and membrane hyperpolarization – DAG activates protein kinase C, which controls many cellular functions by phosphorylating a variety of proteins. Receptor-linked G proteins also control:  Ion channels: – opening potassium channels, resulting in membrane hyperpolarisation – inhibiting calcium channels, thus reducing neurotransmitter release.  Phospholipase A2 (and thus the formation of arachidonic acid and eicosanoids). 16
  • 17. Fig 4. Regulation of energy metabolism by cAMP. AC, adenylyl cyclase. 17
  • 18. Fig 5. Structure of phosphatidylinositol bisphosphate (PIP2), showing sites of cleavage by different phospholipases to produce active mediators. Cleavage by phospholipase A2 (PLA2) yields arachidonic acid. Cleavage by phospholipase C (PLC) yields inositol trisphosphate (I(1,4,5)P3) and diacylglycerol (DAG). PA, phosphatidic acid; PLD, phospholipase D. 18
  • 19. Fig 6. The phosphatidylinositol (PI) cycle. Receptor-mediated activation of phospholipase C results in the cleavage of phosphatidylinositol bisphosphate (PIP2), forming diacylglycerol (DAG) (which activates protein kinase C) and inositol trisphosphate (IP3) (which releases intracellular Ca2+). The role of inositol tetraphosphate (IP4), which is formed from IP3 and other inositol phosphates, is unclear, but it may facilitate Ca2+ entry through the plasma membrane. IP3 is inactivated by dephosphorylation to inositol. DAG is converted to phosphatidic acid, and these two products are used to regenerate PI and PIP2. 19
  • 20. Kinase-linked receptors  Receptors for various growth factors incorporate tyrosine kinase in their intracellular domain.  Cytokine receptors have an intracellular domain that binds and activates cytosolic kinases when the receptor is occupied.  The receptors all share a common architecture, with a large extracellular ligand-binding domain connected via a single membrane-spanning helix to the intracellular domain.  Signal transduction generally involves dimerisation of receptors, followed by autophosphorylation of tyrosine residues. The phosphotyrosine residues act as acceptors for the SH2 domains of a variety of intracellular proteins, thereby allowing control of many cell functions.  They are involved mainly in events controlling cell growth and differentiation, and act indirectly by regulating gene transcription. 20
  • 21.  Two important pathways are: – the Ras/Raf/mitogen-activated protein (MAP) kinase pathway, which is important in cell division, growth and differentiation – the Jak/Stat pathway activated by many cytokines, which controls the synthesis and release of many inflammatory mediators.  A few hormone receptors (e.g. atrial natriuretic factor) have a similar architecture and are linked to guanylyl cyclase. 21
  • 22. Fig 7. The growth factor (Ras/Raf/mitogen-activated protein [MAP] kinase) pathway. Grb2 can also be phosphorylated but this negatively regulates its signaling. 22
  • 23. Fig 8. Jak/Stat pathway. 23
  • 24. Nuclear receptors  A family of 48 soluble receptors that sense lipid and hormonal signals and modulate gene transcription.  Their ligands are many and varied, including steroid drugs and hormone, thyroid hormones, vitamins A and D, various lipids and xenobiotics  There are two main categories: – Class I NRs are present in the cytoplasm, form homodimers in the presence of their partner, and migrate to the nucleus. Their ligands are mainly endocrine in nature (e.g. steroid hormones) – Class II NRs are generally constitutively present in the nucleus and form heterodimers with the retinoid X receptor. Their ligands are usually lipids (e.g. the fatty acids). 24
  • 25.  The liganded receptor complexes initiate changes in gene transcription by binding to hormone response elements in gene promoters and recruiting co-activator or co-repressor factors.  The receptor family is the target of approximately 10% of prescription drugs, and the enzymes that it regulates affect the pharmacokinetics of some 60% of all prescription drugs. Fig 9. Structure of nuclear receptor 25
  • 26. Ion channels as drug targets: Ion channels consist of protein molecules designed to form water-filled pores that span the membrane, and they can switch between open and closed states. The rate and direction of ion movement through the pore is governed by the electrochemical gradient for the ion, which is a function of its concentration on either side of the membrane, and of the membrane potential. Ion channel is characterized by:  Their selectivity for particular ion species, which depends on the size of the pore and the nature of its lining.  Their gating properties i.e. the mechanisms that controls the transition between open and closed states of the channel.  Their molecular architecture. 26
  • 27. 4. Cellular aspects- excitation, contraction & secretion Regulation of Ca2+ involves three main mechanisms:  Control of Ca2+ entry  Control of Ca2+ extrusion  Exchange of Ca2+ between the cytosol and the intracellular stores. Calcium entry mechanisms: There are four main routes by which Ca2+ enters cell across the plasma membrane:  Voltage-gated calcium channels  Ligand-gated calcium channels  Na+-Ca2+ exchange Store-operated calcium channels 27
  • 28. Fig 10. Regulation of intracellular calcium. The main routes of transfer of Ca2+ into, and out of, the cytosol, endoplasmic reticulum and lysosomal structures are shown for a typical cell. Black arrows: routes into the cytosol. Blue arrows: routes out of the cytosol. Red arrows: regulatory mechanisms. The state of the ER store of Ca2+ is monitored by the sensor protein Stimuli, which interacts directly with the store-operated calcium channel (SOC) to promote Ca2+ entry when the ER store is depleted. 28
  • 29. Calcium extrusion mechanism Calcium is extruded from cells in exchange for Na+, by Na+Ca2+exchange. The exchanger transfers three Na+ for one Ca2+ and therefore, produces a net hyperpolarizing current when it is extruding Ca2+. Calcium Release Mechanisms: The inositol triphosphate receptor [IP3R]: Is a ligand-gated receptor activated by IP3. It is a secondary messenger produced by the action of many ligands on G-protein-coupled receptors. The ryanodine receptor [RyR]: Direct coupling between the RyRs of the sarcoplasmic reticulum and the dihydropyridine receptors of the T-tubules thus results in Ca2+ release following the action potential in the muscle fiber. RyRs are also present in other types of cells that lack T-tubules and are activated by ADP-ribose. 29
  • 30. Calmodulin  Calmodulin is a dimeric protein, with four Ca2+ binding sites. When all are occupied, it undergoes a conformational change, exposing a sticky hydrophobic domain that lures many proteins into association, thereby affecting their functional properties. The ‘Resting’ Cell The resting cell is not resting at all but very busy controlling the state of its interior, and it requires a continuous supply of energy to do so. The characteristics of resting cell are:  Membrane potential  Permeability of the plasma membrane to different ions  Intracellular ion concentrations, especially [Ca2+]i. 30
  • 31. Fig 11. The ionic balance of a typical resting cell Electrical and ionic events underlying the action potential  A rapid, transient increase in Na+ permeability that occurs when the membrane is depolarised beyond about −50 mV  A slower, sustained increase in K+ permeability. 31
  • 32. Channel function The frequency at which different cells normally discharge action potentials greatly varies from 100Hz or more for fast conducting neurons, down to about 1Hz for cardiac muscle cells. Tendency of currents to initiate an action potential is governed by excitability of cells which depends on the voltage gated sodium or calcium channels and the potassium channels of the resting membrane. Use Dependence And Voltage Dependence Voltage-gated channels can exist in three functional states: Resting (the closed state that prevails at the normal resting potential) Activated (the open state favoured by brief depolarisation) Inactivated 32
  • 33. Sodium Channels  In most excitable cells, the regenerative inward current that initiates the action potential results from activation of voltage-gated sodium channels. Sodium channels consist of a central, pore forming α subunit and two auxiliary β subunits. Nine α- subunits and four β subunits have been identified in mammals.  The α-subunits contain four similar domains each comprising six membrane-spanning helices. One of these helices, S4, contains several basic amino acids and forms the voltage sensor, and moves outwards, thus opening the channel, when the membrane is depolarised. 33
  • 34. Potassium channels In a typical resting cell, the membrane is selectively permeable to K+, and the membrane potential (about −60 mV) is somewhat positive to the K+ equilibrium (about −90 mV). If more potassium channels open, the membrane hyperpolarises and the cell is inhibited. As well as affecting excitability in this way, potassium channels also play an important role in regulating the duration of the action potential and the temporal patterning of action potential discharges; altogether, these channels play a central role in regulating cell function. Potassium channels fall into three main classes:  Voltage-gated potassium channels  Inwardly rectifying potassium channels  Two-pore domain potassium channels 34
  • 35. Muscle Contraction  Effects of drugs on the contractile machinery of smooth muscle are the basis of many therapeutic applications, for smooth muscle is an important component of most physiological systems, including blood vessels and the gastrointestinal, respiratory and urinary tracts. Cardiac and skeletal muscle contractility are also the targets of important drug effects.  Although in each case the basic molecular basis of contraction is similar, namely an interaction between actin and myosin, fuelled by ATP and initiated by an increase in [Ca2+], there are differences between these three kinds of muscle that account for their different responsiveness to drugs and chemical mediators. 35
  • 36. Fig 12. Comparison of excitation-contraction coupling in skeletal muscle, cardiac muscle & smooth muscle36
  • 37. Fig 13. Mechanisms of controlling smooth muscle contraction and relaxation 37
  • 38. Release Of Chemical Mediators Chemical mediators that are released from cells fall into two main groups:  Mediators that are preformed and packaged in storage vesicles – called storage granules – from which they are released by exocytosis. This large group comprises all the conventional neurotransmitters and neuromodulators, and many hormones. It includes secreted proteins such as cytokines and various growth factors.  Mediators that are produced on demand and are released by diffusion or by membrane carriers. This group includes nitric oxide and many lipid mediators (e.g. prostanoids) and endocannabinoids, which are released from post synaptic cell to act on nerve terminals.  Calcium ions play a key role in both cases, because a rise in [Ca2+]i initiates exocytosis and is also the main activator of the enzymes responsible for the synthesis of diffusible mediators. 38
  • 39. Exocytosis  Exocytosis, occurring in response to an increase of [Ca2+], is the principal mechanism of transmitter release in the peripheral and central nervous systems, as well as in endocrine cells and mast cells.  Exocytosis involves fusion between the membrane of synaptic vesicles and the inner surface of the plasma membrane.  The vesicles are preloaded with stored transmitter, and release occurs in discrete packets, or quanta, each representing the contents of a single vesicle. 39
  • 40. 40 Fig 14. Role of exocytosis, carrier mediated transport and diffusion in mediator release
  • 41. Non-vesicular Release Mechanisms  Acetylcholine, noradrenaline (norepinephrine) and other mediators can leak out of nerve endings from the cytosolic compartment, independently of vesicle fusion, by utilizing carriers in the plasma membrane, a mechanism that does not depend on Ca2+.  EX: Drugs such as amphetamines  Nitric oxide and arachidonic acid metabolites (e.g. prostaglandins) are two important examples of mediators that are released from the cytosol by diffusion across the membrane or by carrier-mediated extrusion, rather than by exocytosis. 41
  • 42. 42 Epithelial Ion Transport  Epithelial cells are arranged in sheets separating the interior (blood-perfused) compartment from the exterior lumen compartment, into which, or from which, secretion takes place.  Fluid secretion involves two main mechanisms respectively, with Na+ transport and Cl− transport.  In the case of Na+ transport, secretion occurs because Na+ enters the cell passively at one end and is pumped out actively at the other, with water following passively. Regulated by aldosterone.  The key molecule in chloride transport is the cystic fibrosis transmembrane conductance regulator.
  • 43. Fig 15. Epithelial ion transport 43
  • 44. 5. Cell proliferation, apoptosis, repair & regeneration The cell cycle: The cell cycle is an ordered series of events consisting of several sequential phases:  G1 phase: G1 the cell is preparing for DNA synthesis.  S phase: it is the phase of DNA synthesis.  G2 phase: it is the gap between S phase and the mitosis that will give rise to two daughter cells, during this phase the cell is preparing for mitotic division into two daughter cells.  M phase: it is the phase of mitosis. 44
  • 45. 45 Fig 16. The main phases of the cell cycle of dividing cells
  • 46. Mitosis: Mitosis is a continuous process and consist of four stages:  Prophase: the duplicated chromosomes condense, each now consisting of two daughter chromatids. These are released into the cytoplasm as the nuclear membrane disintegrates.  Metaphase: the chromosomes are aligned at the equator.  Anaphase: the mitotic apparatus captures the chromosomes and draws them to opposite poles of the dividing cell.  Telophase: a nuclear membrane forms round each set of chromosomes. Finally the cytoplasm divides between the two forming daughter cells. Each daughter cell will be in G0 phase and will remain there unless stimulated into G1 phase. 46
  • 47. 47 Fig 17. The cell cycle showing the role of cyclin/cyclin- dependent kinase complex
  • 48. Inhibition Of The Cycle At Check Point 1:  The p53 gene is called the guardian of the genome. It codes for a protein transcription factor- the p53 protein.  When there is DNA damage, the protein accumulates and activates the transcription of several genes, one of which codes for p21. Protein p21 inactivates cyclin/cdk complexes, thus preventing Rb phosphorylation, which means the cycle is arrested at check point 1.  This allows for DNA repair. If the repair is successful, the cycle proceeds past check point 1 into S phase. If the repair is unsuccessful, the p53 gene triggers apoptosis-cell suicide. Inhibition Of The Cycle At Check Point 2:  DNA damage results in the cycle being stopped at check point 2. 48
  • 49. Interactions Between Cells, Growth Factors And The Extracellular Matrix Cell proliferation is regulated by the integrated interplay between growth factors, cells, the extracellular matrix (ECM) and the matrix metalloproteinases (MMPs). ECM profoundly influences cell behavior by signaling through the cell’s integrins. Matrix expression by cells is regulated by growth factors and cytokines. The ECM is a target for drug action. Fig 18. Effect of growth factors on a cell in G0 49
  • 50. The role of integrins  Integrins are transmembrane kinase-linked receptors comprising α and β subunits. Intracellular signaling by both growth factor receptors and integrins is important for optimal cell proliferation.  Following integrin stimulation an adapter protein and an enzyme (focal adhesion kinase), activate the kinase cascade that comprises the growth factor signaling pathway. The role of matrix metalloproteinases  When growth factors stimulate a cell to enter the cell cycle, they stimulate secretion of metalloprotinases, which sculpt the matrix – producing the local changes necessary for resulting increase in cell number. 50
  • 51. 51  The action of these enzymes is regulated by tissue inhibitors of metalloprotinases (TIMPS) secreted by local cells. Angiogenesis  Angiogenesis, which normally accompanies cell proliferation, is the formation of new capillaries from existing small blood vessels.
  • 52. Apoptosis And Cell Removal  Apoptosis is cell suicide. It is regulated by a built-in genetically programmed self- destruct mechanism consisting of specific sequence of biochemical events.  Apoptosis is a default response, i.e. continuous active signaling by tissue-specific trophic factors, cytokines and hormones, and cell-to-cell contact factors (adhesion molecules, integrins, etc.) are required for cell survival and viability.  Basis for development of self tolerance in the immune system.  Acts as first line defence against carcinogenic mutations by purging cells with abnormal DNA that could become malignant.  Involved in numerous physiological events – shedding of intestinal lining, death of time expired neutrophils and turnover of tissue as the new born infant grows to maturity. 52
  • 53. Fig 19. Pathways to apoptosis 53
  • 54. Repair and healing  Repair occurs when tissues are damaged or lost. It is also implicated in the resolution of the local inflammatory reaction to a pathogen or chemical irritant. In some instances, damage or tissue loss can lead to regeneration, which is quite different to repair and is considered separately below.  There is considerable overlap between the mechanisms activated in inflammation and repair. Both entail an ordered series of events including cell migration, angiogenesis, proliferation of connective tissue cells, synthesis of extracellular matrix and finally remodeling – all coordinated by the growth factors and cytokines that are appropriate for the particular tissue involved. TGF-β is a key regulator of several of these processes. 54
  • 55. Stem cells and regeneration  Regeneration of tissue replaces that lost following damage or disease and allows restoration of function.  The essential process is the activation of stem cells – a pool of undifferentiated cells that have the potential to develop into any of the more specialised cells in the body (‘totipotent’ or ‘pluripotent’ cells).  These can then multiply and retrace the fetal developmental pathways that generated the organ, proliferating again and again and eventually differentiating into the various cell types needed to replace the missing structure. 55
  • 56. Conclusions  Cell signaling is a part of a complex system of communication that governs basic cellular activities and coordinates cell actions.  Cell signaling occurs in response to a ligand that binds to a specific receptor causing changes inside the cell.  Cell signaling leads to muscle contraction, changes in transcription/translation, changes in protein sensation and protein activity, apoptosis or cell division etc.  Sensitivity of a ligand depends on the number of surface receptors. Binding of ligand to cell surface receptors leads to the activation of intracellular molecules called secondary messengers that include cAMP, cGMP, DAG, IP3 etc. 56
  • 57. 57  Errors in cellular information processing are responsible for diseases such as cancer, autoimmunity disorder etc. By understanding cell signaling, diseases may be treated effectively and, theoretically artificial tissues may be created.  Lastly of the various components of growth factor signaling pathway, receptors tyrosine kinases, the RAS protein and cytoplasmic kinases have been the subjects of interest. Kinase inhibitors that are introduced for cancer treatment include imatinib, geftinib and erlotinib.
  • 58.  https://en.wikipedia.org/wiki/Cell_signaling  Rang and Dales’s pharmacology, H.P. Rang, M.M. Dale, J.M. Ritter, R.J. Flower, G. Henderson, seventh edition, page numbers 20-75.  https://en.wikipedia.org/wiki/Receptor_theory  Basic & Clinical Pharmacology, Bertram G. Katzung, ninth edition, page numbers 26-27. 58