MRCEM Notes

Membrane receptors

There are four main types of membrane receptor: ligand-gated ion channels, tyrosine kinase receptors, guanylate cyclase receptors and G protein-coupled receptors

Ligand-gated ion channel receptors
  • generally mediate fast responses
  • e.g. nicotinic acetylcholine, GABA-A & GABA-C, glutamate receptors

Tyrosine kinase receptors
  • intrinsic tyrosine kinase: insulin, insulin-like growth factor (IGF), epidermal growth factor (EGF)
  • receptor-associated tyrosine kinase: growth hormone, prolactin, interferon, interleukin

Guanylate cyclase receptors
  • contain intrinsic enzyme activity
  • e.g. atrial natriuretic factor, brain natriuretic peptide

G protein-coupled receptors
  • generally mediate slow transmission and affect metabolic processes
  • activated by a wide variety of extracellular signals e.g. Peptide hormones, biogenic amines, lipophilic hormones, light
  • 7-helix membrane-spanning domains
  • consist of 3 main subunits: alpha, beta and gamma
  • the alpha subunit is linked to GDP.Ligand binding causes conformational changes to receptor, GDP is phosphorylated to GTP,and the alpha subunit is activated
  • G proteins are named according to the alpha subunit (Gs, Gi, Gq)


GsGiGq
MechanismStimulates adenylate cyclase → increases cAMP → activates protein kinase AInhibits adenylate cyclase → decreases cAMP → inhibits protein kinase AActivates phospholipase C → splits PIP2 to IP3 & DAG → activates protein kinase C
Examples• Beta-1 receptors (epinephrine, norepinephrine, dobutamine)
• Beta-2 receptors (epinephrine, salbuterol)
• H2 receptors (histamine)
• D1 receptors (dopamine)
• V2 receptors (vasopressin)
• Receptors for ACTH, LH, FSH, glucagon, PTH, calcitonin, prostaglandins
• M2 receptors (acetylcholine)
• Alpha-2 receptors (epinephrine, norephinephrine)
• D2 receptors (dopamine)
• GABA-B receptor
• Alpha-1 receptors (epinephrine, norepinephrine)
• H1 receptors (histamine)
• V1 receptors (vasopressin)
• M1, M3 receptors (acetylcholine)
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