L3. Nucleotide signalling in the heart Flashcards

1
Q

What is the prototypical second messenger in cells?

A

Cyclic AMP (cAMP)

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2
Q

Who discovered cAMP and won the Nobel Prize for it?

A

Earl W. Sutherland in 1971

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3
Q

What is the primary function of cyclic nucleotides like cAMP?

A

To act as intracellular second messengers for signal transduction

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4
Q

Which enzyme synthesizes cAMP from ATP?

A

Adenylyl cyclase

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5
Q

Which enzyme degrades cAMP?

A

Phosphodiesterase (PDE)

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6
Q

Why is the hydrophilic nature of cAMP important?

A

It allows for compartmentalized signaling within the cell

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7
Q

What does cAMP primarily activate?

A

Protein kinase A (PKA)

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8
Q

How does PKA achieve signal specificity?

A

Through spatial confinement via anchoring proteins like AKAPs

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9
Q

What is the role of AKAPs in cAMP signaling?

A

To localize PKA to specific subcellular compartments

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10
Q

Name a few cellular processes regulated by cAMP.

A

Memory, metabolism, cell growth, and gene transcription

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11
Q

How does cAMP influence cardiac myocytes during stress?

A

It increases contractility and heart rate

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12
Q

What is the effect of PKA phosphorylation on phospholamban?

A

It enhances calcium uptake in the sarcoplasmic reticulum

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13
Q

Why is compartmentalization important in cAMP signaling?

A

It ensures specificity despite cAMP being a common messenger for multiple hormones

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14
Q

What are signalosomes?

A

Multi-protein complexes that organize signaling elements for localized cAMP effects

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15
Q

How do phosphodiesterases contribute to compartmentalization?

A

By degrading cAMP locally, maintaining concentration gradients

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16
Q

What technique is used to visualize cAMP gradients in cells?

A

FRET-based imaging

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17
Q

How does IBMX affect cAMP gradients?

A

It inhibits phosphodiesterases, disrupting compartmentalization

18
Q

What is the role of liquid condensates in cAMP signaling?

A

They buffer cAMP to slow diffusion and maintain local signaling

19
Q

What happens to cAMP signaling in heart failure?

A

There is reduced cAMP-mediated signaling and receptor desensitization

20
Q

Why did PDE3 inhibitors fail in long-term heart failure trials?

A

They caused harmful side effects despite short-term benefits

21
Q

What is the paradox of cAMP-raising drugs in heart failure?

A

They improve contractility short-term but increase long-term mortality

22
Q

What is the function of phase-separated liquid condensates in cells?

A

To compartmentalize and buffer second messengers like cAMP

23
Q

What is the effect of β2-adrenergic receptor redistribution in failing hearts?

A

It disrupts localized signaling, contributing to disease pathology

24
Q

How do cAMP and cyclic GMP differ in their signaling roles?

A

cAMP regulates contractility, while cGMP often has protective effects

25
Q

Which enzymes generate cGMP?

A

Soluble guanylate cyclase and particulate guanylate cyclase

26
Q

How does sildenafil (Viagra) affect the heart in animal models?

A

It shows cardioprotective effects by enhancing cGMP signaling

27
Q

Why might PDE9 inhibitors succeed where PDE5 inhibitors failed in heart failure?

A

PDE9 regulates a distinct pool of cGMP involved in heart protection

28
Q

What experiment confirmed cAMP compartmentalization in myocytes?

A

FRET imaging with phosphodiesterase inhibitors like IBMX

29
Q

What happens when AKAP18δ is knocked down?

A

Calcium reuptake in the sarcoplasmic reticulum slows significantly

30
Q

How are PDE isoforms localized within cells?

A

They have unique regulatory domains targeting specific cellular locations

31
Q

What is the role of troponin phosphorylation in myocytes?

A

It reduces calcium affinity to promote relaxation

32
Q

How does phosphorylation of L-type calcium channels affect the heart?

A

It increases calcium influx, enhancing contractility

33
Q

Why is cAMP compartmentalization necessary for maximal contractility?

A

It ensures precise timing and location of calcium signaling

34
Q

What structural changes occur in heart failure related to cAMP signaling?

A

Disruption of receptor and PDE compartmentalization

35
Q

How does β2-adrenergic signaling protect the heart?

A

By activating cardioprotective pathways via localized cAMP pools

36
Q

What did SICM imaging reveal about heart failure?

A

Redistribution of β2-adrenergic receptors and altered cAMP signaling

37
Q

How can understanding PDE localization improve drug design?

A

By targeting specific PDEs to enhance beneficial effects and avoid harm

38
Q

What is the significance of signalosome disruption in heart failure?

A

It contributes to loss of signal specificity and worsens pathology

39
Q

What is the future direction for cyclic nucleotide research?

A

Developing drugs targeting localized signaling domains

40
Q

What is the effect of cyclic AMP on ion channels?

A

It modulates their activity, impacting electrical signaling