Richard I. G. Holt

Essential Endocrinology and Diabetes


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of C to C*.

Schematic illustration of the second messengers that mediate G-protein–coupled receptor signalling. The symbol P is the abbreviation for a phosphate group. Carbon atoms are numbered in their ring position. R1 and R2 represent fatty acid chains.

       Gsα: activates adenylate cyclase

       Giα: inhibits adenylate cyclase

       Gqα: activates PLC

       Goα: activates ion channels

      Second messenger pathways

       Cyclic adenosine monophosphate

      The cAMP response is terminated by a large family of phosphodiesterases, which can be activated by a variety of systems, including phosphorylation by PKA, in effect providing a negative feedback loop. Phosphodiesterases rapidly hydrolyze cAMP to the inactive 5′‐AMP. In addition, activated PKA can phosphorylate serine and threonine residues of the GPCR to cause receptor desensitization.

Hormone Dominant G‐protein α‐subunit(s)
Thyrotrophin‐releasing hormone (TRH) Gqα
Corticotrophin‐releasing hormone (CRH) Gsα
Gonadotrophin‐releasing hormone (GnRH) Gqα
Somatostatin (SS) Giα/Gqα
Thyroid‐stimulating hormone (TSH) Gsα/Gqα
Luteinizing hormone (LH)/human chorionic gonadotrophin (hCG) Gsα/Gqα
Follicle‐stimulating hormone (FSH) Gsα/Gqα
Adrenocorticotrophic hormone (ACTH) Gsα
Oxytocin Gqα
Vasopressin Gsα/Gqα
Catecholamines (β‐adrenergic) Gsα
Angiotensin II (AII) Giα/Gqα
Glucagon Gsα
Calcium Gqα/Giα
Calcitonin Gsα/Giα/Gqα
Parathyroid hormone (PTH)/PTH‐related peptide (PTHrP) Gsα/Gqα
Prostaglandin E2 Gsα

      For signalling by SS, vasopressin, AII, calcitonin and PTH/PTHrP, different receptor subtypes, potentially in different tissues, determine α‐subunit specificity. This provides opportunities for selective antagonist therapies.

       Diacylglycerol and Ca 2+

Schematic illustration of hormonal activation of G-protein–coupled receptors can link to different second messenger pathways. The two alternative pathways are not mutually exclusive and may, in fact, interact.

      Several endocrinopathies occur because of activating or inactivating mutations in genes encoding GPCRs or G‐proteins coupled to them. Activating mutations cause constitutive overactivity; inactivating mutations cause hormone resistance syndromes characterized by high circulating hormone levels but diminished hormone action.

       Gain of function

       LH receptor: male precocious puberty (Figure 3.13)

       TSH receptor: ‘toxic’ thyroid adenomas

       Gsα: McCune–Albright syndrome (