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Ganong's Review of Medical Physiology, 23rd Edition

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is activated by heterotrimeric G proteins, while PLCγ forms are<br />

activated through tyrosine kinase receptors. PLC is<strong>of</strong>orms can<br />

catalyze the hydrolysis <strong>of</strong> the membrane lipid phosphatidylinositol<br />

4,5-diphosphate (PIP 2 ) to form IP 3 and diacylglycerol<br />

(DAG) (Figure 2–25). The IP 3 diffuses to the endoplasmic<br />

CHAPTER 2 Overview <strong>of</strong> Cellular <strong>Physiology</strong> in <strong>Medical</strong> <strong>Physiology</strong> 55<br />

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surface<br />

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HOOC A P A V Q S T E T K S V T T S A E G L P<br />

FIGURE 2–24 Structures <strong>of</strong> two G protein-coupled receptors. The individual amino acid residues are identified by their single-letter codes,<br />

and the orange residues are sites <strong>of</strong> phosphorylation. The Y-shaped symbols identify glycosylation sites. Note the extracellular amino terminal, the<br />

intracellular carboxyl terminal, and the seven membrane-spanning portions <strong>of</strong> each protein. (Reproduced with permission from Benovic JL et al: Light-<br />

dependent phosphorylation <strong>of</strong> rhodopsin by β-adrenergic receptor kinase. Reprinted by permission from Nature 1986;321:869. Copyright © 1986 by Macmillan Magazines)<br />

Phosphatidylinositol<br />

(PI)<br />

P<br />

1<br />

4<br />

P<br />

1<br />

4<br />

P<br />

Inositol IP<br />

+<br />

CDP-diacylglycerol<br />

reticulum, where it triggers the release <strong>of</strong> Ca 2+ into the cytoplasm<br />

by binding the IP 3 receptor, a ligand-gated Ca 2+ channel<br />

(Figure 2–26). DAG is also a second messenger; it stays in<br />

the cell membrane, where it activates one <strong>of</strong> several is<strong>of</strong>orms<br />

<strong>of</strong> protein kinase C.<br />

PIP PIP2 Diacylglycerol<br />

FIGURE 2–25 Metabolism <strong>of</strong> phosphatidylinositol in cell membranes. Phosphatidylinositol is successively phosphorylated to form<br />

phosphatidylinositol 4-phosphate (PIP), then phosphatidylinositol 4,5-bisphosphate (PIP2). Phospholipase Cβ and phospholipase Cγ catalyze the<br />

breakdown <strong>of</strong> PIP2 to inositol 1,4,5-trisphosphate (IP3) and diacylglycerol. Other inositol phosphates and phosphatidylinositol derivatives can also<br />

be formed. IP3 is dephosphorylated to inositol, and diacylglycerol is metabolized to cytosine diphosphate (CDP)-diacylglycerol. CDP-diacylglycerol<br />

and inositol then combine to form phosphatidylinositol, completing the cycle. (Modified from Berridge MJ: Inositol triphosphate and diacylglycerol as second<br />

messengers. Biochem J 1984;220:345.)<br />

P<br />

1<br />

4<br />

P<br />

Phospholipase<br />

C<br />

IP 2<br />

5<br />

P<br />

Phosphatidic acid<br />

P<br />

1<br />

4<br />

P<br />

IP 3<br />

5<br />

P

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