1.3 Muscarinic M1 M3 and M5 acetylcholine receptor intracellular

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Muscarinic M1, M3 and M5 acetylcholine receptor intracellular signalling pathway
M1, M3 and M 5 are G q protein coupled: the second messenger is IP 3 , and the result is calcium release
Acetylcholine
Phospholipase C (Beta)
with a massive influx of diacylglycerol and IP3 will
begin to secrete stuff. Similarly, smooth muscle will
contract when there is a calcium influx.
Gq
Gq
In general, he rule of thumb for these
receptors is the excitation of excitable tissue,
and the activation of various glandular and
secretory function. Most glandular cells, posed
GTP
Phospholipase C (Beta)
Membrane phospholipid
(phosphatidylinositol-4,
5-bisphosphate, or PIP-2)
Endoplasmic
reticulum,
where calcium
is stored
Protein Kinase C
family of enzymes
Inositol triphosphate (IP3)
IP3 receptor,
an IP3-gated
calcium channel
Ca++ release
Diacylglycerol (DAG)
Activated Protein kinase C
Calcium release causes activation of calmodulin-sensitive enzymes
- Myosin light chain Kinase
- Calmodulin-dependent protein kinase (I and II) – CaM kinases;
- Phosphodiesterase (yes, the one that degrades cAMP and
/ cGMP)
All sorts of calcium-release-dependent
phenomena are activated:
- Smooth muscles contract
- Secretions are secreted
From Peck and Hill “Pharmacology for Anaesthesia and Intensive care” as well as the mighty “Handbook of Pharmacology and Physiology in Anaesthetic Practice” by Stoelting and Hillier. A