The only drugs which could slow downregulation would be ones which cause receptor antagonism....
- Recovery of the muscarinic cholinergic receptor from its down-regulation in cultured smooth muscleThe processes of metabolism (biosynthesis and degradation) of mAChR seem to involve microtubular systems but not microfilament systems. Our previous results showed that the microtubular system present inside or around the plasma membrane, but not the microfilament system, participates in the accelerated degradation of mAChR (Higuchi et al., 1982). In the present study the recovery of mAChR was inhibited by the antimicrotubular agents colchicine and vinblastine, but not by the antimicrofilament agent cytochalasin B. These results suggest that microtubules, but not microfilaments, are involved in intracellular transport of mAChR.
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We have already reported that removal of Ca 2 + with 5 mM EGTA from the culture medium reduced the agonist-induced acceleration in the degradation of mAChR (Takeyasu et al., 1981). These findings suggested that the biosynthesis and degradation of mAChR are both Ca 2 +-requiring processes.
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The recovery of mAChR from its down-regulation was dependent on protein synthesis and was inhibited by the above agents affecting membrane protein synthesis. It was likely that this recovery of mAChR reflects the de novo synthesis of mAChR as with other membrane receptors. The above data can be of use for elucidating the regulatory mechanisms of biosynthesis of mAChR....
- Adrenergic Receptors — Evolving Concepts and Clinical Implications, Paul A. Insel, M.D. N Engl J Med 1996; 334:580-585, February 29, 1996 DOI: 10.1056/NEJM199602293340907The regulation of adrenergic receptors by agonists (desensitization) appears to be a multistep process that involves several discrete events, including the rapid phosphorylation of receptors; the sequestration of the receptor in a cellular compartment not readily accessible from outside the cell; the uncoupling of the receptor, so that ligand binding still occurs but second-messenger formation is decreased; and the internalization of the receptor to intracellular sites. Persistent exposure to agonist can also result in an actual loss of receptors, presumably through degradation, but this type of receptor down-regulation occurs more slowly. Susceptibility to these agonist-promoted events differs among the various types and subtypes of adrenergic receptors.
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There is a high degree of polymorphism at certain loci in β2-adrenergic receptors.41 Of particular interest is a polymorphism that converts arginine to glycine at codon 16 and is substantially more prevalent in patients who have a history of nocturnal asthma.42 In experimental systems, receptors with this polymorphism are more sensitive to down-regulation in response to adrenergic agonists.43 It is intriguing to speculate that this phenotype in vivo predisposes patients to the loss of β-adrenergic function and to nocturnal asthma. Other recent data suggest that the substitution of glutamic acid for glutamine at codon 27, which yields a receptor that has decreased down-regulation, is associated with a decrease in bronchoconstriction.