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Essential Cell Biology 5th edition

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G-Protein-Coupled Receptors

555

(A)

smooth muscle cells

lumen of

blood vessel

basal lamina

Figure 16–26 Nitric oxide (NO) triggers smooth muscle relaxation in a bloodvessel

wall. (A) Simplified drawing showing a cross section of a blood vessel with

endothelial cells lining its lumen and smooth muscle cells surrounding the outside

of the vessel. (B) The neurotransmitter acetylcholine causes the blood vessel

to dilate by binding to a GPCR on the surface of the endothelial cells, thereby

activating a G protein, G q , to trigger Ca 2+ release (as illustrated in Figure 16–23).

Ca 2+ activates nitric oxide synthase, stimulating the production of NO. NO then

diffuses out of the endothelial cells and into adjacent smooth muscle cells, where

it regulates the activity of specific proteins, causing the muscle cells to relax. One

key target protein that can be activated by NO in smooth muscle cells is guanylyl

cyclase, which catalyzes the production of cyclic GMP from GTP. Note that NO gas

is highly toxic when inhaled and should not be confused with nitrous oxide (N 2 O),

also known as laughing gas.

endothelial cell

(B)

acetylcholine

activated

NO synthase

(NOS)

NO bound to

guanylyl cyclase

arginine

NO

endothelial cell

IP 3 Ca 2+ ECB5 m15.40-16.26

RAPID DIFFUSION OF NO

ACROSS MEMBRANES

GTP

cyclic

GMP

RAPID RELAXATION

OF SMOOTH MUSCLE CELL

smooth muscle cell

Endothelial cells—the flattened cells that line every blood vessel—release

NO in response to acetylcholine secreted by nearby nerve endings.

Acetylcholine binds to a GPCR on the endothelial cell surface, resulting in

activation of G q and the release of Ca 2+ inside the cell (see Figure 16–23).

Ca 2+ then stimulates nitric oxide synthase, which produces NO from the

amino acid arginine. This NO diffuses into smooth muscle cells in the

adjacent vessel wall, causing the cells to relax; this relaxation allows

the vessel to dilate, so that blood flows through it more freely (Figure

16–26). The effect of NO on blood vessels accounts for the action of nitroglycerin,

which has been used for almost 100 years to treat patients with

angina—pain caused by inadequate blood flow to the heart muscle. In

the body, nitroglycerin is converted to NO, which rapidly relaxes blood

vessels, thereby reducing the workload on the heart and decreasing the

muscle’s need for oxygen-rich blood. Many nerve cells also use NO to

signal neighboring cells: NO released by nerve terminals in the penis,

for instance, acts as a local mediator to trigger the blood-vessel dilation

responsible for penile erection.

Inside many target cells, NO binds to and activates the enzyme guanylyl

cyclase, stimulating the formation of cyclic GMP from the nucleotide GTP

(see Figure 16–26B). Cyclic GMP, a second messenger similar in structure

to cyclic AMP, is a key link in the NO signaling chain. The drug Viagra

enhances penile erection by blocking the enzyme that degrades cyclic

GMP, prolonging the NO signal.

GPCR-Triggered Intracellular Signaling Cascades Can

Achieve Astonishing Speed, Sensitivity, and Adaptability

The steps in the signaling cascades associated with GPCRs take a long time

to describe, but they often take only seconds to execute. Consider how

quickly a thrill can make your heart race (when epinephrine stimulates

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