605
15.1 The Basic Elements
of Cell Signaling Systems
15.2 A Survey of Extracellular Messengers
and Their Receptors
15.3 G Protein-Coupled Receptors
and Their Second Messengers
15.4 Protein-Tyrosine Phosphorylation as a
Mechanism for Signal Transduction
15.5 The Role of Calcium
as an Intracellular Messenger
15.6 Convergence, Divergence,
and Cross-Talk Among Different Signaling
Pathways
15.7 The Role of NO
as an Intercellular Messenger
15.8 Apoptosis (Programmed Cell Death)
The Human Perspective:
Disorders Associated
with G Protein-Coupled Receptors
15
Cell Signaling and Signal Transduction:
Communication Between Cells
he English poet John Donne expressed his belief in the interdependence of
humans in the phrase “No man is an island.” The same can be said of the
cells that make up a complex multicellular organism. Most cells in a plant
or animal are specialized to carry out one or more specific functions. Many biological
processes require various cells to work together and to coordinate their activities. To
make this possible, cells have to communicate with each other, which is accomplished
by a process called cell signaling. Cell signaling makes it possible for cells to respond
in an appropriate manner to a specific environmental stimulus.
T
Three-dimensional, X-ray crystallographic structure of a �2-adrenergic receptor (�2-AR), which
is a representative member of the G protein-coupled receptor (GPCR) superfamily. These inte-
gral membrane proteins are characterized as containing seven transmembrane helices. As a group,
these proteins bind an astonishing array of biological messengers, which constitutes the first step
in eliciting many of the body’s most basic responses. The �2-AR is a resident of the plasma
membrane of a variety of cells, where it normally binds the ligand epinephrine and mediates
such responses as increased heart rate and relaxation of smooth muscle cells. Beta-adrenergic
receptors are the targets of a number of important drugs, including �-blockers, which are
widely prescribed for the treatment of high blood pressure and heart arrhythmias. GPCRs have
been very difficult to crystallize so that high-resolution structures of these important proteins
have been lacking. This situation is now changing as the result of recent advances in crystalliza-
tion technology, and it is hoped that these new high-resolution structures will lead to the devel-
opment of new classes of structure-designed drugs. The image shown here depicts two �2-ARs,
which were crystallized in the presence of cholesterol and palmitic acid (yellow) and a receptor-
binding ligand (green). (FROM VADIM CHEREZOV ET AL., COURTESY OF RAYMOND C. STEVENS, SCIENCE
318:1258, 2007; © COPYRIGHT 2007, AMERICAN ASSOCIATION FOR THE ADVANCEMENT OF SCIENCE.)
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606 Chapter 15 CELL SIGNALING AND SIGNAL TRANSDUCTION: COMMUNICATION BETWEEN CELLS
Cell signaling affects virtually every aspect of cell struc-
ture and function, which is one of the primary reasons that
this chapter appears near the end of the book. On one hand,
an understanding of cell signaling requires knowledge about
other types of cellular activity. On the other hand, insights
into cell signaling can tie together a variety of seemingly in-
dependent cellular processes. Cell signaling is also intimately
involved in the regulation of cell growth and division. This
makes the study of cell signaling crucially important for un-
derstanding how a cell can lose the ability to control cell di-
vision and develop into a malignant tumor. ■
15.1 THE BASIC ELEMENTS
OF CELL SIGNALING SYSTEMS
It may be helpful to begin the discussion of this complex sub-
ject by describing a few of the general features that are shared
by most signaling pathways. Cells usually communicate
with each other through extracellular messenger molecules.
Extracellular messengers can travel a short distance and stim-
ulate cells that are in close proximity to the origin of the mes-
sage, or they can travel throughout the body, potentially
stimulating cells that are far away from the source. In the case
of autocrine signaling, the cell that is producing the messenger
expresses receptors on its surface that can respond to that
messenger (Figure 15.1a). Consequently, cells releasing the
message will stimulate (or inhibit) themselves. During
paracrine stimulation (Figure 15.1b), messenger molecules
travel only short distances through the extracellular space to
cells that are in close proximity to the cell that is generating
the message. Paracrine messenger molecules are usually lim-
ited in their ability to travel around the body because they are
inherently unstable, or they are degraded by enzymes, or they
bind to the extracellular matrix. Finally, during endocrine
signaling, messenger molecules reach their target cells via
passage through the bloodstream (Figure 15.1c). Endocrine
messengers are also called hormones, and they typically act on
target cells located at distant sites in the body.
An overview of cellular signaling pathways is depicted in
Figure 15.2. Cell signaling is initiated with the release of a
messenger molecule by a cell that is engaged in sending
messages to other cells in the body (step 1, Figure 15.2). Cells
can only respond to an extracellular message if they express
receptors that specifically recognize and bind that particular
messenger molecule (step 2). In most cases, the messenger
molecule (or ligand) binds to a receptor at the extracellular
surface of the responding cell. This interaction causes a signal
to be relayed across the membrane to the receptor’s cytoplas-
mic domain (step 3). Once it has reached the inner surface of
the plasma membrane, there are two major routes by which
the signal is transmitted into the cell interior, where it elicits
the appropriate response. The particular route taken depends
on the type of receptor that is activated. In the following
discussion, we will focus on these two major routes of signal
transduction, but keep in mind there are other ways that ex-
tracellular signals can have an impact on a cell. For example,
we saw on page 164 how neurotransmitters act by opening
plasma membrane ion channels and on page 514 how steroid
hormones diffuse through the plasma membrane and bind to
intracellular receptors. In the two major routes discussed in
this chapter:
■ One type of receptor (Section 15.3) transmits a signal
from its cytoplasmic domain to a nearby enzyme (step 4),
which generates a second messenger (step 5). Because it
brings about (effects) the cellular response by generating a
second messenger, the enzyme responsible is referred to as
an effector. Second messengers are small substances that
typically activate (or inactivate) specific proteins. Depend-
ing on its chemical structure, a second messenger may dif-
fuse through the cytosol or remain embedded in the lipid
bilayer of a membrane.
■ Another type of receptor (Section 15.4) transmits a signal
by transforming its cytoplasmic domain into a recruiting
station for cellular signaling proteins (step 4a). Proteins in-
teract with one another, or with components of a cellular
membrane, by means of specific types of interaction do-
mains, such as the SH3 domain discussed on page 60.
Whether the signal is transmitted by a second messenger
or by protein recruitment, the outcome is similar; a protein
that is positioned at the top of an intracellular signaling path-
way is activated (step 6, Figure 15.2). Signaling pathways are
the information superhighways of the cell. Each signaling
FIGURE 15.1 Autocrine (a), paracrine (b), and endocrine (c) types of intercellular signaling.
(a) (b) (c)
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15.1 THE BASIC ELEMENTS OF CELL SIGNALING SYSTEMS 607
pathway consists of a series of distinct proteins that operate in
sequence (step 7). Each protein in the pathway typically acts
by altering the conformation of the subsequent (or down-
stream) protein in the series, an event that activates or inhibits
that protein (Figure 15.3). It should come as no surprise, af-
ter reading about other topics in cell biology, that alterations
in the conformation of signaling proteins are often accom-
plished by protein kinases and protein phosphatases that, re-
spectively, add or remove phosphate groups from other
proteins (Figure 15.3). The human genome encodes more
than 500 different protein kinases and approximately 150 dif-
ferent protein phosphatases. Most protein kinases transfer
phosphate groups to serine or threonine residues of their protein
substrates, but a very important group of kinases phosphory-
lates tyrosine residues. Some protein kinases and phos-
phatases are soluble cytoplasmic proteins; others are integral
membrane proteins. It is remarkable that, even though thou-
sands of proteins in a cell contain amino acid residues with the
potential of being phosphorylated, each protein kinase or
phosphatase is able to recognize only its specific substrates
and ignore all of the others. Some protein kinases and phos-
phatases have numerous proteins as their substrates, whereas
others phosphorylate or dephosphorylate only a single amino
acid residue of a single protein substrate. Many of the protein
substrates of these enzymes are enzymes themselves—most
often other kinases and phosphatases—but the substrates also
include ion channels, transcription factors, and various types
of regulatory proteins. It is thought that at least 50 percent of
transmembrane and cytoplasmic proteins are phosphory-
lated at one or more sites. Protein phosphorylation can change
protein behavior in several different ways. Phosphorylation
can activate or inactivate an enzyme, it can increase or de-
crease protein–protein interactions, it can induce a protein to
move from one subcellular compartment to another, or it can
FIGURE 15.2 An overview of the major signaling pathways by which
extracellular messenger molecules can elicit intracellular responses.
Two different types of signal transduction pathways are depicted, one in
which a signaling pathway is activated by a diffusible second messenger
and another in which a signaling pathway is activated by recruitment of
proteins to the plasma membrane. Most signal transduction pathways
involve a combination of these mechanisms. It should also be noted that
signaling pathways are not typically linear tracks as depicted here, but
are branched and interconnected to form a complex web. The steps are
described in the text.
Signaling cell
Transmembrane
receptor
Second
messenger
Effector
Activated
target
protein
Extracellular signaling
molecule (first messenger)
9
88
9
7
6
4a3
4
3
22
7
6
5
1
P
Transcription
Survival
Protein synthesis
Movement
Cell death
Metabolic change
FIGURE 15.3 Signal transduction pathway consisting of protein ki-
nases and protein phosphatases whose catalytic actions change the
conformations, and thus the activities, of the proteins they modify.
In the example depicted here, protein kinase 2 is activated by protein
kinase 1. Once activated, protein kinase 2 phosphorylates protein kinase
3, activating the enzyme. Protein kinase 3 then phosphorylates a tran-
scription factor, increasing its affinity for a site on the DNA. Binding of
a transcription factor to the DNA affects the transcription of the gene in
question. Each of these activation steps in the pathway is reversed by a
phosphatase. Whereas protein kinases typically work as a single subunit,
many protein phosphatases contain a key regulatory subunit that helps
determine substrate specificity.
ActiveInactive
Protein
kinase 2
P
Protein
kinase 2
Active
Protein
kinase 1
Active
Protein
kinase 3
Inactive
Protein
kinase 3
P
Active
Transcription
factor
Inactive
Transcription
factor
P
DNA
mRNA
P
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608 Chapter 15 CELL SIGNALING AND SIGNAL TRANSDUCTION: COMMUNICATION BETWEEN CELLS
15.2 A SURVEY OF EXTRACELLULAR
MESSENGERS AND THEIR RECEPTORS
A large variety of molecules can function as extracellular car-
riers of information. These include
■ Amino acids and amino acid derivatives. Examples include
glutamate, glycine, acetylcholine, epinephrine, dopamine,
and thyroid hormone. These molecules act as neurotrans-
mitters and hormones.
■ Gases, such as NO and CO.
■ Steroids, which are derived from cholesterol. Steroid
hormones regulate sexual differentiation, pregnancy,
carbohydrate metabolism, and excretion of sodium and
potassium ions.
■ Eicosanoids, which are nonpolar molecules containing
20 carbons that are derived from a fatty acid named
arachidonic acid. Eicosanoids regulate a variety of
processes including pain, inflammation, blood pressure,
and blood clotting. Several over-the-counter drugs that
are used to treat headaches and inflammation inhibit
eicosanoid synthesis.
■ A wide variety of polypeptides and proteins. Some of
these are present as transmembrane proteins on the sur-
face of an interacting cell (page 247). Others are part of,
or associate with, the extracellular matrix. Finally, a large
number of proteins are excreted into the extracellular envi-
ronment where they are involved in regulating processes
such as cell division, differentiation, the immune response,
or cell death and cell survival.
Extracellular signaling molecules are usually, but not always,
recognized by specific receptors that are present on the surface
of the responding cell. As illustrated in Figure 15.2, receptors
bind their signaling molecules with high affinity and translate
this interaction at the outer surface of the cell into changes that
take place on the inside of the cell. The receptors that have
evolved to mediate signal transduction are indicated below.
■ G protein-coupled receptors (GPCRs) are a huge family
of receptors that contain seven transmembrane � helices.
These receptors translate the binding of extracellular sig-
naling molecules into the activation of GTP-binding
proteins. GTP-binding proteins (or G proteins) were
discussed in connection with vesicle budding and fusion
in Chapter 8, microtubule dynamics in Chapter 9, protein
synthesis in Chapters 8 and 11, and nucleocytoplasmic
transport in Chapter 12. In the present chapter, we will ex-
plore their role in transmitting messages along “cellular in-
formation circuits.”
■ Receptor protein-tyrosine kinases (RTKs) represent a
second class of receptors that have evolved to translate
the presence of extracellular messenger molecules into
changes inside the cell. Binding of a specific extracellular
ligand to an RTK usually results in receptor dimerization
followed by activation of the receptor’s protein-kinase
domain, which is present within its cytoplasmic region.
Upon activation, these protein kinases phosphorylate spe-
cific tyrosine residues of cytoplasmic substrate proteins,
thereby altering their activity, their localization, or their
ability to interact with other proteins within the cell.
■ Ligand-gated channels represent a third class of cell-
surface receptors that bind to extracellular ligands. The
ability of these proteins to conduct a flow of ions across
the plasma membrane is regulated directly by ligand bind-
ing. A flow of ions across the membrane can result in a
temporary change in membrane potential, which will af-
fect the activity of other membrane proteins, for instance,
voltage-gated channels. This sequence of events is the
basis for formation of a nerve impulse (page 162). In addi-
tion, the influx of certain ions, such as Ca2�, can change
the activity of particular cytoplasmic enzymes. As dis-
?R EVIE W
1. What is meant by the term signal transduction? What are
some of the steps by which signal transduction can occur?
2. What is a second messenger? Why do you suppose it is
called this?
act as a signal that initiates protein degradation. Large-scale
proteomic approaches have been employed (page 68) to iden-
tify the potential substrates of various protein kinases. The
primary challenge is to understand the roles of these diverse
posttranslational modifications in the activities of different
cell types.
Signals transmitted along such signaling pathways ulti-
mately reach target proteins (step 8, Figure 15.2) involved in
basic cellular processes (step 9). Depending on the type of cell
and message, the response initiated by the target protein may
involve a change in gene expression, an alteration of the activ-
ity of metabolic enzymes, a reconfiguration of the cytoskele-
ton, an increase or decrease in cell mobility, a change in ion
permeability, activation of DNA synthesis, or even the death
of the cell. Virtually every activity in which a cell is engaged is
regulated by signals originating at the cell surface. This over-
all process in which information carried by extracellular mes-
senger molecules is translated into changes that occur inside a
cell is referred to as signal transduction.
Finally, signaling has to be terminated. This is important
because cells have to be responsive to additional messages that
they may receive. The first order of business is to eliminate the
extracellular messenger molecule. To do this, certain cells pro-
duce extracellular enzymes that destroy specific extracellular
messengers. In other cases, activated receptors are internalized
(page 612). Once inside the cell, the receptor may be degraded
together with its ligand, which can leave the cell with de-
creased sensitivity to subsequent stimuli. Alternatively, recep-
tor and ligand may be separated within an endosome, after
which the ligand is degraded and the receptor is returned to
the cell surface.
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15.3 G PROTEIN-COUPLED RECEPTORS AND THEIR SECOND MESSENGERS 609
cussed in Section 4.8, one large group of ligand-gated
channels functions as receptors for neurotransmitters.
■ Steroid hormone receptors function as ligand-regulated tran-
scription factors. Steroid hormones diffuse across the plasma
membrane and bind to their receptors, which are present in
the cytoplasm. Hormone binding results in a conformational
change that causes the hormone–receptor complex to move
into the nucleus and bind to elements present in the promot-
ers or enhancers of hormone-responsive genes (see Figure
12.43). This interaction gives rise to an increase or decrease
in the rate of gene transcription.
■ Finally, there are a number of other types of receptors
that act by unique mechanisms. Some of these receptors,
for example, the B- and T-cell receptors that are involved
in the response to foreign antigens, associate with known
signaling molecules such as cytoplasmic protein-tyrosine
kinases. We will concentrate in this chapter on the
GPCRs and RTKs.
15.3 G PROTEIN-COUPLED RECEPTORS
AND THEIR SECOND MESSENGERS
G protein-coupled receptors (GPCRs) are so named
because they interact with G proteins, as discussed be-
low. Members of the GPCR superfamily are also referred to as
seven-transmembrane (7TM) receptors because they contain
seven transmembrane helices (Figure 15.4). Thousands of dif-
ferent GPCRs have been identified in organisms ranging
from yeast to flowering plants and mammals that together
regulate an extraordinary spectrum of cellular processes. In
fact, GPCRs constitute the single largest superfamily of pro-
teins encoded by animal genomes. Included among the natu-
ral ligands that bind to GPCRs are a diverse array of
hormones (both plant and animal), neurotransmitters, opium
derivatives, chemoattractants (e.g., molecules that attract
phagocytic cells of the immune system), odorants and tastants
(molecules detected by olfactory and gustatory receptors elic-
FIGURE 15.4 The membrane-bound machinery for transducing sig-
nals by means of a seven transmembrane receptor and a heterotrimeric
G protein. (a) Receptors of this type, including those that bind epi-
nephrine and glucagon, contain seven membrane-spa
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