2014
DOI: 10.1042/bst20130253
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cAMP signalling in the vasculature: the role of Epac (exchange protein directly activated by cAMP)

Abstract: The second messenger cAMP plays a central role in mediating vascular smooth muscle relaxation in response to vasoactive transmitters and in strengthening endothelial cell-cell junctions that regulate the movement of solutes, cells and macromolecules between the blood and the surrounding tissue. The vasculature expresses three cAMP effector proteins: PKA (protein kinase A), CNG (cyclic-nucleotide-gated) ion channels, and the most recently discovered Epacs (exchange proteins directly activated by cAMP). Epacs ar… Show more

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Cited by 55 publications
(49 citation statements)
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“…The newly-discovered target of cAMP, exchange proteins directly activated by cAMP (Epac), has been revealed to be a novel downstream mechanism for cAMP to govern signaling in the cardiovascular system and other tissues [11, 12]. Its primary function is to act as guanine nucleotide exchange factors (GEF) for Rap GTPases—which act as molecular switches that cycle between an active GTP-bound state and an inactive GDP-bound state [13].…”
Section: Introductionmentioning
confidence: 99%
“…The newly-discovered target of cAMP, exchange proteins directly activated by cAMP (Epac), has been revealed to be a novel downstream mechanism for cAMP to govern signaling in the cardiovascular system and other tissues [11, 12]. Its primary function is to act as guanine nucleotide exchange factors (GEF) for Rap GTPases—which act as molecular switches that cycle between an active GTP-bound state and an inactive GDP-bound state [13].…”
Section: Introductionmentioning
confidence: 99%
“…57 Various mechanisms that do not necessarily exclude the participation of PKA are involved in EPAC vasorelaxant effect. 56,58,59 EPAC mediates vasorelaxation by indirectly regulating the activity of Ca 2+ -sensitive and ATP-sensitive K + channels within the endothelium and on VSMCs ( Figure 5). [59][60][61] In addition, EPAC-induced arterial smooth muscle relaxation may be a consequence of the activation of endothelial nitric oxide synthase and the subsequent production of nitric oxide, a potent vasodilatator molecule in endothelial cells ( Figure 5).…”
Section: Regulation Of the Vascular Tonementioning
confidence: 99%
“…56,58,59 EPAC mediates vasorelaxation by indirectly regulating the activity of Ca 2+ -sensitive and ATP-sensitive K + channels within the endothelium and on VSMCs ( Figure 5). [59][60][61] In addition, EPAC-induced arterial smooth muscle relaxation may be a consequence of the activation of endothelial nitric oxide synthase and the subsequent production of nitric oxide, a potent vasodilatator molecule in endothelial cells ( Figure 5). 62 Of particular importance, activation of EPAC-Rap1 signaling lowers VSMC contractility via the inhibition of the small GTPase RhoA activity, a master regulator of VSMC contraction and the dephosphorylation of myosin light chain ( Figure 5).…”
Section: Regulation Of the Vascular Tonementioning
confidence: 99%
“…High concentrations of lactate will reach receptors both at the luminal and abluminal surface of the endothelial cells, because of the presence of MCT1 (Lauritzen et al, 2011) as well as GPR81 (Lauritzen et al, 2013a,b) at both sides of the endothelium. Normally as well as in disease, cAMP is perhaps the most potent signaling molecule to stabilize the endothelial barrier, and also regulates inflammation response and vascular tone (Roberts and Dart, 2014; Schlegel and Waschke, 2014). It acts on three classes of proteins: protein kinase A (PKA), cyclic-nucleotide-gated ion channels, and Epacs (exchange proteins directly activated by cAMP).…”
Section: Hypothesis Of a New Factor In CMmentioning
confidence: 99%
“…In addition, increased vascular tone (Roberts and Dart, 2014) may aggravate the hypoperfusion caused by clogging of microvessels by sequestered erythrocytes. The effects via GPR81, and possibly other lactate receptors (cf.…”
Section: Hypothesis Of a New Factor In CMmentioning
confidence: 99%