“…In addition to these pathways, GPER has also been demonstrated to mediate Gα s protein activation (Thomas et al, 2005) leading to adenylyl cyclase activation and cAMP accumulation (Filardo et al, 2002), which further leads to PKA activation (Zucchetti et al, 2013) and transcriptional activation of CREB (Kanda and Watanabe, 2004) as well as vascular effects (Lindsey et al, 2013b) among other sequellae. Additional downstream pathways reported to be activated by GPER include PI3K (Revankar et al, 2005; Petrie et al, 2013), PKC (Goswami et al, 2011), calcium mobilization (Revankar et al, 2005; Tica et al, 2011), and other ion channels (Fraser et al, 2010; Goswami et al, 2011). Interestingly, many studies have observed that a vast majority of GPER is expressed in intracellular membranes (Revankar et al, 2005; Otto et al, 2008; Filardo and Thomas, 2012), with little expressed at the cell surface in most cells and cell lines likely due to both inefficient export mechanisms, which involve receptor activity-modifying protein 3 (RAMP3) (Bouschet et al, 2012; Lenhart et al, 2013), as well as constitutive GPER internalization (Cheng et al, 2011a; Cheng et al, 2011b).…”