PAGE-3 activators encompass a variety of chemicals that affect different cellular signaling pathways resulting in the enhanced activity of PAGE-3. One mechanism involves the direct activation of adenylyl cyclase, leading to an increase in the intracellular levels of cAMP, a second messenger that activates protein kinase A (PKA). The activation of PKA can then directly phosphorylate and enhance the activity of PAGE-3. This mechanism is utilized by compounds that act as β-adrenergic receptor agonists or by increasing the availability of cAMP through inhibition of its degradation. Additionally, analogs of cAMP serve to mimic the natural ligand, sustaining the activation of PKA and supporting the phosphorylation state of PAGE-3. Other compounds work by inhibiting phosphodiesterases, which break down cAMP, thus indirectly contributing to the increased activation of PKA and subsequent phosphorylation of PAGE-3.
Further mechanisms of PAGE-3 activation involve modulation of intracellular calcium levels. Certain compounds act as ionophores, facilitating the influx of calcium ions into the cell, which may initiate the activation of calcium-dependent protein kinases that have the potential to phosphorylate PAGE-3. Calcium signaling can be further manipulated through compounds that stimulate receptors leading to calcium mobilization from intracellular stores. Furthermore, activators of the protein kinase C (PKC) pathway, which can be influenced by diacylglycerol analogs or through direct activation, ultimately promote phosphorylation events within the cell that may include PAGE-3 as a target.
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