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Schuller. J Cancer Metastasis Treat 2017;3:71-7                                     Journal of
           DOI: 10.20517/2394-4722.2017.18
                                                             Cancer Metastasis and Treatment

                                                                                               www.jcmtjournal.com
            Commentary                                                                          Open Access


           A new twist to neurotransmitter receptors

           and cancer



           Hildegard M. Schuller

           Experimental Oncology Laboratory, Department of Biomedical and Diagnostic Sciences, College of Veterinary Medicine, University of Tennessee,
           Knoxville, TN 37996, USA.

           Correspondence to: Prof. Hildegard M. Schuller, Experimental Oncology Laboratory, Department of Biomedical and Diagnostic Sciences, College
           of Veterinary Medicine, University of Tennessee, 2407 River Drive, Knoxville, TN 37996, USA. E-mail: hmsch@utk.edu
           How to cite this article: Schuller HM. A new twist to neurotransmitter receptors and cancer. J Cancer Metasta Treat 2017;3:71-7.

           Article history:  Received: 08-03-2017      Accepted: 26-04-2017      Published: 28-04-2017

           BACKGROUND                                         mediated  neurotransmitter release  by the central
                                                              and peripheral nervous system, their role in memory,
           Nicotinic acetylcholine receptors (nAChRs) and beta-  cognition  and stress responses and the nAChR-
           adrenergic receptors (β-ARs)  are cell membrane    mediated mechanisms of nicotine addiction have been
           receptors expressed in most  mammalian cells       extensively studied. [1,2]
           where they function as the recipients of signals
           from the autonomic  nervous  system that maintains   Beta-adrenergic  receptors are coupled to  the
           physiological homeostasis in the mammalian organism   stimulatory G-protein G   that  activates the enzyme
                                                                                    s
           and regulates cell and organ responses to endogenous   adenylyl cyclase (AC) upon binding of an agonist to the
           and  exogenous signals.  The neurotransmitter  of the   receptor, leading to the formation of intracellular cyclic
           parasympathetic branch of the autonomic nervous    adenosine  monophosphate  (cAMP)  that  activates
                                                              protein kinase A (PKA) and numerous PKA-dependent
           system, acetylcholine,  binds  as an agonist  to all   and independent intracellular signaling cascades in a
           members of the nAChR  family, thus opening  the    cell type-specific manner.  In addition, β1 and β2-ARs
                                                                                    [3]
           ligand-gated  ion channel of the receptors.  The   can increase intracellular  Ca   levels by a variety of
                                                                                        2+
           resulting  depolarization  of the cell membrane  opens   mechanisms  [Figure 1],  including the  PKA-induced
           voltage-gated  Ca -channels  (VOCs),  allowing  influx   upregulation of L-type Ca -channels  and release of
                           2+
                                                                                               [4]
                                                                                     2+
           of additional  Ca  that triggers the release  of cell   Ca  from intracellular stores that can also be induced
                          2+
                                                                 2+
           type-specific  intracellular  products  via  exocytosis.    by the cAMP binding protein exchange factor directly
                                                          [1]
           Influx  of  Ca   is particularly high in response to   activated by cAMP (Epac).  Of particular importance
                       2+
                                                                                      [5]
           agonist binding to the homomeric (comprised of alpha   for the regulation of cancer cells is the fact that activated
           subunits only)  α7nAChR due to the selectivity of its   PKA and/or cAMP stimulate the release of epidermal
           ion channel for Ca  whereas heteromeric (comprised   growth factor  (EGF),   arachidonic  acid (AA), [7,8]
                            2+
                                                                                   [6]
           of alpha and non-alpha subunits) nAChRs have non-  interleukins  and vascular endothelial  growth factor
           selective ion channels.  The  mechanisms of  nAChR-  (VEGF),  which jointly stimulate the development,
                                                                     [9]
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