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1 The Department of Pharmacology University of Michigan Medical School Ann Arbor, Mi 48109-0632
2 The Department of Pharmacology and the Alliance for Cellular Signaling University of Texas Southwestern Medical Center Dallas TX 75390-9041
Correspondence: RKS or RT. E-mail sunahara{at}umich.edu; fax 734-763-4450. E-mail ron.taussig{at}utsouthwestern.edu.

With nine different isoforms of membrane-associated adenylyl cyclases (ACs) and one isoform of soluble AC, there is much to learn and even more to understand regarding the expression of tissue-specific AC isoforms. However, on the protein level, there are many proteins and small molecules that affect the catalytic activity of ACs. Knowing how to tailor AC activity, or how to exploit the activity of one isoform over another in a given tissue, may give rise to therapeutic agents that can inhibit AC-dependent disease states or, at least, lessen their severity.
| SUMMARY |
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| INTRODUCTION |
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-subunit and an obligate ß
heterodimer. Hormone-dependent activation of receptors leads to the exchange of GDP for guanosine triphosphate (GTP). Conformational changes due to GTP binding result in the dissociation of the heterotrimeric G protein into
and ß
subunits, which then interact with their respective effectors (Figure 1
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-subunits that regulate AC, either in a stimulatory (G
s family), or inhibitory (G
i family) manner (2). The two G
families are normally coupled to distinct receptor subtypes. The ß
-subunits also regulate AC, but in an AC subtypespecific manner (35). Additionally, calcium ions are very strong modulators of some isoforms of AC (69); thus, G proteins that regulate calcium entry through voltage-dependent Ca2+ channels may also regulate AC activity (1012). ACs have been extensively characterized, and great advances have been made in our understanding of how they function. Their mechanism of action can now be incorporated into model systems to explain drug responses that occur in tissues or whole organisms. For example, learning and memory are associated with the activation of protein kinase activity and protein phosphorylation (13), two processes that are strongly regulated by AC activity. Genetically modified mouse strains that contain altered AC genes display considerable behavioral defects, particularly in learning and memory (1416). The effects of Ca2+ and Ca2+calmodulin (CaM) on AC activity are also strongly implicated in learning and memory (1719). AC activity itself can be modulated through phosphorylation of the enzyme, and alterations in the expression of AC isoforms also accompany drug-induced receptor effects that have been related to symptoms of drug dependence (2023).
Much of the research surrounding cAMP signaling has focused on AC activity that is regulated by G proteins. However, a bona fide soluble form of AC that is insensitive to G proteins and forskolin has been cloned (24). Soluble AC (sAC) activity was identified in testis during the early 1980s, but the activity remained an enigma until the corresponding cDNA was isolated. Elevated concentrations of cAMP in the testis are crucial for sperm development and capacitation. The discovery of sAC, along with the finding that it is activated by bicarbonate, has forced a reexamination of how cAMP signals are propagated into the cell beyond the cell membrane.
| MULTIPLE AC ISOFORMS |
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-stimulatory forms are represented by AC2, AC4, and AC7 (Figure 2B
i isoforms (G
o, G
i1, G
i2, G
i3, and G
z) (Figure 2C
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| REGULATION OF AC ACTIVITY |
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s
s. G
s is the most widely distributed activator of all mammalian membrane-bound AC isoforms. Multiple splice variants of G
s have been identified: G
s-short, G
s-long and G
sXL. Although the former two isoforms have been extensively characterized both physiologically and biochemically, G
sXL is a relatively new member and is less well characterized (31). The long and short splice forms are biochemically indistinguishable in their capacity to directly activate AC (32); however, the behavior of the hormone receptorstimulated AC varies considerably (33). G
sXL can activate AC directly, but no hormone receptormediated effects through G
sXL have been demonstrated (34).
G
s in the GTP-bound form displays a tenfold greater affinity for activating AC compared to the GDP-bound form (35). Crystallographic evidence suggests that the main contact between G
s and AC occurs through a short
-helix that is highly mobile throughout the GTPase cycle of all G proteins (36, 37). The decreased affinity of the GDP-bound form for AC suggests that the GTPase activity of G
s serves as a timing mechanism to delimit cyclase activation. Following GTP hydrolysis, G
s dissociates from cyclase, reassociates with Gß
, and thereby terminates both G
s and Gß
signaling. The deactivation of G
s can be accelerated by a specific Regulator of G protein Signaling (RGS) molecule, PX1-RGS, that serves as a GTPase-accelerating protein (GAP) for G
s (38). AC itself can weakly accelerate the GTPase activity of G
s (39), similar to the accelerating effect of PLCß isoforms on their activator G
q (40).
INHIBITION BY G
i
Members of the G
i family inhibit AC but can manifest selectivity for given AC isoforms. G
i1, G
i2, G
i3, G
o, and G
z can inhibit AC5 and AC6 (Figure 2C
) (4143). Interestingly, their mode of inhibition is not through direct competition with G
s, because forskolin-stimulated activity is also inhibited. In addition, mutagenesis experiments and structural modeling suggest that G
i exerts its effects at a site, symmetrical to the G
s binding site, located on the side opposite the AC molecule (44). The highly expressed brain-specific G
o can inhibit AC1 (and possibly AC8), although it is not as potent as the other G
i subunits on AC5 and AC6. The G
i subunits are posttranslationally modified by long-chain acyl (myristoyl) and thioacyl (palmitoyl) moieties (45); myristoylation is required for G
i-mediated inhibition of AC.
REGULATION BY Gß
The contributions of the Gß
heterodimer to the modulation of ACs have been, at least until recently, largely unappreciated (46). G
-subunits had long been presumed to predominate in the regulation of AC; however, Gß
subunits are strong modulators of AC activity that can either be stimulatory, as in the case of AC2, AC4, and AC7, or inhibitory, as for AC1 and AC8 (Figure 2
) (46, 47). In fact, Gß
subunits are among the most potent of all negative regulators of AC1 and AC8, and can markedly inhibit the effects of forskolin, G
s, and Ca2+CaM on AC activities. These findings are particularly relevant for brain physiology because the G
i family and their accompanying ß
subunits are, along with AC1 and AC8, highly expressed in the brain (48).
In contrast, Gß
subunits act to stimulate the cyclase activity of AC2, AC4 and AC7, albeit only when G
s is co-activated (Figure 2B
). Gß
and G
s could thus establish a synergistic relationship, whereby the presence of Gß
might dramatically enhance the ability of G
s to activate AC. Indeed, the activation of those hormone receptors coupled to G
i subunits could liberate Gß
dimers that could synergistically potentiate AC activity that had been stimulated by distinct, G
s-activated, hormone receptors. It is important to note that the AC isoforms that undergo stimulation by Gß
(i.e., AC2, AC4 and AC7) are not directly modulated by the
subunits of the Gi family (3, 26). Less well understood is the relationship between Gß
and the other cyclase isoforms such as AC5 and AC6. Transfection experiments suggest that Gß
can inhibit AC5 and AC6 activity, perhaps in an indirect manner (49).
The putative binding site for Gß
on the Gß
-stimulated family of ACs (i.e., AC2, AC4, and AC7) has been mapped on the basis of peptide inhibition studies (50, 51). Peptides corresponding to amino acid residues 956 to 982 of AC2, that is, derived from the middle of the second of the two catalytic domains (i.e., C2), potently inhibit the ability of Gß
to stimulate the enzyme activity of intact AC2. Despite the high degree of sequence conservation among AC catalytic domains, this sequence (i.e., corresponding to residues 956 to 982 of AC2) is not found in AC isoforms that are not modulated by Gß
. Indeed, this sequence also contains the short putative Gß
-binding motif QXXER, the consensus for which is based on GRK2, the ß-adrenergic receptor kinase that requires Gß
for activation, as well as Gß
-activated inwardly rectifying K+ channels, the Gß
-activated PLCß isoforms, and the Gß
-inhibited AC1. Disruption of the consensus QXXER motif in any of these instances abrogates all Gß
effects. The C2 domain of AC2, possessing the QXXER motif, is located near the plasma membrane face, but the precise structure of this motif is unknown because the region is disordered in the crystal structure. An additional region within the regulatory region of the C1 domain, juxtaposed to the transmembrane domain, may also be important for Gß
regulation of AC2, AC4, and AC7 (52).
A peptide generated from the catalytic region of the AC1 isoform analogous to that containing the QXXER motif in the AC2 sequence also displays dramatic effects on Gß
regulation of AC activity (52). The peptide could reverse both Gß
-dependent inhibition of AC1 activity and Gß
-dependent superactivation of G
s-stimulated AC2, suggesting that the region of the AC1 isoform also serves for binding of Gß
. For example, it has been reported that this region contributes to Gß
-mediated inhibition of AC1 activity (53).
The recent findings outlined above underscore the importance of the Gß
heterodimer in modulating AC activity and suggest that it may be naïve to regard the importance of Gß
as secondary to that of G
. In addition to its role in regulating AC, Gß
subunits have been implicated as the primary component of G proteins that directly regulate ion channels (e.g., K+-channel activation and Ca2+- and Na+-channel inhibition) as well as other effectors systems: GPCR kinases (activation), phospholipase Cß isoforms (activation), and the mitogen-activated protein (MAP) kinase pathway (activation) (10, 54). The MAP kinase-dependent mating response in yeast is solely dependent on Gß
for signaling and only requires the G
subunit for its inactivation.
CALMODULIN AND CA2+ AS REGULATORS
Ca2+CaM activates isoforms AC1, AC8, and possibly AC3 (Figure 2A
) (5557). Some, but not all, agents that elevate local Ca2+ levels in intact cells may thus dramatically enhance the activity of these isoforms. Specifically, intracellular Ca2+ from IP3-sensitive stores are unable to affect these Ca2+-sensitive AC isoforms, whereas activation of Ca2+ entry through voltage-gated Ca2+ channels or through capacitative entry is effective at activating these AC isoforms (58, 59).
Although millimolar (i.e., non-physiological) concentrations of Ca2+ inhibit all AC isoforms (Figure 3C
), AC5 and AC6 are inhibited by concentrations of Ca2+ in the µM range, well within the dynamic range of intracellular levels (Figure 2C
) (60); Ca2+ from capacitative entry are thought to be the sole physiological source of Ca2+ to inhibit the AC5 and AC6 (6). The fact that these AC isoforms are restricted mostly to brain-specific and excitable cell types, and are compartmentalized with voltage-gated Ca2+ channels, is consistent with this notion (Table 1
).
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i, G
q, and G
12 types. The RGS2 isoform can enhance the intrinsic GTPase rate of both the G
i and G
q (64, 65). A direct association between G
i or G
q and AC3 has not been demonstrated; however, this interaction would provide an additional avenue of crosstalk.
REGULATION BY SMALL MOLECULES
Forskolin
The diterpene forskolin (from Coleus forskohlii) potently activates all known isoforms of mammalian membrane-bound ACs with the exception of AC9 (66). The sensitivity difference may be accounted for by as few as two residues, Ala1112 and Tyr1082, corresponding to Leu912 and Ser942 of AC2 (67). In an unexpected divergence of evolution, however, the D. melanogaster ortholog of AC9 is sensitive to forskolin (68). The forskolin-dependent activation of AC2, AC4, AC5, AC6, and AC7 is synergistic with G
s-mediated coactivation, whereas activation by forskolin and G
s is additive for isoforms AC1, AC3, and AC8 (3).
The binding site for forskolin is located within the catalytic core of AC, at the interface between the intracellular catalytic (C1 and C2) domains (Figure 3
). G
s binds similarly between the two domains, but at a location on the perimeter of the catalytic core. The relationship between the two binding sites and their proposed mechanism of action may explain the cooperativity of binding observed between forskolin and G
s. Why other isoforms display additive effects with forskolin and G
s is not obvious from the crystal structure. Stimulation of activation by forskolin and Ca2+CaM is cooperative in the cases of AC1, AC8, and presumably AC3 (56, 69).
Since the elucidation of the crystal structure of AC bound to either forskolin or its water-soluble analog 7-deacetyl-7-(O-N-methylpiperazino)-
-butyryl forskolin (5, 43), researchers have attempted to design isoform-selective forskolin analogs. Although this methodology is still in its infancy, several compounds have been synthesized that contain subtle modifications of forskolin and display a two- to threefold preference for certain cyclase isoforms (70).
Pyrophosphate
Adenylyl cyclase hydrolyses ATP to produce pyrophosphate and cAMP. In a steady-state AC assay, the rate-limiting step is normally the release of pyrophosphate (71). Elevated concentrations of pyrophosphate can thus be used to force AC into a product-bound conformation that prevents the binding of ATP. The antiviral agent, foscarnet, or phosphonoformic acid, mimics pyrophosphate and likewise inhibits AC activity (72).
P-Site Inhibitors
One collection of adenosine analogs, classified as P-site inhibitors, inhibits AC activity in a manner without competing with ATP binding (71, 73, 74). These compounds inhibit AC by binding to a conformation of the enzyme that closely resembles the product-bound state, or posttransition state (75). The capacity of P-site inhibitors to inhibit AC activity is thus dramatically affected by the catalytic activity of cyclase itself, which in turn is a function of the enzymes conformational state (73); most notably, P-site inhibitors are dramatically potentiated by the presence of pyrophosphate. The majority of P-site inhibitors lack one or more hydroxyl groups relative to the ribose ring structure (75). Additionally, most of these inhibitors are mono- or polyphosphates and are structural analogs of cAMP. Thus, 2'-deoxy-3'-AMP (IC50
10 µM), and the more potent inhibitors 2',5'-dideoxy-3'-ADP and 2'-5'-dideoxy-3'ATP (IC50
40 nM), inhibit AC by stabilizing the quasi-productbound state (76). P-site inhibitors are generally not specific for individual AC isoforms. The only exceptions are 9-(cyclopentyl)-adenine and 9-(tetrahydro-2-furyl)-adenine; they are ineffective on AC2, but equally inhibit AC1, AC3, AC5, AC6, AC7, and AC8 (70, 77).
Other Small-Molecule Modulators of AC Activity
Potent inhibitors of AC activity include the RP stereoisomer of
-thio-ATP (IC50
1 µM), although the SP isomer is actually a weak inhibitor (78).
,ß-Methyleneadenosine-5'-triphosphates (AMP-CPP), which contains a methylene group between the
- and ß-phosphates, is also an effective inhibitor of AC activity (IC50
300 µM) (79). The most potent inhibitor of AC activity currently available is ßL-2',3'-dideoxy-5'-ATP (IC50
24 nM) (80). As is the case with other inhibitors, such as 9-(2-phosphonylmethoxyethyl)-adenine and derivatives (80, 81), the ability of any these compounds to specifically modulate AC isoforms is not established.
REGULATION BY POSTTRANSLATIONAL MODIFICATION
Several modes of posttranslational modification, including phosphorylation, glycosylation, and S-nitrosylation, can alter the activity of ACs. The phosphorylation of AC by protein kinases generally has an inhibitory effect, not on basal activity, but on enhanced stimulation by various activators. These effects are part of a negative feedback mechanism; for example, PKA-mediated phosphorylation is thought on negatively regulate AC5 and AC6 activity (Figure 2C
)(82, 83).
Much attention has focused on the role of phosphorylation by protein kinase C (PKC) in regulating AC activity since the initial report that AC purified from brain can be directly phosphorylated by this kinase (84). The activities of AC1, AC2, AC3, and AC5 can be stimulated following phorbol ester treatment, whereas those of AC4 and AC6 are inhibited, suggesting that PKC can regulate ACs in an isoform-specific manner (8590). For AC2, AC5, and AC6, this regulation is due to direct phosphorylation by PKC (87, 91). Interestingly, although PKC has opposite effects on the G
s-stimulated activities of AC2 (enhanced by PKC) and AC4 (inhibited by PKC), PKC causes both AC2 and AC4 to lose responsiveness to the (stimulatory) effect of Gß
. In this way, PKC bears the role, with regard to AC2-like cyclases, of modulating the integration of G
s and Gß
inputs (85).
It is perhaps counterintuitive that Ca2+CaM, which normally activates AC1, AC3, and AC8, can also inhibit AC1 and AC3 indirectly through phosphorylation by CaM kinase II and IV, respectively (92, 93). This mode of regulation most likely reflects a negative feedback loop that controls Ca2+-mediated stimuli.
Both hormone- and forskolin-stimulated AC5 and AC6 activity are inhibited by nitric oxide (NO) (94). In addition to its primary targetsoluble guanylyl cyclase (GC) (95, 96)NO affects the ryanodine receptor and the NMDA receptor (9798). These effects are largely inhibitory and involve S-nitrosylation. More recently, N-linked glycosylation was demonstrated to be important for AC responsiveness to hormones and forskolin (99, 100). Although tunicamycin treatment, or substitution of glutamine for Asn805 and Asn890 of AC6, has very little effect on the targeting of AC6 to the plasma membrane and on G protein activation, G proteinmediated inhibition and responses to forskolin are impaired by as much as fifty percent (99). In contrast, a variant of AC8 requires N-linked glycosylation for plasma membrane targeting and thus for activation by membrane-bound G proteincoupled receptors (100, 101).
STRUCTURE: PRIMARY, SECONDARY, AND TERTIARY
AC is an integral membrane protein composed of twelve transmembrane segments. The protein can be visualized as two tandemly repeated domains, each containing six transmembrane segments and a large cytoplasmic (catalytic) loop (Figure 4
). The twelve-transmembrane domain topology is reminiscent of the ABC family of transporters such as the cystic fibrosis transmembrane rectifier and the P-glycoprotein, which is responsible for multidrug resistance and is encoded by the MDR1 gene (102, 103). The sequence similarity between the two cytosolic domains is striking: approximately forty percent, over a span of 250 residues, regardless of which membrane-bound isoform is considered (3). The catalytic cytosolic regions of mammalian ACs also share significant sequence similarity to the corresponding regions of GCs (96) and ACs from prokaryotes (Figure 4
).
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-subunits, forskolin, substrate inhibitors, and P-site inhibitors (35, 105108). The utilization of the recombinant, soluble domains of AC has facilitated the biophysical characterization of enzyme function.
STRUCTURAL BASIS FOR THE REGULATION OF AC
The C1 and C2 domains that form the catalytic core of AC are related by two-fold pseudosymmetry (Figure 3
). Current models of the AC structure are based on the forskolin-bound form in the presence (C1C2 heterodimer) or absence (inactive C2 homodimer) of G
s. The forskolin binding site is located in a hydrophobic pocket at the interface between the two domains (36, 109). Like forskolin, G
s also contacts both domains, with most of the binding surface (approximately seventy-five per cent) contributed by the C2 domain. The binding of G
s induces a 7° rotation of the C1 domain around the C2 domain, presumably positioning the active site for catalysis. The C2 domain contacts G
s primarily in the switch II region, one of three segments of G proteins that are highly mobile throughout the cycle of GTP hydrolysis (37). The pseudosymmetrical structure of the catalytic core makes apparent the likely binding site for other G proteins, such as G
il, that regulate catalysis (Figure 3B
). G
i selectively inhibits AC5 and AC6, for example, presumably by binding to the C1 domain (and perhaps through an interaction with the C2 domain) and stabilizing the two helices of C1, thus allosterically modifying the proximally located active site (44, 108).
SUBSTRATE BINDING AND THE MECHANISM OF HYDROLYSIS
The active site, revealed by x-ray diffraction of C1C2G
sforskolin co-crystals, is located at the interface between the C1 and C2 domains in at a site pseudosymmetrically related to the forskolin binding site (36, 109, 110). Residues that contact the substrate (or substrate analog) are conserved in all AC isoforms (Figure 3C
). Interestingly, the positions of Lys938 and Asp1018 in AC2, residues that contribute most of the binding energy to the adenine ring, are occupied in GCs by glutamate and cysteine residues, respectively. Indeed, the substrate specificity of AC can be changed from ATP to GTP by making the appropriate amino acid substitutions (111). Similarly, the conversion of a GC to an AC has also been demonstrated (111, 112).
The residues that coordinate the binding of the ribose and triphosphate portion of the nucleotide are conserved in all isoforms AC and GC (Figure 3C
). Non-conservative substitution of any of these residues severely impairs cyclase activity. Arg484, Arg1029, and Lys1065 in AC2 share coordination of the
-, ß-, and
-phosphates of the nucleotide. Two highly conserved aspartate residues (Asp396 and Asp440 in AC5) also help to coordinate the phosphates by coupling to two Mg2+ cations that stabilize the
-phosphate during catalysis. The overall structure is strikingly similar to that found in other phosphoryl transferases, such as T7 DNA polymerase and HIV reverse transcriptase (110, 113115). A model of the catalytic mechanism for these enzymes involves the contribution of one the Mg2+ ions acting as a general base that deprotonates the 3'-OH of the ribose ring (116). The newly formed oxyanion is thus poised for nucleophilic attack of the
-phosphate with elimination of pyrophosphate.
PHYSIOLOGY AND FUNCTION OF MAMMALIAN ACs
The biochemical assessment of the ACs has revealed several regulatory pathways that control AC activity. In contrast, a number of factors have resulted in a relative paucity of physiological data describing these complex regulatory pathways. The most notable obstacle is the multiplicity of the isotypes expressed within a given cell type, further complicated by the varying effects of modulators such as Ca2+ and Gß
, as well as the particular intracellular milieu. The majority of data come form: 1) overexpression studies using cell transfection or transgenic animals; 2) gene disruption studies utilizing genetic knockouts; and 3) the identification of natural gene mutations.
SENSITIZATION
The importance of AC sensitization has long been appreciated in model systems for drug abuse, withdrawal, and recovery (117). Cells chronically treated with opiates (which activate G
i-coupled receptors) exhibit AC activity that is supersensitive to stimulation by either forskolin or G
s following withdrawal of the opiate. Similar sensitization is observed with chronic activation of other hormone receptors that couple through G
isuch as the A3 adenosine (118), D2 and D4 dopamine (23, 119), and M2 muscarinic receptor subtypes (23, 120)and is dependent on the expression of particular ACs. In transfection studies, sensitization, in the form of superactivation, is observed for AC1, AC5, AC6, and AC8, but not for AC2, AC3, AC4, or AC7 (21, 119, 120), but the mechanisms underlying this form of sensitization remain obscure. Interestingly, chronic opioid treament leads to relative desensitization of the AC2, AC4 and AC7 isoforms, which appears to be regulated through G
s, G
i, Gß
, and PKC (119, 120, 121126). PKC-mediated phosphorylation of AC5 increases AC activity in vivo and in vitro (127). Chronic hormone stimulation leading to higher steady-state amounts of PKC-mediated phospho-AC5 may account for some of the apparent sensitization. Gß
has been implicated in the cannabinoid (CB1) receptor-mediated superactivation of AC1, AC3, AC5, AC6, and AC8, but not the ACs that are normally activated by Gß
(128).
Supersensitization might result as an effect of increased expression of specific AC isoforms, PKA, and the cAMP-responsive element binding protein (CREB) (117, 129). In sharp contrast, chronic exposure to ethanol reduces such expression and leads to AC desensitization (130), suggesting that ethanol dependence greatly relies on the cAMP signaling pathway (131).
GENETIC MANIPULATION OF AC ISOFORMS AND THE MOUSE MODEL
Much information on the physiological role of specific AC isoforms has come from studies on genetically altered animals. The role of CaM-regulated ACs in learning and memory has been hypothesized ever since the discovery that the basis for the learning defects in the Drosophila mutant rutabaga is an inactivating mutation of a CaM-activated AC (132). Double knockout mice deficient in both of the CaM-stimulated ACs, AC1 and AC8, exhibit neither long-term memory nor late long-term potentiation (133). Each of the single knockouts is normal in these functions; however, they display other neurological defects. These results emphasize the involvement of cAMP signaling pathways in pattern formation of the brain and provide definitive evidence for roles of the CaM-regulated ACs in higher brain function.
Studies on AC3-deficient mice demonstrate a critical role for AC3 in olfaction. These mice fail several olfaction-based behavioral tests, and lack electro-olfactogram responses elicited by either cAMP or IP3, despite the presence of other AC isoforms in olfactory cilia (134). These knockout mice also implicate AC3 as an important integrator of growth-inhibitory signals that stimulate cAMP formation and that inhibit the growth of arterial smooth muscle cells (135).
Mice that overexpress ACs provide additional insight into the physiological roles of specific isoforms. For example, the overexpression of AC7 in the central nervous system enhances acute responsiveness and tolerance to morphine (136). In disagreement with cell transfection data, the transgenic AC7 mice are also supersensitive to G
s responses following morphine treatment. The cause of this discrepancy is unknown. Studies on transgenic mice overexpressing either AC5 or AC6 demonstrate important differences between these two prominent isoforms in the heart (137138). Among the major differences are the cardiac ß-adrenergicdependent regulation of heart rate and contractility responses, and the cardioprotective effects of AC6, but not AC5, observed in mouse models of heart failure (induced by overexpression of G
q).
MUTATIONS OF THE AC SYSTEM IN HUMAN DISEASE
A number of studies have associated impairments of AC systems with certain human diseases. Mutations causing constitutively active receptorsresulting in elevated intracellular cAMP concentrationshave been found in patients with: familial male precocious puberty/testitoxicosis (emanating from a constitutively activate mutant luteinizing hormone receptor) (139); overactive thyroid adenomas and non-autoimmune autosomal dominant hyperthyroidism (arising from excessive activation of thyroid-stimulating hormone receptor) (140); and Jansen-type metaphyseal chondrodysplasia (resulting from a constitutively active mutant parathyroid hormone receptor) (141). Similarly, diseases associated with mutations yielding constitutively active G proteins (G
s) are found in patients with endocrine tumors, McCune-Albright syndrome, and testitoxicosis (142144). Because elevated cAMP concentrations in isolated endocrine tumors can arise independently of oncogenic mutations of the G protein
-subunit, moreover, activating mutations of AC might participate in these disorders (145). Alternatively, enhanced cyclase activity may result from an increased expression of a particular AC isoform. Indeed, point mutations in the promoter region of the AC3-encoding gene that are associated with decreased insulin release are observed in a rat model of type 2 diabetes (146). Conversely, reduced AC activity may also contribute to pathophysiological states. For example, patients with an unusual form of pseudohypoparathyroidism have normal G
s protein but have reduced AC activity, suggesting the presence of inactivating mutations in ACs (147).
SOLUBLE AC
The last mammalian AC isoform to be identified was the soluble form, sAC (24). Although this unique testis-specific and soluble enzymatic activity was identified in the mid 1970s, isolation of the corresponding protein and cDNA eluded investigators for two decades (148). The enzymatic activity diverges significantly from the membrane-bound relatives in that it is unresponsive to hormones, G proteins, and forskolin. The sAC (24) is ubiquitously expressed in low amounts, but is very highly expressed in sperm cells, consistent with the role of AC activity in sperm maturation, motility, capacitation, and the acrosome reaction (149151). Stimuli such as GTP, G proteins, and forskolin are incapable of regulating these processes. In contrast, bicarbonate and Ca2+ strongly regulate these activities, as well as increase cAMP levels and sAC activity (152). Furthermore, the concentration range of bicarbonate at which recombinant sAC is activated (EC50
2050 mM) is well within the range found in epididymal fluid (30, 152). Analysis of the amino acid sequence of sAC indicates some resemblance to the membrane-bound isoforms, and to cyanobacterial isoforms of AC. The protein topology is predicted to be similar, and accordingly, most of the residues responsible for catalysis are conserved. There are two splice forms resulting in 187- and 48-kDa proteins. The catalytic domain of the enzyme is located in the N-terminal region of the full-length 187-kDa form. The truncated form lacks exon 11 and results in premature termination. Messenger RNA from the truncated form is about twenty-five percent as abundant as the full-length transcript; however, the maximal activity of the truncated form is at least ten-fold greater than the full-length form in response to bicarabonate. The precise role of the C-terminal domain of the 187-kD form is unknown. The important relationship of AC and cAMP with sperm maturation and function makes sAC a very attractive potential pharmacological target. Moreover, sAC has been postulated to function as a ubiquitous metabolic sensor, similar to ACs found in cyanobacteria (153).
SUMMARY
Our understanding of the hormonal control of intracellular cAMP concentrations has come a long way since the discovery of AC, and has benefited greatly from the application of molecular genetics and structural biology. The isolation and characterization of a gene family encoding nine membrane-bound AC isoforms and one soluble isoform has increased our appreciation for the intricate complexity of the AC signaling system. Many unanswered questions still remain. For example, why is the twelve-transmembrane domain structure preserved in nine AC isoforms instead of a simpler structure like the soluble form? More directly, what is the function of the transmembrane domains? Is AC a transporter as suggested by the authors in the first paper describing the cloning of an AC (55)? Why do the similarly related nucleotide cyclases, the GCs, incorporate a more diverse structure? If cells express multiple AC isoforms, then how do they distinguish the stimulatory or inhibitory outcomes following modulation by "on-off switch" regulators, such as Gß
and Ca2+? It is clear from a large body of literature that G proteinmediated hormonal pathways impinge on the regulation of AC activity using distinct mechanisms, and each cyclase isoform integrates this information in a specific manner. A major avenue of research will be to continue to define the regulatory repertoires of AC isoforms and to couple this with information concerning tissue and subcellular localization. Genetic knockout approaches and further structural analyses will be necessary to understand the precise physiological and biochemical roles of each AC family member.
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