Endocrinology, lecture on Receptor Regulation
IX. Receptor Regulation
A. receptors are proteins produced in the same way hormones
1. instead of being exocytosed they are
incorporated into the membrane
a. steroid production is also stimulated by protein synthesis:
enzymes which have their effect in mitochondria and sER
B. Receptors may be changed either quantitatively or qualitatively
C. Up-regulation of hormone receptors
1. creating more receptor molecules (quantitative)
a. stimulated by hormones and other factors inducing
transcription of immediate-early genes
b. homologous:
i. nuclear: E2®áE-Ra and T ®áA-R,
F/B ®áG-R
(1) may be tissue specific
(a) E2®áE-Ra in uterus
E2®¯E-Ra in liver
ii. membrane: PrL ®áPrL-R, EGF ®áEGF-R
(1) pulsatile hormone secretion may be
necessary for receptor maintenance
b. or heterologous
i. nuclear: E2®áP-R
ii. membrane: FSH ®áLH-R , F/B ®áI-R
2. Hormone Binding Site Changes (qualitative)
a. binding may increase the affinity for the hormone
i. nuclear receptors
3. Effector Site Changes
a. phosphorylation of membrane receptors with
tyrosine kinase activity
b. binding to nuclear receptor increases
affinity for HRE on the DNA
D. down-regulation
1. homologous:
a. nuclear: P ®¯ P-R,
F/B®¯G-R(may be tissue specific)
b. membrane: Insulin ®¯ I-R, Epi ®¯ b-adreno-R
i. GnRH administered continuously ®¯ GnRH-R
(1) pulsatility maintains [receptor]
2. heterologous:
a. membrane: P-R and I-R by P
b. nuclear: T ®¯ E-R
3. long or short-term down-regulation by endocytosis
a. receptors move through the membrane fairly rapidly
b. -R concentration in membrane area
i. cluster in coated pits
c. recycled or degraded
4. shorter term down regulation by desensitization
a. phosphorylation or Gbg
i. e.g. PKC phosphorylation of
I-R, EGF-R or b-adreno-R
reduces binding affinity for
Insulin, EGF or Epi respectively
5. Hormone Binding Site Changes
a. affinity for the hormone may be decreased
i. negative cooperativity
ii. pH
iii. intracellular [GTP] or [Gbg]
iv. [hsp 90]
6. majority of reduced cellular responses
(tachyphylaxis, refractoriness, tolerance, desensitization)
tachy=rapid phylaxis=guarding - ¯ response w/multiple admin. of hormone over a short period
due to down-regulation