Cyclic adenosine monophosphate (cAMP) is a second messenger involved in cell signaling that regulates variousl physiological and pathological processes. cAMP regulates the transcription of target genes by activating proteinl kinase A (PKA) and the transcription factor cAMP response element-binding protein (CREB). CRE is the target of many extracellular and intracellular signaling pathways, including cAMP, calcium,l GPCR (G-protein coupled receptors), and neurotrophins. The CAMP/PKA/CREB signaling pathway has both tumor-suppressive and tumor-promoting effects in cancer cells and can be useful in studying cancer signaling pathways.
Pituitary adenylate cyclase-activating polypeptide (PACAP), a member of the VIP/secretin/growth hormone/glucagon superfamily, acts as an activator of adenylate cyclase in pituitary cells. The human PACAP promoter has two cAMP response-like elements that function in tissue-specific factor growth hormone and six binding domains for thyroid-specific transcription factor -1. PACAP binds to three G protein-coupled receptors, including PAC1R, VPAC1, and vpac2. Among them, PAC1 receptor can be coupled with Gs and Gq to activate adenylate cyclase and phospholipase C (PLC), respectively. VPAC1 and VPAC2 receptors, which had an equal affinity for PACAP and VIP, are principally coupled to Gs to activate adenylyl cyclase and increase intracellular 5’-cyclic adenosine monophosphate (cAMP) levels. Pituitary adenylate cyclase-activating polypeptide (PACAP) type I receptor, or PAC1R, is a GS-G protein-coupled receptor located mainly in the postsynaptic membrane of neurons. It can activate cAMP/PKA signaling pathway mediated proteasomal activity and tau protein degradation. In the brain, the ligand PACAP acts by binding to and activating the receptor PAC1R on the postsynaptic membrane after its release from axon terminals.