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.
Follicle-stimulating hormone (FSH) is synthesized by the anterior pituitary gonadotroph cells, and it plays a critical role in controlling male and female gonadal function . FSH acts through its specific receptor (FSHR), a member of the highly conserved family of class A G-protein-coupled receptors (GPCR). It has a long ECD, a 7 transmembrane domain, 3 short intracellular loops, 3 extra loops and an intracellular tail. FSHR binds to FSH by the very large ECD. Multiple isoforms of FSHR have been reported and FSHR has been also expressed on extragonadal tissues including placenta, uterus, prostate, bone tissue and ovarian epithelium as well as ovarian cancer. FSHR has also been found to be selectively expressed on the surface of many tumor blood vessels, and related to tumor metastasis. FSHR activation may trigger a number of intracellular signaling pathways that will be activated in parallel or sequentially. The canonical Gsα/cAMP/PKA signaling pathway, a key effector mechanism of FSH action, activates the cAMP response element-binding protein that modulates gene transcription. Corifollitropin alfa (Elonva®) is a fusion product of human follicle-stimulating hormone (FSH) and the C-terminal peptide of the β-subunit of human chorionic gonadotropin (hCG) produced by recombinant DNA technology. It has the same pharmacologic activity as FSH and recombinant FSH (rFSH; follitropin alfa; follitropin beta), but with a slower absorption and a longer half-life.