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Adenylate cyclase type 10 Myosin light chain kinase, smooth muscle PKA complex PKA complex Protein kinase C Muscarinic acetylcholine receptor M2 Voltage- dependent L-type calcium channel subunit beta-1 Voltage- dependent L-type calcium channel subunit alpha-1C Myosin LC-P Myosin light chain 3 Inositol 1,4,5- trisphosphate receptor type 1 Myosin light chain phosphatase Calmodulin Intermediate conductance calcium- activated potassium channel protein 4 Phospholipase C ATP-binding cassette sub-family C member 8 ATP-sensitive inward rectifier potassium channel 8 ATP-sensitive inward rectifier potassium channel 11 ATP-binding cassette sub-family C member 9 Calmodulin Voltage- dependent calcium channel subunit alpha-2/delta-1 Propiverine Ca+ Ca+ K+ K+ Ca+ K+ K+ Propiverine ATP cAMP Inositol 1,4,5-trisphosphate Phosphatidylinositol 4,5-bisphosphate Diacylglycerol Pi Pi Pi Pi Calcium Ca+ Muscle Contraction Muscle Relaxation G Protien Signalling Cascade Magnesium Calcium Manganese Sarcoplasmic Reticulum Cytosol Bladder Smooth Muscle Cell Activated PKA can phosphorylate calcium activated potassium channels causing potassium efflux and promoting hyperpolarization. Activated PKA phosphorylates the IP3 receptor to reduce its affinity for IP3. Activated PKA phosphorylates phospholipase C. There is an overall decrease in calcium levels in the cytosol. Decreased calcium is unable to bind readily to calmodulin. The inhibition of myosin light chain kinase prevents the synthesis of Myosin LC-P which leads to a high concentration of myosin light chain and muscle relaxation. Myosin unbinds from actin causing the sarcomere filaments to slide resulting in muscle relaxation. Activates ATP-sensitive potassium channels via cAMP mediated phosphorylation. Actin Filament Myosin Filament Since the receptor isn't activated, adenylyl cyclase is no longer inhibited allowing for cAMP production M2 receptors activate Gi protein signalling which inhibits adenylyl cyclase Propiverine blocks both M2 receptors on smooth muscle and L-type calcium channels, both contributing to smooth muscle relaxation via lowered calcium levels Propiverine is administered as an oral tablet or capsule
ADCY10 MYLK PRKAR1A PRKAR2A PRKCA CHRM2 CACNB1 CACNA1C MYL3 MYL3 ITPR1 PPP1CB CALM1 KCNN4 PLCB1 ABCC8 KCNJ8 KCNJ11 Unknown CALM1 CACNA2D1 Propiverine Calcium Calcium Potassium Potassium Calcium Potassium Potassium Propiverine Adenosine triphosphate cAMP Inositol 1,4,5- trisphosphate Phosphatidylinositol 4,5- bisphosphate Diacylglycerol Phosphate Phosphate Phosphate Phosphate Calcium Muscle Contraction Muscle Relaxation G Protien Signalling Cascade
ADCY10 MYLK PRKAR1A PRKAR2A PRKCA CHRM2 CACNB1 CACNA1C MYL3 MYL3 ITPR1 PPP1CB CALM1 KCNN4 PLCB1 ABCC8 KCNJ8 KCNJ11 CALM1 CACNA2D1 Propive Ca+ Ca+ K+ K+ Ca+ K+ K+ Propive ATP cAMP Inotp P45P Diacylg Pi Pi Pi Pi Ca2+ Ca+ Mus Con Mus Rel G P S C Mg2+ Ca2+ Mn2+ Sarcoplasmic Reticulum Cytosol Bladder Smooth Muscle Cell Activated PKA can phosphorylate calcium activated potassium channels causing potassium efflux and promoting hyperpolarization. Activated PKA phosphorylates the IP3 receptor to reduce its affinity for IP3. Activated PKA phosphorylates phospholipase C. There is an overall decrease in calcium levels in the cytosol. Decreased calcium is unable to bind readily to calmodulin. The inhibition of myosin light chain kinase prevents the synthesis of Myosin LC-P which leads to a high concentration of myosin light chain and muscle relaxation. Myosin unbinds from actin causing the sarcomere filaments to slide resulting in muscle relaxation. Activates ATP-sensitive potassium channels via cAMP mediated phosphorylation. Actin Filament Myosin Filament Since the receptor isn't activated, adenylyl cyclase is no longer inhibited allowing for cAMP production M2 receptors activate Gi protein signalling which inhibits adenylyl cyclase Propiverine blocks both M2 receptors on smooth muscle and L-type calcium channels, both contributing to smooth muscle relaxation via lowered calcium levels Propiverine is administered as an oral tablet or capsule
ADCY10 MYLK PRKAR1A PRKAR2A PRKCA CHRM2 CACNB1 CACNA1C MYL3 MYL3 ITPR1 PPP1CB CALM1 KCNN4 PLCB1 ABCC8 KCNJ8 KCNJ11 CALM1 CACNA2D1 Propive Ca2+ Ca2+ K+ K+ Ca2+ K+ K+ Propive ATP cAMP Inotp P45P Diacylg Pi Pi Pi Pi Ca2+ Mus Con Mus Rel G P S C