Preferred Label : Regulation of Apoptosis Pathway;
NCIt related terms : Role of nicotinic acetylcholine receptors in the regulation of apoptosis;
Alternative definition : BIOCARTA: Nicotinic acetylcholine receptors are essential for neuromuscular signaling
and are also expressed in non-neuronal tissues, where their function is less clear.
Although nicotinic acetylcholine receptors are primarily known for their action as
ligand-gated ion channels transducing action potentials across synapses, they may
have other actions. Nicotinic acetylcholine receptors in neurons alter apoptotic signaling,
protecting against cell death in some settings, and this action may in some cases
be directed through alternative signaling pathways. In neurons the alpha-7 nicotinic
receptor activates PI3 kinase through a src-family kinase, activating the anti-apoptotic
kinase AKT (See AKT signaling pathway). One pathway involved in AKT signaling involves
phosphorylation of the forkhead transcription factor FKHRL1, causing its retention
in the cytoplasm associated with 14-3-3, and blocking expression of the apoptotic
fas protein. The PI3 kinase/AKT pathway protects a broad range of neurons against
apoptotic cell death and may block apoptosis triggered by beta-amyloid fragments that
contributes to the progression of Alzheimer's disease. If so, nicotinic agents may
prove useful in the treatment of this and other neurodegenerative conditions. There
are several proteins that modulate the response of nicotinic acetylcholine receptors,
include synapse formation. Prior to synapse formation, nicotinic receptors are randomly
dispersed in the post-synaptic membrane. A neuronal protein, agrin, binds to the Musk
receptor in the muscle membrane, stimulating clustering of nicotinic receptors and
synapse formation. Rapsyn is present at high levels at synapses with nicotinic receptors,
bringing them together at high densities and anchoring clustered receptors to the
cytoskeleton. Members of the Src family of tyrosine kinases also play a role in clustering
caused by Rapsyn, phosphorylating the nicotinic receptors, rapsyn, and other targets.
Nicotinic receptors expressed in non-neuronal tissues may also be involved in the
response to smoking. In lung epithelial cells, nicotine from cigarette smoke blocks
apoptosis by activating the anti-apoptotic kinase AKT, contributing perhaps to carcinogenesis
and resistance to chemotherapy. Activation of nicotinic acetylcholine receptors in
dermal fibroblasts may contribute to the altered wound healing and skin elasticity
related to smoking. Activation of keratinocyte nicotinic receptors may also alter
the properties of skin. (This definition may be outdated - see the DesignNote.);
NCIt note : The BIOCARTA Definition (ALT_DEFINITION) for this pathway concept was provided by
BioCarta. This property was not created by, nor is it maintained by the NCI Thesaurus
staff. Additionally, BioCarta is no longer updating its pathway data; thus, the BIOCARTA
Definition might be outdated or inaccurate. Please see the Terms and Conditions for
Use at http://www.biocarta.com/.;
Biocarta ID : h_achPathway;
Origin ID : C38971;
UMLS CUI : C1514823;
Semantic type(s)
has_gene_product_element
pathway_has_gene_element