A research team discovers a novel bacterial toxin that causes severe hypotension in infected patients. In vitro studies show the toxin ADP-ribosylates a specific amino acid on Gq alpha subunits, preventing their activation by GPCRs. Patients develop hypotension despite elevated levels of vasopressin, angiotensin II, and endothelin-1. Synthesize the pathophysiological mechanism explaining why multiple vasopressor hormones fail to maintain blood pressure in these patients.
G-protein coupled receptors
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Tyrosine kinase receptors
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Second messenger systems (cAMP, cGMP, Ca2+)
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MAP kinase pathways
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JAK-STAT pathway
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PI3K-Akt pathway
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Nuclear receptor signaling
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WNT signaling pathway
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Notch signaling pathway
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Hedgehog signaling pathway
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TGF-β/SMAD signaling
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NF-κB signaling
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Dysregulation in disease states
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Pharmacological targeting of signaling pathways
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