CORTICOTROPIN-RELEASING HORMONE SIGNALING PATHWAY (PW:0000493)
Description
Corticotropin-releasing hormone (CRH) and CRH-relate urocortin (UCN) peptides exert a wide range of functions, from setting in motion the stress-responding hypothalamus-pituitary-adrenal (HPA) axis to various actions in central nervous system (CNS) and the periphery. The signaling initiated by these peptides engages two receptor types belonging to the secretin family of G-protein coupled receptors (GPCR). CRH is a main component of the HPA axis; released by the hypothalamus in response to stress, it leads to activation and release of adrenocorticotropin (ACTH) from the pituitary which in turn activates the synthesis and release of glucocorticoids from the adrenal cortex. Glucocorticoid (cortisol in humans) signaling activates the nuclear glucocorticoid receptor which translocates to the nucleus to initiate a gene expression regulatory programme with important anti-inflammatory and metabolic roles. In addition, due to its expression in many tissues, CRH also plays important roles in metabolism, immunity, reproduction and behavior. UCN peptides are expressed in CNS and the periphery with no overlap between them and CRH. Their roles are less well understood but evidence suggests important functions in cardiovascular system and appetite control. Of the two types of receptors, CRH receptor type 1 (CRHR1), is expressed in the brain, pituitary and many other tissues. CRHR2 is also expressed in the brain and periphery; the distribution pattern of the two receptors is distinct. CRH preferentially binds CRHR1, UCN1 can bind either receptor, UCN2 and 3 bind CRHR2. A circulating protein of 37kDa can bind CRH and UCN; while it can block CRH-activated secretion of ACTH from pituitary cultures, its exact role remains to be determined. Both receptors predominantly couple to the Galphas class of heterotrimeric G proteins. Activated Galphas promotes stimulation of adenylyl cyclases and subsequent cAMP production which activated protein kinase A (PKA) signaling. Other classes of G protein such as Galphaq or Galpahai may also be coupled but it is not clear whether genetic background and/or species preferences are involved (not shown). Activated PKA via direct post-translational modification of target proteins in the cytoplasm and also in the nucleus or at the level of regulation of gene transcription via cAMP response element-binding (CREB) protein, impacts on many important cellular pathways and physiological processes. CRH-induced activation of CREB leads to the expression of genes such as the orphan nuclear receptors which in turn, activate the transcription of pro-opiomelanocortin (POMC) gene. POMC is the precursor of ACTH and several other functional peptides. ACTH employs the same intracellular route of PKA activation to prompt the transcription of steroidogenic enzymes and proteins along the PHA axis. CRHR1 is target of G-protein coupled receptor kinases (GRK) 3 and 6; phosphorylation promotes the interaction with beta-arrestin leading to receptor desensitization and internalization.
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Pathway Diagram:
Genes in Pathway:
G
Arrb1
arrestin, beta 1
ISO
RGD
PMID:16918397
RGD:5147673
NCBI chr 1:163,249,654...163,321,711
Ensembl chr 1:163,250,157...163,340,859
G
Arrb2
arrestin, beta 2
ISO
RGD
PMID:16918397
RGD:5147673
NCBI chr10:55,645,539...55,653,485
Ensembl chr10:55,645,357...55,653,487
G
Crh
corticotropin releasing hormone
TAS ISO
RGD
PMID:12942143 PMID:16484629
RGD:1358326 , RGD:5147387
NCBI chr 2:104,059,184...104,061,048
Ensembl chr 2:104,058,770...104,061,386
G
Crhbp
corticotropin releasing hormone binding protein
ISO
RGD
PMID:16484629
RGD:5147387
NCBI chr 2:28,427,139...28,439,446
Ensembl chr 2:28,427,139...28,439,446
G
Crhr1
corticotropin releasing hormone receptor 1
TAS ISO
RGD
PMID:12942143 PMID:16484629
RGD:1358326 , RGD:5147387
NCBI chr10:89,540,192...89,583,466
Ensembl chr10:89,540,192...89,583,466
G
Crhr2
corticotropin releasing hormone receptor 2
TAS ISO
RGD
PMID:12942143 PMID:16484629
RGD:1358326 , RGD:5147387
NCBI chr 4:85,553,163...85,596,203
Ensembl chr 4:85,554,268...85,596,318
G
Gnas
GNAS complex locus
ISO
RGD
PMID:16484629
RGD:5147387
NCBI chr 3:183,489,648...183,554,570
Ensembl chr 3:183,503,243...183,554,536
G
Grk3
G protein-coupled receptor kinase 3
ISO
RGD
PMID:16484629
RGD:5147387
NCBI chr12:49,285,228...49,395,803
Ensembl chr12:49,285,263...49,395,802
G
Grk6
G protein-coupled receptor kinase 6
ISO
RGD
PMID:16484629
RGD:5147387
NCBI chr17:9,182,160...9,198,380
Ensembl chr17:9,182,160...9,197,954
G
Ucn
urocortin
ISO
RGD
PMID:16484629
RGD:5147387
NCBI chr 6:30,958,086...30,958,916
Ensembl chr 6:30,957,383...30,959,422
G
Ucn2
urocortin 2
ISO
RGD
PMID:16484629
RGD:5147387
NCBI chr 8:118,516,111...118,517,660
Ensembl chr 8:118,483,364...118,517,439
G
Ucn3
urocortin 3
ISO
RGD
PMID:16484629
RGD:5147387
NCBI chr17:71,219,611...71,225,904
Ensembl chr17:71,215,720...71,225,861
Pathway Gene Annotations
Disease Annotations Associated with Genes in the corticotropin-releasing hormone signaling pathway
Arrb1 Arteriovenous Fistula , colitis , congestive heart failure , Experimental Arthritis , liver cirrhosis , major depressive disorder , Transplant Rejection Arrb2 alcohol dependence , amphetamine abuse , Arteriovenous Fistula , brain infarction , drug psychosis , Experimental Arthritis , Experimental Liver Cirrhosis , Experimental Liver Neoplasms , glioblastoma , hepatocellular carcinoma , heroin dependence , hypertension , liver cirrhosis , metabolic dysfunction and alcohol associated liver disease , Myocardial Reperfusion Injury , nicotine dependence , opiate dependence , pain agnosia , portal hypertension , renal fibrosis , Transplant Rejection , type 2 diabetes mellitus Crh alcohol dependence , alcohol use disorder , Alcohol-Related Disorders , alopecia , Alzheimer's disease , Anorexia , anxiety disorder , autosomal dominant nocturnal frontal lobe epilepsy , Binge Drinking , Bradycardia , brain edema , brain ischemia , Chest Pain , Cocaine-Related Disorders , cognitive disorder , Cushing Syndrome , Delayed Puberty , depressive disorder , Dyspepsia , Experimental Diabetes Mellitus , extrahepatic cholestasis , Fetal Hypoxia , Fever , heroin dependence , hypoglycemia , Hypotension , middle cerebral artery infarction , movement disease , nicotine withdrawal syndrome , obesity , Pain , panic disorder , Parkinson's disease , pituitary apoplexy , polymyalgia rheumatica , Psychomotor Disorders , retinal degeneration , RETINAL DYSTROPHY WITH INNER RETINAL DYSFUNCTION AND GANGLION CELL ABNORMALITIES , retinitis , sciatic neuropathy , Sepsis , Sleep Deprivation , Spinal Cord Injuries , status epilepticus , stereotypic movement disorder , temporal arteritis , temporal lobe epilepsy , Weight Loss , West syndrome , withdrawal disorder Crhbp alcohol use disorder , anxiety disorder , Binge Drinking , cocaine abuse , Cocaine-Related Disorders , depressive disorder , hepatocellular carcinoma , heroin dependence , nicotine withdrawal syndrome , obesity , opioid abuse , polysubstance abuse , temporal lobe epilepsy Crhr1 alcohol use disorder , Anorexia , anxiety disorder , asthma , Binge Drinking , Breast Neoplasms , chronic obstructive pulmonary disease , Cocaine-Related Disorders , contact dermatitis , depressive disorder , Experimental Arthritis , fetal alcohol spectrum disorder , Fetal Hypoxia , functional colonic disease , heroin dependence , Hyperalgesia , Hyperkinesis , hypertension , irritable bowel syndrome , major depressive disorder , obesity , Osteoarthritis, Hip , Pneumococcal Pneumonia , Postoperative Pain , Prenatal Exposure Delayed Effects , rhinitis , stress-related disorder , thromboangiitis obliterans , type 2 diabetes mellitus Crhr2 alcohol use disorder , Anorexia , anxiety disorder , asthma , Cocaine-Related Disorders , colitis , depressive disorder , Fetal Hypoxia , functional colonic disease , hypertension , Hypotension , Inflammation , irritable bowel syndrome , ischemia , Left Ventricular Hypertrophy , lung disease , muscular atrophy , Pneumococcal Pneumonia , pneumonia , rhinitis Gnas acromegaly , ACTH-independent macronodular adrenal hyperplasia , ACTH-independent macronodular adrenal hyperplasia 1 , Adrenal Gland Neoplasms , Alzheimer's disease , B-Cell Chronic Lymphocytic Leukemia , brachydactyly , Cafe-au-Lait Spots , cholangiocarcinoma , Cushing Syndrome , Desbuquois dysplasia , Duane retraction syndrome , endocrine system disease , Gallstones , genetic disease , growth hormone secreting pituitary adenoma , hemorrhagic disease , hepatocellular carcinoma , hereditary spastic paraplegia 4 , Heterotopic Ossification , hypertension , Hypoxia , Insulin Resistance , intellectual disability , McCune Albright syndrome , Metabolic Bone Diseases , neuroblastoma , obesity , Orthostatic Hypotension , pancreatic cancer , Parasitic Liver Diseases , pituitary adenoma 3 , Pituitary Neoplasms , polycystic kidney disease , polycystic ovary syndrome , Precocious Puberty , primary hyperaldosteronism , progressive osseous heteroplasia , pseudohypoaldosteronism , pseudohypoparathyroidism , pseudohypoparathyroidism type 1A , pseudohypoparathyroidism type 1B , pseudohypoparathyroidism type 1C , pseudopseudohypoparathyroidism , Respiration Disorders , schizophrenia , sex cord-gonadal stromal tumor , Tachycardia , withdrawal disorder Grk3 bipolar disorder , Cardiomegaly , Cocaine-Related Disorders , congestive heart failure , Diabetic Nephropathies , hypertension , hypothyroidism , Parkinson's disease Grk6 Diabetic Nephropathies , Drug-Induced Dyskinesia , opiate dependence , Parkinson's disease , rheumatoid arthritis , Spinal Cord Injuries Ucn anxiety disorder , asthma , Burns , colitis , congestive heart failure , dilated cardiomyopathy , hypertension , hypertrophic cardiomyopathy , Hypotension , Inflammation , Left Ventricular Hypertrophy , Myocardial Reperfusion Injury , obesity , Parkinsonism , thromboangiitis obliterans Ucn2 Anorexia , atherosclerosis , colitis , congestive heart failure , hypertension Ucn3 Inflammation , lung disease
acromegaly Gnas ACTH-independent macronodular adrenal hyperplasia Gnas ACTH-independent macronodular adrenal hyperplasia 1 Gnas Adrenal Gland Neoplasms Gnas alcohol dependence Arrb2 , Crh alcohol use disorder Crh , Crhbp , Crhr1 , Crhr2 Alcohol-Related Disorders Crh alopecia Crh Alzheimer's disease Crh , Gnas amphetamine abuse Arrb2 Anorexia Crh , Crhr1 , Crhr2 , Ucn2 anxiety disorder Crh , Crhbp , Crhr1 , Crhr2 , Ucn Arteriovenous Fistula Arrb1 , Arrb2 asthma Crhr1 , Crhr2 , Ucn atherosclerosis Ucn2 autosomal dominant nocturnal frontal lobe epilepsy Crh B-Cell Chronic Lymphocytic Leukemia Gnas Binge Drinking Crh , Crhbp , Crhr1 bipolar disorder Grk3 brachydactyly Gnas Bradycardia Crh brain edema Crh brain infarction Arrb2 brain ischemia Crh Breast Neoplasms Crhr1 Burns Ucn Cafe-au-Lait Spots Gnas Cardiomegaly Grk3 Chest Pain Crh cholangiocarcinoma Gnas chronic obstructive pulmonary disease Crhr1 cocaine abuse Crhbp Cocaine-Related Disorders Crh , Crhbp , Crhr1 , Crhr2 , Grk3 cognitive disorder Crh colitis Arrb1 , Crhr2 , Ucn , Ucn2 congestive heart failure Arrb1 , Grk3 , Ucn , Ucn2 contact dermatitis Crhr1 Cushing Syndrome Crh , Gnas Delayed Puberty Crh depressive disorder Crh , Crhbp , Crhr1 , Crhr2 Desbuquois dysplasia Gnas Diabetic Nephropathies Grk3 , Grk6 dilated cardiomyopathy Ucn drug psychosis Arrb2 Drug-Induced Dyskinesia Grk6 Duane retraction syndrome Gnas Dyspepsia Crh endocrine system disease Gnas Experimental Arthritis Arrb1 , Arrb2 , Crhr1 Experimental Diabetes Mellitus Crh Experimental Liver Cirrhosis Arrb2 Experimental Liver Neoplasms Arrb2 extrahepatic cholestasis Crh fetal alcohol spectrum disorder Crhr1 Fetal Hypoxia Crh , Crhr1 , Crhr2 Fever Crh functional colonic disease Crhr1 , Crhr2 Gallstones Gnas genetic disease Gnas glioblastoma Arrb2 growth hormone secreting pituitary adenoma Gnas hemorrhagic disease Gnas hepatocellular carcinoma Arrb2 , Crhbp , Gnas hereditary spastic paraplegia 4 Gnas heroin dependence Arrb2 , Crh , Crhbp , Crhr1 Heterotopic Ossification Gnas Hyperalgesia Crhr1 Hyperkinesis Crhr1 hypertension Arrb2 , Crhr1 , Crhr2 , Gnas , Grk3 , Ucn , Ucn2 hypertrophic cardiomyopathy Ucn hypoglycemia Crh Hypotension Crh , Crhr2 , Ucn hypothyroidism Grk3 Hypoxia Gnas Inflammation Crhr2 , Ucn , Ucn3 Insulin Resistance Gnas intellectual disability Gnas irritable bowel syndrome Crhr1 , Crhr2 ischemia Crhr2 Left Ventricular Hypertrophy Crhr2 , Ucn liver cirrhosis Arrb1 , Arrb2 lung disease Crhr2 , Ucn3 major depressive disorder Arrb1 , Crhr1 McCune Albright syndrome Gnas Metabolic Bone Diseases Gnas metabolic dysfunction and alcohol associated liver disease Arrb2 middle cerebral artery infarction Crh movement disease Crh muscular atrophy Crhr2 Myocardial Reperfusion Injury Arrb2 , Ucn neuroblastoma Gnas nicotine dependence Arrb2 nicotine withdrawal syndrome Crh , Crhbp obesity Crh , Crhbp , Crhr1 , Gnas , Ucn opiate dependence Arrb2 , Grk6 opioid abuse Crhbp Orthostatic Hypotension Gnas Osteoarthritis, Hip Crhr1 Pain Crh pain agnosia Arrb2 pancreatic cancer Gnas panic disorder Crh Parasitic Liver Diseases Gnas Parkinson's disease Crh , Grk3 , Grk6 Parkinsonism Ucn pituitary adenoma 3 Gnas pituitary apoplexy Crh Pituitary Neoplasms Gnas Pneumococcal Pneumonia Crhr1 , Crhr2 pneumonia Crhr2 polycystic kidney disease Gnas polycystic ovary syndrome Gnas polymyalgia rheumatica Crh polysubstance abuse Crhbp portal hypertension Arrb2 Postoperative Pain Crhr1 Precocious Puberty Gnas Prenatal Exposure Delayed Effects Crhr1 primary hyperaldosteronism Gnas progressive osseous heteroplasia Gnas pseudohypoaldosteronism Gnas pseudohypoparathyroidism Gnas pseudohypoparathyroidism type 1A Gnas pseudohypoparathyroidism type 1B Gnas pseudohypoparathyroidism type 1C Gnas pseudopseudohypoparathyroidism Gnas Psychomotor Disorders Crh renal fibrosis Arrb2 Respiration Disorders Gnas retinal degeneration Crh RETINAL DYSTROPHY WITH INNER RETINAL DYSFUNCTION AND GANGLION CELL ABNORMALITIES Crh retinitis Crh rheumatoid arthritis Grk6 rhinitis Crhr1 , Crhr2 schizophrenia Gnas sciatic neuropathy Crh Sepsis Crh sex cord-gonadal stromal tumor Gnas Sleep Deprivation Crh Spinal Cord Injuries Crh , Grk6 status epilepticus Crh stereotypic movement disorder Crh stress-related disorder Crhr1 Tachycardia Gnas temporal arteritis Crh temporal lobe epilepsy Crh , Crhbp thromboangiitis obliterans Crhr1 , Ucn Transplant Rejection Arrb1 , Arrb2 type 2 diabetes mellitus Arrb2 , Crhr1 Weight Loss Crh West syndrome Crh withdrawal disorder Crh , Gnas