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"Finally, unlike TRIP8b, which competes with cAMP for binding to the CNBD (Zolles et al., 2009; Santoro et al., 2011; Bankston et al., 2012, 2017; DeBerg et al., 2015), LRMP and IRAG allow cAMP to bind, as evidenced by cAMP-dependent slowing of HCN4 deactivation in the presence of LRMP or IRAG (Liao et al., 2012; Peters et al., 2020a)."

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"The effect of adenosine on HCN cation current I h seems to involve the activation of adenylyl cyclase and the increase in intracellular cAMP that in turn activates HCN4 containing non selective cation channels that mediate I h."

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"In contrast, LRMP causes a loss-of-function by inhibiting cAMP-dependent potentiation of HCN4 activation (Peters et al., 2020)."

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"HCN4 channels constitutively activated by basal intracellular cAMP production in bladder may serve as an effective therapeutic target for disorders affecting detrusor contractility such as OAB without any cardiac effects."

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"Moreover, chronically decreased cAMP via Gi-DREADD stimulation leads to an increase in I h in VTA dopamine neurons and enhanced binding of HCN3/HCN4 with tetratricopeptide repeat-containing Rab8b-interacting protein (TRIP8b), an auxiliary subunit that is known to facilitate HCN channel surface trafficking."

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"An increase of cAMP has been known to activate HCN2 and HCN4 channels by directly binding in a reversible way to the intracellular cyclic nucleotide-binding domain [5,18]."
| PMC

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"[24] Heart rate accelerates as part of the ‘fight or flight’ physiological response due to increased intracellular cAMP that activates HCN4 through the cyclic nucleotide binding domain, causing increased I and accelerated action potential initiation."

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"Combined, this suggests that the biophysical mechanisms by which CBD and cAMP potentiate HCN4 channels are separate and independent of one another.We next examined whether CBD was acting through a similar mechanism as the lipid PI(4,5)P ."

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"It is well recognized that the cardiac pacemaker current I f is encoded by the hyperpolarization-activated cyclic nucleotide-gated channels (i.e. HCN2 and HCN4), which are activated by cyclic AMP ( Ba[MISSING/INVALID CREDENTIALS: limited to 200 char for Elsevier]"

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"Intracellular cAMP positively modulates the gating of the HCN2 and HCN4 isoforms resulting in a shift of the activation curve by 15-20 mV in the positive direction."

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"These results indicate that the ER transmembrane and luminal domains of LRMP are not required for regulation of HCN4 and they support the idea that LRMP limits cAMP potentiation of HCN4 by interfering with a downstream step in the cAMP signal transduction pathway.To further resolve which regions of LRMP are required to regulate HCN4, we tested a series of additional truncated LRMP constructs (shown schematically in Figure 2A, Figure 2—figure supplement 1) for their ability to prevent cAMP-dependent shifts in HCN4 activation."

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"Activation of HCN4 by cAMP contributes to terminating nonfiring episodes (Figure 5C) and maintaining cellular automaticity, while a reduction in HCN4 activity promotes nonfiring."

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"Most importantly, also, HCN4R669Q mice are embryonically lethal, which strongly suggests that basal cAMP-dependent activation of HCN4 is a general prerequisite for the physiological function of the channel and that preventing CDR alone has similar functional effects as complete knockout of HCN4."

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"However, as mentioned above, it has been demonstrated that cAMP-dependent activation of HCN4 is fundamentally required for the physiological function of the channel and that mice with globally abolished HCN4 CDR die during embryonic development [25]."

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"In contrast, when activation of HCN4 by cAMP is missing or disturbed, the fraction of nonfiring pacemaker cells strongly increases."

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"To address this possibility, we first confirmed that cAMP can bind to the isolated CNBD of HCN4 (as suggested by the elimination of cAMP modulation of HCN4 in HEK cells by the R669Q mutation; XREF_FIG)."

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"The authors proposed that rate slowing caused by removal of cAMP modulation of HCN4 is due to the presence of non-firing cells, which interact with firing cells in a tonic entrainment process."

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"CAMP activation of HCN4 channels increases the fraction of firing vs non-firing cells, thus representing a mechanism that opposes augmented responses to vagal stimulation ( Fenske et al., 2020 )."

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"Although HCN4 channels are activated by cAMP, the sympathetic response of the SAN was preserved in patients carrying loss-of-function mutations of the HCN4 gene."

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"CAMP potentiates voltage dependent gating of HCN4 channels either by binding directly to a conserved cyclic nucleotide binding domain in the proximal C-terminus [XREF_BIBR, XREF_BIBR] or by protein kinase A (PKA)-mediated phosphorylation of the distal C-terminus [XREF_BIBR]."

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"Alternatively, since HCN4 currents are modulated by cAMP [XREF_BIBR], activators of stimulatory and inhibitory G-proteins could affect HCN4 inward currents and regulate sour taste cell activation [XREF_BIBR, XREF_BIBR]."

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"After the confirmation of reproducibility for 1200 compounds with more than 30% inhibition at 30 μM, intracellular cAMP was measured in hHCN4-expressing cells incubated in the presence of the compounds, to eliminate those that regulate cAMP signaling, because intracellular cAMP directly regulates HCN4 activity; however, this concern was proven to be unfounded (data not shown)."

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"Intracellular cAMP promotes activation of the HCN4 and HCN2 isoforms, while HCN1 and HCN3 are relatively insensitive to cAMP."

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"Heart rate accelerates as part of the ‘fight or flight’ physiological response due to increased intracellular cAMP that activates HCN4 through the cyclic nucleotide binding domain, causing increased I and accelerated action potential initiation ."

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"We considered the possibility that temperature increases augmented HCN4 current by increasing cAMP."

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"LRMP inhibits cAMP potentiation of HCN4 channels by disrupting intramolecular signal transduction."

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"The transmembrane portion of the open and cAMP-activated structures of HCN4 overlapped using the program MOE (Molecular Operating Environment)."

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"Second, the HCN2 and HCN4 channels are modulated by an increase in cAMP, with the midpoint of the voltage-activation curve shifted in the positive direction by 12–20 mV, whereas the HCN1 and HCN3 channels show little sensitivity to cAMP."
| PMC

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"It leads to the conclusion that cAMP-dependent activation of HCN4 is responsible for terminating nonfiring episodes and maintaining spontaneous action potential firing in SAN pacemaker cells."

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"The cAMP dependent activation of HCN4 channels appeared to enhance this protective effect, rather than expediting sympathetic response of the SAN."

eidos
"Specifically , cAMP-dependent increase of HCN4-mediated current was believed to be required for the acceleration of the HR upon high activity of the sympathetic division of the ANS , whereas a drop in cAMP levels following vagal stimulation would decrease HCN4 activity and slow down the HR5 ,6,9 ."

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"Based on these findings we suspect that cAMP-dependent activation of HCN4 is required for proper development.In homeothermic organisms core body temperature increases with exercise and fever , both conditions of augmented adrenergic tone."

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"In contrast, LRMP causes a loss-of-function by inhibiting cAMP-dependent potentiation of HCN4 activation (Peters et al., 2020)."

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"The transmembrane portion of the open and cAMP-activated structures of HCN4 overlapped using the program MOE (Molecular Operating Environment)."

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"These results indicate that the ER transmembrane and luminal domains of LRMP are not required for regulation of HCN4 and they support the idea that LRMP limits cAMP potentiation of HCN4 by interfering with a downstream step in the cAMP signal transduction pathway.To further resolve which regions of LRMP are required to regulate HCN4, we tested a series of additional truncated LRMP constructs (shown schematically in Fig. 2A) for their ability to prevent cAMP-dependent shifts in HCN4 activation."

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"Moreover, since both isoforms (HCN2 and HCN4) are modulated by cAMP, in contrast with HCN1, these results imply that channel sensitivity to ligands activating the cAMP pathway (such as catecholamines)[MISSING/INVALID CREDENTIALS: limited to 200 char for Elsevier]"

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"For instance, it has been shown that in Chinese hamster ovary (CHO) cells external application of cAMP did not increase HCN4 channel activity in both whole-cell recordings and excised patches as the basal voltage dependence was already shifted to more depolarized potentials [XREF_BIBR]."

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"HCN2 and the HCN4 isoforms (Ludwig et al., 2003; Notomi and Shigemoto, 2004) are strongly modulated by cAMP in thalamocortical (TC) relay neurons (Kanyshkova et al., 2009, 2012)."

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"Interestingly, cAMP induces channel tetramerisation of HCN2 and HCN4 channels ( Lolicato et al., 2011 )."

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"HCN2 (2) and HCN4 channels (13) are strongly stimulated by cAMP whereas HCN1 channels are reported to be less sensitive to cAMP (14)."

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"This theory assumes that a cAMP-dependent increase in the HCN4-mediated current during high activity of the sympathetic part of the ANS accelerates SDD, thereby increasing the firing rate of pacemaker[MISSING/INVALID CREDENTIALS: limited to 200 char for Elsevier]"

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"On the other hand, a decrease in cAMP concentration after vagal stimulation would reduce HCN4 activity and slow down heart rate."

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"Because intracellular cAMP reportedly activates HCN2 and HCN4 channels by shifting the voltage dependence of the activation curve [XREF_BIBR], HCN4 channels expressed in PKCgamma-IR interneurons may be activated by partial sciatic nerve ligation via an increase in cAMP."
| PMC

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"Whereas the cAMP sensitivity of HCN1 and HCN3 is low, HCN2 and HCN4 are strongly modulated by cAMP [XREF_BIBR]."

eidos
"HCN2 and HCN4 are modulated by cAMP and PKA , which might be selectively targeted [ 311 ] ."

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"Kinetics and cAMP sensitivity vary among isoforms; for example, activation/deactivation rates are faster for HCN1, slower for HCN4, and intermediate for HCN2 and HCN3, while cAMP-dependent modulation [MISSING/INVALID CREDENTIALS: limited to 200 char for Elsevier]"

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"Since β‐adrenergic signaling increases the production of cAMP which enhances gating of Hcn4 ion channels as well as intracellular Ca cycling,41, 42 it is unclear what molecular determinants are responsible for the contrasting effects of isoproterenol treatment (Figure 6b, (i)–(iii))."

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"Similar cAMP-induced rearrangements are found in the HCN4 structures solved by the Structural Genomics Consortium (apo, PDB: 6GYN; holo, PDB: 6GYO)."

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"Here, we utilize comparative S672R versus WT NMR analyses to show that the S672R mutation results in extensive perturbations of the dynamics in both apo- and holo-forms of the HCN4 isoform, reflecting how S672R remodels the free energy landscape for the modulation of HCN4 by cAMP, i.e. the primary cyclic nucleotide modulator of HCN channels."

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"The mHCN2-h4 channel reproduced key features of cAMP modulation of HCN4 channels."

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"HCN4 channel is directly regulated by cAMP, which binds to three binding sites (residues 659–662, 669–670 and 710–713) on CNBD and elicits a positive shift in the voltage dependence of activation (9, 13)."

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"HCN4 channels are directly regulated by cAMP, which binds to CNBD of HCN4 channels and elicits a positive shift in the voltage dependence of activation."

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"HCN4 has the slowest kinetics and is strongly modulated by cAMP [111,112]."

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"These domains contribute to the potentiation of HCN4 channels by cAMP (Wainger et al., 2001; Zagotta et al., 2003; Xu et al., 2010; Akimoto et al., 2014; Porro et al., 2019; Page et al., 2020), increasing heart rate (HR) in response to the β-adrenergic response (Brown et al., 1979; DiFrancesco and Tortora, 1991; Ono et al., 1993; Schweizer et al., 2010)."

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"LRMP inhibits cAMP potentiation of HCN4 channels by disrupting intramolecular signal transduction."

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"LRMP prevents cAMP-dependent potentiation of HCN4, but the interaction domains, mechanisms of action, and basis for isoform-specificity remain unknown."

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"Of the four different isoforms of HCN channels found in vertebrates (HCN1-4), HCN2 and HCN4 are strongly stimulated by cAMP, in contrast to HCN1 and HCN3."