In multiple tissues cAMP increases [Ca
2+]
i, but does so by several different mechanisms. First cAMP can activate either PKA or Epac.
16 PKA can also activate the ryanodine or InsP
3 receptors to increase the release of intracellular Ca
2+ 26 as PKA, along with two phosphatases, is a component of an InsP
3 receptor macromolecular complex that regulates Ca
2+ release by this receptor.
27 PKA can phosphorylate the InsP
3 receptor to increase its sensitivity to InsP
3 so that basal levels of InsP
3 can cause Ca
2+ release.
18 The cAMP-dependent phosphorylation of the InsP
3 receptor is independent of the isoform of InsP
3 receptor present as all three subtypes are targets of cAMP.
28 Epac is another target of cAMP. In endothelial cells, β
2-adrenergic agonists activate Epac to release intracellular Ca
2+ via an interaction with InsP
3 receptors.
29 Epac can also activate Ca
2+calmodulin–dependent protein kinase II to interact with the ryanodine receptor and release intracellular Ca
2+.
30,31 In the present study, VIP-stimulated PKA activity increased [Ca
2+]
i in conjunctival goblet cells. We did not determine if Epac plays a similar role. We also did not determine the mechanism VIP uses to increase [Ca
2+]
i.