Cellular receptors are specialised proteins which are essential for cell signalling. When a specific signalling molecule (ligand) binds to its corresponding receptor, it acts like a key unlocking a door. This binding triggers a change in the receptor, which initiates downstream changes inside the cell. There are many types of receptors, which can be broadly classified into cell surface receptors and intracellular receptors. This article will discuss the structure and function of the main types of receptors, with examples of their clinical relevance. Pro Feature - 3D Model You've Discovered a Pro Feature Access our 3D Model Library Explore, cut, dissect, annotate and manipulate our 3D models to visualise anatomy in a dynamic, interactive way. Learn More Cell Surface Receptors The cell membrane creates a physical barrier that separates the intracellular environment from the extracellular environment. Cell surface receptors span the cell membrane and are called transmembrane or integral proteins. They contain three domains – an extracellular ligand-binding domain, a hydrophobic domain embedded within the plasma membrane, and an intracellular domain. Cell surface receptors regulate the cell membrane by controlling the entry and exit of ions, catalysing growth and metabolic processes, and responding to chemical messengers and intercellular signals. Ligands which are large, hydrophilic or charged, are generally unable to cross the plasma membrane on their own and must rely on cell surface receptors to facilitate entry. There are three main types of cell surface receptors: ion channel receptors, G-protein coupled receptors (GPCRs) and enzyme-linked receptors. Ion Channel Receptors Ion channel receptors are like gates which open to allow the passive movement of ions down their concentration gradient. Different subtypes exist, including voltage-gated ion channels which open or close in response to changes in membrane potential and mechanically-activated channels which respond to mechanical stimuli such as pressure or stretch. Ligand-gated ion channels (or ionotropic receptors) open or close in response to the binding of a specific ligand to their extracellular domain. The ligand could be a neurotransmitter, hormone, cytokine or even a drug. OpenStax (https://commons.wikimedia.org/wiki/File:1216_Ligand-gated_Channels.jpg), CC BY 4.0 (https://creativecommons.org/licenses/by/4.0), via Wikimedia Commons Fig 1Diagram showing the function of ligand gated ion channels: Acetylcholine (ACh) is the ligand and when it binds to the cellular receptor, the channel opens to allow ions to move in or out of the cell. G-protein Coupled Receptors GPCRs are a diverse group of cell surface receptors that use specific proteins called G proteins to participate in cell signalling. There are a discrete number G proteins associated with GCPRs which have a characterised immediate response within a cell. Their structure and function are discussed in detail in this article. Gs proteins stimulate the enzyme adenylyl cyclase whilst Gi proteins have an inhibitory effect. Gq or G11 proteins stimulate phospholipase C. The downstream effect of these actions are vast and varied and depend on the specific cell type in which the receptor has been activated. Enzyme-linked Receptors Enzyme-linked receptors are cell surface receptors that have a catalytic site on their intracellular domain. They can either be associated with an enzyme or have intrinsic enzymatic activity, enabling them to catalyse chemical reactions. The binding of a ligand to the extracellular domain leads to activation of the enzyme, triggering a specific intracellular response. An important subtype of enzyme-linked receptors are tyrosine kinase receptors. Tyrosine kinase receptors have intrinsic kinase activity – i.e. they can transfer phosphate molecules. When a ligand binds to its extracellular domain, the receptor dimerises with its neighbouring receptor, triggering its kinase activity. The kinase phosphorylates the amino acid tyrosine on the intracellular domain of the receptor. The kinase in the receptor can also transfer phosphates onto other signalling molecules in the cell, triggering many different signalling cascades such as those involved in cell division, wound healing and glucose homeostasis. Created in BioRender Fig 2Diagram showing tyrosine kinase receptor, an enzyme-linked receptor, triggered by the binding of insulin, which activates a cascade of downstream metabolic responses. Intracellular Receptors Intracellular (or internal) receptors are found within the cytoplasm or nucleus of the cell. Their ligands tend to be small, hydrophobic (i.e. lipid-soluble) molecules allowing them to freely diffuse across the plasma membrane. Once inside the cell, these ligands bind to their specific intracellular receptor to form a ligand-receptor complex. This complex binds DNA in the nucleus, directly affecting gene transcription and protein synthesis. The receptor-ligand complex acts as a transcription factor, regulating the transcription of DNA into RNA molecules which can then be translated into proteins. Like cell surface receptors, intracellular receptors also have three core domains. These comprise a ligand-binding domain, DNA binding domain and an amino terminus (which interacts with the gene transcription machinery). Examples of ligands which bind to intracellular receptors include steroid hormones (e.g. sex hormones or mineralocorticoids, glucocorticoids), thyroid hormones and fat-soluble vitamins (A, D, E and K). By CNX OpenStax (https://commons.wikimedia.org/wiki/File:Figure_09_01_03.jpg) [Creative Commons 4.0] (https://creativecommons.org/licenses/by/4.0/), via WikiMedia Commons Fig 3Diagram of intracellular receptor action Below are some examples of of the different types of cellular receptors: Receptor Type Example Physiological role Ion Channel Receptor (voltage gated) Voltage-gated sodium channels at pre-synaptic membrane Depolarisation of the membrane and propagation of the action potential G-Protein Coupled Receptor Glucagon receptor in liver and kidney Glucose homeostasis/glycogen breakdown Enzyme-linked (tyrosine kinase) receptor Insulin receptor in liver, muscle and fat cells Glucose homeostasis (translocates glucose transporter to cell membrane, allowing entry) Intracellular receptor Aldosterone receptor (AT1) in the kidney Fluid homeostasis via upregulation of Endothelial Sodium Channels (EnNaC) in the collecting duct of renal tubule. Clinical Relevance Receptor Dysfunction and Cancer Tyrosine kinase receptors are essential for growth signalling and cellular differentiation. Many growth factors act on tyrosine kinase receptors to bring about cell division. While critical for cell survival and proliferation, tyrosine kinase signalling must be tightly regulated because dysregulation is associated with certain cancers. Chronic myeloid leukaemia (CML) is caused by a mutation which results in increased tyrosine kinase activity. This leads to proliferation of myeloid cells in the bone marrow. Treatment for CML has been revolutionised by tyrosine kinase inhibitors such as Imatinib, which specifically block cancer cell growth while sparing the non-mutated cells. Clinical Relevance Viral Entry Into Cells Whilst endogenous ligands can bind to receptors to gain access into cells, some viruses can do the same. Instead of receptor binding triggering a physiological signalling cascade, a virus can bind to and hijack the function of a receptor to gain entry into the cell, facilitating infection. HIV infects CD4 T cells by binding to the CD4 receptor, which allows the viral envelope to fuse with the CD4 cell membrane, releasing the virus into the cell. SARS-CoV-2, which causes COVID-19, enters cells by binding to the angiotensin-converting enzyme 2 receptor found in the lungs, heart and kidneys amongst other tissues. Do you think you’re ready? Take the quiz below Pro Feature - Quiz Cellular Receptors Question 1 of 3 Submitting... Skip Next Rate question: You scored 0% Skipped: 0/3 More Questions Available Upgrade to TeachMePhysiology Pro Challenge yourself with over 2100 multiple-choice questions to reinforce learning Learn More Rate This Article