Target intelligence / Profile preview

cAMP-PKA-CREB-BDNF signaling pathway

Molecular classification
Other (intracellular signaling pathway), Protein kinase (for PKA), Transcription factor (for CREB), Growth factor (for BDNF), Second messenger (for cAMP)
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Overview

The cAMP–PKA–CREB–BDNF signaling pathway is an intracellular cascade that mediates the effects of extracellular signals (usually through G protein-coupled receptors activating adenylyl cyclase) on gene transcription and neural plasticity. cAMP acts as a second messenger to activate PKA, which translocates to the nucleus and phosphorylates CREB at Ser133. Phosphorylated CREB binds DNA at cAMP response elements, promoting the transcription of genes including BDNF. This sequence underlies key processes such as synaptic plasticity, learning, memory, neurogenesis, and cell survival. Disruption of this pathway is implicated in depression, cognitive impairment, neurodegeneration, and, in some contexts, cancer. Note: For molecular target databases or drug discovery purposes, it is more appropriate to query, annotate, and drug individual pathway components (such as "cAMP-dependent protein kinase catalytic subunit alpha", "cAMP response element-binding protein", or "brain-derived neurotrophic factor") rather than the composite pathway name.

Other names
cAMP/PKA/CREB/BDNF signaling pathwaycAMP–PKA–CREB–BDNF axiscAMP-responsive signaling pathway
02

Mechanism of action

Increase cAMP levels, leading to PKA activation (e.g., PDE inhibitors). Activate PKA, resulting in CREB phosphorylation and BDNF upregulation (targeting memory and mood disorders). Modulate CREB activity to increase or decrease BDNF expression. Modulate synaptic plasticity, neuroprotection, and neurogenesis.

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Biological functions

Signal transductionSynaptic plasticityMemory and learningNeurogenesisCell survivalGene expression regulationCell differentiationMood regulationInflammation modulation
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Disease associations

Neurodegenerative diseaseDepressionNeuropsychiatric disorders (e.g., schizophrenia)Cognitive impairmentInflammationCancer (through cAMP/PKA/CREB signaling regulation)
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Safety considerations

Off-target effects due to broad physiological roles of cAMP/PKA signaling (cardiac, metabolic)Potential for unwanted cell proliferation or tumor promotion (as pathway modulates growth and survival)Mood disturbances or neuropsychiatric effects due to alteration of plasticity-related genes
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Interacting drugs

Selective serotonin reuptake inhibitors (SSRIs, e.g., fluoxetine)

3 more in the full profile.

07

Biomarkers

Phosphorylated CREB (pCREB)BDNF levels (protein or mRNA expression in brain or blood)cAMP and PKA activity

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