Nat. Rev. Endocrinol. doi: /nrendo

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Nat. Rev. Endocrinol. doi:10.1038/nrendo.2016.12 Figure 2 Fundamental mechanisms of canonical BMP superfamily signalling Figure 2 | Fundamental mechanisms of canonical BMP superfamily signalling. Over 30 bone morphogenetic protein (BMP) superfamily ligands have been discovered in humans. Most are secreted as mature disulfide-linked dimers, with the exception of TGF-β1, TGF-β2 and TGF-β3, which can be secreted in a latent form and require proteolytic activation. BMPs signal through a multimeric cell surface complex consisting of two type I receptors and two type II receptors. Type I and type II BMP receptors are single pass transmembrane proteins with an intracellular serine/threonine kinase domain. After ligand binding, type II receptors phosphorylate (P) the type I receptors. Activated type I receptors recruit and phosphorylate pathway-specific R-SMADs (SMAD1, SMAD5 and SMAD8 (blue pathway), and SMAD2 and SMAD3 (orange pathway)), which can form trimers with SMAD4 and translocate to the nucleus. SMADs have intrinsic DNA-binding activity and are able to regulate gene expression by recruitment of chromatin-remodelling machinery and integration with tissue-specific transcription factors. SMAD8 is also known as SMAD9. The pathway can be antagonized by many mechanisms including neutralization of ligands by secreted traps such as noggin or follistatin, secretion of latent ligands bound to their propeptides, or via titration of receptors by nonsignalling ligands such as BMP3, activin β/inhibin α dimers or LEFTY monomers. ACVR, activin receptor; ALK, activin receptor-like kinase; AMH, anti-Müllerian hormone; AMHR2, AMH receptor 2; BMPR, BMP receptor; GDF, growth/differentiation factor; TGF, transforming growth factor; TGFBR, TGF-β receptor. Gamer, L. W. & Rosen, V. et al. (2016) BMP signalling in skeletal development, disease and repair Nat. Rev. Endocrinol. doi:10.1038/nrendo.2016.12