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Of particular interest regarding metal specificity of P 2A ATPases is a suite of cryo-EM structures of the secretory-pathway Ca II -ATPases (SPCA1), long known to transport Mn II as well, 907 which function both to metalate key metalloenzymes in this compartment and beyond, including those associated with O -linked glycosylation, while also mediating Mn II detoxification in neuronal tissues by actively pumping cytosolic Mn II into the secretory pathway (Figure 55)

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cAMP directly activates protein kinase A (PKA) and cAMP-regulated guanine nucleotide exchange factor 2 (Epac2), that act synergistically to generate downstream signals resulting in increased insulin secretion (8)

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