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[email protected] 1399 Current Topics in Medicinal Chemistry, 2019, 19, 1399-1417 REVIEW ARTICLE ISSN: 1568-0266 eISSN: 1873-4294 Impact Factor: Targeting the PAC1 Receptor for Neurological and Metabolic Disorders 3.442 The international journal for in-depth reviews on Current Topics in Medicinal Chemistry BENTHAM SCIENCE Chenyi Liao1, Mathilde P. de Molliens2, Severin T. Schneebeli1, Matthias Brewer1, Gaojie Song3, David Chatenet2, Karen M. Braas4, Victor May4,* and Jianing Li1,* 1Department of Chemistry, University of Vermont, Burlington, VT 05405, USA; 2INRS – Institut Armand-Frappier, 531 boul. des Prairies, Laval, QC H7V 1B7, Canada; 3Shanghai Key Laboratory of Regulatory Biology, Institute of Bio- medical Sciences and School of Life Sciences, East China Normal University, Shanghai, 200241, P.R. China; 4Department of Neurological Sciences, University of Vermont, Larner College of Medicine, 149 Beaumont Avenue, Bur- lington, VT 05405, USA Abstract: The pituitary adenylate cyclase-activating polypeptide (PACAP)-selective PAC1 receptor (PAC1R, ADCYAP1R1) is a member of the vasoactive intestinal peptide (VIP)/secretin/glucagon fam- ily of G protein-coupled receptors (GPCRs). PAC1R has been shown to play crucial roles in the central and peripheral nervous systems. The activation of PAC1R initiates diverse downstream signal transduc- tion pathways, including adenylyl cyclase, phospholipase C, MEK/ERK, and Akt pathways that regu- late a number of physiological systems to maintain functional homeostasis. Accordingly, at times of tissue injury or insult, PACAP/PAC1R activation of these pathways can be trophic to blunt or delay apoptotic events and enhance cell survival. Enhancing PAC1R signaling under these conditions has the potential to mitigate cellular damages associated with cerebrovascular trauma (including stroke), neu- A R T I C L E H I S T O R Y rodegeneration (such as Parkinson’s and Alzheimer's disease), or peripheral organ insults.