Physiologically, phosphorylase kinase plays the important role of stimulating glycogen breakdown into free glucose-1-phosphate by phosphorylating glycogen phosphorylase and stabilizing its active conformation. This activity is particularly important in liver and muscle cells, though for somewhat different purposes. While muscle cells generally break down glycogen to power their immediate activity, liver cells are responsible for maintaining glucose concentration in the bloodstream. Thus, the regulatory mechanisms of PhK activity vary somewhat depending on cell type. In general, the enzyme is regulated
allosterically and by reversible phosphorylation. Hormones, nerve impulses and muscle contraction stimulate the release of calcium ions. These act as an
allosteric activator, binding to the δ subunits of phosphorylase kinase, and partly activating enzyme activity. This binding partly stabilizes the protein in the active form. The phosphorylase kinase is completely activated when the β and α subunits are phosphorylated by protein kinase A and the delta subunit has bound to calcium ions. In muscle cells, phosphorylation of the α and β subunits by PKA is the result of a cAMP-mediated cell
signaling cascade initiated by the binding of
epinephrine to
β-adrenergic receptors on the cell surface. Additionally, the release of calcium ions from the
sarcoplasmic reticulum during muscle contraction inactivates the inhibitory δ subunit and activates PhK fully. In liver cells, the process is somewhat more complex. Both glucagon and epinephrine can trigger the cAMP-PKA cascade, while epinephrine also binds to the
α-adrenergic receptor to trigger a phosphoinositide cascade, resulting in the release of Ca2+ from the
endoplasmic reticulum. When the cell needs to stop glycogen breakdown, PhK is dephosphorylated by protein
phosphatases 1 and 2, returning the α and β subunits to their initial inhibitory configuration. ==Relation to disease==