“…A conformational change in the CNB induced by cAMP binding relieves the inhibition of the catalytic domain. Numerous studies have implicated EPAC-dependent signalling, either in parallel or independently of PKA, in the regulation of cell proliferation [40,79,121,131,132,133,134,135,136,137,138,139,140,141,142,143,144,145,146,147,148]. The effects of EPAC activation on cell proliferation is cell type specific, with growth inhibitory effects in VSMCs and some other cell types [79,131,134,149,150] and growth promoting effects in others, including endothelial cells [133,146,151].…”