Rapsyn, gephyrin, and PSD-95 as scaffolding proteins and signaling molecules. An illustration of rapsyn, gephyrin, and PSD-95 (red) and some of the scaffolding proteins (blue) and signaling molecules (yellow) with which they associate. A) At acetylcholine receptor clusters, rapsyn binds the intracellular portion of the receptor subunits. The activation of rapsyn and the clustering of receptors are initiated by agrin or laminin, and rapsyn stabilizes receptors through a direct association with β-dystroglycan and β-catenin. Cytoskeletal reorganization is controlled by the association of rapsyn to calpain. B) At inhibitory synapses, glycine and/or GABA receptors mediate neurotransmission. The activation of gephyrin clustering requires glycine receptor activity, and gephyrin binds directly to the intracellular loop of the glycine receptor γ-subunit. Direct binding of gephyrin to the GABA receptor has not been observed, but gephyrin is required for γ2-GABA receptor subunit clustering. Like rapsyn, gephyrin links receptors to the intracellular cytoskeleton (through mena/VASP) and regulates signaling through interactions with collybistin. C) The clustering of AMPA, NMDA, and nACh receptors at excitatory central synapses is mediated by PDZ proteins, including the most prevalent member of that family, PSD-95. PSD-95 binds directly to the NMDA receptor and indirectly to AMPA receptors through intermediate TARP and/or SAP-97 proteins. Although PSD-95 associates with nAChRs in central synapses, it is not known whether this interaction is direct.