PDE4DIP (myomegalin) is a Golgi-associated scaffolding protein that spatially organizes cyclic AMP/PKA signaling and additional growth and cytoskeletal pathways at the Golgi apparatus (PMID:34289528, PMID:39905234). It compartmentalizes PKA activity by anchoring the phosphodiesterase PDE4D, and a disease-associated mutation (p.A123T) that disrupts PDE4D colocalization raises cAMP and shifts PKA phosphorylation, increasing phosphorylation of the β2-adrenergic receptor while reducing phosphorylation of desmin; this scaffold defect interacts epistatically with a desmin (DES p.S13F) mutation to drive familial atrial fibrillation and conduction disease (PMID:34289528). Acting together with AKAP9, PDE4DIP retains and stabilizes the PKA regulatory subunit RIIα at the Golgi, so that its loss mislocalizes and degrades RIIα, derepressing PKA/CREB signaling and triggering apoptosis and cell cycle arrest (PMID:39905234). Beyond PKA, PDE4DIP recruits PLCγ/PKCε to the Golgi to drive constitutive PKCε activation and degradation of the RAS-GAP NF1, thereby sustaining oncogenic RAS/ERK signaling in KRAS-mutant colorectal cancer cells (PMID:37355626), and it negatively regulates the Rho-ROCK pathway to control cytoskeletal organization, cell polarity, migration, and energy metabolism in cardiomyocytes (PMID:40612665).