Biased Signaling of G Protein Coupled Receptors (Gpcrs): Molecular Determinants of GPCR/Transducer Selectivity and Therapeutic Potential
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Pharmacology & Therapeutics 200 (2019) 148–178 Contents lists available at ScienceDirect Pharmacology & Therapeutics journal homepage: www.elsevier.com/locate/pharmthera Biased signaling of G protein coupled receptors (GPCRs): Molecular determinants of GPCR/transducer selectivity and therapeutic potential Mohammad Seyedabadi a,b, Mohammad Hossein Ghahremani c, Paul R. Albert d,⁎ a Department of Pharmacology, School of Medicine, Bushehr University of Medical Sciences, Iran b Education Development Center, Bushehr University of Medical Sciences, Iran c Department of Toxicology–Pharmacology, School of Pharmacy, Tehran University of Medical Sciences, Iran d Ottawa Hospital Research Institute, Neuroscience, University of Ottawa, Canada article info abstract Available online 8 May 2019 G protein coupled receptors (GPCRs) convey signals across membranes via interaction with G proteins. Origi- nally, an individual GPCR was thought to signal through one G protein family, comprising cognate G proteins Keywords: that mediate canonical receptor signaling. However, several deviations from canonical signaling pathways for GPCR GPCRs have been described. It is now clear that GPCRs can engage with multiple G proteins and the line between Gprotein cognate and non-cognate signaling is increasingly blurred. Furthermore, GPCRs couple to non-G protein trans- β-arrestin ducers, including β-arrestins or other scaffold proteins, to initiate additional signaling cascades. Selectivity Biased Signaling Receptor/transducer selectivity is dictated by agonist-induced receptor conformations as well as by collateral fac- Therapeutic Potential tors. In particular, ligands stabilize distinct receptor conformations to preferentially activate certain pathways, designated ‘biased signaling’. In this regard, receptor sequence alignment and mutagenesis have helped to iden- tify key receptor domains for receptor/transducer specificity. Furthermore, molecular structures of GPCRs bound to different ligands or transducers have provided detailed insights into mechanisms of coupling selectivity. How- ever, receptor dimerization, compartmentalization, and trafficking, receptor-transducer-effector stoichiometry, and ligand residence and exposure times can each affect GPCR coupling. Extrinsic factors including cell type or assay conditions can also influence receptor signaling. Understanding these factors may lead to the development of improved biased ligands with the potential to enhance therapeutic benefit, while minimizing adverse effects. In this review, evidence for ligand-specific GPCR signaling toward different transducers or pathways is elabo- rated. Furthermore, molecular determinants of biased signaling toward these pathways and relevant examples of the potential clinical benefits and pitfalls of biased ligands are discussed. © 2019 Elsevier Inc. All rights reserved. Abbreviations: 5-HT1BR, serotonin 1B receptor; 5-HT2BR, serotonin 2B receptor; 5-HT2CR, serotonin 2C receptor; 7TM, seven-transmembrane; A1R, adenosine A1 receptor; A2R, adenosine A2 receptor; A3R, adenosine A3 receptor; AHD, α-helical domain; AC, adenylyl cyclase; AGS, activators of G protein signaling; APJ, apelin receptor; AT1R, angiotensin II receptor type 1; β2AR, β2 adrenergic receptor; BRET, bioluminescence resonance energy transfer; cAMP, cyclic adenosine monophosphate; CaSR, calcium-sensing receptor; CB1R, cannabinoid receptor 1; CB2R, cannabinoid receptor 2; CHO, Chinese hamster ovary; CNS, central nervous system; CTX, cholera toxin; D1R, dopamine D1 receptor; D2R, dopamine D2 receptor; DAG, diacylglycerol; δOR, δ opioid receptor; ECL, extracellular loop; EP2R, prostaglandin E2 receptor 2; ERK1/2, extracellular signal-regulated kinase; FRET, fluorescence resonance energy transfer; FPR2, formyl peptide receptor 2; GEF, GTP exchange factor; Gi, inhibitory G protein; GnRH, gonadotropin releasing hormone; GLP1R, glucagon-like peptide 1 receptor; GPCR, G-protein-coupled receptor; GRK, GPCR kinase; Gs, stimulatory G protein; GTP, guanosine 5′-triphosphate; GTPγS, guanosine 5′-O-[γ-thio]-triphosphate; H1R, histamine H2 receptor; H4R, histamine H4 receptor; HEK293, human embryonic kidney 293; ICL, intracellular loop; IP1, inositol monophosphate; IP3, inositol 1,4,5-triphosphate; JAK, Janus kinase; JNK, c-Jun N-terminal kinase; mAChR, muscarinic acetylcholine receptor; MAPK, mitogen-activated protein kinase; MD, molecular dynamics; mGluR, metabotropic glutamate receptor; NF-κB, Nuclear factor-κB; μOR, μ opioid receptor; κOR, κ opioid receptor; NMR, nuclear magnetic resonance; NT1R, neurotensin receptor type 1; PGE2, prostaglandin E2; PGI2, prostaglandin I2; phosphatidylinositol, (PI); PI3K, phosphoinositide 3 kinase; PIP2, phosphatidylinositol (4,5)-bisphosphate; PKA, cAMP-dependent protein kinase; PKC, protein kinase C; PKD, protein kinase D; PLC, phospholipase C; PTH1R, parathyroid hormone 1 receptor; PTX, pertussis toxin; RGS, regulator of G protein signaling; RHD, Ras-homology domain; RTK, receptor tyrosine kinase; S1P1R, sphingosine 1-phosphate receptor 1; STAT, signal transducer and activator of transcription; TM, transmembrane; VFD, Venus flytrap domain. ⁎ Corresponding author at: Ottawa Hospital Research Institute, Neuro, UOttawa Brain and Mind Research Institute, 451 Smyth Road #2464, Ottawa, ON K1H-8M5, Canada. E-mail address: [email protected] (P.R. Albert). https://doi.org/10.1016/j.pharmthera.2019.05.006 0163-7258/© 2019 Elsevier Inc. All rights reserved. M. Seyedabadi et al. / Pharmacology & Therapeutics 200 (2019) 148–178 149 Contents 1. Introduction............................................... 149 2. Differentialstrengthofsignal,functionalselectivity,andbiasedsignaling................... 151 3. Quantificationofbias........................................... 152 4. Revisitingthereceptor/transducerinteraction............................... 154 5. GPCRbiasedsignalingpathways...................................... 155 6. Moleculardeterminantsoftransducerselectivityandbiasedsignaling.................... 161 7. Conclusion............................................... 167 Authorcontribution.............................................. 167 Conflictofintereststatement......................................... 167 Acknowledgments.............................................. 167 References.................................................. 167 1. Introduction followed by dissociation of G proteins from the receptor into activated α and βγ subunits, which can then interact with downstream effectors The superfamily of seven transmembrane receptors (7TMR) is (Park, Scheerer, Hofmann, Choe, & Ernst, 2008). characterized by having seven highly conserved transmembrane alpha Several deviations from the canonical pathway have been reported helices (TM). They are also referred to as G protein-coupled receptors over the years and comprise “non-canonical” signaling. Firstly, G pro- (GPCRs), because they convey signals across biological membranes via tein signaling is not confined to plasma membrane; rather, they can interaction with intracellular guanine nucleotide-binding proteins modulate an array of effector molecules from within endosomal mem- (G proteins). This superfamily comprises approximately 2% of all pro- branes. In this regard, the effector protein content of biological mem- teins encoded in the human genome, and is the target of a substantial branes significantly influences the signaling efficiency of GPCRs and G portion of current pharmaceuticals (Fredriksson, Lagerström, Lundin, proteins (Hewavitharana & Wedegaertner, 2012). Secondly, GPCRs & Schiöth, 2003). These receptors are classified according to their ligand may form functional dimers that can influence ligand binding, allo- binding, structure and physiology. The most frequently used A-F system stery, receptor trafficking, and transducer selectivity (Lane et al., (A: rhodopsin-like, B: secretin, C: metabotropic glutamate, D: fungal 2014; Ng, Lee, & Chow, 2012). Thirdly, GPCRs are capable of mating pheromone receptors, E: cyclic AMP receptors, and F: frizzled/ interacting directly with a number of effector proteins in a G smoothened receptors) is designed to cover all GPCRs, in both verte- protein-independent manner (Walther & Ferguson, 2015). Fourthly, brates and invertebrates. Meanwhile, recent phylogenic studies have re- GPCRs from all classes can couple to multiple G proteins (Flock vealed that most human GPCRs can be categorized into five major et al., 2017). For example, upon PKA-induced phosphorylation Gs- families; Glutamate, Rhodopsin, Adhesion, Frizzled/Taste2, and Secre- coupled beta-adrenergic receptors switch to couple to Gi proteins tin, forming the GRAFS classification system (Fredriksson et al., 2003). and in turn to β-arrestin recruitment (Daaka, Luttrell, & Lefkowitz, G proteins consist of monomeric small G proteins and heterotrimeric 1997; Luttrell et al., 1999). However, not all GPCRs can couple to all (Gαβγ) G proteins, and function as transducers to initiate multiple in- G proteins and in many cases the agonist potency is greater for canon- tracellular signaling pathways. They switch between inactive/active ical vs. non-canonical GPCR signaling (Kukkonen, Näsman, & states upon GDP/GTP exchange. While GTP exchange factors (GEF) Akerman, 2001). Thus, GPCR/G protein combinations that respond promote activation, GTP hydrolysis by the GTPase domain, existing in with lower agonist potency or only in some cell types are designated monomeric G proteins and Gα subunit of the heterotrimers, turns “non-cognate” and mediate non-canonical