Review on G protein coupled receptors A Satish Chandra, M Rama Krishna, Prof. G Nagarjuna Reddy, R Ramesh Department of Pharmacology, KLR Pharmacy College, Palvoncha ABSTRACT G protein-coupled receptors (GPCRs) are involved in the control of every aspect of our behavior and physiology. This is the largest class of receptors, with several hundred GPCRs identified thus far. Examples are receptors for hormones such as calcitonin and luteinizing hormone or neurotransmitters such as serotonin and dopamine. G protein-coupled receptors can be involved in pathological processes as well and are linked to numerous diseases, including cardiovascular and mental disorders, retinal degeneration, cancer, and AIDS. More than half of all drugs target GPCRs and either activates Orin activate them. Binding of specific ligands, such as hormones, neurotransmitters, chemokines, lipids, and glycol proteins ,activates GPCRs by inducing or stabilizing a new conformation in the receptor(1, 2). Activated receptors (R*) can then activate hetero trimetric G proteins (composed of a.GDP, b, and g subunits) on the inner surface of the cell membrane (3–5).GPCRs have a common body plan with seven trans membrane helices. The intracellular loops that connect these helices form the G protein-binding domain reviewed by. 5–7. How do GPCRs activate G proteins and cause such specific responses in cells? What are the triggering changes in GPCRs on agonist binding? How do they fold, and what causes misfoldingin so many genetic diseases? All of these unanswered questions in the field depend on detailed structural information. Recently, the first high-resolution structure of a GPCR, rhodopsin, the visual light receptor, was solved by the groups of Palczewski, Okada, Stenkamp, and Miyano (8). This structure reveals a wealth of information about how retinal is bound and how the rhodopsin ground state is stabilized. It also shows that critical residues for G protein activation (E134, R135) are buried and inaccessible to the rod photoreceptor G protein, transducin (Gt). However, this does not resolve the question of how an activated receptor activates a G protein, because the structure of the inactive receptor was solved, leaving open the question of the activation mechanism and the structure of the active receptor. Thus, new structural approaches are needed to address these questions. Keywords: GPCRs, GDP, AIDS, Gt, E134, R135, R* Introduction G protein-coupled receptors (GPCRs) form the largest family of membrane proteins responsible for communication between the cell and the environment. These proteins recognize extracellular messengers and transducer the signal to the cytosol. GPCRs bind to a wide variety of molecules, including ions, amino acids, peptides, lipids, and nucleotides. They control the activity of enzymes, ion channels and vesicular transport, principally through the catalysis of GDP-GTP exchange on heterotrimeric G proteins. They are involved in diverse biological functions including the senses of smell, taste and sight, and the regulation of appetite, digestion, blood pressure, reproduction and inflammation[10] the reason why they are involved in a wide variety of pathologies. Each cell expresses a few dozen different GPCRs, which implies that its homeostasis can be influenced by numerous transmitters. A particular GPCR is often expressed in several tissues. It can be found in the periphery and in the central nervous system. Its roles in these tissues may be different although the second messengers that result from the initial activation are probably the same. The organ that is possibly most dependent on GPCR activity is the brain, where practically all the GPCRs are expressed. They are involved in synaptic transmission mechanisms and most of our senses depend directly on the activation of specific GPCRs.GPCRs have proven to be particularly amenable to modulation by small molecule drugs and are the targets of approximately half of the current prescription drugs, as well as the targets of a large number of therapeutics and GPCRs provide opportunities for the development of new drugs with applications in all clinical fields. [11] Characteristic features of GPCRs GPCRs are integral membrane proteins with seven Tran’s membrane helices. The N-terminal segment is extracellular and the C-terminal segment is located in the cytosol. The Trans membrane (TM) domains are more conserved among GPCRs than the extracellular or intracellular domains. There are several signature amino acid motifs which provide us with their identity as GPCRs; for example, the LxxxD motif in the TM II, the DRY motif at the end of the TM III and the NPxxYmot if on the TM VII (Figure 1). Usually, the intracellular domain III (between TM V and TM VI) and the carboxyl terminal are considered to play certain roles in Gprotein coupling [11]. GPCRs are divided into families according to their sequence homology. Family A represents the largest subgroup of receptors and includes catecholamine’s, neuropeptide, chemokine, glycoprotein’s, lipid and nucleotide receptors. Family A is characterized byseveral highly conserved amino acids and a disulphide bridge. Most of these receptors also have a palmitoylatedcysteine in the carboxyl-terminal tail. Ligand binding within the transmembrane region of the receptor seems to occur mainly in a cavity flanked by TMs III,V, VI and VII. The crystal structure of rhodopsin [12,13] has indicated that the transmembrane domains ofthis family are “tilted” and “kinked” (Figure 2a). FamilyB contains receptors for a large number of peptides such as calcitonin, glucagon, gonadotropin-releasinghormone and parathyroid hormone. These receptorsare characterized by a relatively long amino terminusthat contains six conserved cysteine residues, whichpresumably form a network of disulphide bridges(Figure 2b). This amino terminus seems to play a keyrole for most ligands, but it is not sufficient and additionalinteractions are found in the extracellular loops.Family C is the metabotropic containing the metabotropicglutamate receptors, GABA receptors andthe calcium sensor receptor. These receptors are characterizedby a long amino terminus and carboxyl tail.The amino terminus is folded as a separate ligandbinding domain which is often described as being likea “Venus fly trap” (Figure 2c) [10,14,15]. Ligand binding to GPCRs promotes conformational changes leading to G-protein coupling, the initiation of signal transduction pathways and ultimately cellular response. Studies based on electron paramagnetic resonance and fluorescence spectroscopy [16] suggested the need of an outward movement of the cytoplasmic end of TMs III and VI [17, 18], as well asan anticlockwise rotation of TM VI around its helical axis, when viewed from the extracellular side, for itsactivation. Other helices probably adjust their positions upon activation as well. Each GPCR has its own selectivity to G proteins(Figure 3), however, the specific sequences activating each G protein (Gs, Gi, Gq, G12, etc.) are as yet unknown, although there is a proposed theory that basic amino acids are important for G protein coupling [19].Even though it is known that for many classes of receptors constitutive or ligand-induced oligomerizationis essential for signaling [20], only a mono mericmodel for GPCRs is generally accepted. Since the mid-1990s, many reports have successively shown oligomerizationof the GPCRs, examples of this are the H2histamine receptor [12] and the β2-adrenergic receptor [21, 22]. Now, oligomerization is widely accepted as a universal aspect of GPCR biology. After the first reports of GPCR homo-oligomers,it was shown that some receptor subtypes formed hetero-oligomers, for example AT1-AT2 angiotensinreceptors [23] and A1 adenosine-D1 dopamine receptors[24], Figure 1. Schematic drawing depicting the 7 helices, the connecting loops and some conserved amino acid motifs in GPCRs. TheLxxxD motif in the TM II, the DRY motif at the end of the TM III and the NPxxY motif on the TM VII. Figure 2. Schematic drawing of the GPCR families. (a) Family A has a short amino terminus and the transmembrane domainsare “tilted” and ”kinked” (b) Family B has a relatively longamino terminus that contains cysteine residues (c) Family C hasa long amino terminus folded as a ”Venus fly trap” domain. Figure 3. Schematic drawing depicting the 7 helices and the different pathways upon Protein coupling. Each GPCR has its own selectivity to a particular G protein and each G protein has its own signal pathway GPCRs in drug discovery GPCRs have been shown to be excellent targets for pharmaceutical treatments; along with kinases, GPCR sconstitute the most widely screened classes of signal transduction targets [26]. Many major diseases involve the malfunction of these receptors making them the most important drug target for pharmacological intervention .In particular, the subfamily of biogenic amine binding GPCRs has provided excellent targets for the treatment of several central nervous system diseases, such as schizophrenia (mixed D2/D1/5-HT2 receptors), psychosis (mixed D2/5-HT2A receptors), depression (5-HT1 receptor), or migraine (5-HT1 receptor). This GPCR subfamily has also provided drug targets for other disease areas such as allergies (H1 receptor), asthma (β2 receptor), ulcers (H2 receptor), or hypertension (α1 antagonist, β1 antagonist [27] (Table 1).GPCR agonist or antagonist drugs have been therapeutically successful because of their direct activity on the cell surface [28]. GPCRs comprise 50-60% of the drugs now on the market, including about 25% of the 100 top-selling drugs [29] in commercial terms; GPCRs will continue to predominate as drug targets. The total human genome Table 1 Trademark Generic name Company Disease Clarit in loratadine Schering-Plough Allergies Zyprexa Cozaar Risperdal Leuplin/ Lupron Pepcidine Sereve nt olanzapine losartan risperidone leuprolide famotidine salmat erol Eli LillyTatemoto Merk & Co Johnson & Johnson Takeda Merk & Co GlaxoSmithKline schizophrenia hypertension psychosis cancer ulcers asthma Diseases related to G protein coupled receptors Conformational diseases often result from mutations in proteins that are recognized as mis folded by quality control systems [30,31]. Such recognition can lead to two different phenotypes: some misfolded proteins can be efficiently ubiquitinated and degraded by the proteasome,leading to a loss of function [32], whereas othersaccumulate in cells, forming aggregates that can havetoxic consequences and are often referred to as gain of functions [33]. Studies carried out in the past decade havelinked these two types of quality control outcomes to theaetiology of a growing list of congenital and acquiredconformational diseases. In parallel, efforts to overcomethese defects have led to the development of variousinterventions that successfully rescue proteins from bothaggregation and degradation pathways. In particular,treatments with chemical compounds known as eitherchemical or pharmacological chaperones have been foundto stabilize some conformational mutants, promoting their proper transport to their site of action where, inmany cases, they can be functional [34–36]. Identifying compounds that can bind to the mutant proteins hasbeen easier for proteins such as channels and receptorsfor which selective ligands have already been characterized.Because of their involvement in many pathophysiological conditions and the rich pharmacological diversitygenerated through various drug screening campaigns-protein-coupled receptors (GPCRs) have attractedconsiderable attention for the identification of pharmacologicalchaperones. At least ten congenital diseases havebeen linked to mutations in GPCRs that lead to the irretention in the endoplasmic reticulum (ER) (Table 3),and pharmacological chaperones have been identified for three of these Here, we reviewthestudies thatled to the discovery of these potential therapeutic agents,with a special emphasis on their proposedmechanismsof action GPCR involved in conformational diseases Table 3 GPCR Diseases Adrenocorticotropic hormone receptor Familial adrenocorticotropic hormone resistance Familial hypocalciuric hypocalcaemia Hirsch sprung disease Hypogonadotropic hypogonadism Male pseudohermaphroditism Obesity Calcium sensing receptor Endothelia-B GnRHR Luteinizing hormone receptor Melanocortin 4 receptor Conclusion GPCRs are regarded as the most important molecules in the field of drug discovery and design, their role as receptors in many of the basic processes on the organism and their presence on the surface of cells on all tissues make them excellent targets. 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