Key Points
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The human genome encodes more than 1,000 G-protein-coupled receptors (GPCRs), making these protein the largest class of drug targets, and it has been estimated that 50% of all modern drugs modulate GPCR activity. Despite the recent realization that these receptors form homo-oligomeric and hetero-oligomeric complexes, virtually all therapeutics directed towards GPCRs have been designed using assays that presume these receptors are monomeric, and this important aspect of GPCR biology remains largely unincorporated into schemes to search for new therapeutics.
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Although it is not known how large GPCR oligomers are or whether receptors can exist in multiple oligomeric states, the assembly of correctly formed oligomers seems to be a requirement for proper cellular transport to the cell surface. Oligomerization of a receptor with mutant or variant forms of itself can result in attenuation of receptor expression, and might, therefore, represent a potential disease mechanism or a means of cellular self-regulatory modulation of receptor function.
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Traditionally, signal amplification is generally thought to occur only at the level of the G protein or the effector, and not at the receptor level. However, both homo- and hetero-oligomerization might provide a means for signal amplification through the activation of many receptors by the action of a single ligand molecule.
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GPCR hetero-oligomerization can result in the formation of receptor complexes that have ligand-binding and signalling properties distinct from their constituent receptors. It represents a novel aspect of GPCR biology that has exciting potential to generate new drug targets. Heteromeric interactions might also mask the individual properties of one of the constituent receptors.
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Altered levels of GPCR hetero-oligomerization could represent the molecular basis of some clinical disorders.
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Little is known about the dynamics and regulation of GPCR oligomer formation; that is, whether ligands promote association or dissociation of oligomers, or whether they bind to pre-formed oligomers and change the oligomeric receptor conformation. However, resonance-energy-transfer assays in live cells have indicated that agonist-induced oligomerization might occur.
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There is evidence that the oligomeric nature of GPCRs can be exploited to improve drugs by developing dimeric ligands. Several dimeric ligands have been shown to have increased affinity and altered potency compared with their constituent ligands, potentially because dimeric ligands might more readily induce or stabilize the dimeric conformation of the receptors, which in some manner increases the efficacy of signal transduction.
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Contemporary drug discovery for GPCRs has largely been based on using a single GPCR of interest expressed in a recombinant cell line. For future lead-compound identification, the current understanding of GPCR oligomerization mandates that hetero-oligomeric receptors must be considered as novel targets in the screening of compounds as drug candidates. Drugs that can enhance or disrupt GPCR oligomer formation as a means to regulate oligomerization-dependent functions will also have to be explored.
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Given what is known about GPCR oligomerization so far, it is plausible that the development of 'new' therapies could be as simple as creating novel regimens with 'old' drugs.
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The consideration of GPCR quaternary structure has been slow to permeate into the thinking of the drug discovery mainstream despite the potential to exploit it for improved therapies.
Abstract
G-protein-coupled receptors (GPCRs) represent by far the largest class of targets for modern drugs. Virtually all therapeutics that are directed towards GPCRs have been designed using assays that presume that these receptors are monomeric. The recent realization that these receptors form homo-oligomeric and hetero-oligomeric complexes has added a new dimension to rational drug design. However, this important aspect of GPCR biology remains largely unincorporated into schemes to search for new therapeutics. This review provides a synopsis of the current thinking surrounding GPCR homo-oligomerization and hetero-oligomerization and shows how new models point towards unexplored avenues in the development of new therapies.
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The authors receive support from the Canadian Institutes of Health Research and the National Institute on Drug Abuse.
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gonadotropin-releasing hormone
gonadotropin-releasing-hormone receptor
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Glossary
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The occurrence in a population of two or more variant alleles of a gene, for which the frequency of the rarer alleles is greater than can be explained by recurrent mutation alone.
- RADIATION INACTIVATION
-
A technique in which proteins are inactivated with high-energy particles to determine the molecular mass of functional oligomers.
- PALMITOYLATION
-
A post-translationlational modification in which palmitic acid, a fatty carbon chain, is attached to a cysteine residue by a thio-ester bond.
- ORPHAN RECEPTOR
-
A receptor for which no endogenous ligand has been identified.
- COOPERATIVITY
-
A property of receptors that have interacting binding sites, for which the binding of a ligand to one site modulates the binding of a second ligand to another site.
- CO-IMMUNOPRECIPITATION
-
A process that uses antibodies to isolate a protein that interacts with the protein of interest.
- DIFFERENTIALLY TAGGED
-
Having two unlike epitope tags.
- DESENSITIZATION
-
The mechanism by which a ligand becomes less effective at activating a receptor during prolonged application.
- ALTERNATIVE SPLICING
-
Different products can be generated from a single gene by, for example, combining alternative forms of particular exons.
- PERTUSSIS TOXIN
-
A toxin that ADP ribosylates the inhibitory G protein Gi, thereby causing it to uncouple from G-protein-coupled receptors.
- CROSS-TALK
-
An informal term that refers to the interaction or reciprocal modulation between two proteins.
- PRE-ECLAMPSIA
-
A hypertensive disorder of pregnancy for which the cause is unknown.
- CRYSTAL STRUCTURE
-
The three-dimensional arrangement of atoms in a protein that is determined by inducing the protein to form crystals.
- CROSSLINKING AGENT
-
A chemical compound that forms a covalent link between two closely associated proteins.
- DYSKINESIA
-
An impairment in the ability to control movements — characterized by spasmodic or repetitive motions or lack of coordination.
- PARKINSONISM
-
Any of a group of nervous disorders that are similar to Parkinson's disease — characterized by muscular rigidity, tremor and impaired motor control.
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George, S., O'Dowd, B. & Lee, S. G-Protein-coupled receptor oligomerization and its potential for drug discovery. Nat Rev Drug Discov 1, 808–820 (2002). https://doi.org/10.1038/nrd913
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DOI: https://doi.org/10.1038/nrd913
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