Departments of Receptor Biochemistry (C.W., G.C., P.I., T.K.) and
Molecular Sciences (J.W., W.-J.C.), Glaxo Wellcome Research and
Development, Research Triangle Park, North Carolina
The quantitative comparison of the relative potency of agonists is a
standard method of receptor and agonist classification. If agonist
potency ratios do not correspond in two given tissues, this is used as
presumptive data to conclude that the receptors in those two tissues
are different. This article presents data to show that a single
receptor can demonstrate varying agonist potency ratios in different
host cells. These data are described in terms of the production of more
than one agonist-selective receptor active state and the interaction of
these different active states with multiple G proteins in the membrane
to produce cellular response. Stable host human embryonic kidney 293 cells with enhanced quantities of the respective G
-protein were
created. Wild-type and G
-subunit enriched cells were then
transiently transfected with human calcitonin receptor type 2 (hCTR2).
Binding did not detect differences in the G protein-enriched cells
versus wild-type cells. In contrast, functional studies did show
differences between the host cell lines and G
-subunit enriched cell
lines. The relative potency of eight calcitonin agonists was measured
in studies of calcium fluorescence in transfected cells containing
human calcitonin receptor type 2 by comparing pEC50 (-log
molar concentration producing half-maximal response) values. In
G
s-enriched cells, the relative order of potency of the agonists
changed. The host-cell dependent differences in potency ratios ranged
from 2-fold to more than 46-fold. This finding is not consistent with
the idea that all of the agonists produce response in the same manner
(i.e., through a common active state of the receptor). These data are
consistent with the idea that these different agonists produce arrays
of active states that differentially use G proteins. This idea is discussed in terms of the design of stimulus-bias assay systems to
detect agonist-selective receptor active states with resulting potential for increased selectivity of agonists.
 |
Introduction |
A classic pharmacologic method
of receptor and agonist classification is through the use of agonist
potency ratios. Under null conditions, the relative potency of agonists
is independent of the host cell for the receptor and depends only on
the relative affinity and intrinsic efficacy of the agonists for the
receptor type (see Appendix I). Deviations in agonist
potency ratios therefore are used as presumptive evidence for
differences in receptors. This technique is based on the tacit
assumption that the mechanism of response production for the agonists
involved is the same (i.e., that they produce the same active state of the receptor that then goes on to activate the stimulus-response mechanisms of the tissue host in a uniform manner). Therefore, differences in agonist potency ratios, in contrast to furnishing evidence for differences in receptor types, may alternatively indicate
lack of adherence to this tacit assumption. This article describes the
induction of variation in agonist relative potency ratios in different
tissue host cells for a single transfected receptor, the hCTR2. This
raises the possibility that this effect indicates the production of
agonist-specific receptor active states by the different agonists.
 |
Materials and Methods |
Molecular Biology and Generation of Stable Cell Lines
Full-length bovine G
s (short form) cDNA was kindly provided
by Dr. Pat Casey at Duke University (Robishaw et al., 1986
). The
full-length cDNAs for mouse G
q (Strathmann and Simon, 1990
), rat
G
o1 (Jones and Reed, 1987
), and rat G
i1 (Jones and Reed, 1987
)
were provided by Steve Rees at GlaxoWellcome, UK. The
Nco/HindIII fragment of pT7-5/G
s,
BamHI fragment of pSG5/G
q, HincII fragment of
pT7-5/G
o, and the HincII fragment of pT7-5/G
i1 were
isolated and subcloned into pCIN expression vector (Rees et al., 1996
). The full-length calcitonin receptor was isolated and subcloned into
expression vector pcDNA3 as described previously (Chen et al., 1997
).
The expression vectors containing different G proteins were then
transfected into HEK 293 cells using calcium phosphate method (Promega,
Madison, WI). On day 3 after transfection, the cells were selected
using G418-supplemented media at a concentration of 600 µg/ml. After
a 2-week selection, colonies were selected and expanded. Stable lines
were checked for expression by immunoblotting.
Gel Electrophoresis and Immunoblotting
HEK 293 membrane preparations, made from stable clones
containing various amounts of overexpressed G
-proteins, were
qualitatively evaluated using SDS-polyacrylamide gel electrophoresis
according to the procedure of Laemmli (1970)
. Protein (20 µg) was
dissolved in 30 µl of TBS-T buffer (20 mM Tris and 500 mM NaCL, pH
7.5, 0.1% Tween 20) and then incubated with 30 µl of 2× SDS loading buffer containing 5% 2-mercaptoethanol. This mixture was boiled for 5 min and cooled on ice. The denatured protein solution [30 µl (10 µg)] was then loaded into each well of the Novex 10-well, 10%
1.5-mm Tris-glycine gel and run at 120V for 90 to 100 min. The resolved
proteins were transferred to Novex nitrocellulose membranes. The
nitrocellulose membrane then was incubated in blocking buffer
(Megga-Block 1:10 in TBS-T) for 1 h. After washing in TBS-T with
1:100 Megga-Block the membranes were incubated with various G
specific antibodies (Santa Cruz Biotech, Santa Cruz, CA) for 1 h.
After a second washing, the membranes were incubated with a secondary
horseradish peroxidase goat anti-rabbit antibody (1:5000) for 1 h.
The blot then was developed using the enhanced chemiluminescence detection system (Amersham Pharmacia Biotech, Piscataway, NJ). Quantitative analysis of the Western blots was done with the BioRad GS-700 Imaging Densitometer (BioRad, Hercules, CA). Bands were measured
and analyzed using the BioRad Molecular Analyst software package and
data expressed in RDU. Clones were selected based on the increased
density of G protein band compared with control.
Transient Transfection of hCTR2
HEK 293 cells enriched with
-subunits Gi, Gs, Go, and Gq were
plated at a density of 107
cells/225-cm2 flask and grown overnight in
DMEM plus 10% fetal calf serum supplemented with
L-glutamine (2 mM). Cells were transfected with 40 µg of pcDNA3 vector control (Invitrogen, Carlsbad, CA) or pcDNA3/hCTR2 using
the calcium phosphate DNA transfection method (Davis et al., 1986
).
After a 6-h transfection, media were replaced and cells were grown an
additional 48 h when they were collected for assay. HEK 293 cells
(wild-type, G
i-21, G
s-24, G
q-15, and G
o-13 line) were
plated to a concentration of 106 cells/100-mm dish. After 24 h,
cells were cotransfected with clone 134/pMTR with pRSV/neo at a ratio
of 10:1, respectively, according to the calcium phosphate method (Promega).
Binding Studies
Membrane Preparation.
At confluency, cultured cells were
harvested by manual scraping of the tissue culture flasks. Cells were
pelleted by centrifugation at 2000 rpm for 15 min and then homogenized
(three 15-s bursts) in ice-cold HEPES buffer (20 mM HEPES, pH adjusted
to 7.4 with NaOH at 23°C). The homogenate was centrifuged at
48,000g for 15 min and washed twice through resuspension
with new buffer. After a third centrifugation, the pellet was
resuspended in fresh buffer containing 0.2 mM phenylmethylsulfonyl
fluoride. Aliquots were frozen at
70°C.
Saturation Binding Curves.
Membranes were equilibrated with
either 125I-AC512 (2000 Ci/mmol; Amersham
Pharmacia Biotech) or 125I-hCAL (2000 Ci/mmol;
Amersham Pharmacia Biotech) in 20 mM HEPES buffer containing 0.5 mg/ml
bacitracin, 0.5 mg/ml BSA, and 0.2 mM phenylmethylsulfonyl fluoride
(all from Sigma Chemical, St. Louis, MO) for 60 min at 23°C (samples
mixed on a Titer Plate Shaker; Lab Line Instruments, Melrose Park, IL).
Nonspecific binding was defined as the radioactivity remaining in the
presence of 100 nM nonradioactive salmon calcitonin. Incubations were
started by addition of membrane in triplicate tubes and binding was
terminated by filtration through glass-fiber filters (presoaked 30 min
in 0.5% polyethylenimine), with the Skatron semiautomatic cell
harvester. Filters were placed in Sarstedt 68.752 51- × 12-mm
polypropylene tubes and counted for 1 min in a gamma counter.
Saturation binding data were analyzed with the GlaxoWellcome
statistical fitting package RADLIG (GlaxoWellcome Scientific Computing,
Plan-les-Ouates, Geneva, Switzerland) to simultaneous equations
describing total binding and a linear nonspecific binding curve (to
yield a saturable binding curve). Saturation analysis yielded a
nonlinear least-squares fit to the logistic equation with a
half-maximal fitting parameter (the equilibrium dissociation constant
of the ligand/receptor-complex under ideal conditions, denoted
Kd) and a maximal asymptote (denoted
Bmax, providing an estimate of the maximal
number of binding sites in picomoles per milligram of protein). Complex
displacement curves were fit to a two-population model, yielding two
apparent affinities and relative quantities of the two apparent binding
sites (or receptor states). Data with 125I-hCAL
indicated complex two-phase binding with a low-capacity, high-affinity
binding site and a high-capacity, low-affinity binding site, in keeping
with standard agonist binding kinetics
Measurement of Calcium Transient Responses
Stable HEK 293 clones were tested for their ability to mobilize
calcium in the FLIPR system. Cells were harvested with 0.05% trypsin
(Life Technologies, Gaithersburg, MD) and plated in black 96-well
Viewplates (Polyfiltronics, Rockland, ME) at a concentration of 10,000 cells/well in DMEM/F12 phenol red free medium (Life Technologies)
containing 5% fetal bovine serum (Life Technologies). Approximately
30 h after cell plating, the media was removed by vacuum and
replaced with DMEM/Ham's F12 phenol red-free medium without serum.
Cells were kept in serum-free medium approximately 18 h before
assay. At the time of assay, cells were washed with 100 µl FLIPR
buffer (145 mM NaCl, 5 mM KCl, 0.5 mM CaCl2, 1 mM MgCl2, 10 mM HEPES, and 10 mM glucose, pH 7.4).
Dye was prepared as follows: 2 mM calcium green stock (C 3011;
Molecular Probes, Eugene, OR) was prepared in dimethyl sulfoxide. The
stock was mixed 50/50 with 20% pluronic acid (P 3000; Molecular
Probes) and diluted to 4 µM final concentration in FLIPR buffer.
Cells then were loaded with 50 µl of the 4 µM calcium green dye
along with 2.5 mM probenecid in 2.5% NaOH and allowed to incubate for at least 1 to 2 h at 37°C. After incubation, the plates were
allowed to come to room temperature. Plates were washed in FLIPR buffer twice and 50 µl left in each well. After loading plates into the FLIPR, basal intracellular calcium
[Ca2+]i conditions were
monitored for 10 s before adding 50 µl of the agonist with an
integrated 96-well pipettor. Fluorescence was measured from all 96 wells simultaneously using a charge-coupled device camera. Agonist
activity was measured every second for the first 25 s then every
3 s for the next 15 s. Curves were calculated as percentage
of 10 µM ionomycin control response.
 |
Results |
Stimulus-Biased HEK 293 Cells.
Approximately 100 HEK 293 cell
lines were transfected with G
-subunit cDNA for four different G
proteins (G
i, G
s, G
o, and G
q) and made into stable clones.
These were subjected to Western blot analysis for visualization of
relative quantities of specific G proteins. As shown in Fig.
1, certain clones contained elevated levels of G
i, G
s, G
o, and G
q protein, respectively.
Accordingly, cell lines 21 (for G
i-enriched cells), 24 (G
s-enriched), 13 (G
o-enriched), and 15 (G
q-enriched) were
selected for further study. These stable cells lines then were
transiently transfected with hCTR2 cDNA for binding and functional
studies.

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Fig. 1.
Western blot gels showing relative amounts of
G -protein in the membrane of various colonies of HEK 293 cells
transiently stably transfected with cDNA for G i-, G o-, G s-,
and G q-. Relative to control, stable colonies 21 (control, 11.26 RDU; G i-enriched, 23.47 RDU); 13, (control, 2.06 RDU;
G o-enriched, 10.41 RDU), 24 (control, 2.05 RDU; G s-enriched, 8.01 RDU), and 15 (control, 11.26 RDU; G o-enriched, 10.56 RDU) were
chosen for receptor cotransfection.
|
|
Saturation Binding Studies.
Saturation binding curves were
obtained for the agonist 125I-hCAL and the
calcitonin receptor antagonist 125I-AC512 (Chen
et al., 1997
) on membranes prepared from transiently transfected
(expressing hCTR2) wild-type HEK 293 cells and G
-subunit enriched
HEK 293 cells. The maximal density of expressed hCTR2 sites as measured
with the antagonist radioligand exceeded the number estimated with
125I-hCAL (Table 1)
consistent with the idea that the G protein limited the production of
high-affinity agonist binding state [i.e., the number of receptors
exceeded the available G protein (Chen et al., 1997
; Kenakin, 1997b
)].
Transfection of the four cell lines led to varying levels of receptor
expression being highest in the wild-type and G
i-enriched and lower
in G
s-, G
o-, and G
q-enriched cell lines as measured with
125I-AC512 binding (Table 1). Little change in
the amount of high-affinity binding complex with
125I-hCAL was obtained with G
-subunit
enrichment.
Effect of Receptor Density on Agonist Potency Ratios.
As
demonstrated by the different Bmax values
for 125I-AC512 binding, receptor expression of
hCTR2 after transient expression was not uniform. This precluded
effective comparison among cell types and focused attention on the
important aspect of these studies from the standpoint of receptor
theory, namely the internal relative profiles of agonists within each
cell type. According to the classic models of GPCRs, differences in
receptor density should affect absolute potency but not relative
potency; this is described more fully in Appendix I. The
possible effect of calcitonin receptor density differences was examined
in functional studies. The relative potency of agonists for hCTR2 under
two different transfection conditions in HEK 293 cells was explored in
a stable high expression cell line (30.05 ± 3 pmol/mg of protein
hCTR2; Chen et al., 1997
) and transient expression in wild-type HEK 293 cells. Figure 2A shows dose-response
curves for rat calcitonin in the two cell lines. As shown in this
figure, the maximal response to was greater in the stable HEK 293 cell
line. Figure 2B shows the correlation of the potencies of the agonists
(quantified as pEC50, the -log of the
EC50, concentration producing half-maximal response) in the two cell lines. Linear regressional analysis (Snedecor
and Cochran, 1967
; Armitage, 1971
) indicated a highly significant
regressional coefficient (T = 8.29, d.f. = 6, P < .001). Fig. 2C shows a graphical representation of the
pEC50 values in the stable and the transient cell
line. This representation shows the uniform phase shift in potency
(slightly higher in the stable cell line) for the agonists; the
pEC50 values are given in Table
2. Although the absolute potencies
differed, it is important to note that the relative potency, a
parameter dependent only upon the agonists and receptor type
(Appendix I), did not.

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Fig. 2.
The relative potency of hCTR2 agonists in a stable
HEK 293 cell line containing hCTR2 (30.05 pmol/mg protein) and in a HEK
293 cell line transiently expressing hCTR2. A, dose response curves to
rat calcitonin in stable cells (filled circles) and HEK 293 cells
transiently transfected with cDNA for hCTR2 (open circles). B,
pEC50 values for agonists in transiently transfected cells
(abscissae) and stable cells (ordinates). Values shown for eel
calcitonin ( ), salmon calcitonin ( ), porcine calcitonin ( ),
chicken CGRP ( ), human calcitonin ( ), rat calcitonin ( ), rat
CGRP ( ), and rat amylin ( ). C, change in pEC50 from
stable to transient cells (ordinates = pEC50). For B
and C, bars represent S.E.M.
|
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TABLE 2
Relative potencies of calcitonin receptor agonists in transient
wild-type and stably expressing HEK 293 wild-type cells
Estimates are the mean of three separate transient transfections.
pEC50 values are given with S.E.M.
|
|
Stimulus-Biased Assay Systems: Effects of Agonists.
The
effects of standard agonists for endogenous receptors in wild-type and
G
s-subunit enriched HEK 293 cells are shown in Fig.
3. As can be seen from this figure,
carbachol produced 150% maximal ionomycin responses in G
s-enriched
host cells and only 35% maximum response in G
o-enriched cells (Fig.
3A). Similarly, responses to ATP were enhanced in G
s-enriched host
cells and eliminated in G
o-enriched cells (Fig. 3B). These data
indicated that, unlike binding for transfected calcitonin receptors,
G
s-, G
o-, and G
q-protein enrichment produced differences in
stimulus-response coupling. For both carbachol and ATP, little
difference was seen with G
i-enriched cells compared with wild-type
cells.

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Fig. 3.
Responses to carbachol (A) and ATP (B) agonists for
receptors endogenous to HEK 293 cells in wild-type cells ( ),
G s-enriched cells ( ), G i-enriched cells ( ), and
G o-enriched cells ( ). No satisfactory dose-response relationships
could be obtained with G q-enriched cells. Data shown from one of
three experiments.
|
|
Different patterns of response to calcitonin agonists were observed in
cells transiently transfected with hCTR2. Responses to hCAL in G
o
cells were extremely small and difficult to reliably quantify.
Responses in G
q cells were large but erratic and no consistent
dose-response curves could be obtained. Accordingly, all further work
with hCTR2 were conducted in wild-type and G
i- and G
s-enriched cells.
As shown in Fig. 4, the maximal
responses, when compared with ionomycin, for amylin (Fig. 4A) and rat
calcitonin (Fig. 4B) were enhanced by G
s enrichment and slightly
diminished by G
i enrichment. Interestingly, the location parameters
of the curves to rat calcitonin, but not amylin, also changed with
G
-protein enrichment.

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Fig. 4.
hCTR2-mediated responses to amylin (A) and rat
calcitonin (B) in wild-type HEK 293 cells ( ), G s-enriched cells
( ), and G i-enriched ( ). Data shown from one of three transient
transfections.
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|
The relative potency ratios for eight agonists for hCTR2 were compared
in wild-type, G
s-enriched, and G
i-enriched HEK 293 cells. It
should be noted while the maximal responses differed with respect to
ionomycin in the different cell types, they did not differ within a
given cell type for each of the agonists. Thus, all agonists produced a
uniform maximal response (the maximal tissue response) and potency
ratios were not complicated by differences in maximal asymptotic response.
Figure 5A shows the correlation between
the pEC50 values for the eight agonists in
wild-type cells (abscissae) and G
i-enriched cells (ordinates).
Linear regressional analysis of the pEC50 values indicated a highly significant regressional coefficient (T = 13.47, d.f. = 6, P < .001). Fig. 5B shows the
individual pEC50 values graphically in wild-type
and G
i-enriched cells. As can be seen from these figures, there was
little change in the potencies of the agonists; the
pEC50 values are given in Table
3.

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Fig. 5.
The relative potency of hCTR2 agonists in wild-type
transiently transfected HEK 293 cells and G i-enriched cells. A,
pEC50 values for agonists in wild-type cells (abscissae)
and G i-enriched cells (ordinates). Values are for eel calcitonin
( ), salmon calcitonin ( ), porcine calcitonin ( ), chicken CGRP
( ), human calcitonin ( ), rat calcitonin ( ), rat CGRP ( ),
and rat amylin ( ). B, change in pEC50 from stable to
transient cells (ordinates = pEC50). For A and B, bars
represent S.E.M.
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TABLE 3
Relative potencies of calcitonin receptor agonists in HEK 293 cells
pEC50 values are presented as with S.E.M.
|
|
In contrast, Fig. 6A shows that G
s
enrichment produced some striking differences in the relative potencies
of agonists. Linear regressional analysis indicated a loss of
correlation between wild-type and G
s-enriched cell
pEC50 values (T = 2.17, d.f. = 6, n.s. at
5%). Amylin lost potency in G
s-enriched cells, some agonists did
not change (rat and chicken CGRP, eel and salmon calcitonin) and some
selectively increased in potency (human, porcine and rat calcitonin).
This resulted in a changed rank order of potency of the agonists in
G
s-enriched cells (over wild-type)
see Fig. 6B. The
pEC50 values are shown in Table 3.

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Fig. 6.
The relative potency of hCTR2 agonists in wild-type
transiently transfected HEK 293 cells and G s-enriched cells. A,
pEC50 values for agonists in wild-type cells (abscissae)
and G s-enriched (ordinates). Values are for eel calcitonin ( ),
salmon calcitonin ( ), porcine calcitonin ( ), chicken CGRP ( ),
human calcitonin ( ), rat calcitonin ( ), rat CGRP ( ), and rat
amylin ( ). B, change in pEC50 from stable to transient
cells (ordinates = pEC50). For A and B, bars represent
S.E.M.
|
|
Figure 7 shows two examples of differing
relative potencies in wild-type and G
s-enriched cells. Thus,
although the relative potency of rat calcitonin and rat amylin was 1.2 in wild-type cells, it increased by a factor of 27 (to 33) in
G
s-enriched host cells (Fig. 7A). Similarly, the potency ratio of
porcine calcitonin and rat amylin changed by a factor of 46, from 3.0 to 138 (Fig. 7B).

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Fig. 7.
Dose-response curves for amylin ( ) and rat
calcitonin ( ) (A) and amylin ( ) and porcine calcitonin ( ) (B)
in wild-type HEK 293 cells (left) and G s-enriched HEK 293 cells
(right). p.r., potency ratios for the agonists.
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 |
Discussion |
The observation of varying relative potencies of agonists for the
same receptor in different host systems is highly unusual. If this were
observed in different natural systems, it would be taken as presumptive
evidence for differences in the receptors mediating the responses in
those systems. The fact that this was observed for a single receptor in
different host cells is particularly interesting in that such behavior
cannot be accommodated by the tacit assumption made in classical
receptor occupancy theory, namely that all agonists form a single
active receptor state that then initiates cellular signaling.
In this study, the measurement of selective G protein enhancement was
operational. Although the relative increase in the G protein content of
the stimulus-biased cells was measured (relative to wild-type control),
the resulting data are not relevant to the actual quantity of G protein
accessible to the transfected receptor and available for receptor
coupling and served only as a method of choosing cells for receptor
transfection. The change in the responses to ligands for endogenous
receptors (ATP and carbachol) and transfected hCTR2 was more relevant
in that a bias, in terms of G protein coupling to these receptors, was
demonstrated. This operational observation of G protein enrichment was
used as the basis for further study of relative agonist potencies.
The fact that the amount of high-affinity agonist complex was so much
lower than the total receptor number (as measured with the antagonist
radioligand) indicated that the amount of G protein was limiting.
G
-subunit enrichment theoretically could have resulted in
differences in the amount of high-affinity binding of an agonist radioligand. In keeping with these predictions, coexpression of secretin receptors with G
s has been shown to lead to an increase in
the number of high-affinity binding sites for
125I-secretin from 1.8% to 15% (Ishihara et
al., 1991
). However, for pleiotropic receptors that interact with more
than a single G protein (such as hCTR2; Horne et al., 1994
), the degree
to which high-affinity binding would be enhanced depends upon the
relative stoichiometries of the G proteins involved (i.e., if a
relatively minor G protein is enhanced in the presence of a high
concentration of the major interactant G protein for that receptor,
then enrichment of a secondary protein may not be detectable as an
increase in the number of high affinity binding sites). The
relationship of the Bmax for an agonist
observed in saturation binding and G protein is given from eq. 7 of
Appendix II as
L (1 +
2[G2]/
2K2) [Rtotal]/(1 +
L (1 +
1[G1]/
1K1+
2[G2]/
2K2)).
It can be seen that enrichment of one of the G proteins would have
little effect on Bmax if the other G
protein binding the receptor was in a relatively greater concentration
or if the affinity of the receptor active state (denoted by
) was
lower for the enriched G protein. Thus there is a limitation of mass
equivalence in the measurement of G
-subunit protein in binding studies.
The limitation in binding studies of mass equivalence is not present in
functional studies. When cell function is used as a measure of receptor
stimulus, there can be disconnections between the amount of
high-affinity complex and resulting amount of stimulus (and resulting
response) produced by that complex. In general, stimulus-response
mechanisms within cells greatly amplify the result of receptor/G
protein interaction therefore G protein enrichment, insufficient to
result in changes in high-affinity binding, may still produce
observable effects on function. In light of the data with
G
s-enrichment, this seems to be what occurred in these studies. The
implications of this finding are worth considering.
Within a given cell type, if all agonists produce a uniform active
receptor state, then the relative potency of these agonists will not
vary (see Appendix I). The data obtained in G
s-enriched cells cannot be accommodated by this hypothesis, leading to the possibility that some of the agonists in this study produce at least
two different receptor active states (see below). There are increasing
data in the literature, from a range of experimental approaches, to
suggest that this occurs with other receptors. Experimental data
support the idea that agonist specific receptor activation for PACAP 1 receptor (pituitary adenylate cyclase activating polypeptide receptor
type 1; Spengler et al., 1993
), Drosophila tyramine
receptors (Robb et al., 1994
), and
2-adrenoceptors (Chidiac et al.,
1994
). Agonist specific receptor activation has directly been proposed
for dopamine D2s (Wiens et al., 1998
),
5-HT2c (Berg et al., 1998
),
5-HT3 (Van Hooft and Vijverberg,1996
),
2-adrenoceptors (Krumins and Barber, 1997
;
Seifert et al., 1999
), cannabinoid CB1 receptors
(Bonhaus et al., 1998
; Glass and Northup, 1999
) and µ-opioid
receptors (Keith et al., 1996
; Blake et al., 1997
; Yu et al., 1997
).
Agonist-specific receptor active states have been hypothesized on the
basis of a number of experimental approaches. These include observation
of protean agonism [reversal of efficacy from positive to negative in
quiescent versus constitutively active receptor systems (Kenakin,
1997c
)], differences in agonist-induced receptor internalization,
kinetic rates of activation, differences in rates of hydrolysis of G
protein-induced nucleotide hydrolysis, and reversal of the relative
potency of agonists for different stimulus-response pathways. Many of
these approaches uncover agonist-selective receptor states, but it is
still a theoretical hypothesis that these states are involved in
signaling and will result in stimulus-trafficking. The present approach
directly demonstrates that the agonists tested produce differing
response patterns which may translate to different therapeutic
profiles. On the other hand, complex differential G protein coupling
would be expected to be dependent upon receptor/G protein stoichiometry
and would thus be quite system dependent. Under these circumstances, it
would not be expected that a given stimulus-biased assay such as this
one would be universally useful for the detection of stimulus
trafficking. With this in mind, it would be prudent to use as many
techniques as possible to test ligand agonism because some may work
better than others for given receptors and agonists.
The ternary complex model for GPCRs, either in the form of the extended
ternary complex model (Samama et al., 1993
), or the cubic ternary
complex model (Weiss et al., 1996a
,b
,c
) commonly are described as
"two-state" models referring to the two spontaneously occurring
active and inactive states of the receptor. The concept that agonists
produce unique active receptor states may seem to be in conflict with
these classic models. However, it should be noted that these models
really are "multistate" models when describing activation of
receptors by ligands. This is because the presence of the ligand opens
the possibility of a modified affinity of the activated
receptor for G proteins through thermodynamic constants
(extended
ternary complex model) or
and
(cubic ternary complex model);
see Table 4 and Fig.
8. Thus, the existing models of GPCR
function accommodate agonist-specific receptor active conformations.

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Fig. 8.
Two models of GPCR activation. The extended ternary
complex model (Samama et al., 1993 ) allows interaction of only the
active state receptor with G protein. The cubic ternary complex model
(Weiss et al., 1996a ,b ,c ) allows interaction of both the active and
inactive state with G protein. The binding of ligand allows changes in
the receptor affinity for G protein through the factors , , and
. This allows for agonist-specific receptor active states within the
framework of these models.
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The formation of agonist-specific receptor active states becomes
important from a cellular signaling point of view when multiple G
proteins are involved. It is known that many G protein coupled receptors are pleiotropic with respect to the G proteins with which
they interact (Kenakin, 1996
). As discussed previously, human
calcitonin receptors are among those known to activate Gs, Gi, and Gq
(Horne et al.,1994
). This could be important for signaling because
studies have shown that different regions of the cytosolic loops of
seven-transmembrane receptors activate different G proteins (Ikezu et
al., 1992
; Wade et al., 1999
). Under these circumstances, it would not
be expected that different overall receptor conformations would expose
these different G protein-interacting sequences to signaling mechanisms
in an identical manner. These ideas, taken in conjunction, open the
theoretical possibility that different active receptor conformations
selectively activate different G proteins to direct stimulus to
different biochemical pathways in cells. When this occurs, it would be
predicted that the relative potencies of agonists producing different
active states will vary according to the relative amounts of G protein
available for stimulus-response coupling. This is discussed further in
Appendix II.
Stimulus-biased assay systems, such as the G
-subunit-enriched HEK
cells used in this study, are not meant to reflect natural physiology
but rather are designed to furnish unique information about agonists.
In drug discovery programs designed to find agonists, there usually are
two possible targets: a complete mimic of the physiologically
endogenous agonist or a mimic of a subset of agonism produced by the
physiological agonist. Previously, the latter profile has been achieved
solely by finding agonists for receptor subtypes or restriction of
pharmacokinetics. The production of selective receptor active states
theoretically offers another level of selective agonism. Specifically,
if the spectrum of signal transduction initiated by a given agonist
could be reduced, then a subset of physiological responses could be
produced. If the pleiotropic nature of the endogenous receptor
signaling is associated with a concomitant plethora of physiological
responses (some of which are not desired in the therapeutic field),
then reducing these may lead to a better mating of replacement agonist
therapy for pathophysiological disorders. From this standpoint,
agonist-selective receptor active states could represent the next
effective level of agonist selectivity (Kenakin, 1997a
).
Presently the relevance of agonist-specific cellular signaling to
therapeutic targeting of synthetic agonists is not clear. The extent to
which this idea can be capitalized upon therapeutically is unclear. At
the least, however, it allows a method of classifying agonists by
measures beyond those based simply on strength of agonism. This latter
idea assumes that all agonists produce a uniform receptor active state
that goes on to produce physiological response on the basis of
stoichiometry and nothing more. The idea of agonist specific receptor
active states extends that concept to include the "quality" of
efficacy as well as the "quantity" of efficacy in describing the
activity of agonists. The use of stimulus-biased host cells for
surrogate expression of receptors may be a useful tool in this regard.
It can be seen from the two expressions for relative potency, in
either the extended ternary complex model or the cubic ternary complex
model, that the effects of receptor density cancel and molecular
constants reflecting affinity and intrinsic efficacy control relative
potency. Under these circumstances, the relative potency of two
agonists (providing they both produce full agonist response) is a
unique identifier of the agonist and receptor type. The guideline used
in this process dictates that differences in the relative potency of
full agonists denotes differences in the receptors' mediating
response. However, it can also be seen that differences in potency
ratios can be brought about by differences in
or
that reflect
changes in the affinity of the ligand for the active (over the
inactive) receptor state and differences in the affinity of the
receptor for G protein when ligand is bound. This latter factor could
be relevant if the ligand forms a different receptor state.
The Ternary Complex Model [for this particular example, the
extended ternary complex model by Samama et al. (1993)
is used] can be
expanded to include the interaction of the active State receptor (Ra)
with two G proteins (denoted G1 and
G2). Under these circumstances, the equation
denoting response to an agonist (as defined by the production of a
ternary complex with the agonist and active-state receptor with either
G1 or G2) as:
We thank Susan Armour for excellent technical assistance and
Donna McGhee for expert preparation of the manuscript. We also thank
Deborah Jones-Hertzog for statistical advice.
hCTR2 human calcitonin receptor type 2, HEK,
human embryonic kidney;
TBS-T, Tris-buffered saline/Tween-20;
RDU, relative density units;
AC512, [Arg18,Asn30, Tyr32]9-32 salmon
calcitonin;
hCAL, human calcitonin;
FLIPR, fluorometric imaging plate
reader;
DMEM, Dulbecco's modified Eagle's medium;
GPCR, G
protein-coupled receptor;
CGRP, calcitonin gene-related peptide.