Review
Structural insights into adrenergic receptor function and pharmacology

https://doi.org/10.1016/j.tips.2011.02.005Get rights and content

It has been over 50 years since Sir James Black developed the first beta adrenergic receptor (βAR) blocker to treat heart disease. At that time, the concept of cell surface receptors was relatively new and not widely accepted, and most of the tools currently used to characterize plasma membrane receptors had not been developed. There has been remarkable progress in receptor biology since then, including the development of radioligand binding assays, the biochemical characterization of receptors as discrete membrane proteins, and the cloning of the first G-protein-coupled receptors (GPCRs), which led to the identification of other members of the large family of GPCRs. More recently, progress in GPCR structural biology has led to insights into the three-dimensional structures of βARs in both active and inactive states. Despite all of this progress, the process of developing a drug for a particular GPCR target has become more complex, time-consuming and expensive.

Section snippets

Adrenergic receptor subtypes and complex signaling behavior

When Sir James Black and colleagues developed propranolol, the scope of adrenergic receptor pharmacology was limited to two subtypes: alpha (α) and beta (β) adrenergic receptors. Catecholamines induced vasoconstriction through αARs and increased heart rate and contraction through βARs. Since then, nine adrenergic receptor genes have been identified (IUPHAR database: http://www.iuphar-db.org/DATABASE/GPCRListForward): α1AAR, α1BAR, α1DAR, α2AAR, α2BAR, α2CAR, β1AR, β2AR and β3AR. The β2AR has

More than just beta blockers

The idea of ligand efficacy was proposed by Stephenson in 1956 [20]. At the time Sir James was developing propranolol, ligands fell into three categories: full agonists, partial agonists and antagonists or blockers. Full agonists are drugs that maximally activate the receptor in a signaling assay (either direct G protein activation or activation of an effector protein regulated by a G protein), whereas partial agonists produce submaximal activity even at saturating concentrations. The concept

GPCR structural biology

Two- and three-dimensional crystal structures of rhodopsin purified from bovine retina provided the first three-dimensional images of GPCRs 27, 28, 29. However, hormone-activated GPCRs proved to be more challenging subjects for structural studies owing to the lack of a naturally abundant source of protein, as well as their inherent structural instability, and the relatively small amount of structured polar surface available for forming crystal lattice contacts. Three approaches have been used

Structural insights into subtype selectivity

The β1AR and β2AR structures provided the first high-resolution picture of the ligand-binding pocket of an adrenergic receptor, and the first insight into the challenges involved in developing subtype-selective ligands. Figure 2a shows the binding pocket of the human β2AR. Only one of the 15 amino acids that constitute the antagonist binding pocket (defined as being within 4 Å of the inverse agonist carazol) differs between β1AR and β2AR. Tyr308 at the top of TM7 in the β2AR is Phe in the β1AR.

Structural changes upon activation

Opinions on activation of GPCRs have evolved considerably over the past two decades. Early models consisted of two receptor states: an inactive state (R) in equilibrium with an active state (R*) [39]. In these models, the level of receptor activity depends on the effect of ligands on this equilibrium (R  R*), with agonists and partial agonists shifting the equilibrium to the right, and inverse agonists shifting the equilibrium to the left. Although many aspects of GPCR function can be explained

The impact of structural biology on GPCR drug discovery

Structural biology has been an integral part of drug discovery for soluble proteins such as kinases and proteases [49], and will probably play a role in the development of drugs for GPCRs. However, there are important differences in the time required to obtain crystal structures and the ability to manipulate crystals. The value of a crystal structure in drug development is greatest when it is available early in the discovery process so that crystals might be used for fragment-based screens and

References (51)

  • J. Li

    Structure of bovine rhodopsin in a trigonal crystal form

    J. Mol. Biol.

    (2004)
  • S. Faham et al.

    Bicelle crystallization: a new method for crystallizing membrane proteins yields a monomeric bacteriorhodopsin structure

    J. Mol. Biol.

    (2002)
  • C. Riekel

    Protein crystallography microdiffraction

    Curr. Opin. Struct. Biol.

    (2005)
  • S. Suryanarayana

    Identification of intramolecular interactions in adrenergic receptors

    J. Biol. Chem.

    (1992)
  • P. Leff

    The two-state model of receptor activation

    Trends Pharmacol. Sci.

    (1995)
  • P. Ghanouni

    Functionally different agonists induce distinct conformations in the G protein coupling domain of the beta 2 adrenergic receptor

    J. Biol. Chem.

    (2001)
  • G. Liapakis

    The forgotten serine. A critical role for Ser2035.42 in ligans binding to and activation of the beta 2-adrenergic receptor

    J. Biol. Chem.

    (2000)
  • M. Sabio

    Use of the X-ray structure of the beta2-adrenergic receptor for drug discovery. Part 2: identification of active compounds

    Bioorg. Med. Chem. Lett.

    (2008)
  • R.J. Lefkowitz

    Seven transmembrane receptors: something old, something new

    Acta Physiol. (Oxf.)

    (2007)
  • R.A. Dixon

    Cloning of the gene and cDNA for mammalian beta-adrenergic receptor and homology with rhodopsin

    Nature

    (1986)
  • R.A. Dixon

    Structural features required for ligand binding to the beta-adrenergic receptor

    EMBO J.

    (1987)
  • B.K. Kobilka

    Chimeric alpha 2-,beta 2-adrenergic receptors: delineation of domains involved in effector coupling and ligand binding specificity

    Science

    (1988)
  • S.G. Rasmussen

    Crystal structure of the human beta2 adrenergic G-protein-coupled receptor

    Nature

    (2007)
  • D.M. Rosenbaum

    GPCR engineering yields high-resolution structural insights into beta2-adrenergic receptor function

    Science

    (2007)
  • Y. Daaka

    Switching of the coupling of the beta2-adrenergic receptor to different G proteins by protein kinase A

    Nature

    (1997)
  • Cited by (159)

    View all citing articles on Scopus
    View full text