RT Journal Article SR Electronic T1 Small Molecule Positive Allosteric Modulators of the β2-Adrenoceptor Isolated from DNA Encoded Libraries JF Molecular Pharmacology JO Mol Pharmacol FD American Society for Pharmacology and Experimental Therapeutics SP mol.118.111948 DO 10.1124/mol.118.111948 A1 Ahn, Seungkirl A1 Pani, Biswaranjan A1 Kahsai, Alem W. A1 Olsen, Eva K. A1 Husemoen, Gitte A1 Vestrgaard, Mikkel A1 Jin, Lei A1 Zhao, Shuai A1 Wingler, Laura M. A1 Rambarat, Paula K. A1 Simhal, Rishabh K. A1 Xu, Thomas T. A1 Sun, Lillian D. A1 Shim, Paul J. A1 Staus, Dean P. A1 Huang, Li-Yin A1 Franch, Thomas A1 Chen, Xin A1 Lefkowitz, Robert J. YR 2018 UL http://molpharm.aspetjournals.org/content/early/2018/05/16/mol.118.111948.abstract AB Conventional drug discovery efforts at the β2-adrenoceptor (β2AR) have led to the development of ligands that bind almost exclusively to the receptor's hormone-binding orthosteric site. However, targeting the largely unexplored and evolutionarily unique allosteric sites has potential for developing more specific drugs with fewer side effects than orthosteric ligands. Using our recently developed approach for screening G protein-coupled receptors (GPCRs) with DNA-encoded small molecule libraries, we have discovered and characterized the first β2AR small molecule positive allosteric modulators (PAMs) - compound-6 [(R)-N-(4-amino-1-(4-(tert-butyl)phenyl)-4-oxobutan-2-yl)-5-(N-isopropyl-N-methylsulfamoyl)-2-((4-methoxyphenyl) thio)benzamide] and its analogs. We utilized purified human β2ARs, occupied by a high affinity agonist, for the affinity-based screening of over 500 million distinct library compounds, which yielded compound-6. It exhibits a low micro-molar affinity for the agonist-occupied β2AR, and displays positive cooperativity with orthosteric agonists, thereby enhancing their binding to the receptor and ability to stabilize its active state. Compound-6 is cooperative with G protein and β-arrestin1 (a.k.a. arrestin2) to stabilize high-affinity, agonist-bound active states of the β2AR, and potentiates downstream cAMP production and receptor-recruitment of β-arrestin2 (a.k.a. arrestin3). Compound-6 is specific for the β2AR compared to the closely related β1AR. Structure-activity studies of select compound-6 analogs defined the chemical groups that are critical for its biological activity. We thus introduce the first small molecule PAMs for the β2AR, which may serve as a lead molecule for the development of novel therapeutics. The approach described here establishes a broadly applicable proof-of-concept strategy for affinity-based discovery of small molecule allosteric compounds targeting unique conformational states of GPCRs.