Activation of G protein-coupled receptors like the  1 -adrenergic receptor results in conformational changes that ultimately lead to signal propagation through a G protein to an effector like adenylyl cyclase. In this study we identified amino acids that seem to be critical for activation of the human  1 -adrenergic receptor. Activation patterns of mutant receptors were analyzed using two structurally different ligands for -adrenergic receptors that both are mixed agonist/antagonists. Broxaterol and terbutaline are agonists at  2 -and  3 -receptors; however, they act as antagonists at the  1 -subtype. We reasoned that this functional selectivity may be reflected by a corresponding sequence pattern in the receptor subtypes. Therefore, we exchanged single amino acids of the  1 -adrenergic receptor for residues that were identical in the  2 -and  3 -subtypes but different in the  1 -receptor. Pharmacological characterization of such receptor mutants revealed that binding of a panel of agonists and antagonists including broxaterol and terbutaline was unaltered. However, two of the mutants (I185V and D212N) were activated by broxaterol and terbutaline, which acted as antagonists at the wild-type receptor. Two additional mutants (V120L and K253R) could be activated by terbutaline alone, which is structurally more closely related to endogenous catecholamines like epinephrine than to broxaterol. A model of the human  1 -adrenergic receptor showed that the four gain-of-function mutations are outside of the putative ligand-binding domain substantiating the lack of an effect of the mutations on binding characteristics. These results support the notion that Val-120, Ile-185, Asp-212, and Lys-253 are critically involved in conformational changes occurring during receptor activation.
G protein-coupled receptors (GPCRs)3 comprise a large number of structurally related membrane receptors, many of which are important drug targets. Among the receptors targeted in established therapies -adrenergic receptors comprise one of the most important subgroups. The use of -blockers is indicated in virtually all major cardiovascular diseases, whereas  2 -selective agonists are a mainstay in the treatment of asthma. Activation of GPCRs is a complex process that results in a state that propagates a signal to the corresponding G protein. It is thought that more than one activated state may exist (1, 2) providing a basis for transduction of different ligand-specific signals via a given receptor subtype (3). The notion that receptor activation is a multistep process whereby the receptor assumes a series of conformational intermediates provides an explanation for such functionally distinct states (4). Such functionally defined states could serve as distinct mediators of more specific drug actions.The investigation of conformational intermediates should benefit from ligands that are able to distinguish their functional identity. Alternatively it would be interesting to study distinct activation patterns at closely related receptor su...