The bimolecular interaction between corticotropin-releasing factor (CRF), a neuropeptide, and its type 1 receptor (CRFR1), a class B G-protein-coupled receptor (GPCR), is crucial for activation of the hypothalamic-pituitary-adrenal axis in response to stress, and has been a target of intense drug design for the treatment of anxiety, depression, and related disorders. As a class B GPCR, CRFR1 contains an N-terminal extracellular domain (ECD) that provides the primary ligand binding determinants. Here we present three crystal structures of the human CRFR1 ECD, one in a ligand-free form and two in distinct CRF-bound states. The CRFR1 ECD adopts the ␣--␣ fold observed for other class B GPCR ECDs, but the N-terminal ␣-helix is significantly shorter and does not contact CRF. CRF adopts a continuous ␣-helix that docks in a hydrophobic surface of the ECD that is distinct from the peptide-binding site of other class B GPCRs, thereby providing a basis for the specificity of ligand recognition between CRFR1 and other class B GPCRs. The binding of CRF is accompanied by clamp-like conformational changes of two loops of the receptor that anchor the CRF C terminus, including the C-terminal amide group. These structural studies provide a molecular framework for understanding peptide binding and specificity by the CRF receptors as well as a template for designing potent and selective CRFR1 antagonists for therapeutic applications.
Corticotropin-releasing factor (CRF)3 is a 41-amino acid, C-terminally amidated neuropeptide originally isolated from sheep hypothalami based on its ability to stimulate secretion of adrenocorticotropin from pituitary cells (1). Several other CRFrelated peptides have since been identified, including the urocortins (Ucn) I, II, and III in mammals (2-5). Extensive studies over the last nearly 3 decades have highlighted the critical roles that CRF family peptides play in coordinating endocrine, autonomic, and behavioral responses to stress (reviewed in Refs. 6, 7). The CRF family of peptides exert their effects through the binding and activation of two paralogous cell surface G-protein-coupled receptors (GPCRs), CRFR1 (8) and CRFR2 (9 -11). CRF binds to both receptors but with higher affinity for CRFR1. UcnI binds equally well to both receptors, whereas UcnII and UcnIII are selective for CRFR2. CRF is the primary regulator of central stress responses; its binding to CRFR1 on the surface of pituitary corticotrope cells activates the hypothalamic-pituitary-adrenal axis. Consequently, there has been enormous interest in the therapeutic potential of CRFR1-selective antagonists for the treatment of anxiety, depression, and related disorders (reviewed in Refs. 7, 12).The CRF receptors belong to the class B/Secretin family of GPCRs (13), whose members include receptors for parathyroid hormone, calcitonin, glucagon, glucagon-like peptides, and other therapeutically important peptides. In addition to a 7-transmembrane helical domain common to all GPCRs, class B receptors have an N-terminal extracellular domain (...