For many G protein-coupled receptors, agonist-induced activation is followed by desensitization, internalization, and resensitization. In most cases, these processes are dependent upon interaction of agonistoccupied receptor with cytoplasmic -arrestins. The ligand-induced intramolecular rearrangements of the receptor responsible for the desensitized versus active conformational states, which dictate both the pharmacological properties of ligands and the biological activity of G protein-coupled receptors, have not been fully elucidated. Here, we identify specific interactions between parathyroid hormone (PTH)-related protein and the human PTH type 1 receptor (PTH1Rc) and the related receptor conformational changes that lead to -arrestin-2-mediated desensitization. PTH-related protein analogs modified at position 1 induced selective stabilization of the active G protein-coupled state of the receptor, resulting in lack of -arrestin-2 recruitment to the cell membrane, sustained cAMP signaling, and absence of ligand-receptor complex internalization. Mechanistically, the ligands modified at position 1, interacting with the extracellular end of helix VI of PTH1Rc, produced a translocation of transmembrane helices V and VI that differed from that induced by the cognate agonist, resulting in significantly different conformations of the third intracellular loop. These results show how specific interactions between PTH1Rc and its ligands may stabilize distinct conformational states, representing either the active G protein-coupled or a desensitized -arrestin-coupled receptor state. In addition, they establish that sustained biological activity of PTH1Rc may be induced by appropriately designed agonist ligands.
G protein-coupled receptors (GPCRs)1 represent a major class of membrane-bound proteins that mediate a wide variety of biological functions, including sensitivity to light and odorants, endocrine and cardiovascular control, and neurotransmission. The ligand-induced intracellular signaling of GPCRs is tightly regulated by several mechanisms. For numerous GPCRs, desensitization involves translocation of arrestins from the cytosol to the cell membrane, their direct interaction with agonist-activated GPCRs, and consequent inhibition of G protein coupling (1, 2). Additionally, arrestin-mediated internalization of agonist-receptor complexes through clathrincoated vesicles and subsequent receptor recycling to the cell membrane are responsible for the recovery of cellular responsiveness to agonists (resensitization). Receptor desensitization and resensitization accomplish the fundamental physiological role of modulating the cellular responses to both acute and chronic stimulation. An important implication is that not only signal transduction per se, but also the mechanisms regulating signal transduction have a profound influence in determining the pathophysiological processes mediated by GPCRs. Many important questions remain regarding the relationship between receptor occupancy, signaling, and desensitization. In partic...