Accumulating evidence has indicated that membrane-permeable G protein-coupled receptor ligands can enhance cell surface targeting of their cognate wild-type and mutant receptors. This pharmacological chaperoning was thought to result from ligand-mediated stabilization of immature receptors in the endoplasmic reticulum (ER). In the present study, we directly tested this hypothesis using wild-type and mutant forms of the human ␦-opioid receptor as models. ER-localized receptors were isolated by expressing the receptors in HEK293 cells under tightly controlled tetracycline induction and blocking their ER export with brefeldin A. The ER-retained ␦-opioid receptor precursors were able to bind [ 3 H]diprenorphine with high affinity, and treatment of cells with an opioid antagonist naltrexone led to a 2-fold increase in the number of binding sites. After removing the transport block, the antagonist-mediated increase in the number of receptors was detectable at the cell surface by flow cytometry and cell surface biotinylation assay. Importantly, opioid ligands, both antagonists and agonists, were found to stabilize the ER-retained receptor precursors in an in vitro heat inactivation assay and the treatment enhanced dissociation of receptor precursors from the molecular chaperone calnexin. Thus, we conclude that pharmacological chaperones facilitate plasma membrane targeting of ␦-opioid receptors by binding and stabilizing receptor precursors, thereby promoting their release from the stringent ER quality control.
Endoplasmic reticulum (ER)2 quality control, involving molecular chaperones and folding factors, scrutinizes newly synthesized proteins and allows only correctly folded and assembled ones to proceed through the secretory pathway (1). Proteins that do not fulfill the criteria of the quality control are targeted for retrotranslocation and degradation in the cytosol by the ER-associated degradation pathway (2). Since ER quality control relies on conformational rather than functional criteria, even minor changes in the primary structure of a protein can lead to intracellular retention, thus preventing the affected protein from reaching its correct location in the cell. Thus, even salvageable proteins that might be functionally active can be incorrectly directed for degradation. Such an etiology is the underlying cause for a growing number of congenital and acquired conformational diseases, including those that affect G protein-coupled receptors (GPCRs), cell surface seven-transmembrane domain proteins that mediate extracellular messages into intracellular responses. Examples include nephrogenic diabetes insipidus, retinitis pigmentosa, and familial obesity that are caused by mutant forms of the V2 vasopressin receptor, rhodopsin, and melanocortin receptor 4, respectively (3).Since many of the disease-causing proteins are not inherently nonfunctional, attempts to correct their folding and trafficking have attracted considerable attention. Several different ways to alleviate their incorrect cellular localization have ...