“…In addition, large panels of VHHs that target extracellular epitopes of native class A (CXCR4, CXCR2, ACKR3, CX3C1, US28, CML1, APJ, OX2R, AGTR2, and OPRM), B (GCGR, GLP1R, PTH1R, and VPAC1), and C (mGluR2, CaSR, mGluR4, and mGluR5) GPCRs have been described ( Jähnichen et al, 2010 ; Huang et al, 2015 ; Peyrassol et al, 2016 ; Peyrassol et al, 2018 ; Van Hout et al, 2018 ; Koehl et al, 2019 ; Cheloha et al, 2020a ; Low et al, 2020 ; Pan et al, 2020 ; Ren et al, 2020 ; De Groof et al, 2021 ; Chen et al, 2021 ; Haubrich et al, 2021 and references in Heukers et al, 2019 ). While most of these VHHs that target extracellular epitopes of GPCRs block receptor signaling or are not demonstrated to interfere with receptor signal transduction, some of these extracellular binders are reported to ortho- or allosterically activate receptor signaling, thus inherently stabilizing active GPCR conformers ( Ma et al, 2020 ; Ren et al, 2020 ; Hong et al, 2021 ; Scholler et al, 2017 ).…”