Transmembrane helices (TMHs) 5 and 6 are known to be important for signal transduction by G-protein-coupled receptors (GPCRs). Our aim was to characterize the interface between TMH5 and TMH6 of the thyrotropin receptor (TSHR) to gain molecular insights into aspects of signal transduction and regulation. A proline at TMH5 position 5.50 is highly conserved in family A GPCRs and causes a twist in the helix structure. Mutation of the TSHR-specific alanine (Ala-593 5.50 ) at this position to proline resulted in a 20-fold reduction of cell surface expression. This indicates that TMH5 in the TSHR might have a conformation different from most other family A GPCRs by forming a regular ␣-helix. Furthermore, linking our own and previous data from directed mutagenesis with structural information led to suggestions of distinct pairs of interacting residues between TMH5 and TMH6 that are responsible for stabilizing either the basal or the active state. Our insights suggest that the inactive state conformation is constrained by a core set of polar interactions among TMHs 2, 3, 6, and 7 and in contrast that the active state conformation is stabilized mainly by nonpolar interactions between TMHs 5 and 6. Our findings might be relevant for all family A GPCRs as supported by a statistical analysis of residue properties between the TMHs of a vast number of GPCR sequences.
G-protein-coupled receptors (GPCRs)3 are mediators between extracellular stimuli and intracellular signaling cascades. Knowledge concerning the mechanisms of receptor and G-protein activation has grown exponentially in the past few decades (1-6). GPCRs are anchored in the membrane, and different parts of GPCRs are responsible for specific intra-as well as intermolecular functions during a sequential signal transduction process. Despite individual and selective properties of particular receptors in each of these steps, general aspects are common for family A GPCRs. A "global toggle-switching" mechanism is proposed based on a vast amount of experimental and structural data (7) whereby a vertical see-saw movement of transmembrane helix (TMH) 6 occurs around a pivot. Consequently, spatial movement of particular TMHs relative to each other characterizes receptor activation; this occurs to the greatest extent between TMHs 5, 6, and 7, respectively (8, 9). The conformations and structural rearrangements are supported by amino acids acting as "microswitches" (10). Some of these residues are well known for family A GPCRs such as the highly conserved NPXXY (TMH7) and DRY (TMH3) motifs. Different GPCR conformations are causally related to different signaling activity states (3, 10, 11). Furthermore, differences between activated conformations depend on particular interacting ligands, and they are probably involved in determination of G-protein subtype preferences (12-17). The previously published GPCR structures of inactive receptor conformations (for reviews, see Refs. 15, 18, and 19) compared with the recently published active conformation of opsin and  2 -adrenergic rece...