2018
DOI: 10.1038/s41589-018-0145-x
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Structural insights into binding specificity, efficacy and bias of a β2AR partial agonist

Abstract: Salmeterol is a partial agonist for the β 2 adrenergic receptor (β 2 AR), and the first long-acting β 2 AR agonist (LABA) to be widely used clinically for the treatment of asthma and chronic obstructive pulmonary disease. Salmeterol has been controversial both for its safety and mechanism of action. To understand its unusual pharmacological action and partial agonism, we obtained the crystal structure of salmeterol-bound β 2 … Show more

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Cited by 168 publications
(232 citation statements)
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References 53 publications
(90 reference statements)
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“…Structures have been determined of many different GPCRs and a number of distinct states have been identified. For example, X-ray crystallography has identified two major structural states of β-adrenoceptors, comprising a number of inactive states 17-19 and a number of active states 6,7,20-22 . In the absence of a G protein, the most thermodynamically stable state of the agonist-bound receptor is very similar to the inactive state, except for a small contraction of the ligand binding pocket.…”
Section: Figmentioning
confidence: 99%
“…Structures have been determined of many different GPCRs and a number of distinct states have been identified. For example, X-ray crystallography has identified two major structural states of β-adrenoceptors, comprising a number of inactive states 17-19 and a number of active states 6,7,20-22 . In the absence of a G protein, the most thermodynamically stable state of the agonist-bound receptor is very similar to the inactive state, except for a small contraction of the ligand binding pocket.…”
Section: Figmentioning
confidence: 99%
“…It would be interesting to investigate the influence of a further elongation of the amide substituent, maybe even targeting the exosite (at the top of the binding pocket where salmeterol reaches). [23] This might constitute a way to introduce selectivity against the B1AR by targeting this more dissimilar region of the two receptors.…”
Section: Sar Resultsmentioning
confidence: 99%
“…Beyond application to the μOR-fentanyl system, our findings also have broader impacts for our understanding on biased signaling in other class A GPCRs. Similarly, subtle changes in the chemical structures of β 2 AR ligands [45] or single residue mutation in the serotonin receptor 5-HT 2B [46] can also alter the biased signaling specificity by these receptors, demonstrating that GPCR signaling specificity can be altered by very minor changes either in the receptor itself or in the chemical structures of the bound ligands.…”
Section: Discussionmentioning
confidence: 99%