A solid
understanding of the mechanisms governing ligand binding
is crucial for rational design of therapeutics targeting the dopamine
D
2
receptor (D
2
R). Here, we use G protein-coupled
inward rectifier potassium (GIRK) channel activation in
Xenopus
oocytes to measure the kinetics of D
2
R antagonism by
a series of aripiprazole analogues, as well as the recovery of dopamine
(DA) responsivity upon washout. The aripiprazole analogues comprise
an orthosteric and a secondary pharmacophore and differ by the length
of the saturated carbon linker joining these two pharmacophores. Two
compounds containing 3- and 5-carbon linkers allowed for a similar
extent of recovery from antagonism in the presence of 1 or 100 μM
DA (>25 and >90% of control, respectively), whereas recovery
was less
prominent (∼20%) upon washout of the 4-carbon linker compound,
SV-III-130, both with 1 and 100 μM DA. Prolonging the coincubation
time with SV-III-130 further diminished recovery. Curve-shift experiments
were consistent with competition between SV-III-130 and DA. Two mutations
in the secondary binding pocket (V91A and E95A) of D
2
R
decreased antagonistic potency and increased recovery from SV-III-130
antagonism, whereas a third mutation (L94A) only increased recovery.
Our results suggest that the secondary binding pocket influences recovery
from inhibition by the studied aripiprazole analogues. We propose
a mechanism, supported by
in silico
modeling, whereby
SV-III-130 initially binds reversibly to the D
2
R, after
which the drug-receptor complex undergoes a slow transition to a second
ligand-bound state, which is dependent on secondary binding pocket
integrity and irreversible during the time frame of our experiments.