G-Protein Coupled Receptors (GPCRs)

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      GPCRs or G protein coupled receptors are a group of cell surface receptors, for relaying external signals into cells and triggering various physiological reactions in the body such as vision taste and smell perception, immune responses and nerve signal transmission These receptors are involved in a range of important biological functions and processes. GPCRs are known to be the most varied family of membrane receptors found in the genome with approximately 800 to 1,000 members identified so far. They are also targets for drug development due to their presence and impact, on signaling pathways; about 40 percent of existing medications target GPCRs.

      What is the Structure of GPCRs?

      The structure of GPCRs is fundamental to their function in signal transduction. All GPCRs share a common architecture of seven transmembrane α-helices that span the plasma membrane. These helices are connected by three extracellular loops and three intracellular loops. The extracellular loops and the N-terminus are involved in ligand binding, while the intracellular loops and the C-terminus are critical for interaction with G-proteins and other intracellular signaling molecules.

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      Classifications of GPCRs

      GPCRs can be classified into several families or classes based on their sequence homology, structural features, and ligand-binding properties. The most widely accepted classification system groups GPCRs into five major families: Class A (Rhodopsin-like), Class B (Secretin-like), Class C (Metabotropic Glutamate-like), Class F (Frizzled/Smoothened), and Taste/Vomeronasal receptors. There are also orphan receptors, which are GPCRs that have not yet been matched with their endogenous ligands.

      How Do GPCRs Work?

      The signaling mechanism of GPCRs is initiated when an extracellular ligand binds to the receptor, inducing a conformational change in the receptor that allows it to interact with and activate an intracellular G-protein. Key steps include:

      • Ligand Binding
      • Activation of G-Proteins
      • Effector Activation
      • Signal Termination and Receptor Desensitization
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      Physiological Functions of GPCRs

      GPCRs have a wide range of important roles in the body, helping to regulate many essential biological processes. These receptors are key players in the regulation of physiological functions across various systems, including the nervous, endocrine, cardiovascular, immune, and sensory systems.

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      Graphical abstract of doi.org/10.1016/j.bmc.2014.12.034.

      Dysregulation of GPCRs

      Dysregulation of GPCR signaling can lead to a variety of diseases, including cancer, cardiovascular disease, neurological disorders, and metabolic conditions.

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      GPCRs Agonists and Antagonists

      GPCRs are influenced by two types of molecules: agonists and antagonists. Agonists bind to GPCRs and activate them, effectively "switching on" the receptor to trigger specific cellular responses. These molecules play a key role in regulating physiological processes such as mood, heart rate, and immune system activity, with hormones and neurotransmitters often acting as natural agonists. Antagonists , by contrast, also bind to GPCRs but work differently. Instead of activating the receptor, they block it from being triggered by other molecules. This "blocking" action can prevent harmful overactivation of GPCRs, which is often associated with diseases or disorders. By either enhancing or inhibiting GPCR activity, agonists and antagonists are essential tools in drug development. They offer a foundation for therapies aimed at treating a wide range of medical conditions with precision and effectiveness.

      Tab. 1: Typical GPCRs and their corresponding agonists and antagonists.

      Receptors Agonists Antagonists

      Serotonin receptors

      5-HT1 (subtypes 1A, 1B, 1D etc.)

      Serotonin

      /

      5-HT2 (subtypes 2A, 2B, etc.)

      Dopamine receptors

      D1-like receptors ( D1 , D5 )

      Dopamine
      Bromocriptine (D2 agonist)

      Haloperidol
      Clozapine

      D2-like receptors ( D2 , D3 , D4 )

      Adrenergic receptors

      α1-adrenergic receptors

      Norepinephrine
      Epinephrine

      Prazosin

      α2-adrenergic receptors

      /

      β1-adrenergic receptors

      Propranolol

      β2-adrenergic receptors

      β3-adrenergic receptors

      Thyroid-stimulating hormone receptors

      Thyroid-stimulating hormone (TSH)

      Small-molecule inhibitors

      Glucagon receptors

      Glucagon
      Glucagon analogs

      LY2409021
      MK-0893

      Gonadotropin-releasing hormone receptors

      GnRHR1

      Gonadotropin-releasing hormone (GnRH)
      GnRH analogs (leuprolide)

      Cetrorelix
      Ganirelix

      Oxytocin receptors

      Oxytocin
      Carbetocin

      Atosiban
      Barusiban

      Angiotensin II receptor

      AT1

      Angiotensin II
      Angiotensin III

      Losartan
      Valsartan

      AT2

      Losartan

      Chemokine receptors

      CXCR4 (for SDF-1)

      Chemokines (RANTES, MIP-1)

      /

      CCR5
      (for RANTES, MIP-1α)

      Maraviroc

      Histamine receptors

      H1

      Histamine

      Diphenhydramine
      Loratadine

      H2

      Ranitidine
      Famotidine

      H3

      Ciproxifan

      H4

      JNJ 7777120

      Purinergic receptors

      P1 (A1, A2A, A2B, A3)

      Adenosine

      Caffeine (A1, A2A)
      Suramin (P2Y, P2X)

      P2Y

      ATP

      Rhodopsin GPCR (Opsins)

      Light (photons)

      /

      Olfactory receptors (ORs)

      Odor molecules

      /

      Taste GPCRs

      TAS1R

      Sugars
      Amino acids (glutamate for umami)

      Lactisole

      TAS2R

      Bitter compounds (quinine, etc.)

      /

      Glucagon-like peptide-1 receptor

      GLP-1
      Exenatide
      Liraglutide

      Exendin (9-39)

      Free fatty acid receptors

      FFAR1 (GPR40)

      Fatty acids

      GW1100

      FFAR2 (GPR43)

      /

      FFAR3 (GPR41)

      FFAR4 (GPR120)

      Frizzled receptors

      Fzd1 Fzd2 Fzd3 Fzd4 Fzd5 Fzd6 Fzd7 Fzd8 Fzd9 Fzd10

      Wnt proteins

      Wnt inhibitors
      sFRP proteins

      Smoothened receptor

      Sonic Hedgehog (Shh)
      Purmorphamine

      Vismodegib
      Cyclopamine

      Opioid receptors

      Mu (μ)

      Morphine
      Fentanyl

      Naloxone
      Naltrexone

      Delta (δ)

      Kappa (κ)

      Cannabinoid receptors

      CB1

      THC
      anandamide

      Rimonabant

      CB2

      AM630

      Follicle-stimulating hormone receptor

      Follicle-stimulating hormone (FSH)

      Small-molecule inhibitors

      Luteinizing hormone receptor

      Luteinizing hormone (LH)
      Human chorionic gonadotropin (hCG)

      Ganirelix (indirect antagonist by blocking GnRH)

      GPCRs as Drug Targets

      Because of their extensive involvement in a wide range of physiological processes and diseases, GPCRs have become one of the most important target classes. About 40% of all prescription drugs in the world target GPCRs, highlighting their importance in pharmacotherapy. But even with so many GPCRs, most commercial drugs target only a small subset of them, leaving many potential targets unexplored.

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      Figure 2 of doi.org/10.2147/CMAR.S35175.

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