Ligand agonists usually bind GPCRs to activate both G protein and arrestin mediated pathways, with sometimes very different signaling outputs. Bias agonist are ligands that are able to only select one pathway over the other and represent a very interesting pharmacology target for both academia and industry. We studied the efficacy profile of b2AR ligands for the coupling to the G protein subtypes Gs and Gi. In the heart, b2AR couples primarily to the stimulatory G protein Gs, mediating heart contraction. However, b2AR can also bind to Gi, the inhibitory G protein, counteracting the effects of Gs. This dual mechanism of the b2AR has important pharmacological implications as binding to Gi can attenuate the overstimulation of Gs, a condition that leads to heart failure. We identified salmeterol and its derivatives as bias ligands for the Gi stimulation pathway, meaning they preferentially activate Gi signaling at the b2AR. We obtained a Cryo-EM structure of the b2AR-Gi complex. We also investigated the role of lipids in the binding of Gi to the b2AR and found that this interaction is favored in the presence of neutral lipids and cholesterol.
By reconstituting the GHSR in lipid discs with various lipid composition we confirmed the role of lipids as allosteric GPCR modulators. We then used the GHSR to study the conformational rearrangements of the receptor using fluorescence spectroscopy. We investigated the importance of water molecules and the hydration state of the receptor during the activation process. Our findings, backed by molecular dynamic (MD) simulations, suggest a role for the hydration network of the receptor during activation. In particular, we reported changes in the hydration patterns at specific receptor regions that are known to undergo conformational changes during receptor activation. Interestingly, the changes observed were different in the case of bias agonists, suggesting distinct conformations of the receptor when bound to different classes of ligands. This study represents one of the first attempts, beside structure determination and MD simulations, to link the water network of interactions with the activation process of GPCRs.
In summary, our work has highlighted the importance of lipids for GPCR function. We have gained additional insights into bias agonism at the b2AR and GHSR, with important implications in the context of drug design. Our studies also unveiled the allosteric role of hydration during GPCR activation, only hypothesized so far. These results have been presented at international conferences and meetings both by the fellow and the supervisors. One publication, describing the importance of the hydration network, is already available as open access while a second manuscript is in preparation.