MOLECULAR REGULATION OF CARDIOVASCULAR SEVEN TRANSMEMBRANE RECEPTORS. All aspects of cardiovascular function are regulated by receptors of the seven transmembrane receptor (7TMR or GPCR) family, and they are the commonest target of therapeutic drugs. A universal mechanism regulating these receptors is desensitization of heterotrimeric G protein signaling. Classically, this is mediated by a two- step process in which activated receptors are phosphorylated by G protein-coupled receptor kinases, leading to the binding of a ?-arrestin (?arr) molecule which sterically interdicts further activation of the G protein. More recently it has become clear that ?arrs can also serve as multifunctional adaptors which act as signal transducers in their own right. Moreover, for many receptors ligands can be found which disproportionately activate either G protein- or ?arr-mediated signaling?i.e., biased ligands which may possess greater specificity of action and fewer side effects. Several such drugs, including one for decompensated congestive heart failure which targets the angiotensin II type 1 receptor (AT1R), have reached clinical trials. Accordingly, this proposal has three closely linked aims which involve developing a molecular- and atomic-level understanding of how such ?arr-mediated signaling is generated using as model systems two receptors of great cardiovascular significance, the ?2-adrenergic receptor (?2AR) and the AT1R.
These aims are: 1) To discover novel allosteric stabilizers (nanobodies and small molecules) for biased conformations of the AT1R and ?2AR. 2) To delineate the structural basis for biased conformations of the AT1R by X-ray crystallography and DEER. 3) To determine the structure of GPCR-?arr complexes by cryo-electron microscopy. The insights which we will generate have the potential to guide the design of powerful new cardiovascular drugs and will further our understanding of the conserved signaling mechanisms of the greater GPCR family.

Public Health Relevance

Some of the most important drugs used to treat cardiovascular disease such as '? blockers' (?- adrenergic receptor antagonists) and 'ARBs' (angiotensin receptor blockers) target specific receptors on the outside of cells. Here we seek to understand, at a molecular level, a novel mechanism by which these receptors signal to the inside of cells, laying the basis for next- generation therapeutics for cardiovascular and other diseases.

Agency
National Institute of Health (NIH)
Institute
National Heart, Lung, and Blood Institute (NHLBI)
Type
Research Project (R01)
Project #
2R01HL016037-47
Application #
9803874
Study Section
Molecular and Integrative Signal Transduction Study Section (MIST)
Program Officer
Wong, Renee P
Project Start
1976-09-01
Project End
2023-07-31
Budget Start
2019-08-01
Budget End
2020-07-31
Support Year
47
Fiscal Year
2019
Total Cost
Indirect Cost
Name
Duke University
Department
Internal Medicine/Medicine
Type
Schools of Medicine
DUNS #
044387793
City
Durham
State
NC
Country
United States
Zip Code
27705
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