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==Clinical relevance==
==Clinical relevance==
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Attempts to target the GCGR to date have proven unsuccessful. Modest gains have been made in targeting glucagon-like peptide-1 receptors (a GPCR closely related to GCGR) but with the caveat of severe, adverse side-effects.
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Attempts to target the GCGR have proven relatively unsuccessful. Modest gains have been made in targeting glucagon-like peptide-1 receptors (a GPCR closely related to GCGR) but with the caveat of severe, adverse side-effects.<ref name= "Weston 2015">DOI 10.1074/jbc.M114.624601</ref> Because GCGR can interact with multiple types of G protein subfamilies, discovering small molecule inhibitors could lead to an extraordinarily wide range of focused therapies.<ref name= "Weston 2015"/> Blocking conformations that favor interaction with G proteins could allow the selective knocking out of signal pathways. For example, GCGR is known to interact with inhibitory Gαi proteins that antagonize cAMP production.<ref name= "Weston 2015"/> The finding of an agonist for this pathway could lead to breakthroughs in the treatment of diabetes mellitus. Recently some fundamental work has been done with RAMPs which have been shown to alter ligand preference in class B GPCRs.<ref name= "Wootten 2013">DOI:10.1111/j.1476-5381.2012.02202.x</ref> Specifically, RAMP2 association has been shown to alter the pharmacology of all GCGR ligands (glucagon and oxyntomodulin). RAMP2 association altered cAMP production, indicating an effect on signaling bias and g protein coupling. Encouraging results have also come from Eli Lilly and Company who have been testing a small molecule antagonist of the GCGR (LY2409021) in phase two trials with some success.<ref name= "Kazda 2015">DOI: 10.2337/dc15-1643</ref>
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GPCRs regulate cellular processes as required by the organs in which they are located. GPCR’s are used in the functioning of neuron synapses, ion transport regulation, homeostasis, cell division, and cell morphology. Mutations in the GPCR have been linked with retinitis pigmentosa, female infertility, nephrogenic diabetes insipidus, and familial exudative vitreoretinopathy. <ref name= "Salon 2011">DOI 10.1124/pr.110.003350</ref>
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Class B secretin-like receptors have gained relevance in therapeutics and drug targets. Maintaining information about the class B GPCRs conformational flexibility, allows for a better understanding of the receptor-ligand binding and its pharmaceutical relevance. The 7TM structure offers a direct connect between the extracellular and intracellular region, which offers a mechanism for signal transduction within the cell. GPCRs regulate cellular processes as required by the organs in which they are located. GPCR’s are used in the functioning of neuron synapses, ion transport regulation, homeostasis, cell division, and cell morphology. Mutations in the GPCR have been linked with retinitis pigmentosa, female infertility, nephrogenic diabetes insipidus, and familial exudative vitreoretinopathy. <ref name= "Salon 2011">DOI 10.1124/pr.110.003350</ref>
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A variety of small molecule modulators have been developed over the past several years providing the promise of enhanced pharmaceutical regulation of GCGR. <ref name= "Yang 2015"/>(Fig's. 12 and 13)
A variety of small molecule modulators have been developed over the past several years providing the promise of enhanced pharmaceutical regulation of GCGR. <ref name= "Yang 2015"/>(Fig's. 12 and 13)

Revision as of 01:06, 22 April 2016

Glucagon G protein-coupled receptor

PDB ID 4L6R

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