MRGPRX2 is a certain type of GPCR that is located in the cellular membranes of mast cells.

MRGPRX2 as it sits within the cellular membrane. Phospholipid bilayer is represented by grey dots, with labeled cellular locations

Background

GCPR’s or G-Protein Coupled Receptors are a special type of protein receptor that promotes cellular signaling. Due to its structure spanning the cellular membrane, it works to transmit extracellular signals to create a change inside the cell. This is called signal transduction, and is a common way extracellular signals produce a change within cells. Some common cellular pathways that utilize GPCR’s are found in Rhodopsin, a protein essential for the human vision response, or the adrenaline fight-or-flight response. Understanding GPCR’s and how they produce their desired intracellular signal is essential understanding essential cellular pathways, especially in their diseased states. As of 2017, there were about 475 drugs in circulation that acted on 108 GPCR targets, and at least 321 GPCR-targeting drugs were in clinical trial stages, with about 20% of them targeting novel GPCR’s. ^[1] Because of the clinical relevance of GPCR’s, every new structure found, such as MRGPRX2, contributes to essential drug development to both treat disease, or modulate harmful side effects.

Because of how many different types of GPCR’s there are, they have been categorized into 6 different classes based on shared sequences and functions.^[2] MRGPRX2 is categorized into the Class A receptor family, however it has important differences that make it a unique type of Class A receptor. ^[3][4]

GPCR Structure

Cryo-electron microscopy (cryo-EM) was used to image the MRGPRX2 receptor to analyze its structure. ^{[3] [4]} which helped to classify it into the A family of GPCR's. MRGPRX2 therefore shares the same general structural domains of all GPCR's. This includes a and a domain. The G-protein domain consists of , , and subunits. In preparing the protein sample, MRGPRX2 was prepared with the in order to stabilize the membrane for proper imaging. For simplicity and to focus on the specific MRGPRX2 receptor, the antibody has been removed.

Transmembrane Domain

The transmembrane domain spans the cellular membrane. It consists of and (three extracellular loops, and three intracellular loops). The transmembrane helices are numbered 1-7 and contain special conserved motifs that are shared across other A family receptors. These motifs are expanded upon later, as they heavily contribute to the structure and therefore function of the transmembrane domain as a whole. The extracellular domain of the protein is responsible for ligand binding, which initiates signal transduction. The properties of the extracellular environment of the transmembrane domain determines what ligands bind to the protein, and what type of binding interactions the protein and ligand have. In MRGPRX2, the extracellular side of the protein has one binding pocket with . Sub-pocket 1 is negatively charged due to negatively charged residues (D184 and E164), while sub-pocket 2 contains hydrophobic amino acids which contribute to hydrophobic interactions between the ligand and protein. The intracellular domain is what connects the transmembrane and G-protein domains together. There are a wide variety of residues and important interactions that contribute to this interaction, and it is very important in transmitting the extracellular signal of ligand binding to the intracellular environment where the G-protein binds and can become activated.

G-Protein

Novel Characteristics

The most important findings about the MRGPRX2 receptor are the differences between it and all other previously discovered GPCR's found in the A family. Many conserved structural motifs, characteristic of the A family receptors, are absent on MRGPRX2, which contribute significantly to the different ligand interactions it has.

Toggle Switch

Certain residues that lie in the ligand binding pocket can act as molecular switches to turn the GPCR “on” or “off” and are fittingly called toggle switches. Toggle switches in receptors are essential in interacting with the ligand upon binding, as they can then initiate the transmission of the molecular signal through the protein. Trp-336 has been known to act as this "iconic" toggle switch in GPCR’s of the A family ^[5], and is also an important residue in another motif, known as the CWxP motif. However in MRGPRX2, the residue has been replaced to a ^{[3] [4]}. This is a significant modification to the receptor structure. By replacing the large tryptophan residue with a small glycine, the membrane helicies, especially helix 7 on which the toggle switch is found, can pack closer together. The ligands that interact with MRGPRX2 then bind much of the receptor, as opposed to deeper within the helices. This significant change can be visualized in FIGURE. This significantly changes what structures of ligands are able to interact with this receptor and therefore what types of molecules can activate the Human Itch GPCR. More details about what kinds of ligands bind to this receptor are discussed later.

Sodium Site

PIF/LLF Motif

Another motif found in most, but not all, A family GPCR’s is the PIF motif. The three residues are found on transmembrane helices 5, 3, and 6, respectively. In MRGPRX2, the PIF motif is changed to LLF residues. Figure 3 shows the conserved PIF motif on 5HT2AR, compared to the LLF motif on MRGPRX2, found at on transmembrane helices 5, 3, and 6, respectively. This contributes to shifting helix 6 towards helix 3, and contributes to the tighter packing of helices and therefore a more surface-level ligand binding site.

Figure 3. Conserved PIF motif in 5HT2AR (teal) compared to the LLF motif found in MRGPRX2 (red). Transmembrane helices and residues are numbered and labeled to show how this structural change shifts the orientation of the helices.

DRY/ ERC Motif

Disulfide Bonds

Disulfide bond connecting .

Ligands

C48/80 ligand description

Function

Before Activation

After Activation

Clinical Relevance

3D Structures