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==Clinical relevance==
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==Clinical relevance ==
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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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Because GCGR can interact with multiple types of G protein subfamilies, discovering small molecule inhibitors could lead to a wide range of focused therapies.<ref name= "Weston 2015"/> Blocking conformations that favor interaction with specific G proteins could allow the knockdown of targeted 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 were 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.
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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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Attempts to target the GCGR have proven relatively unsuccessful. Three small molecule modulators were reported with the hope of enhanced pharmaceutical regulation.<ref name= "Kazda 2015">DOI: 10.1021/jm058026u</ref> (Fig. 4) No further progress was reported. 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> Encouraging results have recently 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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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)
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CHANGE THIS FIGURE TO SMALL MOLECULE INHIBITORS 9, 10, AND 11 FROM YANG 2015 - USE THE CITATION FROM THE IMAGE BELOW FOR THAT FIGURE. TITLE THE FIGURE: "Figure 4: Three small molecule antagonists reported in 2007.<ref name= "Kazda 2015"/>"
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[[Image:Small molecule modulators Page 1.jpg|275 px|left|thumb|Fig. 12: Small molecule regulators of GCGR, part 1<ref name= "Yang 2015"/>.]]
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[[Image:Small molecule modulators Page 1.jpg|275 px|left|thumb|Fig. 12: Small molecule regulators of GCGR, part 1<ref name= "Kazda 2015"/>.]]
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[[Image:Small molecule modulators Page 2.jpg|275 px|right|thumb|Fig. 13: Small molecule regulators of GCGR, part 2<ref name= "Yang 2015"/>.]]
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Utilizing the visualizations of the GCGR 7TMD and glucagon peptide ligand, dimensional/structural analyses can be performed to develop models for novel molecules of increasing specificity for GCGR binding/regulation. Performing a dimensional analysis between the binding pocket and the base of the EC stalk, a large pseudopeptide molecule of 17-24 angstroms in size could be utilized to mimic the characteristics of GCGR's natural ligand, glucagon. (Fig's. 14 and 15)
 
==See Also==
==See Also==

Revision as of 02:22, 22 April 2016

Glucagon G protein-coupled receptor

PDB ID 4L6R

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