Allosteric modulator potentiates β2AR agonist–promoted bronchoprotection in asthma models

Asthma is a chronic inflammatory disease associated with episodic airway narrowing. Inhaled β2-adrenergic receptor (β2AR) agonists (β2-agonists) promote — with limited efficacy — bronchodilation in asthma. All β2-agonists are canonical orthosteric ligands that bind the same site as endogenous epinep...

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Main Authors: Seungkirl Ahn, Harm Maarsingh, Julia K.L. Walker, Samuel Liu, Akhil Hegde, Hyeje C. Sumajit, Alem W. Kahsai, Robert J. Lefkowitz
Format: Article
Language:English
Published: American Society for Clinical Investigation 2023-09-01
Series:The Journal of Clinical Investigation
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Online Access:https://doi.org/10.1172/JCI167337
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author Seungkirl Ahn
Harm Maarsingh
Julia K.L. Walker
Samuel Liu
Akhil Hegde
Hyeje C. Sumajit
Alem W. Kahsai
Robert J. Lefkowitz
author_facet Seungkirl Ahn
Harm Maarsingh
Julia K.L. Walker
Samuel Liu
Akhil Hegde
Hyeje C. Sumajit
Alem W. Kahsai
Robert J. Lefkowitz
author_sort Seungkirl Ahn
collection DOAJ
description Asthma is a chronic inflammatory disease associated with episodic airway narrowing. Inhaled β2-adrenergic receptor (β2AR) agonists (β2-agonists) promote — with limited efficacy — bronchodilation in asthma. All β2-agonists are canonical orthosteric ligands that bind the same site as endogenous epinephrine. We recently isolated a β2AR-selective positive allosteric modulator (PAM), compound-6 (Cmpd-6), which binds outside of the orthosteric site and modulates orthosteric ligand functions. With the emerging therapeutic potential of G-protein coupled receptor allosteric ligands, we investigated the impact of Cmpd-6 on β2AR-mediated bronchoprotection. Consistent with our findings using human β2ARs, Cmpd-6 allosterically potentiated β2-agonist binding to guinea pig β2ARs and downstream signaling of β2ARs. In contrast, Cmpd-6 had no such effect on murine β2ARs, which lack a crucial amino acid in the Cmpd-6 allosteric binding site. Importantly, Cmpd-6 enhanced β2 agonist–mediated bronchoprotection against methacholine-induced bronchoconstriction in guinea pig lung slices, but — in line with the binding studies — not in mice. Moreover, Cmpd-6 robustly potentiated β2 agonist–mediated bronchoprotection against allergen-induced airway constriction in lung slices obtained from a guinea pig model of allergic asthma. Cmpd-6 similarly enhanced β2 agonist–mediated bronchoprotection against methacholine-induced bronchoconstriction in human lung slices. Our results highlight the potential of β2AR-selective PAMs in the treatment of airway narrowing in asthma and other obstructive respiratory diseases.
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spelling doaj.art-7baee4fa0bf4499f85b0ab428028efe22023-11-07T16:20:51ZengAmerican Society for Clinical InvestigationThe Journal of Clinical Investigation1558-82382023-09-0113318Allosteric modulator potentiates β2AR agonist–promoted bronchoprotection in asthma modelsSeungkirl AhnHarm MaarsinghJulia K.L. WalkerSamuel LiuAkhil HegdeHyeje C. SumajitAlem W. KahsaiRobert J. LefkowitzAsthma is a chronic inflammatory disease associated with episodic airway narrowing. Inhaled β2-adrenergic receptor (β2AR) agonists (β2-agonists) promote — with limited efficacy — bronchodilation in asthma. All β2-agonists are canonical orthosteric ligands that bind the same site as endogenous epinephrine. We recently isolated a β2AR-selective positive allosteric modulator (PAM), compound-6 (Cmpd-6), which binds outside of the orthosteric site and modulates orthosteric ligand functions. With the emerging therapeutic potential of G-protein coupled receptor allosteric ligands, we investigated the impact of Cmpd-6 on β2AR-mediated bronchoprotection. Consistent with our findings using human β2ARs, Cmpd-6 allosterically potentiated β2-agonist binding to guinea pig β2ARs and downstream signaling of β2ARs. In contrast, Cmpd-6 had no such effect on murine β2ARs, which lack a crucial amino acid in the Cmpd-6 allosteric binding site. Importantly, Cmpd-6 enhanced β2 agonist–mediated bronchoprotection against methacholine-induced bronchoconstriction in guinea pig lung slices, but — in line with the binding studies — not in mice. Moreover, Cmpd-6 robustly potentiated β2 agonist–mediated bronchoprotection against allergen-induced airway constriction in lung slices obtained from a guinea pig model of allergic asthma. Cmpd-6 similarly enhanced β2 agonist–mediated bronchoprotection against methacholine-induced bronchoconstriction in human lung slices. Our results highlight the potential of β2AR-selective PAMs in the treatment of airway narrowing in asthma and other obstructive respiratory diseases.https://doi.org/10.1172/JCI167337Therapeutics
spellingShingle Seungkirl Ahn
Harm Maarsingh
Julia K.L. Walker
Samuel Liu
Akhil Hegde
Hyeje C. Sumajit
Alem W. Kahsai
Robert J. Lefkowitz
Allosteric modulator potentiates β2AR agonist–promoted bronchoprotection in asthma models
The Journal of Clinical Investigation
Therapeutics
title Allosteric modulator potentiates β2AR agonist–promoted bronchoprotection in asthma models
title_full Allosteric modulator potentiates β2AR agonist–promoted bronchoprotection in asthma models
title_fullStr Allosteric modulator potentiates β2AR agonist–promoted bronchoprotection in asthma models
title_full_unstemmed Allosteric modulator potentiates β2AR agonist–promoted bronchoprotection in asthma models
title_short Allosteric modulator potentiates β2AR agonist–promoted bronchoprotection in asthma models
title_sort allosteric modulator potentiates β2ar agonist promoted bronchoprotection in asthma models
topic Therapeutics
url https://doi.org/10.1172/JCI167337
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