Asymmetric activation of the calcium-sensing receptor homodimer

<p>The calcium-sensing receptor (CaSR), a cell-surface sensor for Ca<sup>2+</sup>, is the master regulator of calcium homeostasis in humans and is the target of calcimimetic drugs for the treatment of parathyroid disorders<sup>1</sup>. CaSR is a family C G-protein-coupl...

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Main Authors: Gao, Y, Robertson, MJ, Rahman, SN, Seven, AB, Zhang, C, Meyerowitz, JG, Panova, O, Hannan, FM, Thakker, RV, Bräuner-Osborne, H, Mathiesen, JM, Skiniotis, G
Format: Journal article
Language:English
Published: Springer Nature 2021
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author Gao, Y
Robertson, MJ
Rahman, SN
Seven, AB
Zhang, C
Meyerowitz, JG
Panova, O
Hannan, FM
Thakker, RV
Bräuner-Osborne, H
Mathiesen, JM
Skiniotis, G
author_facet Gao, Y
Robertson, MJ
Rahman, SN
Seven, AB
Zhang, C
Meyerowitz, JG
Panova, O
Hannan, FM
Thakker, RV
Bräuner-Osborne, H
Mathiesen, JM
Skiniotis, G
author_sort Gao, Y
collection OXFORD
description <p>The calcium-sensing receptor (CaSR), a cell-surface sensor for Ca<sup>2+</sup>, is the master regulator of calcium homeostasis in humans and is the target of calcimimetic drugs for the treatment of parathyroid disorders<sup>1</sup>. CaSR is a family C G-protein-coupled receptor<sup>2</sup>&nbsp;that functions as an obligate homodimer, with each protomer composed of a Ca<sup>2+</sup>-binding extracellular domain and a seven-transmembrane-helix domain (7TM) that activates heterotrimeric G proteins. Here we present cryo-electron microscopy structures of near-full-length human CaSR in inactive or active states bound to Ca<sup>2+</sup>&nbsp;and various calcilytic or calcimimetic drug molecules. We show that, upon activation, the CaSR homodimer adopts an asymmetric 7TM configuration that primes one protomer for G-protein coupling. This asymmetry is stabilized by 7TM-targeting calcimimetic drugs adopting distinctly different poses in the two protomers, whereas the binding of a calcilytic drug locks CaSR 7TMs in an inactive symmetric configuration. These results provide a detailed structural framework for CaSR activation and the rational design of therapeutics targeting this receptor.</p>
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spelling oxford-uuid:6e7ae25a-1ba1-481e-9597-baf8358fcfc72022-03-28T09:10:10ZAsymmetric activation of the calcium-sensing receptor homodimerJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:6e7ae25a-1ba1-481e-9597-baf8358fcfc7EnglishSymplectic ElementsSpringer Nature2021Gao, YRobertson, MJRahman, SNSeven, ABZhang, CMeyerowitz, JGPanova, OHannan, FMThakker, RVBräuner-Osborne, HMathiesen, JMSkiniotis, G<p>The calcium-sensing receptor (CaSR), a cell-surface sensor for Ca<sup>2+</sup>, is the master regulator of calcium homeostasis in humans and is the target of calcimimetic drugs for the treatment of parathyroid disorders<sup>1</sup>. CaSR is a family C G-protein-coupled receptor<sup>2</sup>&nbsp;that functions as an obligate homodimer, with each protomer composed of a Ca<sup>2+</sup>-binding extracellular domain and a seven-transmembrane-helix domain (7TM) that activates heterotrimeric G proteins. Here we present cryo-electron microscopy structures of near-full-length human CaSR in inactive or active states bound to Ca<sup>2+</sup>&nbsp;and various calcilytic or calcimimetic drug molecules. We show that, upon activation, the CaSR homodimer adopts an asymmetric 7TM configuration that primes one protomer for G-protein coupling. This asymmetry is stabilized by 7TM-targeting calcimimetic drugs adopting distinctly different poses in the two protomers, whereas the binding of a calcilytic drug locks CaSR 7TMs in an inactive symmetric configuration. These results provide a detailed structural framework for CaSR activation and the rational design of therapeutics targeting this receptor.</p>
spellingShingle Gao, Y
Robertson, MJ
Rahman, SN
Seven, AB
Zhang, C
Meyerowitz, JG
Panova, O
Hannan, FM
Thakker, RV
Bräuner-Osborne, H
Mathiesen, JM
Skiniotis, G
Asymmetric activation of the calcium-sensing receptor homodimer
title Asymmetric activation of the calcium-sensing receptor homodimer
title_full Asymmetric activation of the calcium-sensing receptor homodimer
title_fullStr Asymmetric activation of the calcium-sensing receptor homodimer
title_full_unstemmed Asymmetric activation of the calcium-sensing receptor homodimer
title_short Asymmetric activation of the calcium-sensing receptor homodimer
title_sort asymmetric activation of the calcium sensing receptor homodimer
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