L2. GPCR signalling in the heart Flashcards

1
Q

What is the most common system of cell surface receptors in humans?

A

G-protein coupled receptors (GPCRs)

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2
Q

How many GPCRs are expressed in humans?

A

Approximately 800

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3
Q

What percentage of drugs target GPCRs?

A

Nearly half of all known drugs

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4
Q

What happens when a ligand binds to a GPCR?

A

It activates the associated G-protein, causing a conformational change

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5
Q

What are the subunits of a G-protein?

A

Alpha, beta, and gamma subunits

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6
Q

What is the function of Gαs in GPCR signaling?

A

It activates adenylate cyclase to produce cyclic AMP

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7
Q

How does Gαi differ from Gαs?

A

Gαi inhibits adenylate cyclase, reducing cyclic AMP levels

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8
Q

What pathway does Gαq activate?

A

The phospholipase C pathway, leading to calcium release

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9
Q

Why are GPCR structures important for drug development?

A

They provide insights for designing specific ligands

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10
Q

What is the significance of X-ray crystallography in GPCR studies?

A

It reveals the 3D structure of GPCRs at atomic resolution

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11
Q

What is cryo-electron microscopy’s advantage over X-ray crystallography?

A

It studies GPCRs in solution, preserving their native conformation

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12
Q

How do biased ligands affect GPCR signaling?

A

They selectively activate either G-protein or β-arrestin pathways

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13
Q

What is β-arrestin’s role in GPCR signaling?

A

It desensitizes GPCRs and mediates receptor internalization

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14
Q

What is GPCR desensitization?

A

The process by which receptor activity decreases in response to sustained stimulation

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15
Q

How do endosomes contribute to GPCR signaling?

A

Internalized GPCRs can signal from endosomal membranes

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16
Q

What is the primary effect of β1 adrenergic receptors in the heart?

A

They increase heart rate and contractility

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17
Q

How do β2 adrenergic receptors differ in signaling?

A

They can signal via both Gαs and Gαi pathways

18
Q

What role does angiotensin II play in GPCR signaling?

A

It activates Gαq, increasing calcium levels and promoting vasoconstriction

19
Q

What was the TRV027 compound developed for?

A

To selectively activate the β-arrestin pathway for cardioprotection

20
Q

Why did TRV027 fail in clinical trials despite promising animal data?

A

Differences in receptor isoforms and species-specific effects

21
Q

What is the function of inverse agonists in GPCR signaling?

A

They inhibit receptor activity by binding to the orthosteric site

22
Q

What is biased signaling in GPCRs?

A

Selective activation of specific downstream pathways by a ligand

23
Q

What are allosteric modulators?

A

Compounds that bind to sites distinct from the orthosteric site, modulating receptor activity

24
Q

What does the term ‘balanced ligand’ refer to?

A

A ligand that activates both G-protein and β-arrestin pathways equally

25
Q

What is the role of GPCRs in heart failure treatment?

A

They are targeted by drugs like beta-blockers to reduce cardiac workload

26
Q

How does chronic β1 adrenergic stimulation affect the heart?

A

It can lead to apoptosis and adverse remodeling

27
Q

What is the cardioprotective effect of β2 adrenergic receptor signaling?

A

It signals via Gαi, reducing apoptosis

28
Q

What is structural-based drug development?

A

Using GPCR structures to design ligands with high specificity

29
Q

What is the significance of GPCR signaling from endosomes?

A

It adds complexity by enabling sustained signaling

30
Q

How do GPCRs signal from internal membranes like mitochondria?

A

Through constitutively expressed receptors on these membranes

31
Q

What technique was used to demonstrate GPCR endosomal signaling?

A

Fusion of GFP to GPCRs to track receptor internalization

32
Q

What was shown by parathyroid hormone receptor studies?

A

Sustained cyclic AMP signaling from internalized receptors

33
Q

Why is endosomal signaling a challenge for drug design?

A

Drugs must be membrane-permeable to affect internalized receptors

34
Q

How do biased agonists benefit therapeutic design?

A

They target specific pathways, minimizing off-target effects

35
Q

What is an example of a GPCR-targeted drug?

A

Metoprolol, a beta-blocker used in heart failure

36
Q

What is the relevance of GPCR complexity to drug development?

A

It requires consideration of cross-talk and pathway specificity

37
Q

What is the therapeutic goal of β-arrestin biased ligands?

A

To provide cardioprotection while minimizing adverse effects

38
Q

How does ligand-induced GPCR conformation affect signaling?

A

Different ligands stabilize unique receptor conformations

39
Q

What is the role of water displacement in ligand binding?

A

It stabilizes ligand-receptor interactions energetically

40
Q

What is a major challenge in translating animal GPCR research to humans?

A

Species-specific receptor isoform differences