Molecular mechanism of the wake-promoting agent TAK-925.

Molecular mechanism of the wake-promoting agent TAK-925.
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促醒剂TAK-925的分子机制。

DOI:
10.1038/s41467-022-30601-3
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发表时间:
2022-05-25
影响因子:
16.6
通讯作者:
--
中科院分区:
综合性期刊1区
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--
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OX 2食欲素受体(OX 2 R)是大脑中高度表达的G蛋白偶联受体(GPCR),可调节人类的觉醒和昼夜节律。OX 2 R的拮抗作用是失眠药物的经证实的治疗策略,而OX 2 R的激动作用是1型发作性睡病的潜在有效方法,其特征在于食欲素能神经元的死亡。直到最近,OX 2 R的激动作用一直被认为是“不可治疗的”。我们利用OX 2 R-G蛋白复合物的冷冻电子显微镜来确定第一个临床测试的OX 2 R激动剂TAK-925如何以高度选择性的方式激活OX 2 R。具有Gq模拟物或Gi的TAK-925结合OX 2 R的两种结构表明,TAK-925在拮抗剂占据的相同位点结合,但与跨膜螺旋相互作用以触发激活微动开关。我们的结构和诱变数据表明,TAK-925的选择性是由正构口袋中OX 1和OX 2受体亚型之间的细微差异介导的。最后,G蛋白结合界面相互作用极性的差异有助于合理化OX 2 R对Gq信号传导的偶联选择性。本文提供的TAK-925结合、活化和选择性机制将有助于理解小分子OX 2 R激动剂对发作性睡病和其他昼夜节律疾病的疗效。OX 2食欲素受体(OX 2 R)是调节人类觉醒和昼夜节律的脑GPCR,并且是失眠和发作性睡病的潜在药物靶点。在这里,作者使用cryo-EM来确定第一个临床测试的OX 2 R激动剂TAK-925如何以选择性方式激活OX 2 R。
The OX2 orexin receptor (OX2R) is a highly expressed G protein-coupled receptor (GPCR) in the brain that regulates wakefulness and circadian rhythms in humans. Antagonism of OX2R is a proven therapeutic strategy for insomnia drugs, and agonism of OX2R is a potentially powerful approach for narcolepsy type 1, which is characterized by the death of orexinergic neurons. Until recently, agonism of OX2R had been considered ‘undruggable.’ We harness cryo-electron microscopy of OX2R-G protein complexes to determine how the first clinically tested OX2R agonist TAK-925 can activate OX2R in a highly selective manner. Two structures of TAK-925-bound OX2R with either a Gq mimetic or Gi reveal that TAK-925 binds at the same site occupied by antagonists, yet interacts with the transmembrane helices to trigger activating microswitches. Our structural and mutagenesis data show that TAK-925’s selectivity is mediated by subtle differences between OX1 and OX2 receptor subtypes at the orthosteric pocket. Finally, differences in the polarity of interactions at the G protein binding interfaces help to rationalize OX2R’s coupling selectivity for Gq signaling. The mechanisms of TAK-925’s binding, activation, and selectivity presented herein will aid in understanding the efficacy of small molecule OX2R agonists for narcolepsy and other circadian disorders. The OX2 orexin receptor (OX2R) is a brain GPCR that regulates wakefulness and circadian rhythms in humans, and a potential drug target in insomnia and narcolepsy. Here, the authors use cryo-EM to determine how the first clinically tested OX2R agonist TAK-925 can activate OX2R in a selective manner.
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