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carboxyl terminus determines the stability of the GPCR/ b -arrestin com-
plex and subsequent cellular distribution of b -arrestin. 76 This is likely
achieved by the distinct phosphorylation patterns induced by different
GRKs, the density of phosphorylation sites within a given GPCR C-tail
or intracellular loop domain, and the induction of conformational changes
in receptor-bound b -arrestins, as these conformational states may vary and
will likely reflect dynamic changes in the binding of downstream accessory
proteins. 33,44
The list of GPCRs that have been shown to bind to b -arrestins via the
phosphorylated Ser/Thr residues within their carboxyl terminal tails initially
consisted only of the rhodopsin receptor and the b 2AR. However, due to
intense investigation in this field over the past two decades worldwide, this
list is continuously expanding. To date, evidence for receptor/ b -arrestin
interactions involved in internalization is provided for b 2AR, 60,78,79 M2-
muscarinic acetylcholine receptors, 70,80,81 d -opioid receptors, 82 angiotensin
II type 1 receptors, 83 human P2Y1 receptors, 84 dopamine D1 receptors, 85
neuropeptide Y1, Y2, and Y4 receptors, 43,73,86,87 and many more. The con-
tribution of specific intracellular receptor domains to b -arrestin binding and
subsequent sequestration has been studied intensively. Most commonly, the
carboxyl terminus (prototypical model) and, to a lesser extent, the third
intracellular loop contribute to endocytic trafficking. However, even within
the class of adrenergic receptor subtypes, specific differences occur. For
example, b -arrestins bind to the carboxyl terminus of the b 2AR, but they
bind to the third intracellular loop of a -adrenergic receptors. 88 Similar char-
acteristics have been documented for the muscarinic acetylcholine receptors
2 and 3. 88,89 Clearly, receptor domains are significantly involved in the reg-
ulation of sequestration.
Another important regulator of b -arrestin-promoted clathrin-dependent
receptor internalizations is the posttranslational modification of b -arrestin
itself. b -Arrestin-1 is regulated by phosphorylation/dephosphorylation.
Ser412 within the carboxyl termini of b -arrestin-1 is constitutively phos-
phorylated and recruited to the plasma membrane as soon as the receptor
is activated in an agonist-dependent manner. Subsequently, b -arrestin-1
becomes dephosphorylated, which is required for clathrin binding and
targeting to clathrin-coated pits. 49 Besides phosphorylation, ubiquitination
of b -arrestins is another required process for effective internalization.
b -Arrestin-2 binds the mouse double minute 2 (mdm2) protein, an E3
ubiquitin ligase, and becomes ubiquitinated, a process shown to regulate
the stability of the b 2AR/ b -arrestin interaction internalization. 90 Likewise,
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