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and
b
-arrestin 2 KO mice suggests that
b
-arrestin 2 targets prominently p38
MAPK- and NF
k
B-dependent signaling pathways in osteoblasts exposed to
intermittent PTH.
86
3.4. Biased agonism at the PTH receptor
The PTH
1
R has long served as a model for the study of biased agonism.
Through the generation of numerous PTH peptide analogs, it has been
demonstrated that the downstream signaling events induced by the PTH
1
R
are sensitive to alterations in ligand structure. Examples of pathway-selective
PTH
1
R agonists are highlighted in
Table 13.1
. The closest mimetic of intact
PTH(1-84), PTH(1-34) acts as a conventional/full agonist with respect to
PTH
1
R signaling, activating G
s
and G
q/11
signaling and promoting
b
-arrestin-dependent receptor desensitization and internalization.
In addition, PTH(1-34) stimulates
b
-arrestin-dependent downstream sig-
naling. Shorter N-terminal fragments of the PTH peptide, for example,
PTH(1-31) and [Aib1,3,M]PTH(1-15), preferentially promote G
s
coupling,
88-90
while N-terminal truncations, for example, PTH(3-34), pro-
mote G
q/11
coupling while failing to activate G
s.
89,91,92
Trp
1
-PTHrp(1-36)
has been shown to activate ERK1/2 exclusively through a G
s
/PKA-
Table 13.1 Reported efficacy profiles of the conventional agonist, PTH(1
-
34), and
selected biased PTH
1
R agonists
G Protein
coupling
Ligand
b
-Arrestin coupling
References
PTH(1-34)
G
s
and
G
q/11
-Arrestin 1 and
63,69-72
b
-arrestin 2
b
[Aib
1,3
,M]PTH(1-15)
G
s
only
ND
43
PTH(1-31)
G
s
only
ND
44,45
PTH(3-34)
G
q
only
ND
40-42
PTH(28-42)
G
q
only
ND
41,42
PTH(28-48)
G
q
only
ND
41,42
Trp
1
-PTHrp(1-36)
G
s
only
Antagonist
63
Bpa
1
-PTHrp(1-36)
G
s
only
Antagonist
38,39
D
-Trp
12
,Tyr
34
-bPTH
(7-34)
Inverse G
s
agonist
-Arrestin 1 and
15,63,87
b
-arrestin 2
b
ND, not determined.
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