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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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