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Ca 2+
i
pERK1/2
B
1.0
-1.0
0.8
-0.8
0.6
-0.6
-0.4
0.4
0.2
-0.2
cAMP
cAMP
-1.0
-0.8
-0.6
-0.4
-0.2
0
0.2
0.4
0.6
0.8
1.0
-0.2
0.2
-0.4
0.4
-0.6
0.6
-0.8
0.8
-1.0
1.0
Ca 2+
i
pERK1/2
PTH (1-34)
PTH (1-31)
E max B EC 50 A
(Trp 1 )-PTHrp (1-36)
RA i =
PTH (3-34)
PTH (7-34)
(D-Trp 12 ,Tyr 34 )-PTH (7-34)
E max A EC 50 B
Figure 18.1
cont'd (B) Multiaxial representation of PTH 1 R ligand activity in three dif-
ferent assays of receptor activation: cAMP production, intracellular calcium influx, and
ERK1/2 phosphorylation. Estimated RA i values for each ligand are plotted on each axis to
represent the magnitude and direction of effects in each signaling response. Ligands
with
31) show effects of similar
amplitude and direction on all three axes, while those demonstrating
balanced
efficacy such as hPTH1
-
34 and hPTH(1
-
show dis-
proportionate activity in one or more pathways or reversal of efficacy. Reproduced from
Ref. 20 .
bias
co-evolved with the receptor to elicit the most physiologically adaptive set
of downstream signals. Like a full agonist, a conventional partial agonist (B)
does not discriminate between “active” states, but because it possesses a
lower intrinsic efficacy, only a fraction of the receptor population will be
in an active state at full receptor occupancy. In contrast, a “biased” agonist
(C) exhibits selective binding to a subset of the “active” receptor conforma-
tions, such that at full receptor occupancy, some active states are favored
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