Class A G protein-coupled receptors have evolved to recognize ligands ranging from small-molecule odorants to proteins. Although they are among the most diverse membrane receptors in eukaryotic organisms, they possess a highly conserved core within their seven-transmembrane helix framework. The conservation of the transmembrane core has led to the idea of a common mechanism by which ligand binding is coupled to the outward rotation of helix H6, the hallmark of an active receptor. Nevertheless, there is still no consensus on the mechanism of coupling or on the roles of specific residues within the core. Recent insights from crystallography and NMR spectroscopy provide a way to decompose the core into its essential structural and functional elements that shed new light on this important region.A common transmembrane core in class A G protein-coupled receptors G protein-coupled receptors (GPCRs; see Glossary) control the ability to sense the external environment by acting as receptors for vision, smell, and taste [1][2][3]. They also exert a strong influence over our internal environment through modulation of neuronal responses and control of key physiological processes. Correspondingly, they have emerged as a major target for pharmaceuticals [4][5][6]. In humans, there are five main GPCR classes: rhodopsin (class A), secretin (class B1), adhesion (class B2), glutamate (class C), and Frizzled and Taste2 (class F) [7] (see also https://gpcrdb.org). The only significant sequence identity between the different GPCR classes is between the B1 and B2 receptor classes. However, a seven-transmembrane (TM) helix architecture and the ability to bind and activate G proteins are common features throughout all classes [8,9]. Class A is the largest, most extensively studied GPCR family in humans with >800 members [7]. This class of receptors is defined by a conserved set of motifs within the TM helices that couple extracellular ligand binding to the opening of a G protein binding site on the intracellular side of the receptor [10,11] (Figure 1). Within the class A receptors, there are 11 subfamilies that exhibit unique sequence and structural differences associated with their ability to recognize distinct types of ligands (https://gpcrdb.org). Well-known class A subfamilies include the visual, olfactory, aminergic, and peptide hormone receptors.The seven-TM bundle can conceptually be divided into three regions [12,13] (Figure 1A). The extracellular ligand-binding region, which is formed by the N terminus, extracellular loops, and extracellular ends of the TM helices, has evolved to recognize a diverse range of signals. The intracellular region, which is formed by the C terminus, intracellular loops, and intracellular ends of the TM helices, is the site of binding of the heterotrimeric G proteins, GPCR kinases, and arrestins [2]. The TM core of class A GPCRs can be seen as the transducer to convert an extracellular signal into one or more intracellular signals. It spans roughly two helical turns in the middle of the TM domain and ...