The
parathyroid hormone type 1 receptor (PTH1R), a canonical class
B GPCR, is regulated by a positive allosteric modulator, extracellular
Ca2+. Calcium ions prolong the residence time of PTH on
the PTH1R, leading to increased receptor activation and duration of
cAMP signaling. But the essential mechanism of the allosteric behavior
of PTH1R is not fully understood. Here, extensive molecular dynamics
(MD) simulations are performed for the PTH1R–G-protein combinations
with and without Ca2+ to describe how calcium ions allosterically
engage receptor–G-protein coupling. We find that the binding
of Ca2+ stabilizes the conformation of the PTH1R–PTH–spep
(the α5 helix of Gs protein) complex, especially the extracellular
loop 1 (ECL1). Moreover, the MM-GBSA result indicates that Ca2+ allosterically promotes the interaction between PTH1R and
spep, consistent with the observation of steered molecular dynamics
(SMD) simulations. We further illuminate the possible allosteric signaling
pathway from the stable Ca2+-coupling site to the intracellular
G-protein binding site. These results unveil structural determinants
for Ca2+ allosterism in the PTH1R–PTH–spep
complex and give insights into pluridimensional GPCR signaling regulated
by calcium ions.