Personalized Medicine Through GPCR Pharmacogenomics

Hauser, Alexander S.

doi:10.1016/b978-0-12-820472-6.00100-6

Cited by 2 publications

(1 citation statement)

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“…Genetic variants can lead to disturbances throughout the life cycle of a GPCR: receptor transcription, translation, trafficking and altered ligand interactions which can impact signaling and interaction with associated proteins (59,60). Several variants have been associated with receptor malfunction and have been implicated in various diseases or altered drug response.…”

Section: Discussionmentioning

confidence: 99%

Molecular and in vivo phenotyping of missense variants of the human glucagon receptor

Velden

Lindquist

Madsen

et al. 2022

Journal of Biological Chemistry

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Naturally occurring missense variants of G protein–coupled receptors with loss of function have been linked to metabolic disease in case studies and in animal experiments. The glucagon receptor, one such G protein–coupled receptor, is involved in maintaining blood glucose and amino acid homeostasis; however, loss-of-function mutations of this receptor have not been systematically characterized. Here, we observed fewer glucagon receptor missense variants than expected, as well as lower allele diversity and fewer variants with trait associations as compared with other class B1 receptors. We performed molecular pharmacological phenotyping of 38 missense variants located in the receptor extracellular domain, at the glucagon interface, or with previously suggested clinical implications. These variants were characterized in terms of cAMP accumulation to assess glucagon-induced Gα s coupling, and of recruitment of β-arrestin-1/2. Fifteen variants were impaired in at least one of these downstream functions, with six variants affected in both cAMP accumulation and β-arrestin-1/2 recruitment. For the eight variants with decreased Gα s signaling (D63 ECD N, P86 ECD S, V96 ECD E, G125 ECD C, R225 3.30 H, R308 5.40 W, V368 6.59 M, and R378 7.35 C) binding experiments revealed preserved glucagon affinity, although with significantly reduced binding capacity. Finally, using the UK Biobank, we found that variants with wildtype-like Gα s signaling did not associate with metabolic phenotypes, whereas carriers of cAMP accumulation-impairing variants displayed a tendency toward increased risk of obesity and increased body mass and blood pressure. These observations are in line with the essential role of the glucagon system in metabolism and support that Gα s is the main signaling pathway effecting the physiological roles of the glucagon receptor.

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Section: Discussionmentioning

confidence: 99%