Pituitary adenylate cyclase-activating polypeptide (PACAP) is a pleiotropic neuropeptide hormone functioning in the central nervous system and peripheral tissues.The PACAP receptor PAC1R, which belongs to the class B G-protein-coupled receptors (GPCRs), is a drug target for mental disorders and dry eye syndrome. Here we present a cryo-electron microscopy structure of human PAC1R bound to PACAP and an engineered Gs heterotrimer. The structure revealed that TM1 plays an essential role in PACAP recognition. The ECD (extracellular domain) of PAC1R tilts by ~40° as compared to that of the glucagon-like peptide-1 receptor (GLP1R), and thus does not cover the peptide ligand. A functional analysis demonstrated that the PAC1R-ECD functions as an affinity trap and is not required for receptor activation, whereas the GLP1R-ECD plays an indispensable role in receptor activation, illuminating the functional diversity of the ECDs in the class B GPCRs. Our structural information will facilitate the design and improvement of better PAC1R agonists for clinical applications.
Main textthat for VIP 4 , indicating that PAC1R is relatively selective for PACAP.PAC1R belongs to the class B G-protein-coupled receptors (GPCRs), and predominantly activates the adenylyl cyclase stimulatory G protein Gs. PAC1R is widely expressed in the CNS and peripheral tissues 2 . PACAP/PAC1R signaling has been implicated in playing essential roles in several cellular processes, including circadian rhythm regulation, food intake control, glucose metabolism, learning and memory, neuronal ontogenesis, apoptosis, and immune system regulation. Furthermore, perturbations in the PACAP/PAC1R pathway cause abnormal stress responses underlying posttraumatic stress disorder (PTSD) 5 , and thus PAC1R has been studied as a drug target for numerous disorders. PACAP and PAC1R are expressed in lacrimal glands, and induce tear secretion by increasing the aquaporin 5 (AQP5) levels in the plasma membrane 6 . Therefore, PAC1R is also a drug target for dry eye syndrome.However, the design of small molecule agonists for PAC1R has not yet been achieved, limiting the clinical applications targeting PAC1R.PAC1R comprises two distinct domains: an N-terminal extracellular domain (ECD) and a transmembrane domain (TMD), as in the other class B GPCRs. A two-step/two-domain model has been proposed for ligand binding and receptor activation in the class B GPCRs 7 : the ECD is responsible for the initial and high-affinity binding of peptide ligands, and the TMD plays a key role in both ligand binding and receptor activation. A previous study suggested that PAC1R follows this model, and the PAC1R-ECD is not required for receptor activation 8 . However, in glucagon-like peptide 1 receptor (GLP1R), the ECD also plays an indispensable role in receptor activation, suggesting the divergent role of the ECD in the activation of class B GPCRs. Although the crystal structure of the PAC1R-ECD was determined in a ligand-free conformation 9 , little is known about the mechanism of the ligand recogni...