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Duke Team Identifies New ‘Mega-Complex’ Involved in Cell Signaling

Dr. Robert Lefkowitz, M.D., 2012 recipient of the Nobel Prize in Chemistry

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DURHAM, N.C. -- Duke Health-led researchers have discovered new information about the signaling mechanism of cells that could one day help guide development of more specific drug therapies.

For years, well-established science detailed the intricacies of how cells change function after receiving chemical signals from hormones, neurotransmitters or even drugs. 

Receptors on the outside of cells were known to launch the signaling process, which alerts proteins that trigger a cascade of events leading to the desired response, followed by a desensitization mechanism that allows cells to return to baseline.

In recent years, however, the process has shown additional complexity that seemed to defy foundational assumptions, notably in how and where these signals can arise within the cell.

Now researchers at Duke Health, led by Robert Lefkowitz, M.D., report that they appear to have solved this enigma. Lefkowitz, a James B. Duke Professor of Medicine at Duke and a Howard Hughes Medical Institute investigator, shared the 2012 Nobel Prize in Chemistry for describing cell signaling molecules and defining the underlying science for how therapies such as beta blockers and antihistamines can use them to advantage.

In a study published online Aug. 4 in the journal Cell, Lefkowitz -- along with co-lead authors Alex R. B. Thomsen and Thomas J. Cahill III and colleagues -- describe a new paradigm for how a class of cell surface receptors known as G protein-coupled receptors (GPCRs) activate the signaling mechanism of cells.

Classically, it was known that GPCRs located along the plasma membrane inside the cell activate G proteins, which are the molecular switches that transmit signals from external sources into the cell’s interior, telling the cell how to function.

The activation process is followed by desensitization, led by a protein called beta-arrestin that binds to the receptor, blocking further activation of G proteins and pulling the receptor to the inside of the cell in a process termed internalization or endocytosis. The end result of these two processes is to silence receptor signaling, allowing cellular function to return to status quo.

In recent years, however, scientists learned that some GPCRs continue to signal to G proteins even after beta-arrestin has been deployed and the receptors were internalized in the cellular compartments, called endosomes. These observations challenged the known scheme.

The Lefkowitz team -- using a variety of biochemical, biophysical and cell-based methods -- describe the existence, functionality and architecture of previously unknown super structures of receptors, which they’ve called “mega-plexes.”

These mega-plexes differ from the typical couplings of the receptors and beta-arrestin, binding simultaneously through their core region with G protein and through a tail region with beta-arrestin. Since beta-arrestin only interacts with the receptor tail, the entire inner surface of the receptor is exposed, enabling the receptor to keep activating the G protein.

“The formation of such mega-plexes explains how G proteins can continue to send signals after being internalized by GPCRs,” Lefkowitz said. “This opens a whole world of possibilities yet to be explored to manipulate this duality of signaling from outside and inside the cell for therapeutic benefit.”

Co-lead author Thomsen said some previous studies showed that the cells respond differently when G protein signaling occurs from different cellular compartments.

“As a result, pharmaceutical drugs developed in the future, if they are capable of regulating signaling at specific compartments, might be able to better treat certain diseases while having fewer side effects,” Thomsen said. He added that such research is in its infancy and clinical applications are years away.

In addition to Lefkowitz, Thomsen and Cahill, study authors from Duke include Arun K. Shukla, Alem W. Kahsai, Ryan T. Strachan, Biswaranjan Pani and Liyin Huang.

They were joined by co-lead author Bianca Plouffe, Billy Breton, Franziska M. Heydenreich and Michel Bouvier at the University of Montreal; and Jeffrey T. Tarrasch, Annie M. Dosey, Georgios Skiniotis, Jacob P. Mahoney and Roger K. Sunahara at the University of Michigan, Ann Arbor. 

The study received support from the Howard Hughes Medical Institute; the Danish Council for Independent Research; the Lundbeck Foundation; the National Institutes of Health (F30HL129803, RO1GM083118, T32GM007767, DK090165, HL16037); the Canadian Institutes of Health Research; and the Swiss National Science Foundation (P1EZP3_165219, MOP10501). 

Lefkowitz is a co-founder and shareholder of Trevena, Inc., a biopharmaceutical company focused on developing GPCR-targeted medicines. Authors reported no other conflicts.

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