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== Structure ==
== Structure ==
=== Overall Stucture ===
=== Overall Stucture ===
<scene name='72/726409/Overview/5'>mGlu<sub>5</sub></scene> is seen as a [https://en.wikipedia.org/wiki/Protein_dimer homodimer] ''in vivo,'' with each subunit being comprised of three domains: extracellular, trans-membrane and cysteine-rich.  mGlu<sub>5</sub> is centered on the trans-membrane domain, comprised of seven α-helices all roughly parallel.<ref name="Primary">PMID: 25042998 </ref>  Also displayed is Intracellular Loop (ICL) 1 which forms a short α-helix and interacts directly with a trans-membrane helix to stabilize mGlu<sub>5</sub>’s conformation.  Additionally, ICL3 and Extracellular Loops (ECL) 1 and 3 all lack secondary structure, and ECL2 interacts with trans-membrane (TM) helices 1, 2, and 3 as well as ECL 1, again helping to stabilize the protein’s overall conformation.<ref name="Primary">PMID: 25042998 </ref>
<scene name='72/726409/Overview/5'>mGlu<sub>5</sub></scene> is seen as a [https://en.wikipedia.org/wiki/Protein_dimer homodimer] ''in vivo,'' with each subunit being comprised of three domains: extracellular, trans-membrane and cysteine-rich.  mGlu<sub>5</sub> is centered on the trans-membrane domain, comprised of seven α-helices all roughly parallel.<ref name="Primary">PMID: 25042998 </ref>  Also displayed is Intracellular Loop (ICL) 1 which forms a short α-helix and interacts directly with a trans-membrane helix to stabilize mGlu<sub>5</sub>’s conformation.  Additionally, ICL3 and Extracellular Loops (ECL) 1 and 3 all lack secondary structure, and ECL2 interacts with trans-membrane (TM) helices 1, 2, and 3 as well as ECL 1,again helping to stabilize the protein’s overall conformation.<ref name="Primary">PMID: 25042998 </ref>
===Key Interactions===
===Key Interactions===
A number of intramolecular interactions within the trans-membrane domain stabilize the inactive conformation of mGlu<sub>5</sub>, as demonstrated by <scene name='72/726409/Overview/5'>mGlu<sub>5</sub></scene> being represented in the inactivate state.  While in the inactive state, glutamate binding to mGlu<sub>5</sub> triggers a conformational change that leads to mGlu<sub>5</sub> now being in the active state and hence triggers the aforementioned [https://en.wikipedia.org/wiki/Gq_alpha_subunit G<sub>q</sub> pathway].  The first of these interactions is an ionic interaction, termed the <scene name='72/726409/Ionic_lock2/2'>Ionic Lock</scene>, between Lysine 665 of TM3 and Glutamate 770 of TM6.  Evidence for the importance of this interaction came through a kinetic study of mutant proteins where both residues were separately substituted with alanine, resulting in constitutive activity of the GPCR and its coupled pathway.<ref name="Primary">PMID: 25042998 </ref>  A second critical interaction that stabilizes the inactive conformer is a <scene name='72/726409/Hydrogen_bond_614-668/2'>Hydrogen Bond </scene> between Serine 614 of ICL1 and Arginine 668 of TM3. Similarly, when Serine 614 was substituted to alanine, high levels of activity were seen in the mutant GPCR.<ref name="Primary">PMID: 25042998 </ref>  A <scene name='72/726404/Scene_6/8'>Disulfide Bond </scene> between Cysteine 644 of TM3 and Cysteine 733 of <scene name='72/726409/Mavoglurant_overview2/3'>ECL2</scene> is critical at anchoring ECL2 and is highly conserved across Class C GPCR’s.<ref name="Primary">PMID: 25042998 </ref>  The ECL2's presence combined with the helical bundle of the trans-membrane domain creates a <scene name='72/726409/Electrogradient2/9'>Binding Cap</scene> that restricts entrance to the allosteric binding site within the seven trans-membrane α-helices.  This restricted entrance has no effect on the natural ligand, glutamate, as it binds to the extracellular domain, but this entrance dictates potential drug targets that act through allosteric modulation.<ref name="Primary">PMID: 25042998 </ref>  
A number of intramolecular interactions within the trans-membrane domain stabilize the inactive conformation of mGlu<sub>5</sub>, as demonstrated by <scene name='72/726409/Overview/5'>mGlu<sub>5</sub></scene> being represented in the inactivate state.  While in the inactive state, glutamate binding to mGlu<sub>5</sub> triggers a conformational change that leads to mGlu<sub>5</sub> to be in the active state and hence triggers the aforementioned [https://en.wikipedia.org/wiki/Gq_alpha_subunit G<sub>q</sub> pathway].  The first of these interactions is an ionic interaction, termed the <scene name='72/726409/Ionic_lock2/2'>Ionic Lock</scene>, between Lysine 665 of TM3 and Glutamate 770 of TM6.  Evidence for the importance of this interaction came through a kinetic study of mutant proteins where both residues were separately substituted with alanine, resulting in constitutive activity of the GPCR and its coupled pathway.<ref name="Primary">PMID: 25042998 </ref>  A second critical interaction that stabilizes the inactive conformer is a <scene name='72/726409/Hydrogen_bond_614-668/2'>Hydrogen Bond </scene> between Serine 614 of ICL1 and Arginine 668 of TM3. Similarly, when Serine 614 was substituted with alanine, high levels of activity were seen in the mutant GPCR.<ref name="Primary">PMID: 25042998 </ref>  A <scene name='72/726404/Scene_6/8'>Disulfide Bond </scene> between Cysteine 644 of TM3 and Cysteine 733 of <scene name='72/726409/Mavoglurant_overview2/5'>ECL2</scene> is critical at anchoring ECL2 and is highly conserved across Class C GPCR’s.<ref name="Primary">PMID: 25042998 </ref>  The ECL2's presence combined with the helical bundle of the trans-membrane domain creates a <scene name='72/726409/Electrogradient2/9'>Binding Cap</scene> that restricts entrance to the allosteric binding site within the seven trans-membrane α-helices.  This restricted entrance has no effect on the natural ligand, glutamate, as it binds to the extracellular domain, but this entrance dictates potential drug targets that act through allosteric modulation.<ref name="Primary">PMID: 25042998 </ref>  
== Clinical Relevance ==
== Clinical Relevance ==
===Role in Diseases===
===Role in Diseases===
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===Interactions with a Negative Allosteric Modulator===
===Interactions with a Negative Allosteric Modulator===
The structure of mGlu<sub>5</sub> bound to the NAM [https://en.wikipedia.org/wiki/Mavoglurant Mavoglurant] demonstrates how protein activity is decreased through drug interactions.   
The structure of mGlu<sub>5</sub> bound to the NAM [https://en.wikipedia.org/wiki/Mavoglurant Mavoglurant] demonstrates how protein activity is decreased through drug interactions.   
<scene name='72/726404/Scene_7/6'>Mavoglurant</scene> binds within the allosteric binding site in the core of the seven trans-membrane α-helices, having passed through the restricted entrance formed by the <scene name='72/726409/Mavoglurant_overview2/3'>ECL2</scene>.  Bound Mavoglurant forms multiple interactions with the protein that further stabilize the inactive conformation.  
<scene name='72/726404/Scene_7/6'>Mavoglurant</scene> binds within the allosteric binding site in the core of the seven trans-membrane α-helices, having passed through the restricted entrance formed by the <scene name='72/726409/Mavoglurant_overview2/5'>ECL2</scene>.  Bound Mavoglurant forms multiple interactions with the protein that further stabilize the inactive conformation.  
The bicyclic ring system of the drug is surrounded by a pocket of mainly hydrophobic residues including Val 806, Met 802, Phe 788, Trp 785, Leu 744, Ile 651, Pro 655, and Asn 747 (Figure 1).<ref name="Primary">PMID: 25042998 </ref>  The carbamate tail of Mavoglurant forms a hydrogen bond through its carbonyl oxygen to the amide side-chain of Asparagine 747 of TM4 (Figure 2). A hydroxyl group similarly forms hydrogen bonds to mGlu<sub>5</sub>, specifically at two serine residues (S805 and S809) of TM7.  These residues form a hydrogen bonding network to other residues through their main chain atoms and a coordinated water molecule (omitted for clarity) (Figure 3). The interactions between Mavoglurant and mGlu<sub>5</sub> involve TM helices that were not previously stabilized by any strong interactions, introducing a new level of stability that favors the inactive conformation of the protein and hence decreases the overall activity of mGlu<sub>5</sub>.<ref name="Primary">PMID: 25042998 </ref>   
The bicyclic ring system of the drug is surrounded by a pocket of mainly hydrophobic residues including Val 806, Met 802, Phe 788, Trp 785, Leu 744, Ile 651, Pro 655, and Asn 747 (Figure 1).<ref name="Primary">PMID: 25042998 </ref>  The carbamate tail of Mavoglurant forms a hydrogen bond through its carbonyl oxygen to the amide side-chain of Asparagine 747 of TM4 (Figure 2). A hydroxyl group similarly forms hydrogen bonds to mGlu<sub>5</sub>, specifically at two serine residues (S805 and S809) of TM7.  These residues form a hydrogen bonding network to other residues through their main chain atoms and a coordinated water molecule (omitted for clarity) (Figure 3). The interactions between Mavoglurant and mGlu<sub>5</sub> involve TM helices that were not previously stabilized by any strong interactions, introducing a new level of stability that favors the inactive conformation of the protein and hence decreases the overall activity of mGlu<sub>5</sub>.<ref name="Primary">PMID: 25042998 </ref>   


Mavoglurant was met by disappointing Fragile X Syndrome trial results and ultimately discontinued in 2014, but testing for dyskinesia and [https://en.wikipedia.org/wiki/Obsessive%E2%80%93compulsive_disorder Obsessive-compulsive disorder] are still in progress. [https://en.wikipedia.org/wiki/Basimglurant Basimglurant] and [https://en.wikipedia.org/wiki/MTEP MTEP] are inhibitors that are similar to Mavoglurant as they both function as negative allosteric modulators to mGlu<sub>5</sub>, and they are currently under trials to serve as medications for depression.<ref name="Clinical">PMID: 26219727 </ref><ref name=”Clinical2”>PMID: 25043733 </ref>
Mavoglurant was met by disappointing Fragile X Syndrome trial results and ultimately discontinued for Fragile X Syndrome in 2014, but testing for dyskinesia and [https://en.wikipedia.org/wiki/Obsessive%E2%80%93compulsive_disorder Obsessive-compulsive disorder] are still in progress. [https://en.wikipedia.org/wiki/Basimglurant Basimglurant] and [https://en.wikipedia.org/wiki/MTEP MTEP] are inhibitors that are similar to Mavoglurant as they both function as negative allosteric modulators to mGlu<sub>5</sub>, and they are currently under trials to serve as medications for depression.<ref name="Clinical">PMID: 26219727 </ref><ref name=”Clinical2”>PMID: 25043733 </ref>


[[Image:Mav_Hydrophobic_pocket.png |300 px|left|thumb|Figure 1. Hydrophobic Pocket Surrounding Mavoglurant]]
[[Image:Mav_Hydrophobic_pocket.png |300 px|left|thumb|Figure 1. Hydrophobic Pocket Surrounding Mavoglurant]]

Revision as of 19:35, 17 April 2016

metabotropic Glutamate Receptor 5 PDB:4oo9

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Daniel Schemenauer