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Binding Domain Characterization of Growth Hormone Secretagogue Receptor.

Sun Y, Ye X, Kennedy H, Smith AGA, Smith RG.
Journal of translational internal medicine · June 1, 2022
Plain-language summary

This study investigated how synthetic and endogenous ligands bind to and activate the growth hormone secretagogue receptor (GHS-R), a G-protein coupled receptor involved in growth hormone (GH) release and appetite regulation. Using radiolabeled ligand-binding assays, calcium-response (aequorin-based) assays, GH release assays in mice, receptor chimeras (human/puffer fish domain swaps), and site-directed mutagenesis, researchers characterized the structural basis of ligand-receptor interactions. The study found that synthetic agonists MK-0677 and GHS-25 displayed high binding affinity and, notably, greater in vivo GH secretagogue activity compared to the endogenous peptide ghrelin. GHS-R knockout mice showed complete abolition of activity, confirming receptor specificity. Chimera analysis identified the C-terminal region, particularly transmembrane domain 6 (TM6), as critical for ligand-dependent activation. Site-directed mutagenesis pinpointed residues D99 and W276 as essential for ligand binding, while E124 was selectively important for MK-0677, and F279 was preferentially involved in ghrelin and GHS-25 interactions. The study is primarily mechanistic and largely preclinical (in vitro and animal models), limiting direct translation to human therapeutic contexts. Its findings advance structural understanding of GHS-R and may inform future drug design efforts.

Why this grade: The study combines in vitro binding/functional assays with in vivo mouse experiments (including knockout models), but includes no human subjects, limiting its direct clinical applicability.

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Abstract

Background and objectives Activation of ghrelin receptor growth hormone secretagogue receptor (GHS-R) by endogenous or synthetic ligands amplifies pulsatile release of growth hormone (GH) and enhances food intake, very relevant to development and growth. GHS-R is a G-protein coupled receptor that has great druggable potential. Understanding the precise ligand and receptor interactions is crucial to advance the application of GHS-R. Materials and methods We used radiolabeled ligand-binding assay and growth hormone release assay to assess the binding and functional characteristics of GHS-R to synthetic agonists MK-0677 and GHS-25, as well as to endogenous peptide ligand ghrelin. We analyzed the ligand-dependent activity of GHS-R by measuring aequorin-based [Ca ++ ] i responses. To define a ligand-binding pocket of GHS-R, we generated a series of human/puffer fish GHS-R chimeras by domain swapping, as well as a series of mutants by site-directed mutagenesis. Results We found that the synthetic ligands have high binding affinity to GHS-R in the in vitro competitive binding assay. Remarkably, the in vivo GH secretagogue activity is higher with the synthetic agonists MK-0677 and GHS-25 than that of ghrelin. Importantly, the activity was completely abolished in GHS-R knockout mice. In GHS-R chimera analysis, we identified the C-terminal region, particularly the transmembrane domain 6 (TM6), to be critical for the ligand-dependent activity. Our site-directed mutagenesis study further revealed that amino acid residues D99 and W276 in GHS-R are essential for ligand binding. Interestingly, critical residues distinctively interact with different ligands, MK-0677 activation depends on E124, while ghrelin and GHS-25 preferentially interact with F279. Conclusion The ligand-binding pocket of human GHS-R is mainly defined by interactive residues in TM6 and the adjacent region of the receptor. This novel finding in GHS-R binding domains advances the structural/ functional understanding of GHS-R, which will help to select/design better GHS-R agonists/ antagonists for future therapeutic applications.

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