Desensitization of G protein–coupled receptors and neuronal functions

RR Gainetdinov, RT Premont, LM Bohn… - Annu. Rev …, 2004 - annualreviews.org
Annu. Rev. Neurosci., 2004annualreviews.org
▪ Abstract G protein–coupled receptors (GPCRs) have proven to be the most highly
favorable class of drug targets in modern pharmacology. Over 90% of nonsensory GPCRs
are expressed in the brain, where they play important roles in numerous neuronal functions.
GPCRs can be desensitized following activation by agonists by becoming phosphorylated
by members of the family of G protein–coupled receptor kinases (GRKs). Phosphorylated
receptors are then bound by arrestins, which prevent further stimulation of G proteins and …
▪ Abstract 
G protein–coupled receptors (GPCRs) have proven to be the most highly favorable class of drug targets in modern pharmacology. Over 90% of nonsensory GPCRs are expressed in the brain, where they play important roles in numerous neuronal functions. GPCRs can be desensitized following activation by agonists by becoming phosphorylated by members of the family of G protein–coupled receptor kinases (GRKs). Phosphorylated receptors are then bound by arrestins, which prevent further stimulation of G proteins and downstream signaling pathways. Discussed in this review are recent progress in understanding basics of GPCR desensitization, novel functional roles, patterns of brain expression, and receptor specificity of GRKs and βarrestins in major brain functions. In particular, screening of genetically modified mice lacking individual GRKs or βarrestins for alterations in behavioral and biochemical responses to cocaine and morphine has revealed a functional specificity in dopamine and μ-opioid receptor regulation of locomotion and analgesia. An important and specific role of GRKs and βarrestins in regulating physiological responsiveness to psychostimulants and morphine suggests potential involvement of these molecules in certain brain disorders, such as addiction, Parkinson's disease, mood disorders, and schizophrenia. Furthermore, the utility of a pharmacological strategy aimed at targeting this GPCR desensitization machinery to regulate brain functions can be envisaged.
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