Biased ligands at G-protein-coupled receptors: promise and progress

JD Violin, AL Crombie, DG Soergel, MW Lark - Trends in pharmacological …, 2014 - cell.com
JD Violin, AL Crombie, DG Soergel, MW Lark
Trends in pharmacological sciences, 2014cell.com
Drug discovery targeting G protein-coupled receptors (GPCRs) is no longer limited to
seeking agonists or antagonists to stimulate or block cellular responses associated with a
particular receptor. GPCRs are now known to support a diversity of pharmacological profiles,
a concept broadly referred to as functional selectivity. In particular, the concept of ligand
bias, whereby a ligand stabilizes subsets of receptor conformations to engender novel
pharmacological profiles, has recently gained increasing prominence. This review discusses …
Drug discovery targeting G protein-coupled receptors (GPCRs) is no longer limited to seeking agonists or antagonists to stimulate or block cellular responses associated with a particular receptor. GPCRs are now known to support a diversity of pharmacological profiles, a concept broadly referred to as functional selectivity. In particular, the concept of ligand bias, whereby a ligand stabilizes subsets of receptor conformations to engender novel pharmacological profiles, has recently gained increasing prominence. This review discusses how biased ligands may deliver safer, better tolerated, and more efficacious drugs, and highlights several biased ligands that are in clinical development. Biased ligands targeting the angiotensin II type 1 receptor and the μ opioid receptor illustrate the translation of the biased ligand concept from basic biology to clinical drug development.
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