User:R. Jeremy Johnson/GPR40: Difference between revisions

New page: <includeonly></includeonly>==Human GPR40 (hGPR40), also known as Free Fatty Acid Receptor 1 (FFAR1)== <StructureSection load='Sele4phu.pdb' size='400' side='right' caption='Human G-Protein...
 
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<includeonly></includeonly>==Human GPR40 (hGPR40), also known as Free Fatty Acid Receptor 1 (FFAR1)==
<includeonly></includeonly>==Human GPR40 (hGPR40), also known as Free Fatty Acid Receptor 1 (FFAR1)==
<StructureSection load='Sele4phu.pdb' size='400' side='right' caption='Human G-Protein Receptor 40 (hGPR40) visualized at 2.3 Å resolution by X-ray crystallography (PDB: [http://www.rcsb.org/pdb/explore/explore.do?structureId=4phu 4PHU]). The natural substrates of this protein are free fatty acids, giving rise to its secondary name, Free Fatty Acid Receptor 1 (FFAR1).' scene='72/726431/General_protein/1'>
<StructureSection load='Sele4phu.pdb' size='400' side='right' caption='Human G-Protein Receptor 40 (hGPR40) visualized at 2.3 Å resolution by X-ray crystallography (PDB: [http://www.rcsb.org/pdb/explore/explore.do?structureId=4phu 4PHU]). The natural substrates of this protein are free fatty acids, giving rise to its secondary name, Free Fatty Acid Receptor 1 (FFAR1).' scene='72/727085/Hgpr40_begin/2'>    72/726431/General_protein/1


== Background ==
== Background ==
Human G-protein coupled receptor 40 (hGPR40), also known as free fatty acid 1 receptor (FFAR1), is a seven helical transmembrane domain receptor for long-chain free [https://en.wikipedia.org/wiki/Fatty_acid fatty acids].<ref name="Srivastava">PMID:25043059</ref> Some known fatty acid substrates of hGPR40 include [http://www.news-medical.net/health/What-is-Linoleic-Acid.aspx linoleic acid], [http://www.livestrong.com/article/438717-what-is-oleic-acid/ oleic acid], [http://www.hmdb.ca/metabolites/hmdb02925 eicosatrienoic acid], and [https://en.wikipedia.org/wiki/Palmitoleic_acid palmitoleic acid]<ref name="Morgan">PMID:19660440</ref>. This protein is primarily located in the [https://en.wikipedia.org/wiki/Beta_cell pancreatic β-cells] in the [https://en.wikipedia.org/wiki/Pancreatic_islets islets of Langerhans], and as such, it has become a target for potential [http://www.diabetes.org/living-with-diabetes/treatment-and-care/ Type 2 Diabetes treatments] because hGPR40 stimulates insulin secretion.<ref name="Kebede">PMID:22308370</ref> Type 2 diabetes is especially relevant because the cells have become desensitized to insulin and free fatty acids. Activation of hGPR40 stimulates insulin secretion and decreases extracellular glucose concentration.<ref name="Ma">PMID:26620255</ref> GPR40 is a member of a group of homologous [[GPCRs]] all located on chromosome 19q13.1 including GPCR41, 42, and 43.<ref name="Burant">PMID:23882043</ref> Evidence exists that shows GPCR43 is involved in adipogenesis. GPCR41 was also previously believed to participate in [http://jcs.biologists.org/content/124/16/2681 adipogenesis], but this was shown to be false.<ref name="Hong">PMID:16123168</ref>
Human G-protein coupled receptor 40 (hGPR40), also known as free fatty acid 1 receptor (FFAR1), is a seven helical transmembrane domain receptor for long-chain free [https://en.wikipedia.org/wiki/Fatty_acid fatty acids] that induces insulin secretion.<ref name="Srivastava">PMID:25043059</ref> Some known fatty acid substrates of hGPR40 include [http://www.news-medical.net/health/What-is-Linoleic-Acid.aspx linoleic acid], [http://www.livestrong.com/article/438717-what-is-oleic-acid/ oleic acid], [http://www.hmdb.ca/metabolites/hmdb02925 eicosatrienoic acid], and [https://en.wikipedia.org/wiki/Palmitoleic_acid palmitoleic acid]<ref name="Morgan">PMID:19660440</ref>. hGPR40 is highly expressed in human pancreatic [https://en.wikipedia.org/wiki/Beta_cell β cells], brain, and endocrine cells of the [https://en.wikipedia.org/wiki/Gastrointestinal_tract gastrointestinal tract] <ref name=”REN”>PMID:26974599</ref>. hGPR40 is of particular interest because the triggering of insulin secrection is [https://en.wikipedia.org/wiki/Glucose glucose] dependent.This glucose-dependence for hGPR40 signaling makes it a target for the treatment of [https://en.wikipedia.org/wiki/Diabetes_mellitus_type_2 type-2 diabetes] as agonists could increase glycemic control and lower the risk of hypoglycemia<ref name="crystal"/>. GPR40 is a member of a group of homologous [[GPCRs]] all located on chromosome 19q13.1 including GPCR41, 42, and 43.<ref name="Burant">PMID:23882043</ref> Evidence exists that shows GPCR43 is involved in adipogenesis.  
 
== Function ==
GPR40 is most prevalent in [https://en.wikipedia.org/wiki/Beta_cell pancreatic β-cells] where free fatty acids (FFAs) have pleiotropic effects <ref name="FFA">PMID:19460454</ref>. While acute intake of FFAs stimulates insulin release, chronic exposure to high levels of FFAs results in the impairment of β-cell function and insulin secretory response <ref name= "FFA"/>. GPR40 mediates the effect of both acute and chronic levels of FFAs. FFAs amplify glucose-stimulated insulin secretion from pancreatic β-cells by activating GPR40. When GPR40 is inhibited, insulin secretion no longer increases in response to fatty acid stimulation <ref name= "FFA"/>. This decreased activity of GPR40 leads to a decreased risk of [https://en.wikipedia.org/wiki/Hyperinsulinemia hyperinsulinemia], [https://en.wikipedia.org/wiki/Fatty_liver fatty liver disease], [https://en.wikipedia.org/wiki/Hypertriglyceridemia hypertriglyceridemia], [https://en.wikipedia.org/wiki/Hyperglycemia hyperglycemia], and [https://en.wikipedia.org/wiki/Impaired_glucose_tolerance glucose tolerance] in obese patients <ref name= "FFA"/>. On the contrary, overexpression of GPR40 leads to impaired β-cell function, hyperinsulinemia, and diabetes <ref name= "FFA"/>. These results suggest that GPR40 plays an important role in the mechanism that links obesity and type 2 diabetes and thus is a popular drug target being studied.


== Structure ==
== Structure ==
[[Image:HGPR40bind2.png|200 px|right|thumb|Figure 1. Second proposed binding site of hGPR40 with surface shown. Substrate would bind in the deep pocket shown between TM3, 4, and 5.]]
Like most G-protein coupled receptors, hGPR40 contains <scene name='72/721541/Top_view_transmembrane_helices/2'>seven transmembrane helices</scene> (<scene name='72/721541/Top_view_transmembrane_helices/1'>top view of TM helices</scene>). To obtain a [https://en.wikipedia.org/wiki/Protein_crystallization crystallized structure] of the protein, four <scene name='72/721541/Stabilizing_mutations/4'>stabilizing mutations</scene> (<scene name='72/721541/L42a/3'>L42A</scene>, <scene name='72/721541/F88a/4'>F88A</scene>, <scene name='72/721541/G103a/3'>G103A</scene>, <scene name='72/721541/Y202f/3'>Y202F</scene>) were made to increase expression levels and thermal stability of the protein. These mutations did not significantly impact the enzyme's binding affinity with a known agonist, TAK-875.<ref name="Srivastava"/> A <scene name='72/721541/Lysozyme_crimson/2'>T4 Lysozyme</scene> (shown in <FONT COLOR="#DC143C">'''crimson'''</FONT>) was also added to intracellular loop 3 to aid in the formation of crystals. T4 Lysozyme had little effect on TAK-875 binding.<ref name="Srivastava"/> For clarity, lysozyme is removed in all further renderings of hGPR40. hGPR40 also contains an extracellular loop that is conserved among most G-protein coupled receptors (ECL2). This loop has two subsections and is involved in the permeability of the binding site.
Like most G-protein coupled receptors, hGPR40 contains <scene name='72/721541/Top_view_transmembrane_helices/2'>seven transmembrane helices</scene> (<scene name='72/721541/Top_view_transmembrane_helices/1'>top view of TM helices</scene>). To obtain a [https://en.wikipedia.org/wiki/Protein_crystallization crystallized structure] of the protein, four <scene name='72/721541/Stabilizing_mutations/4'>stabilizing mutations</scene> (<scene name='72/721541/L42a/3'>L42A</scene>, <scene name='72/721541/F88a/4'>F88A</scene>, <scene name='72/721541/G103a/3'>G103A</scene>, <scene name='72/721541/Y202f/3'>Y202F</scene>) were made to increase expression levels and thermal stability of the protein. These mutations did not significantly impact the enzyme's binding affinity with a known agonist, TAK-875.<ref name="Srivastava"/> A <scene name='72/721541/Lysozyme_crimson/2'>T4 Lysozyme</scene> (shown in <FONT COLOR="#DC143C">'''crimson'''</FONT>) was also added to intracellular loop 3 to aid in the formation of crystals. T4 Lysozyme also had little effect on TAK-875 binding.<ref name="Srivastava"/> For clarity, lysozyme is removed in all further renderings of hGPR40. hGPR40 also contains an extracellular loop that is conserved among most G-protein coupled receptors (ECL2). This loop has two subsections and is involved in the permeability of the binding site.
 
While there is relatively low sequence identity between hGPR40 and peptide-binding and [https://en.wikipedia.org/wiki/Opioid_receptor opioid GPCRs], they do share structural similarities such as a conserved <scene name='72/727085/Hairpin_loop/4'>hairpin loop</scene> motif on <scene name='72/727085/Ecl2/4'>extracellular loop 2 </scene>(ECL2)<ref name="crystal"/>. In addition, there is a conserved <scene name='72/727085/Disulfide/3'>disulphide bond</scene> that is formed between transmembrane helix 3 (Cys 79) and the C-terminus of ECL2 (Cys170)<ref name="crystal"/>. Compared to peptide-binding and opioid GPCRs which have distinctive [https://en.wikipedia.org/wiki/Beta_sheet β-sheets] spanning from transmembrane helix 4 to 5, hGPR40 possesses a shorter B-sheet-like region which has  [http://proteopedia.org/wiki/index.php/Image:Beta-like_factors_of_hGPR40_ECL2.png low B-factors]<ref name="crystal"/>. This reflects the low mobility of the region that limits the overall flexibility of the adjacent portion of ECL2 between Leu171 and Asp175<ref name="crystal"/>. A unique feature of hGPR40 is the presence of an additional 13 residues (Pro147 to Gly159) on ECL2 which is absent on all the other peptide/opioid receptors<ref name="crystal"/>. These extra residues form a separate <scene name='72/727085/Auxiliary_loop/3'>auxiliary loop</scene> between the B-sheet-like region and transmembrane 4. Together, the auxiliary loop and ECL2 of hGPR40 function as a <scene name='72/727085/Ecl2_cap/3'>roof </scene> over the canonical binding site covering it from the central extracellular region<ref name="crystal"/>.
 
[[Image:Gpcr comparison.png|380 px|thumb|center|'''Figure 1:'''Comparison of Delta-opioid receptor to human free-fatty acid receptor (hGPR40) both of which are G-protein coupled receptors. The binding pocket of the delta-opioid receptor is solvent exposed allowing ligands to enter directly from the extracellular space while the binding pocket of hGPR40 is covered by the extracellular loop 2 (ECL2) preventing entry from the extracellular space (ECL2 represented in cyan). The Delta-opioid displays the canonical binding site typical of most GPCRs while ligands of hGPR40 bind to a noncanonical pocket represented in pink.]]
 
The canonical binding pocket for many other GPCRs is solvent exposed and centrally located between the transmembrane helices allowing ligands to directly bind from the extracellular space<ref name="crystal"/>. However, because the ECL2 acts as a roof to this canonical binding site, it inhibits ligands from entering directly from the extracellular region. Instead, the highly lipophilic nature of hGPRC40’s ligands allow it to enter a <scene name='72/727085/Hgpr40_entry/2'>noncanonical binding pocket </scene> between TM3 and TM4 by moving through the lipid bilayer<ref name="crystal"/>.
 
[[Image:Binding site comparison.png|380 px|thumb|center|'''Figure 2:''' Comparison of the canonical binding site represented in pink of most opioid/peptide binding GPCRs (left) compared to the noncanonical binding site of ligands with hGPR40 (right). ]]


=== Binding Sites ===
=== Binding Sites ===
[[Image:HGPR40bind3.png|200 px|right|thumb|Figure 2. Third proposed binding site of hGPR40 with surface shown. Substrate would bind in the pocket below TM7 and above and inbetween TM 1 and 2.]][http://metislabs.com/radioligand-binding-assays Radioligand binding studies] identified multiple [https://en.wikipedia.org/wiki/Binding_site binding sites] in hGPR40.<ref name="Srivastava"/> [https://en.wikipedia.org/wiki/Agonist Full agonists] and [https://en.wikipedia.org/wiki/Partial_agonist partial agonists] were shown to bind in separate sites with positive [http://www.britannica.com/science/cooperativity cooperativity].<ref name="Lin">PMID:22859723</ref> The <scene name='72/721541/Tak_binding_site/4'>binding site for the partial agonist TAK-875</scene> has been identified, but other binding sites were hypothesized. TAK-875 binds between transmembrane helices 3, 4, and 5 and underneath ECL2. By visual inspection, a second possible binding site was proposed between transmembrane helices 3, 4, and 5 on the intracellular side of the transmembrane helices (Figure 1). The location of this binding site with respect to the membrane proposes that substrates would gain entry to the membrane by binding in this site. Also by visual inspection, a third possible binding site was proposed between transmembrane helices 1, 2, and 7 on the extracellular side of hGPR40, close to the TAK-875 binding site (Figure 2).<ref name="Srivastava"/> These binding sites could potentially serve as regulation points for hGPR40. Many proteins that exhibit cooperativity are regulated by the binding of inhibitors.
GPR40’s natural substrate are FFAs in which a free [https://en.wikipedia.org/wiki/Carboxylic_acid carboxyl group] is required to bind. However, GPR40 can be activated by a wide variety of fatty acids with chain lengths ranging from [https://en.wikipedia.org/wiki/Saturated_fat saturated fatty acids] with 8 carbons to 23 carbons. In addition, various [https://en.wikipedia.org/wiki/Monounsaturated_fat mono] (i.e. [https://en.wikipedia.org/wiki/Palmitoleic_acid palmitoleic] (C16:1) and [https://en.wikipedia.org/wiki/Oleic_acid oleic] (C18:1) acids) and [https://en.wikipedia.org/wiki/Polyunsaturated_fatty_acid poly-unsaturated fatty acids] (i.e.[https://en.wikipedia.org/wiki/Linoleic_acid linoleic] (C18:2) and [https://en.wikipedia.org/wiki/List_of_unsaturated_fatty_acids#Eicosatrienoic_acid eicosatrienoic] (C20:3) acids) can activate GPR40 <ref name= "Morg"/>. The agonists potency varies according to the carbon-chain length however. The activity of GPR40 increases when the chain is increased from C6 to C15 but then decreased when the chain was extended beyond C15. One explanation for this is that as [https://en.wikipedia.org/wiki/Alkyl alkyl] chain increased, so did the [https://en.wikipedia.org/wiki/Hydrophobe hydrophobic] interactions with the protein within the binding pocket. However, for FFAs with carbon chains longer than C15, the molecular size is too large for the binding pocket. This causes the alkyl chain to extend beyond the binding pocket and destabilize the binding <ref name="Ren">PMID:26974599</ref>.
 
FFAs bind to hGPR40 by coordinating its free carboxyl group to three amino acids, <scene name='72/727085/Ffa_binding/1'>Arg183, Tyr2240, and Arg258</scene>, which are located close to the <scene name='72/727085/Hgpr40_transmane_active/1'>extracellular domain</scene> of hGPR40 on TM5, 6 and 7. Because of the close proximity of these residues to the extracellular domain and the dominantly hydrophobic nature of FFA’s, it is likely that ligand binding occurs close to the plane of the membrane <ref name="Morg">PMID:19660440</ref>.
 
[http://metislabs.com/radioligand-binding-assays Radioligand binding studies] identified multiple [https://en.wikipedia.org/wiki/Binding_site binding sites] in hGPR40.<ref name="Srivastava"/> [https://en.wikipedia.org/wiki/Agonist Full agonists] and [https://en.wikipedia.org/wiki/Partial_agonist partial agonists] were shown to bind in separate sites with positive [http://www.britannica.com/science/cooperativity cooperativity].<ref name="Lin">PMID:22859723</ref> The <scene name='72/721541/Tak_binding_site/4'>binding site for the partial agonist TAK-875</scene> has been identified, but other binding sites were hypothesized. TAK-875 binds between transmembrane helices 3, 4, and 5 and underneath ECL2. By visual inspection, a second possible binding site was proposed between transmembrane helices 3, 4, and 5 on the intracellular side of the transmembrane helices. The location of this binding site with respect to the membrane proposes that substrates would gain entry to the membrane by binding in this site. Also by visual inspection, a third possible binding site was proposed between transmembrane helices 1, 2, and 7 on the extracellular side of hGPR40, close to the TAK-875 binding site.<ref name="Srivastava"/> These binding sites could potentially serve as regulation points for hGPR40. Many proteins that exhibit cooperativity are regulated by the binding of inhibitors.


=== Charge Network ===
=== Charge Network ===
[[Image:hydrogen bonding black.png|200 px|right|thumb|Figure 3. TAK-875 with key binding residues Tyr91, Arg183, Tyr240, and Arg258. These residues all hydrogen bond to the carboxylate moiety of TAK-875.]]hGPR40 has a distinct binding pocket that is established by <scene name='72/721541/All_binding_residues/3'>eight key residues</scene>: <scene name='72/721541/Tyr91/1'>Tyr91</scene>, <scene name='72/721541/Glu172/2'>Glu172</scene>, <scene name='72/721541/Arg183/2'>Arg183</scene>, <scene name='72/721541/Ser187/2'>Ser187</scene>, <scene name='72/721541/Tyr240/1'>Tyr240</scene>, <scene name='72/721541/Asn241/1'>Asn241</scene>, <scene name='72/721541/Asn244/1'>Asn244</scene>, and <scene name='72/721541/Arg258/1'>Arg258</scene> (all individual residues shown in <FONT COLOR="#00FF00">'''chartreuse'''</FONT>). The importance of these residues for agonist binding was determined by alanine [https://www.neb.com/applications/cloning-and-synthetic-biology/site-directed-mutagenesis mutagenesis] studies. Each of these residues have either a [http://www.proteinstructures.com/Structure/Structure/amino-acids.html charged or polar R-group] that creates a charge network that keeps these residues in a stable, unbound state until exposed to a substrate. When the substrate (an agonist) enters the binding pocket, four of the eight <scene name='72/721541/Hydrogen_binding_1/8'>key binding residues</scene> interact directly with the carboxylate moiety of the agonist by hydrogen bonding to it. These residues include two key arginines in the binding pocket, Arg183 and Arg258,<ref name="Sum">PMID: 17699519</ref><ref name="Sum, C.">PMID:19068482</ref> and two key tyrosine residues, Tyr91 and Tyr240 (Figure 3). Tyr240 is especially important for binding, as mutation of Tyr240 caused an eight fold reduction in the binding affinity of TAK-875 and had a significant effect on the [https://en.wikipedia.org/wiki/Dissociation_constant K<sub>D</sub>] of the protein.<ref name="Srivastava"/>  
hGPR40 has a distinct binding pocket that is established by <scene name='72/721541/All_binding_residues/3'>eight key residues</scene>: <scene name='72/721541/Tyr91/1'>Tyr91</scene>, <scene name='72/721541/Glu172/2'>Glu172</scene>, <scene name='72/721541/Arg183/2'>Arg183</scene>, <scene name='72/721541/Ser187/2'>Ser187</scene>, <scene name='72/721541/Tyr240/1'>Tyr240</scene>, <scene name='72/721541/Asn241/1'>Asn241</scene>, <scene name='72/721541/Asn244/1'>Asn244</scene>, and <scene name='72/721541/Arg258/1'>Arg258</scene> (all individual residues shown in <FONT COLOR="#00FF00">'''chartreuse'''</FONT>). The importance of these residues for agonist binding was determined by alanine [https://www.neb.com/applications/cloning-and-synthetic-biology/site-directed-mutagenesis mutagenesis] studies. Each of these residues have either a [http://www.proteinstructures.com/Structure/Structure/amino-acids.html charged or polar R-group] that creates a charge network that keeps these residues in a stable, unbound state until exposed to a substrate. When the substrate (an agonist) enters the binding pocket, four of the eight <scene name='72/721541/Hydrogen_binding_1/8'>key binding residues</scene> interact directly with the carboxylate moiety of the agonist by hydrogen bonding to it. These residues include two key arginines in the binding pocket, Arg183 and Arg258,<ref name="Sum">PMID: 17699519</ref><ref name="Sum, C.">PMID:19068482</ref> and two key tyrosine residues, Tyr91 and Tyr240. Tyr240 is especially important for binding, as mutation of Tyr240 caused an eight fold reduction in the binding affinity of TAK-875 and had a significant effect on the [https://en.wikipedia.org/wiki/Dissociation_constant K<sub>D</sub>] of the protein.<ref name="Srivastava"/>  


=== ECL2 ===
=== ECL2 ===
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hGPR40 functions as a free fatty acid receptor that participates in [http://www.abcam.com/pathways/overview-of-insulin-signaling-pathways insulin signaling] to regulate blood glucose concentrations. The actual mechanisms  by which insulin signaling occurs are unknown, but multiple theoretical mechanisms have been posited for how hGPR40 participates in the regulation of glucose uptake.<ref name="Srivastava"/>
hGPR40 functions as a free fatty acid receptor that participates in [http://www.abcam.com/pathways/overview-of-insulin-signaling-pathways insulin signaling] to regulate blood glucose concentrations. The actual mechanisms  by which insulin signaling occurs are unknown, but multiple theoretical mechanisms have been posited for how hGPR40 participates in the regulation of glucose uptake.<ref name="Srivastava"/>


=== Mechanisms of Insulin Secretion ===
[[Image:Gpr40 insulin pathway.png|400 px|center|thumb|'''Figure 5:'''  Signaling pathway mediated by GPR40 in pancreatic β-cells. The 𝝰q subunit represents the Gq unit that is coupled to hGPR40. This subunit breaks off to activate phospholipase C (PLC), resulting in the hydrolysis of phosphatidylinositol-4,5-biphosphate (PIP<sub>2</sub>). PIP<sub>2</sub> goes on to create diacylglycerol (DAG) and inositol 1,4,5-triphosphate (IP3). The DAG activates protein kinase c (PKC), triggering secretion of insulin. Activated IP3 diffuses to the endoplasmic reticulum (ER), releasing the stored Ca<sup>2+</sup>, which aids in insulin secretion. ]]
One proposed pathway of insulin secretion by hGPR40 involves the activation of the [https://en.wikipedia.org/wiki/Gq_alpha_subunit G<sub>aq/11</sub>] protein complex. This complex then activates [[phospholipase C]] (PLC) which in turn hydrolyses [https://en.wikipedia.org/wiki/Phosphatidylinositol_4,5-bisphosphate phosphatidylinositol 4,5-bisphosphate] to inositol 1,4,5-triphosphate (IP<sub>3</sub>) and diacylglycerol (DAG). IP<sub>3</sub> can then mediate the [http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3560308/ influx of Ca<sup>2+</sup>] by moving into the cytoplasm, binding to the endoplasmic reticulum, and allowing for the release of Ca<sup>2+</sup> into the cytosol.<ref name="Burant"/> This increase in [Ca<sup>2+</sup>] amplifies the similar increase in [Ca<sup>2+</sup>] that results from high concentrations of glucose. In this way, hGPR40 mimics glucose dependent insulin secretion.<ref name="Itoh">PMID:12629551</ref> Overall, hGPR40 helps to amplify the Ca<sup>2+</sup> signal so that the cell secretes more insulin.


Another pathway through which hGPR40 may induce insulin expression is through phospholipase D1 (PKD1). When free fatty acids bind to hGPR40, hGPR40 directly phosphorylates and activates PKD1. The PKD1 plays a role in controlling the organization of an actin network that plays in role in insulin secretion.<ref name="Burant"/>
The natural substrate of hGPR40 is free fatty acids (FFAs) which bind to the G-protein and enhance glucose-stimulated insulin secretion <ref name="Morg">PMID:19660440</ref>. FFAs bind to GPR40 which then couples with the G-protein Gq leading to increased [https://en.wikipedia.org/wiki/Phospholipase_C phospholipase C] (PLC) activity<ref name="Morg"/>. PLC catalyzes the hydrolysis of the phospholipid [https://en.wikipedia.org/wiki/Phosphatidylinositol_4,5-bisphosphate phosphatidylinositol-4,5-biphosphate ] (PIP<sub>2</sub>) resulting in the formation of [https://en.wikipedia.org/wiki/Diglyceride diacylglycerol] (DAG) and [https://en.wikipedia.org/wiki/Inositol_trisphosphate inositol 1,4,5-triphosphate] (IP3)<ref name="Morg"/>. DAG can then activate [https://en.wikipedia.org/wiki/Protein_kinase_C protein kinase C] (PKC) to enhance insulin secretion<ref name="Morg"/>. IP3 on the other hand is soluble and diffuses to the [https://en.wikipedia.org/wiki/Endoplasmic_reticulum endoplasmic reticulum] where it binds a ligand-gated Ca<sup>2+</sup> channel<ref name="Morg"/>. This binding triggers the opening of the channel causing stored Ca<sup>2+</sup> to be released into the cytoplasm<ref name="Morg"/>. This large increase in intracellular free Ca<sup>2+</sup> produces a proportional increase in glucose-dependent insulin secretion, suggesting that insulin release can be contributed in part to the changes in Ca<sup>2+</sup> concentration resulting from activated GPR40 <ref name="Morg"/>.


== Clinical Relevance ==
== Clinical Relevance ==
By signaling predominantly through G<sub>aq/11</sub>, hGPR40 increases intracellular calcium and activates phospholipases to generate diacylglycerols resulting in increased insulin secretion. Synthetic small-molecule agonists of hGPR40 enhance insulin secretion in a glucose dependent manner [http://www.merriam-webster.com/medical/in%20vitro in vitro] and [http://www.merriam-webster.com/medical/in%20vivo in vivo] with a mechanism similar to that found with fatty acids. hGPR40 agonists have shown efficacy in increasing insulin secretion and lowering blood glucose in rodent models of type 2 diabetes.<ref name="Burant"/>
By signaling predominantly through G<sub>aq/11</sub>, hGPR40 increases intracellular calcium and activates phospholipases to generate diacylglycerols resulting in increased insulin secretion. Synthetic small-molecule agonists of hGPR40 enhance insulin secretion in a glucose dependent manner [http://www.merriam-webster.com/medical/in%20vitro in vitro] and [http://www.merriam-webster.com/medical/in%20vivo in vivo] with a mechanism similar to that found with fatty acids. hGPR40 agonists have shown efficacy in increasing insulin secretion and lowering blood glucose in rodent models of type 2 diabetes.<ref name="Burant"/>
=== TAK-875 ===
[[Image:Tak-875.png |300 px|right|thumb|Figure 4. Structure of TAK-875. The carboxylate moiety (upper right) inserts into hGPR40. The Sulfonate group (upper left) remains on the outside of the protein once bound.]] One example of an hGPR40 agonist is <scene name='72/721541/Tak875/3'>TAK-875</scene>. The carboxylate moiety of the agonist enters through the auxiliary loop of hGPR40, disrupts the hydrogen bonding of the charge network, and binds with Arg183, Arg258, Tyr91, and Tyr240.<ref name="Srivastava"/> TAK-875 has shown efficacy in increasing insulin secretion and lowering blood glucose in rodent models of type 2 diabetes.<ref name="Burant"/> This drug was studied in [https://www.nlm.nih.gov/services/ctphases.html phase III clinical trials]. It significantly reduced [http://www.diabetes.co.uk/what-is-hba1c.html HbA1c] and fasting plasma glucose levels in Japanese patients with type 2 diabetes that was not controlled by diet and exercise. However, clinical trials were stopped shortly after this study because TAK-875 was suspected of causing liver damage.<ref name="Kaku">PMID:25787200</ref> 
=== Other Potential Inhibitors ===
[[Image:AMG-837.jpg |300 px|right|thumb|Figure 5. Structure of the potential agonist AMG-837. In clinical trials, this drug was found to increase glucose tolerance in individuals with Type 2 Diabetes.]] TAK-875 had the most promising outlooks out of any current known agonists of hGPR40, but it was discontinued. Some other agonists tested in clinical trials include AMG-837 and AM-1638. When coadministered, AMG-837 (Figure 5) and AM-1638 enhanced glucose tolerance, but they were found to be toxic in the human trials. Some other agonsits are currently being examined as well. One compound, LY 2881835 (Eli Lilly & Company, Indianapolis, IN), has undergone clinical trials, but the results are unknown. In addition to the above-mentioned compound, other orally bioavailable GPR40-specific agonists are currently in preclinical or clinical  development. As of 2015, TUG-770 and CNX-011-67 (Connexios Life Sciences, Karnataka, India) were in preclinical trials and JTT-851 (Japan Tobacco, Toyko, Japan), and P11187 (Piramal, Mumbai, India) were in clinical trails.<ref name="Mancini">PMID: 25604916</ref>
== hGPR40 ''Homo sapiens'' ==
StructureSection load='4phu' size='350' side='right' caption='hGPR40' scene='72/727085/Hgpr40_begin/2'
== Introduction ==
'''Human GPR40 receptor''', hGPR40, is a [https://en.wikipedia.org/wiki/Free_fatty_acid_receptor free fatty-acid g-protein coupled receptor] that binds medium to long chain [https://en.wikipedia.org/wiki/Fatty_acid free fatty acids], inducing [https://en.wikipedia.org/wiki/Insulin insulin] secretion<ref name="crystal"/>. hGPR40 is highly expressed in human pancreatic [https://en.wikipedia.org/wiki/Beta_cell β cells], brain, and endocrine cells of the [https://en.wikipedia.org/wiki/Gastrointestinal_tract gastrointestinal tract] <ref name=”REN”>PMID:26974599</ref>. hGPR40 is of particular interest because the triggering of insulin secrection is [https://en.wikipedia.org/wiki/Glucose glucose] dependent.This glucose-dependence for hGPR40 signaling makes it a target for the treatment of [https://en.wikipedia.org/wiki/Diabetes_mellitus_type_2 type-2 diabetes] as agonists could increase glycemic control and lower the risk of hypoglycemia<ref name="crystal"/>.
== Function ==
GPR40 is most prevalent in [https://en.wikipedia.org/wiki/Beta_cell pancreatic β-cells] where free fatty acids (FFAs) have pleiotropic effects <ref name="FFA">PMID:19460454</ref>. While acute intake of FFAs stimulates insulin release, chronic exposure to high levels of FFAs results in the impairment of β-cell function and insulin secretory response <ref name= "FFA"/>. GPR40 mediates the effect of both acute and chronic levels of FFAs. FFAs amplify glucose-stimulated insulin secretion from pancreatic β-cells by activating GPR40.
When GPR40 is inhibited, insulin secretion no longer increases in response to fatty acid stimulation <ref name= "FFA"/>. This decreased activity of GPR40 leads to a decreased risk of [https://en.wikipedia.org/wiki/Hyperinsulinemia hyperinsulinemia], [https://en.wikipedia.org/wiki/Fatty_liver fatty liver disease], [https://en.wikipedia.org/wiki/Hypertriglyceridemia hypertriglyceridemia], [https://en.wikipedia.org/wiki/Hyperglycemia hyperglycemia], and [https://en.wikipedia.org/wiki/Impaired_glucose_tolerance glucose tolerance] in obese patients <ref name= "FFA"/>. On the contrary, overexpression of GPR40 leads to impaired β-cell function, hyperinsulinemia, and diabetes <ref name= "FFA"/>. These results suggest that GPR40 plays an important role in the mechanism that links obesity and type 2 diabetes and thus is a popular drug target being studied.
== Structure ==
hGPR40 is composed of seven-transmembrane helices that are characteristic of [https://en.wikipedia.org/wiki/G_protein%E2%80%93coupled_receptor G-protein coupled receptors] (GPCR)<ref name="crystal">PMID: 25043059</ref>. While there is relatively low sequence identity between hGPR40 and peptide-binding and [https://en.wikipedia.org/wiki/Opioid_receptor opioid GPCRs], they do share structural similarities such as a conserved <scene name='72/727085/Hairpin_loop/4'>hairpin loop</scene> motif on <scene name='72/727085/Ecl2/4'>extracellular loop 2 </scene>(ECL2)<ref name="crystal"/>. In addition, there is a conserved <scene name='72/727085/Disulfide/3'>disulphide bond</scene> that is formed between transmembrane helix 3 (Cys 79) and the C-terminus of ECL2 (Cys170)<ref name="crystal"/>. Compared to peptide-binding and opioid GPCRs which have distinctive [https://en.wikipedia.org/wiki/Beta_sheet β-sheets] spanning from transmembrane helix 4 to 5, hGPR40 possesses a shorter B-sheet-like region which has  [http://proteopedia.org/wiki/index.php/Image:Beta-like_factors_of_hGPR40_ECL2.png low B-factors]<ref name="crystal"/>. This reflects the low mobility of the region that limits the overall flexibility of the adjacent portion of ECL2 between Leu171 and Asp175<ref name="crystal"/>. A unique feature of hGPR40 is the presence of an additional 13 residues (Pro147 to Gly159) on ECL2 which is absent on all the other peptide/opioid receptors<ref name="crystal"/>. These extra residues form a separate <scene name='72/727085/Auxiliary_loop/3'>auxiliary loop</scene> between the B-sheet-like region and transmembrane 4. Together, the auxiliary loop and ECL2 of hGPR40 function as a <scene name='72/727085/Ecl2_cap/3'>roof </scene> over the canonical binding site covering it from the central extracellular region<ref name="crystal"/>.
[[Image:Gpcr comparison.png|380 px|thumb|center|'''Figure 1:'''Comparison of Delta-opioid receptor to human free-fatty acid receptor (hGPR40) both of which are G-protein coupled receptors. The binding pocket of the delta-opioid receptor is solvent exposed allowing ligands to enter directly from the extracellular space while the binding pocket of hGPR40 is covered by the extracellular loop 2 (ECL2) preventing entry from the extracellular space (ECL2 represented in cyan). The Delta-opioid displays the canonical binding site typical of most GPCRs while ligands of hGPR40 bind to a noncanonical pocket represented in pink.]]
The canonical binding pocket for many other GPCRs is solvent exposed and centrally located between the transmembrane helices allowing ligands to directly bind from the extracellular space<ref name="crystal"/>. However, because the ECL2 acts as a roof to this canonical binding site, it inhibits ligands from entering directly from the extracellular region. Instead, the highly lipophilic nature of hGPRC40’s ligands allow it to enter a <scene name='72/727085/Hgpr40_entry/2'>noncanonical binding pocket </scene> between TM3 and TM4 by moving through the lipid bilayer<ref name="crystal"/>.
[[Image:Binding site comparison.png|380 px|thumb|center|'''Figure 2:''' Comparison of the canonical binding site represented in pink of most opioid/peptide binding GPCRs (left) compared to the noncanonical binding site of ligands with hGPR40 (right). ]]
== Ligand Binding ==
=== Free Fatty Acids ===
GPR40’s natural substrate are FFAs in which a free [https://en.wikipedia.org/wiki/Carboxylic_acid carboxyl group] is required to bind. However, GPR40 can be activated by a wide variety of fatty acids with chain lengths ranging from [https://en.wikipedia.org/wiki/Saturated_fat saturated fatty acids] with 8 carbons to 23 carbons. In addition, various [https://en.wikipedia.org/wiki/Monounsaturated_fat mono] (i.e. [https://en.wikipedia.org/wiki/Palmitoleic_acid palmitoleic] (C16:1) and [https://en.wikipedia.org/wiki/Oleic_acid oleic] (C18:1) acids) and [https://en.wikipedia.org/wiki/Polyunsaturated_fatty_acid poly-unsaturated fatty acids] (i.e.[https://en.wikipedia.org/wiki/Linoleic_acid linoleic] (C18:2) and [https://en.wikipedia.org/wiki/List_of_unsaturated_fatty_acids#Eicosatrienoic_acid eicosatrienoic] (C20:3) acids) can activate GPR40 <ref name= "Morg"/>. The agonists potency varies according to the carbon-chain length however. The activity of GPR40 increases when the chain is increased from C6 to C15 but then decreased when the chain was extended beyond C15. One explanation for this is that as [https://en.wikipedia.org/wiki/Alkyl alkyl] chain increased, so did the [https://en.wikipedia.org/wiki/Hydrophobe hydrophobic] interactions with the protein within the binding pocket. However, for FFAs with carbon chains longer than C15, the molecular size is too large for the binding pocket. This causes the alkyl chain to extend beyond the binding pocket and destabilize the binding <ref name="Ren">PMID:26974599</ref>.
FFAs bind to hGPR40 by coordinating its free carboxyl group to three amino acids, <scene name='72/727085/Ffa_binding/1'>Arg183, Tyr2240, and Arg258</scene>, which are located close to the <scene name='72/727085/Hgpr40_transmane_active/1'>extracellular domain</scene> of hGPR40 on TM5, 6 and 7. Because of the close proximity of these residues to the extracellular domain and the dominantly hydrophobic nature of FFA’s, it is likely that ligand binding occurs close to the plane of the membrane <ref name="Morg">PMID:19660440</ref>. 


=== [http://proteopedia.org/wiki/index.php/Image:Tak_875.png TAK-875] ===
=== [http://proteopedia.org/wiki/index.php/Image:Tak_875.png TAK-875] ===
Line 70: Line 47:
[[Image:Hydrophobic crop.png|380 px|center|thumb|'''Figure 3:''' TAK-875 buries its polar head group within a very hydrophobic region and coordinate within the polar charge network of hGPR40.]]
[[Image:Hydrophobic crop.png|380 px|center|thumb|'''Figure 3:''' TAK-875 buries its polar head group within a very hydrophobic region and coordinate within the polar charge network of hGPR40.]]
TAK-875 binds to the <scene name='72/727085/Hgpr40_entry/2'>noncanonical binding site </scene> created between transmembrane (TM) domains 3-5 and the extracellular loop 2 (ECL2) of hGPR40. The ECL2 and auxiliary loop form a roof causing TAK-875 to enter through TM3 and TM4, first passing through the lipid bilayer. The carboxylate of TAK-875 is buried within a very hydrophobic region and in a complex complex <scene name='72/727085/Hgpr40_binding_relay/6'>charge network</scene> involving Glu172, Ser187, Asn241, and Asn 244 from hGPR40 forming ionic and polar interactions by coordinating TAK-875 with Arg183, Arg258, Tyr91, and Tyr240.  
TAK-875 binds to the <scene name='72/727085/Hgpr40_entry/2'>noncanonical binding site </scene> created between transmembrane (TM) domains 3-5 and the extracellular loop 2 (ECL2) of hGPR40. The ECL2 and auxiliary loop form a roof causing TAK-875 to enter through TM3 and TM4, first passing through the lipid bilayer. The carboxylate of TAK-875 is buried within a very hydrophobic region and in a complex complex <scene name='72/727085/Hgpr40_binding_relay/6'>charge network</scene> involving Glu172, Ser187, Asn241, and Asn 244 from hGPR40 forming ionic and polar interactions by coordinating TAK-875 with Arg183, Arg258, Tyr91, and Tyr240.  
[[Image:Simplified hydrophibic.png|380 px|center|thumb|'''Figure 4:''' Stabilizing binding interactions between TAK-875 and hGPR40. Amino acids denoted in orange coordinate with the polar head of TAK-875 by polar/ionic interactions while blue amino acids stabilize the binding through hydrophobic interactions.]] 


[[Image:Simplified hydrophibic.png|380 px|center|thumb|'''Figure 4:''' Stabilizing binding interactions between TAK-875 and hGPR40. Amino acids denoted in orange coordinate with the polar head of TAK-875 by polar/ionic interactions while blue amino acids stabilize the binding through hydrophobic interactions.]]
=== Other Potential Inhibitors ===
[[Image:AMG-837.jpg |300 px|right|thumb|Figure 5. Structure of the potential agonist AMG-837. In clinical trials, this drug was found to increase glucose tolerance in individuals with Type 2 Diabetes.]] TAK-875 had the most promising outlooks out of any current known agonists of hGPR40, but it was discontinued. Some other agonists tested in clinical trials include AMG-837 and AM-1638. When coadministered, AMG-837 (Figure 5) and AM-1638 enhanced glucose tolerance, but they were found to be toxic in the human trials. Some other agonsits are currently being examined as well. One compound, LY 2881835 (Eli Lilly & Company, Indianapolis, IN), has undergone clinical trials, but the results are unknown. In addition to the above-mentioned compound, other orally bioavailable GPR40-specific agonists are currently in preclinical or clinical  development. As of 2015, TUG-770 and CNX-011-67 (Connexios Life Sciences, Karnataka, India) were in preclinical trials and JTT-851 (Japan Tobacco, Toyko, Japan), and P11187 (Piramal, Mumbai, India) were in clinical trails.<ref name="Mancini">PMID: 25604916</ref>


== Signal Transduction ==
StructureSection load='4phu' size='350' side='right' caption='hGPR40' scene='72/727085/Hgpr40_begin/2'
 
[[Image:Gpr40 insulin pathway.png|400 px|center|thumb|'''Figure 5:''' Signaling pathway mediated by GPR40 in pancreatic β-cells. The 𝝰q subunit represents the Gq unit that is coupled to hGPR40. This subunit breaks off to activate phospholipase C (PLC), resulting in the hydrolysis of phosphatidylinositol-4,5-biphosphate (PIP<sub>2</sub>). PIP<sub>2</sub> goes on to create diacylglycerol (DAG) and inositol 1,4,5-triphosphate (IP3). The DAG activates protein kinase c (PKC), triggering secretion of insulin. Activated IP3 diffuses to the endoplasmic reticulum (ER), releasing the stored Ca<sup>2+</sup>, which aids in insulin secretion. ]]
 
The natural substrate of hGPR40 is free fatty acids (FFAs) which bind to the G-protein and enhance glucose-stimulated insulin secretion <ref name="Morg">PMID:19660440</ref>. FFAs bind to GPR40 which then couples with the G-protein Gq leading to increased [https://en.wikipedia.org/wiki/Phospholipase_C phospholipase C] (PLC) activity<ref name="Morg"/>. PLC catalyzes the hydrolysis of the phospholipid [https://en.wikipedia.org/wiki/Phosphatidylinositol_4,5-bisphosphate phosphatidylinositol-4,5-biphosphate ] (PIP<sub>2</sub>) resulting in the formation of [https://en.wikipedia.org/wiki/Diglyceride diacylglycerol] (DAG) and [https://en.wikipedia.org/wiki/Inositol_trisphosphate inositol 1,4,5-triphosphate] (IP3)<ref name="Morg"/>. DAG can then activate [https://en.wikipedia.org/wiki/Protein_kinase_C protein kinase C] (PKC) to enhance insulin secretion<ref name="Morg"/>. IP3 on the other hand is soluble and diffuses to the [https://en.wikipedia.org/wiki/Endoplasmic_reticulum endoplasmic reticulum] where it binds a ligand-gated Ca<sup>2+</sup> channel<ref name="Morg"/>. This binding triggers the opening of the channel causing stored Ca<sup>2+</sup> to be released into the cytoplasm<ref name="Morg"/>. This large increase in intracellular free Ca<sup>2+</sup> produces a proportional increase in glucose-dependent insulin secretion, suggesting that insulin release can be contributed in part to the changes in Ca<sup>2+</sup> concentration resulting from activated GPR40 <ref name="Morg"/>.
 
== Medical Relevance ==
 
While undergoing clinical trials, the use of TAK-875 in the treatment of diabetes mellitus was terminated in the III phase. This was due to observed liver toxicity hypothesized to be connected to the effect of TAK-875 on [https://en.wikipedia.org/wiki/Bile_acid bile acids], achieved through the inhibition of the efflux of bile acids into bile<ref>PMID:26276582</ref>. Other molecules are currently in development for activating hGPR40 without adversely affecting liver function. One promising lead compound is 3-ethoxypropanoic acid, however this molecule must be modified as its [https://en.wikipedia.org/wiki/Half-life half-life] is very short due to the rapid [https://en.wikipedia.org/wiki/Redox oxidation] at the [https://en.wikipedia.org/wiki/Benzyl benzyl position] during metabolism <ref name="Tak">PMID:25815144</ref>. Additional research may hold the answer to effective treatment of type 2 diabetes and should be centered on the hGPR40 receptor because of its unique glucose dependent insulin secretion.