Key result
β-arrestin-biased AT1R ligands alter receptor conformations to modulate core versus phosphorylated C-terminus interactions.
The study demonstrates 'intra-transducer bias' where allosteric effects of GPCR ligands can directly modulate specific β-arrestin activities, potentially enabling finer control of GPCR drug pharmacology.
No immediate change to AT1R ligand use in practice; leaves open whether conformation bias improves cardiovascular outcomes.
"Biased" ligands of the angiotensin II type 1 receptor (AT1R) preferentially activate G protein or β-arrestin pathways by stabilizing distinct receptor conformations. Here, we show that β-arrestin-biased AT1R ligands vary in their ability to stabilize different modes of β-arrestin interaction, specifically interactions with the AT1R seven-transmembrane core versus the phosphorylated C-terminus. By combining biochemical assays with double electron-electron resonance spectroscopy and integrative modeling, we show that ligands less effective at stabilizing the core complex promote an AT1R conformation with an intermediate transmembrane helix six position that is incompatible with β-arrestin core binding. Since interactions with the core and phosphosites of G protein-coupled receptors (GPCRs) differentially activate the signaling, internalization, and desensitization functions of β-arrestin, our data demonstrate that the allosteric effects of GPCR ligands could directly modulate β-arrestin activities. This "intra-transducer bias," or bias toward various functions of the same transducer, could enable finer control of GPCR drug pharmacology than previously thought possible.
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Elgeti et al. (2025) studied this question. β-arrestin-biased AT1R ligands was evaluated on β-arrestin interaction modes and AT1R conformations. β-arrestin-biased AT1R ligands differentially stabilize receptor conformations, modulating β-arrestin interactions with the receptor core versus the phosphorylated C-terminus.
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