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Receptor bias (revision 2)

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Receptor bias
Also calledBiased agonism, functional selectivity
At the GLP-1 receptorcAMP versus β-arrestin recruitment
Measured asA bias factor, relative to a reference agonist
Topic infobox · conventions

Receptor bias, also termed biased agonism or functional selectivity, is the tendency of an agonist to favour one downstream signalling pathway over another at the same receptor. It arises because different agonists stabilise different receptor conformations, and those conformations couple differently to the available transducers.[1]

At the GLP-1 receptor the pathways usually compared are cAMP accumulation, which mediates the insulinotropic effect, and β-arrestin recruitment, which terminates G-protein signalling and drives receptor internalisation.[1]

The concept

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Classical receptor theory treats an agonist's effect as a single efficacy applied to a single pathway. Biased agonism replaces this with a vector: an agonist has an efficacy for each transducer, and the ratio between them is what "bias" names.[2]

Quantification requires care because potency and efficacy differences that are not bias — receptor reserve differences between assays, for instance — can masquerade as it. Operational models exist to separate the two and their assumptions are not always met.[2]

References

  1. ^ a b Jones B, Buenaventura T, Kanda N, et al. "Targeting GLP-1 receptor trafficking to improve agonist efficacy." Nature Communications 9:1602 (2018). PMID 29686245.
  2. ^ a b Kenakin T, Christopoulos A. "Signalling bias in new drug discovery: detection, quantification and therapeutic impact." Nature Reviews Drug Discovery 12(3):205–216 (2013). PMID 23411724.