Jingzhi-Christina Zhou, Michelle Z Li, Alan Long, Alem W Kahsai
{"title":"Biased Allosteric Modulation in GPCR Drug Discovery.","authors":"Jingzhi-Christina Zhou, Michelle Z Li, Alan Long, Alem W Kahsai","doi":"10.1007/164_2025_771","DOIUrl":"10.1007/164_2025_771","url":null,"abstract":"<p><p>Allosteric modulation of G protein-coupled receptors (GPCRs) is emerging as a powerful approach in drug discovery, offering enhanced subtype selectivity and the ability to bias signaling toward therapeutically preferred pathways, thereby reducing off-target effects. While most approved GPCR drugs act via the orthosteric site, this approach often lacks subtype specificity and induces pleiotropic signaling that can compromise therapeutic efficacy. Orthosteric biased ligands have provided proof of concept for functional selectivity, yet their development has been limited by site homology and challenges in fine-tuning pathway specificity. In contrast, allosteric modulators (AMs) bind to spatially and structurally distinct, less conserved sites located across extracellular, transmembrane, and intracellular receptor domains. By stabilizing discrete receptor conformations, AMs can fine-tune transducer engagement and preferentially direct signaling toward either G protein or β-arrestin (βarr) pathway. Recent structural and biophysical studies have provided insights into how diverse AMs lock GPCRs in specific conformations and modulate signaling across receptor families. Taken together, these findings reflect a shift in GPCR pharmacology, driven by the convergence of biased signaling and allosteric modulation. Biased allosteric modulators (BAMs) represent a promising class of ligands that bind at allosteric sites and selectively tune signaling pathways by biasing orthosteric ligand-induced responses. This review outlines the principles of biased signaling and allosteric modulation and highlights strategies for designing BAMs for GPCRs. Identifying BAMs could revolutionize GPCR drug discovery by enabling pathway-specific precision therapeutics with improved efficacy and fewer side effects.</p>","PeriodicalId":12859,"journal":{"name":"Handbook of experimental pharmacology","volume":" ","pages":"237-259"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145244405","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Li Lin, Yizhong Li, Shenglan Zhang, Cangsong Shen, Jiyong Meng, Jianfeng Liu
{"title":"GPCR Heterodimers: Implications for Biased Signaling.","authors":"Li Lin, Yizhong Li, Shenglan Zhang, Cangsong Shen, Jiyong Meng, Jianfeng Liu","doi":"10.1007/164_2025_762","DOIUrl":"10.1007/164_2025_762","url":null,"abstract":"<p><p>G protein-coupled receptors (GPCRs) are key mediators of cellular signaling, participating in various physiological and pathological processes. Emerging evidence reveals that GPCRs can form functional heterodimers, wherein two distinct receptor subtypes interact mutually to generate unique signaling complexes. GPCR heterodimers play a crucial role in modulating cellular responses and are involved in biased signaling, a phenomenon where receptor activation preferentially triggers specific intracellular pathways (e.g., G protein vs. β-arrestin pathways). In this review, we will explore the molecular mechanisms underlying GPCR heterodimerization and the modulation of biased signaling in heterodimers. We first discuss the assembly and activation mechanisms based on heterodimerization in Class C GPCRs. Furthermore, we explore the impact of receptor dimerization on downstream biased signaling and the physiological relevance of these heterodimers. Next, we also summarize three criteria and essential technologies for identifying potential heterodimers. Lastly, we address the challenges and future directions in the study of GPCR heterodimers, particularly for drug discovery, highlighting their potential in designing novel therapeutics with enhanced specificity and reduced side effects.</p>","PeriodicalId":12859,"journal":{"name":"Handbook of experimental pharmacology","volume":" ","pages":"13-63"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145064495","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Saúl Huerta de la Cruz, Diana L Silva-Velasco, Jesus H Beltran-Ornelas, David Centurión
{"title":"The Role of Hydrogen Sulfide in Peripheral Nervous System Modulation.","authors":"Saúl Huerta de la Cruz, Diana L Silva-Velasco, Jesus H Beltran-Ornelas, David Centurión","doi":"10.1007/164_2025_777","DOIUrl":"10.1007/164_2025_777","url":null,"abstract":"<p><p>Hydrogen sulfide (H<sub>2</sub>S) is a gasotransmitter that contributes to the regulation of peripheral nervous system (PNS) function. H<sub>2</sub>S is produced by several enzymes whose expression changes under different physiological and pathological conditions, influencing how peripheral neurons respond to environmental and internal signals. H<sub>2</sub>S modulates neuronal excitability through its actions on ion channels and through interactions with other gasotransmitters, shaping sensory, autonomic, and pain-related pathways. In autonomic circuits, H<sub>2</sub>S adjusts sympathetic and parasympathetic activity. Through these actions, it affects cardiovascular control, gastrointestinal motility, and respiratory rhythm. In pain pathways, H<sub>2</sub>S can modulate nociception in either direction, with its effectsshaped by the physiological or pathological state. H<sub>2</sub>S participates in multiple pain conditions and contributes to changes in peripheral and spinal processing that influence pain sensitivity. Overall, H<sub>2</sub>S influences several components of peripheral neurobiology and represents a potential target for strategies aimed at treating autonomic dysfunction and chronic pain.</p>","PeriodicalId":12859,"journal":{"name":"Handbook of experimental pharmacology","volume":" ","pages":"41-64"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145762677","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Biased Agonism at β-Adrenoceptor Subtypes: A Drug Development Perspective.","authors":"Martin C Michel, Ongun Onaran","doi":"10.1007/164_2025_769","DOIUrl":"10.1007/164_2025_769","url":null,"abstract":"<p><p>Selectivity of a drug for a desired response as compared to undesirable responses (side effect) is a key goal of drug development. Early concepts to achieve such selectivity were based on selectivity for a molecular target as compared to others, pharmacokinetic factors to achieve high concentrations in the target tissue as compared to low concentrations in others, differential efficacy in the target vs. others tissues, and leveraging the concept of cell type and tissue differences in expression levels of receptors and their related signaling molecules, which can be further complicated by alterations of such ratios in disease. Biased agonism occurs when one response is activated preferentially over another after accounting for the above other factors. Thus, assessment of ligand bias is not always easy. β-Adrenoceptors have played a relevant role in our understanding of the phenomenon of biased agonism. Several clinically used β-adrenoceptor ligands were proposed to exhibit biased agonism, but the findings often are inconclusive, at least partly based on the overall complexity of assessment of biased signaling. These complexities also make it challenging to determine the desired biased profile of a ligand at the start of a drug research and development project, particularly for innovative applications. Thus, biased agonism has potential to contribute to functional target selectivity, but its prospective use remains challenging.</p>","PeriodicalId":12859,"journal":{"name":"Handbook of experimental pharmacology","volume":" ","pages":"203-219"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145058235","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Valentina Vellecco, Martina Smimmo, Veronica Casale, Mariarosaria Bucci
{"title":"H<sub>2</sub>S Signaling and SKM Physiopathology.","authors":"Valentina Vellecco, Martina Smimmo, Veronica Casale, Mariarosaria Bucci","doi":"10.1007/164_2025_779","DOIUrl":"10.1007/164_2025_779","url":null,"abstract":"<p><p>Hydrogen sulfide (H₂S) is increasingly recognized as gaseous endogenous molecule for its significant role in various physiological processes, behind its historical association with toxicity. Recent studies have highlighted H₂S's cytoprotective properties, including antioxidant, anti-inflammatory, and antifibrotic effects, particularly in the context of skeletal muscle (SKM) health. SKM disorders, such as muscular dystrophy, human malignant hyperthermia, and sarcopenia, lead to severe structural and functional impairments that adversely affect the quality of life. Although limited literature is available on the role of H<sub>2</sub>S in SKM physiopathology, it is gaining special interest. Emerging evidence suggests that H₂S may have a protective role in mitigating muscle damage and dysfunction. This chapter explores the dual functions of H₂S in SKM physiology and pathophysiology, emphasizing its potential therapeutic applications. We propose that H₂S-based strategies may offer promising avenues for alleviating the progression of muscle-related disorders and warrant further investigation to fully elucidate its mechanisms of action.</p>","PeriodicalId":12859,"journal":{"name":"Handbook of experimental pharmacology","volume":" ","pages":"233-252"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145855470","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The SERCA Pump: A Key Molecular Target in Calcium Handling of Vascular Smooth Muscle Cells in Metabolic Syndrome.","authors":"Cristian J Arriero-Carrillo, Angélica Rueda","doi":"10.1007/164_2026_798","DOIUrl":"10.1007/164_2026_798","url":null,"abstract":"<p><p>The calcium ion (Ca<sup>2+</sup>) is a fundamental intracellular messenger involved in the transduction of diverse receptor signaling pathways. Transient increases in cytoplasmic Ca<sup>2+</sup> concentration ([Ca<sup>2+</sup>]<sub>cyt</sub>) regulate many cellular functions, including the contraction of vascular smooth muscle cells (VSMCs), which are active components of the blood vessels. A key protein in intracellular Ca<sup>2+</sup> handling is the sarco/endoplasmic reticulum (SR/ER) Ca<sup>2+</sup> ATPase, or SERCA pump. This transmembrane protein belongs to the P-type ATPase family and uses energy from ATP hydrolysis to transport Ca<sup>2+</sup> from the cytoplasm into intracellular reservoirs within the SR of VSMCs. By lowering [Ca<sup>2+</sup>]<sub>cyt</sub>, SERCA activity promotes vasorelaxation. In mammals, three genes, ATP2A1, ATP2A2, and ATP2A3, encode at least twelve SERCA pump isoforms. Alternative mRNA splicing is the primary mechanism for generating most isoforms, leading to tissue-specific expression patterns. In VSMCs from the aorta and mesenteric arteries, the expression of SERCA2a, SERCA2b, and, more recently, SERCA3 has been reported. This chapter will review the structure, mechanism of action, and physiological role of the SERCA pump in the intracellular Ca<sup>2+</sup> handling of VSMCs, as well as its alterations in metabolic syndrome.</p>","PeriodicalId":12859,"journal":{"name":"Handbook of experimental pharmacology","volume":" ","pages":"105-126"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147868084","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Jade L Taylor, Eric A Pereira da Silva, Hannah M Voorhees, Maryann K Ferrara, Sophia Salbato, Nuria Daghbouche-Rubio, Miguel Martín-Aragón Baudel, Madeline Nieves-Cintrón
{"title":"Experimental Models for Studying Cardiovascular Dysfunction in Metabolic Syndrome.","authors":"Jade L Taylor, Eric A Pereira da Silva, Hannah M Voorhees, Maryann K Ferrara, Sophia Salbato, Nuria Daghbouche-Rubio, Miguel Martín-Aragón Baudel, Madeline Nieves-Cintrón","doi":"10.1007/164_2026_800","DOIUrl":"10.1007/164_2026_800","url":null,"abstract":"<p><p>Metabolic syndrome (MetS) encompasses an interconnected set of risk factors, including abdominal obesity, insulin resistance, hypertension, dyslipidemia, and systemic inflammation, all of which significantly increase the risk of cardiovascular diseases (CVDs). This chapter provides an overview of animal models used to study cardiovascular complications associated with MetS. We examine commonly used models, including monogenic and polygenic rodent strains, diet-induced and chemically induced models, and large-animal systems, and discuss their strengths and limitations. The chapter then explores cardiac and vascular alterations in MetS and translation to humans. By integrating findings from diverse experimental models with human clinical data, the chapter aims to advance understanding of research on MetS-associated cardiovascular complications.</p>","PeriodicalId":12859,"journal":{"name":"Handbook of experimental pharmacology","volume":" ","pages":"1-44"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147868137","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ariella C Avigad, Melody Zhou, Chengyu Sun, Levin Ma, Xue Li, Rosie J Blodgett, Vera S Donnenberg, Albert D Donnenberg, Patrick L Wagner, David L Bartlett, Kunhong Xiao
{"title":"GPCR Biased Signaling in Cancer.","authors":"Ariella C Avigad, Melody Zhou, Chengyu Sun, Levin Ma, Xue Li, Rosie J Blodgett, Vera S Donnenberg, Albert D Donnenberg, Patrick L Wagner, David L Bartlett, Kunhong Xiao","doi":"10.1007/164_2025_773","DOIUrl":"10.1007/164_2025_773","url":null,"abstract":"<p><p>G protein-coupled receptors (GPCRs) represent the largest family of cell surface receptors. They orchestrate various signaling pathways, playing a central role in regulating various physiological and pathophysiological processes. Dysregulation of GPCR signaling has been intricately linked to cancer pathogenesis, including tumor growth, angiogenesis, metastasis, and immune modulation. Biased GPCR signaling occurs when a ligand preferentially activates one signaling pathway over another, leading to distinct cellular outcomes. In cancer, biased GPCR signaling represents a complex, dynamic phenomenon, significantly influencing cancer development, progression, and treatment resistance. This chapter reviews recent advances in our understanding of GPCR biased signaling in various aspects of cancer biology and explores its therapeutic potential. Given the fragmented nature of existing evidence, we integrate available literature with findings from our own proteomics studies on GPCR and β-arrestin function to provide a preliminary framework for understanding β-arrestin-mediated signaling in cancer. While this overview may capture only a limited snapshot of the broader landscape, it provides a valuable foundation for generating new hypotheses and guiding future research and drug discovery efforts in oncology.</p>","PeriodicalId":12859,"journal":{"name":"Handbook of experimental pharmacology","volume":" ","pages":"277-318"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145400651","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Myrian Velasco, Alondra Albarado-Ibañez, Carlos Larqué, Pablo Pánico, Julián Torres-Jacome, Marcia Hiriart
{"title":"Sexual Dimorphism in the Development of Cardiometabolic Syndrome.","authors":"Myrian Velasco, Alondra Albarado-Ibañez, Carlos Larqué, Pablo Pánico, Julián Torres-Jacome, Marcia Hiriart","doi":"10.1007/164_2026_790","DOIUrl":"10.1007/164_2026_790","url":null,"abstract":"<p><p>Anatomical and physiological differences between sexes explain the sexual dimorphism in the development of diseases, such as obesity and metabolic syndrome. This syndrome is a condition that increases the risk of developing cardiovascular diseases, diabetes, and certain cancer types. Cardiovascular diseases remain the leading cause of mortality in both sexes worldwide. However, CVD mortality is higher in men than women, demonstrating that the differences between women and men might have an essential role in the development of CVD.The CV system shows dimorphic variations, starting at early developmental stages. However, most studies on the CV system have been conducted predominantly in males. Understanding the differences in the CVD associated with sex is vital to improving the prevention, diagnosis, and treatment of these diseases. In this chapter, we highlight the differences found in the literature between sexes in physiological and pathological events within the cardiovascular system related to metabolic syndrome (MetS).</p>","PeriodicalId":12859,"journal":{"name":"Handbook of experimental pharmacology","volume":" ","pages":"45-63"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146258061","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Antiplatelet Therapy.","authors":"Richard T Amison, Simon C Pitchford","doi":"10.1007/164_2025_784","DOIUrl":"10.1007/164_2025_784","url":null,"abstract":"<p><p>Platelets are a crucial component in the maintenance of normal haemostasis. In response to vascular damage, activated platelets adhere to the damaged endothelium leading to both aggregation and coagulation. Under healthy conditions, these processes prevent excessive vascular haemorrhage and promote vascular repair and regeneration. However, in cardiovascular diseases, hyperactive platelet activation leads to acute coronary syndrome characterised by occlusive thrombus formation, myocardial infarction and stroke. Targeted platelet therapy has been used extensively in the inhibition of inappropriate platelet activation for the treatment of cardiovascular diseases including cyclooxygenase inhibitors, purinergic antagonists, thrombin inhibitors, PAR receptor antagonists, and phosphodiesterase inhibitors. In this review, we discuss the current clinical portfolio of antiplatelet therapies whilst also discussing promising new antiplatelet targets for the treatment of cardiovascular disorders.</p>","PeriodicalId":12859,"journal":{"name":"Handbook of experimental pharmacology","volume":" ","pages":"177-210"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146085539","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}