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Submitted on January 25, 2005
Accepted on May 9, 2005
Laboratory for Molecular Pharmacology, Department of Pharmacology, The Panum Institute. University of Copenhagen, Blegdamsvej 3, Copenhagen, 7TM Pharma A/S, Fremtidsvej 3, Hørsholm, Denmark
* To whom correspondence should be addressed. E-mail: b.holst{at}molpharm.dk;.
Two non-peptide (L692,429 and MK-677) and two peptide (GHRP-6 and ghrelin) agonists were compared in binding and in signal transduction assays: calcium mobilization, inositol phosphate turnover, cAMP responsive element (CRE) and serum responsive element (SRE) controlled transcription, as well as arrestin mobilization. MK-677 acted as a simple agonist having an affinity of 6.5 nM and activated all signal transduction systems with similar high potency (0.2-1.4 nM). L-692,429 also displayed a very similar potency in all signaling assays (25-60 nM) but competed with a 1000-fold lower apparent affinity for ghrelin binding and surprisingly acted as a positive allosteric receptor modulator by increasing ghrelin's potency 4-10 fold. In contrast, the potency of GHRP-6 varied 600-fold (0.1-61 nM) depending on the signal transduction assay and it acted as a negative allosteric modulator of ghrelin signaling. Unexpectedly, the maximal signaling efficacy for ghrelin was increased above what was observed with the hormone itself during co-administration with the non-endogenous agonists. It is concluded that agonists for the ghrelin receptor vary both in respect of their intrinsic agonist properties and in their ability to modulate ghrelin signaling. A receptor model is presented wherein ghrelin normally only activates one receptor subunit in a dimer and where the smaller non-endogenous agonists bind in the other subunit to act both as co-agonists and as either neutral (MK-677), positive (L-692,429), or negative (GHRP- 6) modulators of ghrelin function. It is suggested that an optimal drug candidate could be an agonist which also is a positive modulator of ghrelin signaling.
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