Decoding the structural basis of ligand recognition and biased signaling in the motilin receptor

Summary: The motilin receptor (MTLR) is a key target for treating gastrointestinal (GI) disorders like gastroparesis, yet developing effective agonists remains challenging due to drug tolerance and signaling bias. We present cryoelectron microscopy (cryo-EM) structures of MTLR bound to azithromycin,...

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Main Authors: Chongzhao You, Mengting Jiang, Tianyu Gao, Zining Zhu, Xinheng He, Youwei Xu, Yuan Gao, Yi Jiang, H. Eric Xu
Format: Article
Language:English
Published: Elsevier 2025-03-01
Series:Cell Reports
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Online Access:http://www.sciencedirect.com/science/article/pii/S2211124725001007
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author Chongzhao You
Mengting Jiang
Tianyu Gao
Zining Zhu
Xinheng He
Youwei Xu
Yuan Gao
Yi Jiang
H. Eric Xu
author_facet Chongzhao You
Mengting Jiang
Tianyu Gao
Zining Zhu
Xinheng He
Youwei Xu
Yuan Gao
Yi Jiang
H. Eric Xu
author_sort Chongzhao You
collection DOAJ
description Summary: The motilin receptor (MTLR) is a key target for treating gastrointestinal (GI) disorders like gastroparesis, yet developing effective agonists remains challenging due to drug tolerance and signaling bias. We present cryoelectron microscopy (cryo-EM) structures of MTLR bound to azithromycin, a macrolide antibiotic, and DS-3801b, a non-macrolide agonist. Distinct ligand recognition mechanisms are revealed, with azithromycin binding deeply within the orthosteric pocket and DS-3801b adopting a special clamp-like conformation stabilized by a water molecule. We also highlight the critical role of extracellular loop 2 (ECL2) in ligand specificity and signaling pathway activation, affecting both G-protein and β-arrestin signaling. Additionally, the “D2.60R2.63S3.28” motif and interactions around transmembranes 6/7 (TM6/7) are identified as key drivers of signaling selectivity. These findings offer insights into the structural dynamics of MTLR, laying the groundwork for the rational design of next-generation GI prokinetic drugs with enhanced efficacy and safety.
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issn 2211-1247
language English
publishDate 2025-03-01
publisher Elsevier
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series Cell Reports
spelling doaj-art-e31d576e881c4e92a4679129c372cd5a2025-08-20T02:45:07ZengElsevierCell Reports2211-12472025-03-0144311532910.1016/j.celrep.2025.115329Decoding the structural basis of ligand recognition and biased signaling in the motilin receptorChongzhao You0Mengting Jiang1Tianyu Gao2Zining Zhu3Xinheng He4Youwei Xu5Yuan Gao6Yi Jiang7H. Eric Xu8The State Key Laboratory of Drug Research, Shanghai Institute of Materia Medica, Chinese Academy of Sciences, Shanghai 201203, China; University of Chinese Academy of Sciences, Beijing 100049, China; Corresponding authorLingang Laboratory, Shanghai 200031, China; School of Life Science and Technology, ShanghaiTech University, Shanghai 201210, ChinaThe State Key Laboratory of Drug Research, Shanghai Institute of Materia Medica, Chinese Academy of Sciences, Shanghai 201203, China; School of Life Science and Technology, ShanghaiTech University, Shanghai 201210, ChinaSchool of Chinese Materia Medica, Nanjing University of Chinese Medicine, Nanjing 210046, ChinaThe State Key Laboratory of Drug Research, Shanghai Institute of Materia Medica, Chinese Academy of Sciences, Shanghai 201203, China; University of Chinese Academy of Sciences, Beijing 100049, ChinaThe State Key Laboratory of Drug Research, Shanghai Institute of Materia Medica, Chinese Academy of Sciences, Shanghai 201203, China; University of Chinese Academy of Sciences, Beijing 100049, ChinaThe State Key Laboratory of Drug Research, Shanghai Institute of Materia Medica, Chinese Academy of Sciences, Shanghai 201203, China; University of Chinese Academy of Sciences, Beijing 100049, ChinaLingang Laboratory, Shanghai 200031, China; School of Life Science and Technology, ShanghaiTech University, Shanghai 201210, China; Corresponding authorThe State Key Laboratory of Drug Research, Shanghai Institute of Materia Medica, Chinese Academy of Sciences, Shanghai 201203, China; University of Chinese Academy of Sciences, Beijing 100049, China; Lingang Laboratory, Shanghai 200031, China; School of Chinese Materia Medica, Nanjing University of Chinese Medicine, Nanjing 210046, China; School of Life Science and Technology, ShanghaiTech University, Shanghai 201210, China; Corresponding authorSummary: The motilin receptor (MTLR) is a key target for treating gastrointestinal (GI) disorders like gastroparesis, yet developing effective agonists remains challenging due to drug tolerance and signaling bias. We present cryoelectron microscopy (cryo-EM) structures of MTLR bound to azithromycin, a macrolide antibiotic, and DS-3801b, a non-macrolide agonist. Distinct ligand recognition mechanisms are revealed, with azithromycin binding deeply within the orthosteric pocket and DS-3801b adopting a special clamp-like conformation stabilized by a water molecule. We also highlight the critical role of extracellular loop 2 (ECL2) in ligand specificity and signaling pathway activation, affecting both G-protein and β-arrestin signaling. Additionally, the “D2.60R2.63S3.28” motif and interactions around transmembranes 6/7 (TM6/7) are identified as key drivers of signaling selectivity. These findings offer insights into the structural dynamics of MTLR, laying the groundwork for the rational design of next-generation GI prokinetic drugs with enhanced efficacy and safety.http://www.sciencedirect.com/science/article/pii/S2211124725001007CP: Molecular biology
spellingShingle Chongzhao You
Mengting Jiang
Tianyu Gao
Zining Zhu
Xinheng He
Youwei Xu
Yuan Gao
Yi Jiang
H. Eric Xu
Decoding the structural basis of ligand recognition and biased signaling in the motilin receptor
Cell Reports
CP: Molecular biology
title Decoding the structural basis of ligand recognition and biased signaling in the motilin receptor
title_full Decoding the structural basis of ligand recognition and biased signaling in the motilin receptor
title_fullStr Decoding the structural basis of ligand recognition and biased signaling in the motilin receptor
title_full_unstemmed Decoding the structural basis of ligand recognition and biased signaling in the motilin receptor
title_short Decoding the structural basis of ligand recognition and biased signaling in the motilin receptor
title_sort decoding the structural basis of ligand recognition and biased signaling in the motilin receptor
topic CP: Molecular biology
url http://www.sciencedirect.com/science/article/pii/S2211124725001007
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