The structure of μOR shows receptor molecules intimately associated into pairs along the crystallographic two-fold axis through two different interfaces (). The first interface is a more limited parallel association mediated by TM1, TM2 and helix eight with a buried surface area of 615 Å
2 (,
Supplementary Fig. 6). The second and more prominent interface observed in the μOR crystal structure is comprised of TMs 5 and 6 (). In this case, within each μOR-μOR pair, the buried surface area for a single protomer is 1492 Å
2. This represents 92 % of the total buried surface between μOR-T4L molecules, indicating that the comparatively small 114 Å
2 buried surface contributed by T4L is unlikely to drive the contact (
Supplementary Fig. 7). This suggests that the pairwise association of receptor monomers may represent a physiological opioid receptor dimer or higher order oligomer, the existence of which is supported by previous biochemical, pharmacological and cell biological studies
23.
Recent computational and biochemical studies have suggested the potential role of TM4 and TM5 in the interaction between δOR receptors
24. More generally, oligomers have been observed for a large number of GPCRs (recently reviewed in
25). Some of these studies have shown that TM5 and TM6 peptides can disrupt dimers of the β
2AR and V2 vasopressin receptor
26,27, and recent crosslinking experiments with the M3 muscarinic receptor suggest a direct dimeric contact mediated by TM5 of each monomer
28. The potential involvement of the alternative TM1-TM2-H8 interface in GPCR oligomerization has previously been suggested by several different biochemical studies (reviewed in
25) and, more recently, by the structure of opsin (3CAP)
29. In the case of opioid receptors, it has been shown that a μOR-TM1 domain fused to a polybasic TAT sequence could disrupt the μOR/δOR interaction in the mouse spinal cord, resulting in an enhancement of morphine analgesia and a reduction in morphine tolerance
30.
The more prominent interface observed in the μOR crystal structure is comprised of TMs 5 and 6 of each protomer arranged in a four-helix bundle motif (). This interface is formed by an extensive network of interactions involving 28 residues in TM5 and TM6 (,
Supplementary Fig. 8). These surface packing interactions are highly complementary and are maintained all along the receptor membrane plane from the extracellular to the intracellular side of the μOR (). The T279
6.34 residue described earlier as playing a role in maintaining the receptor in an inactive state is also part of the dimer interface, with the methyl of the threonine contacting I256
5.62 of the adjacent protomer. It is thus tempting to speculate that dimerization of the μOR could have a role in regulating receptor signaling.
The observed dimer is of interest because of existing evidence for both homo- and heterodimers (or oligomers) involving the μOR
31. It has been suggested that opioid agonists such as DAMGO and methadone reduce tolerance to morphine
in vivo by facilitating morphine-induced endocytosis through μOR oligomerization
32,33. These studies implicate allosteric interactions between a protomer bound to DAMGO or methadone and an adjacent protomer bound to morphine. Co-expressing μOR and δOR in cells results in pharmacologic profiles distinct from either receptor expressed alone
34. Of interest, morphine is more efficacious in cells expressing both μOR and δOR in the presence of a δOR-selective antagonist, suggesting an allosteric interaction between μOR and δOR protomers
35. Hetero-oligomerization between μOR and non-opioid receptors has also been reported
23. For example, the α
2a adrenergic receptor was shown to modulate receptor μOR structure and signaling
36.
Consistent with a role for oligomerization in μOR function, we observed that the amino acids involved in the dimer interface display a high degree of homology with the δOR (
Supplementary Fig. 9, 10). Replacing the residues of μOR with the corresponding residues from δOR would not be predicted to interfere with dimer formation (
Supplementary Fig. 9, 10). This analysis also suggests that a μOR-δOR dimer could share the same interface. Interestingly, in the μOR TM5/TM6 dimer, the two binding sites are coupled through a network of packing interactions at the dimeric interface (). This network could provide a structural explanation for the distinct pharmacological profiles obtained for μOR heterodimers and for the allosteric effects of one protomer on the pharmacological properties of the other. This dimeric interface thus provides potential insights into the mechanism of allosteric regulation of one GPCR protomer by the other.
Parallel dimers have also been observed in other GPCR crystal structures, most notably of CXCR4-T4L
18. Interestingly, the CXCR4 dimer is also related by a two-fold rotational symmetry axis with a receptor arrangement similar but not identical to that seen in μOR (
Supplementary Fig. 8). However, for the five different CXCR4-T4L crystal structures, the largest calculated contact area between the two CXCR4 protomers is smaller (1077 Å
2 for 3OE0) than in the μOR structure (
Supplementary Fig. 7) and it presents a comparatively less extensive network of interactions (
Supplementary Fig. 8).
The dimeric arrangement o f μOR across the TM5-TM6 interface observed in the crystal structure would likely preclude either protomer from coupling to G proteins. This is based on structural changes in TM5 and TM6 observed in the recent crystal structure of the β
2AR-Gs complex
37. This is also consistent with the observation that inverse agonists stabilize β
2AR oligomers, while the G protein Gs reduced the extent of oligomerization
38. However, we were able to model an active structure of μOR in complex with G protein based on the crystal structure of the β
2AR-Gs complex. Here, we observed that a tetramer formed by the association of two dimers through a TM5/TM6 interface would accommodate two G proteins in interaction with the two distal protomers (
Supplementary Fig. 11). This model of an activated μOR-G protein oligomeric complex is highly speculative but is compatible with results from a recent biophysical study suggesting that the G-protein Gi remains associated with a μOR tetramer stabilized by the agonist morphine
39.
The μOR is perhaps the most economically important GPCR in terms of the combined legal and illicit drug market. While there are a number of effective drugs targeting the μOR on the market, the ideal agonist has yet to be developed. The structure of the μOR presented here provides the first high-resolution insight into a peptide receptor that can also be activated by small molecule agonist ligands, some of which are the oldest used drugs in human history. This structure will enable the application of structure-based approaches to complement more conventional drug discovery programs. In addition, it may provide novel insight into the role of oligomerization in GPCR function.