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Conceived and designed the experiments: VC MB GER. Performed the experiments: VC MB AP MRA. Analyzed the data: VC MB AP GER. Contributed reagents/materials/analysis tools: MA CG. Wrote the paper: VC MB BC GER.
The intrahelical salt bridge between E/D3.49 and R3.50 within the E/DRY motif on helix 3 (H3) and the interhelical hydrogen bonding between the E/DRY and residues on H6 are thought to be critical in stabilizing the class A G protein-coupled receptors in their inactive state. Removal of these interactions is expected to generate constitutively active receptors. This study examines how neutralization of E3.49/6.30 in the thromboxane prostanoid (TP) receptor alters ligand binding, basal, and agonist-induced activity and investigates the molecular mechanisms of G protein activation. We demonstrate here that a panel of full and partial agonists showed an increase in affinity and potency for E129V and E240V mutants. Yet, even augmenting the sensitivity to detect constitutive activity (CA) with overexpression of the receptor or the G protein revealed resistance to an increase in basal activity, while retaining fully the ability to cause agonist-induced signaling. However, direct G protein activation measured through bioluminescence resonance energy transfer (BRET) indicates that these mutants more efficiently communicate and/or activate their cognate G proteins. These results suggest the existence of additional constrains governing the shift of TP receptor to its active state, together with an increase propensity of these mutants to agonist-induced signaling, corroborating their definition as superactive mutants. The particular nature of the TP receptor as somehow “resistant” to CA should be examined in the context of its pathophysiological role in the cardiovascular system. Evolutionary forces may have favored regulation mechanisms leading to low basal activity and selected against more highly active phenotypes.
The prostanoid receptor for thromboxane A2 (TXA2), called TP, belongs to the Class A (rhodopsin family) of the superfamily of heptahelical transmembrane receptors, commonly referred to as G protein-coupled receptors (GPCRs), the most diverse form of transmembrane signaling protein and the most privileged target of marketed drugs. The TP receptor was originally purified from human platelets and successively cloned from human placenta . The G protein-coupling repertoire for TP receptors is rather extensive. It is classically considered a Gq-coupled receptor activating the PLCβ – IP3/DAG – Ca++/PKC signaling cascade, based on the phylogenetic and experimental analysis , . However, it has been shown to couple also to Gs, Gi and G12/13 . In humans, TP receptor exists in two isoforms sharing the first 328 amino acids, TPα (343 residues) and TPβ (407 residues), which is an alternative mRNA splicing variant with an extended carboxyl terminus.
The TXA2/TP receptor system is of great pathophysiological importance in the cardiovascular system. Indeed, TP receptor activation produces platelet shape change and aggregation, providing a positive stimulus for causing thrombus formation. Furthermore, the equilibrium between platelet-derived TXA2 and endothelial-derived prostacyclin represents the rationale for the use of anti-thrombotic low-dose aspirin, but also the proposed cause of cardiovascular side effects of COX-2 selective inhibitors . TP receptor expression and activity account for its involvement in diseases based on endothelial dysfunction and proliferation such as atherosclerosis , and cancer . In this context, TP receptor function appears to be tightly regulated at gene and protein level. Accordingly, the deleterious cardiovascular effects of TPα could be limited by heterodimerization with the alternatively spliced TPβ ,  or the counteracting prostacyclin receptor IP , , which have been shown to regulate its trafficking and G protein coupling.
Many issues regarding GPCR function are still unclear despite a number of (seventeen) GPCRs have been crystallized so far, from rhodopsin to ß-adrenergic (ARs), muscarinic, and more recently opioid receptors. A common feature thought to be important in the process of activation of many class A GPCRs is the network of interactions carried out between the charged R3.50 in the conserved E/DRY motif at the end of helix 3 (H3) and the E6.30 in H6, the so called cytoplasmic ionic lock, and the E/D3.49 in the intrahelical salt bridge. This network of interactions is observed in all of the inactive rhodopsin crystal structures , in the dopamine D3 receptor  and in a limited subset of A2A  and β1-AR  structures, and has been implicated through mutagenesis as a major factor stabilizing receptors in their inactive conformation , .
We previously showed that neutralization of R3.50 in the TP receptor did not result in a constitutively active mutant (CAM), but assigned Arg a dual role in participating in the reinforced hydrogen bond network of the ionic lock and in direct binding with the G protein , . As suggested by molecular dynamic (MD) simulations of TP receptor , we formerly observed that neutralization of E3.49 and E6.30 resulted in mutants characterized by a maximum U46619 response larger than in wild-type (WT). However, these mutants lacked any elevation of basal G-protein/effector activity, a phenotype clearly different from the constitutively active that we named superactive . This contribution is aimed to demonstrate that the observed phenotype is not a feature restricted to a single agonist, but rather a fundamental characteristic of the superactive mutants (SAMs), and that other hallmarks of the active-like conformation are preserved defining a unique pharmacological profile for these proteins. Crucial points were to challenge the peculiar resistance of TP to a ligand-independent activity and to gain information on the molecular mechanism underlying increased agonist-induced activation and signaling (superactivity).
Cell-culture media, animal serum, antibiotics, other supplements, Lipofectamine 2000, Opti-MEM I and molecular biology reagents were purchased from Invitrogen (Carlsbad, CA). Inositol-free Dulbecco's modified Eagle's medium (DMEM) was obtained from ICN Pharmaceuticals Inc. (Costa Mesa, CA). Ultima Gold was from PerkinElmer Life and Analytical Sciences (Boston, MA), as were [5,6-3H]SQ29,548 and myo-[2-3H]inositol. U46619 ([1R-[1α,4α,5β(Z),6α(1E,3S*)]]-7-[6-(3-hydroxy-1-octenyl)-2-oxabicyclo[2.2.1]hept-5-yl]- 5-heptenoic acid), I-BOP ([1S-[1α,2α(Z),3β(1E,3S*),4α]]-7-[3-[3-hydroxy-4-(4-iodophenoxy)-1-butenyl]-7-oxabicyclo[2.2.1]hept-2-yl]-5-heptenoic acid), 8-isoPGF2α (8-iso Prostaglandin F2α), 8-isoPGE2 (8-iso Prostaglandin E2), PTA2 (Pinane TXA2 - 9α,11α-(dimethyl)methylene-15S-hydroxy-11α-deoxy-11α-methylene-thromba-5Z,13E-dien-1-oic acid) and SQ29,548 ([1S-[1α,2α(Z),3α,4α]]-7-[3-[[2-[(phenylamino)carbonyl]-hydrazino]methyl]-7-oxabicyclo[2.2.1]hept-2-yl]-5-heptenoic acid) were from Cayman Chemical (Ann Arbor, MI). Coelenterazine 400a (CLz400) and coelenterazine h were from Biotium (Hayward, CA). Anion exchange resin AG 1X-8 (formate form, 200–400 mesh) and Lowry dye-binding protein reagents were from Bio-Rad (Hercules, CA). All other reagents of the highest purity were available from Sigma-Aldrich (St. Louis, MO).
DNA constructs of TP receptor WT, E129V, and E240V were previously obtained in our laboratory , . E129V/E240V substitutions were introduced into the cDNA for human TPα receptor using the same mutant oligonucleotides and method used to obtain the single mutant receptors, as previously published  and the identity of the double mutant was assessed by sequencing. The cDNA encoding for the Gαq was purchased at Missouri S&T cDNA Research Center (Rolla, MO, USA). The plasmids encoding GFP10-Gγ2 and Gβ1 have been previously described  and the expression vector for Gq proteins fused to Renilla luciferase, that brings eight favor mutations (Gαq-Rluc8) cDNA is described in Saulière et al., . Ultrapure plasmids for cell transfection were obtained using the QIAfilter Plasmid Kits by Qiagen (Hilden, Germany).
HEK293 transfection host cells were purchased from the American Type Culture Collection (ATCC, Manassas, VA). Cells were routinely grown in Dulbecco's modified Eagle's medium (DMEM) supplemented with 10% FBS, 2 mM glutamine, 100 U/ml penicillin, 100 µg/ml streptomycin and 20 mM HEPES buffer pH 7.4, at 37°C in a humidified atmosphere of 95% air and 5% CO2. For transfection, cells were seeded onto tissue culture dishes previously coated with 10 µg/ml poly-D-lysine, and transfected at 50–60% confluence with an optimized 21 Lipofectamine 2000/DNA ratio following manufacturer's instructions, as described previously . All assays were performed 48 hours after transfection. In cotransfection experiments with TP and Gαq, plasmids were added in a 13 and 15 µg ratio, respectively.
Receptor expression and functional activity were monitored 48 hours after transfection. Ligand binding characteristics were determined on confluent adherent cells performing a mixed-type protocol  with the specific receptor antagonist [3H]SQ29,548 (48 Ci/mmol) as previously described , . Heterologous competition studies involved concentrations of the indicated unlabeled ligands extending from 0.1 nM to 30 µM. After 30 min incubation at 25 °C, the reaction was stopped by aspiration of the medium, cells were washed with ice-cold PBS containing 0.2% (w/v) BSA and lysed in 0.5 N NaOH. Radioactivity was measured by liquid scintillation counting. Binding data were analyzed as described in Data and Statistical Analysis. Quantification of the total labeled inositol phosphates (IP) accumulation was performed using a conventional gravity flow column chromatography, as described previously , . Briefly, the day before the assay, cells were labeled with 0,5 µCi of [myo-2-3H]inositol (17 Ci/mmol) for 18–20 hours in serum-free, inositol-free DMEM containing 20 mM HEPES buffer, pH 7.4, and 0.5% (w/v) Albumax I. The day of the assay, media was replaced with serum-free, inositol-free DMEM containing 25 mM LiCl and cells stimulated for 30 min with the indicated agonists. After removal of the medium, cells were lysed with 10 mM formic acid and lysates were applied onto an anion exchange AG 1X-8 column, formate form, 200–400 mesh. The total IP fraction was then eluted with 2 M ammonium formate/formic acid buffer at pH 5 and radioactivity determined by liquid scintillation counting. Rescue experiments were performed essentially as above, except for a 18 hours incubation step with 1 µΜof SQ29,584 followed by its removal by washing three times with ice-cold PBS containing 1 mM MgCl2 and 0.1 mM CaCl2 before starting the experiment.
HEK 293 cells were co-transfected with vectors expressing the GFP10-Gγ2, Gβ1, Gαq-Rluc8 and WT or E129V mutant of TP receptor to investigate direct G protein activation with an intramolecular bioluminescent resonance energy transfer (BRET2) strategy. To avoid possible variations in the BRET signaling resulting from fluctuation in the relative expression levels of the energy donor and acceptor, we designed transfection conditions to maintain constant GFP10 and Rluc8 expression and their ratios in each experimental set. Total fluorescence and luminescence were directly determined in an aliquot of the transfected cells using an Infinite F500 microplate reader (Tecan, Milan, Italy) as previously described . WT and mutant TP receptor level of expression, evaluated by binding experiments, were comparable in each experimental set and constant among experiments. 48 hours after transfection, cells were washed once with PBS, detached, and resuspended in PBS+0.1% (w/v) glucose at room temperature. Cells were then distributed (80 µg of proteins per well) into a 96-well microplate (Wallac, Perkin Elmer, Monza, Italy) and incubated in the presence or absence of increasing concentrations of ligands for 2 min before the addition of the luciferase substrate Coelenterazine 400a (5 µM; Biotium, Hayward, CA). BRET signal between Rluc8 and GFP10 was measured immediately after the addition of the Rluc substrate in the microplate reader. The BRET signal was calculated as the ratio of the light emitted by GFP10 (510–540 nm) over the light emitted by Rluc8 (370–450 nm). The changes in BRET induced by the ligands were expressed as Òagonist-induced BRETÓ, obtained by subtracting the BRET signal detected in the presence of PBS by the BRET signal detected in the presence of the specific ligand.
All average results are presented as mean±S.E. When indicated, ANOVA followed by post-hoc test for multiple comparisons was performed. Data from radioligand binding were evaluated by a nonlinear, least-squares curve-fitting procedure using GraphPad Prism version 4, implemented with the n-ligand m-binding site model, as described in the LIGAND computer program . Concentration-response curves were evaluated using Prism 4, which use the four parameters logistic model as described in the ALLFIT program . Parameter errors are all expressed in percentage coefficient of variation (%CV) and calculated by simultaneous analysis of at least two different independent experiments performed in duplicate or triplicate. Parameter comparison has been performed on the base of the F test for extra sum of square principle. All curves shown are computer generated.
Binding assays were performed with the specific antagonist [3H]SQ29,548 in HEK293 cells transiently transfected with WT, mutants of the human TPα receptor isoform, or vector alone. Mock-transfected cells showed no binding to [3H]SQ29,548 (data not shown). WT and mutant receptors were expressed at a level sufficient to perform radioligand binding analysis, yet, to allow a proper comparison of receptor response. Thus, transfection conditions were adjusted to secure equivalent levels of receptor expression for WT and mutants as previously described , , . Computer-assisted analysis of binding data from WT receptor and mutants revealed, as expected for neutral antagonists (see below), monophasic binding curves fitting a single site model. Calculated affinities for the WT and mutant receptors were in the nanomolar range, as previously reported , , while capacities ranged approximately from 0.3 to 0.9 pmol/mg protein, a level comparable to receptor expression in human platelets (Table 1). All the experiments were conducted within this range of receptor expression, if not specified differently.
We previously observed that the TXA2 stable analog U46619 stimulated total IP formation by E129V and E240V mutants with a significant 10-fold lower EC50 and higher Emax than the WT receptor . To further expand these observations and assess if these specific stimulation characteristics are also be found for other agonists, providing stronger evidence for superactivity, agonist-induced concentration-response curves were obtained for a series of TP agonists, such as the full agonist I-BOP and the partial agonists isoprostanes, 8-iso-PGF2α and 8-isoPGE2 in E129V, assumed as a standard example of SAM. Computer assisted analysis showed that the EC50s of the agonists for E129V were significantly 10 to 20 fold leftward shifted (p<0.01) with respect to that of the WT (Figure 1 and Table 2). In addition, the full agonist I-BOP showed a greater efficacy in activating the E129V SAM compared to the WT TP receptor in agreement with data from U46619, whereas the intrinsic activity of the two partial agonists 8-iso-PGF2α and 8-isoPGE2 was augmented, with maximum efficacies not statistically different from those of the full agonists (Figure 1B and Table 2). We also previously demonstrated that the heterologous competition curves of the unlabeled agonist U46619 vs. [3H]-SQ29,548 revealed a leftward shift for the E129V mutant curve compared to WT receptor . Thus, binding of the panel of agonists was performed to assess whether the mutation modified their binding profile. Figure 2 clearly shows that the entire panel of agonists, including the two partial agonists, reveals a significant (p<0.01) increase in affinity up to one order of magnitude (Table 3), confirming a unique binding profile for the E129V SAM with respect to different structural and pharmacodynamic classes of compounds. These data, therefore, suggest a change in the receptor conformation, as identified by an increase in agonist affinities, but similar conserved folding and quaternary structure, as identified by unchanged antagonist affinity.
A key feature that we previously observed in SAMs of TP receptor is that, albeit adopting an active-like conformation, they lack the increase in basal activity , . Since theoretically it can be anticipated that the raise in G protein concentration should shift the R-R* equilibrium to favor the formation of the active R*, the basal activities of WT and SAM TP receptors were assayed by analyzing their ability to activate production of total IP in the absence of agonist stimulation, but in the presence of overexpression of Gαq. Here we confirm that, in the absence of Gq overexpression none of the TP receptor mutants exhibited CA when expressed at equal protein level (Fig. 3A, w/o Gq). In addition, considering that the solely overexpression of Gq in the absence of any TP receptor expression (mock, textured bars) induced a dose-dependent increase of total IP production (43% and 118% for -3 and 5-fold Gq respectively, Fig. 3A), we can conclude that the enhance in IP accumulation is not driven by WT TP receptor expression (white vs. textured bars). E129V and E240V yielded only a modest 2-fold increase in agonist-independent activity (Figure 3A, solid gray and black bars vs. textured bars). Interestingly, U46619-induced total IP production is amplified in the presence of increasing amount of Gq protein (Figure 3B) and its potency is augmented (data not shown), as it would be expected by an increased availability of signaling proteins. Yet, in the latter condition the agonist-induced activation of SAM receptors showed a fold-increase in total IP production that is comparable to the WT (Figure 3C). This behavior is not typical for CAM receptors, which are usually strongly impaired in agonist-induced stimulation as their basal activity increase and get close to the maximal response allowed by the system , . Performing transfections with increasing DNA concentrations to augment receptor expression in conditions of Gαq overexpression (to avoid G protein depletion) there was a slight but not significant increase in basal activity for the SAM with respect to the WT receptor (Figure 3D).
As predicted by the ternary complex model, the affinity for the labeled [3H]-SQ29,548 did not show any variation between WT and SAMs in the presence of overexpression of Gαq with respect to basal G protein expression (see Table 1).
To further characterize the behavior of a receptor bearing multiple mutations possibly affecting its conformation in a broader and unexplored way, we constructed the E129V/E240V double mutant. Expression levels of E129V/E240V were negligible making impossible to perform significant analysis of functional activity, despite similar antagonist affinity to WT (Table 1). We therefore explored the possibility that the double mutant might be retained and not sufficiently available for signal transduction by performing functional rescue experiments exposing cells to 1 µM SQ29,548 for 18 hours . Analysis of agonist-induced signal transduction was performed after removal of SQ29,548 by repeating washing (see methods). Figure 4A clearly shows that SQ29,548 is able to rescue double mutant receptor functional activity, albeit not completely compared to the WT or single mutant phenotypes (see Figure 1). The general features of this mutant are consistent with those observed for each single SAM. Analysis of basal activity and of the concentration-response curve of U46619 revealed the absence of CA (compare with Figure 3A) and an EC50 value of 1.66 nM±33%CV consistent with those previously obtained for SAMs .
SQ29,548 behaved as a pure antagonist in either the absence or presence of Gαq overexpression with respect to WT and E129V mutant (Figure 5A). Of interest, the purported antagonist pinane-TXA2 (PTA2)  behaved as a very weak partial agonist with respect to WT TP receptor (Emax 5856 dpm/well±14%CV), but as a much stronger agonist with respect to E129V SAM (Emax 19423 dpm/well±2%CV) as well as in conditions of Gαq overexpression (EC50 1447 nM±67%CV and Emax 19670 dpm/well±15%CV for WT; EC50 747 nM±76%CV; Emax 26642 dpm/well±5%CV for E129V) (Figure 5B). Similar Ki has also been obtained in heterologous competition experiments for PTA2 between WT and E129V (Ki 12140 nM±39%CV and 4836 nM±31%CV, respectively). Overall, these observations suggest that the SAM has the propensity to assume a conformation more prone to be activated by a weak agonist, but despite the availability of an excess of signaling molecules, i.e. Gαq proteins in this case, they are “resistant” to CA.
To challenge predictions from MD simulation suggesting a more “efficient” coupling of SAMs with their cognate G protein compared to WT receptor , we performed a direct measure of G protein activation by using an intramolecular BRET2 strategy in which Renilla reniformis luciferase 8 (Rluc8)  is the energy donor and GFP10 is the energy acceptor. This recorded real time conformational changes between the α and the βγ subunits within the Gq protein, where a decrease of the BRET signal provoked by agonist-induced receptor activation is indicative of a conformational reorganization leading the Gα-Gβγ interface to open, reflects the initial event of Gq protein activation ,  (Figure 6A).
After setting the optimal transfection conditions (Figure 6B) to avoid possible variations in the BRET signal resulting from fluctuations in the relative expression levels of the energy donor, evaluated as the total Gαq-Rluc8 luciferase emission, and acceptor and to assure the same level of basal BRET signal for WT and SAMs (111.25 αβγ ratio), concentration-response curves of the stable agonist U46619, I-BOP and of the isoprostanes 8-iso-PGF2α and 8-isoPGE2 have been obtained in HEK293 cells expressing equal amount of WT and E129V receptors. As it is clear from Figure 6C, U46619 and I-BOP curves obtained with the E129V mutant show an increased efficacy and more than one order of magnitude leftward shift with respect to the curves obtained with the WT TP receptor. Similarly, isoprostanes show an increase in potency and intrinsic activity when activating the E129V mutant. Analysis of the data indicated EC50 values for E129V and WT that are in good agreement with those obtained from the analysis of total IP dose-response curves (compare Table 2 and and4).4). Statistical comparison of potencies and efficacies provided a significant difference between parameters obtained with WT and E129V, thus demonstrating a more “efficient” G protein activation by E129V mutant protein (Table 4).
In many GPCRs, the intrahelical salt bridge between E/D3.49 and R3.50 within the E/DRY motif on H3 and the interhelical hydrogen bonding between the R3.50 and residues on H6 are thought to form a network that is disrupted during receptor activation, unlashing constraints imposed on the two helices . These data have been more recently confirmed by several crystal structures of activated opsin ,  or constitutively active rhodopsin , . Mutations on both sides of this network were shown to increase basal activity of a number of receptors, including another prostanoid receptor, FP , yet not in all .
The extended ternary complex model (ETC) of interactions among receptor, ligand, and G protein was first suggested by pharmacological analysis of adrenoreceptor CAMs . Several features were predicted based on this model that make a distinction between CAMs and WT receptors. These characteristics include an increase in ligand-independent activity, an increase in ligand affinity/potency that correlates with compound pharmacodynamic (i.e., largest shifts for full agonists, no changes for antagonists), and a systematic amplification of partial agonist efficacy.
We previously observed that introduction of valine, one of the most non-conservative mutation affecting the extent of CA , at the E3.49 and E6.30 produced TP mutants characterized by enhanced agonist potency/efficacy upon activation by the TXA2 stable analog U46619 with respect to both Gq and Gs coupling . These traits are indicative of a mutation-induced active-like conformation, which however did not trigger ligand-independent signaling in contrast with the ETC prediction. For this distinctive phenotype, these mutants were named superactive mutants (SAMs) in alternative to CAMs , as has been very recently observed also for the bradykinin B2 receptor .
The current study examines how SAMs of the TP receptor alter ligand-induced binding and signaling with respect to WT. Here we demonstrate that the increase in agonist potency is not a feature of a single agonist (U46619), but is shared by a panel of full and partial agonists. This observation is important to rule out the possibility that the effect observed might be ligand-specific , but to emphasize an intrinsic characteristic of the mutant protein. Furthermore, the partial agonist isoprostanes displayed an increased intrinsic activity, behaving as full agonists, whereas the purported antagonist PTA2 behaved as partial agonist. Interestingly, also the affinities of all the agonists were increased in ligand-binding studies performed with the E129V mutant. All together, these results strongly indicate that these mutated proteins adopt a particular conformation indicative of a superactive state, which is recognized by different full and partial agonists, and that identifies a unique pharmacological profile. Of notice, the unaltered binding characteristics of the neutral antagonist SQ29,548 suggest that the folding and the overall conformation of SAM was not grossly perturbed by the mutations. As expected, antagonist potencies calculated in functional studies are only apparently reduced, due to an increase in agonist potency.
The sensitivity with which CA is detected is influenced by the level of expression of receptor and G protein and the relative stoichiometry to each other. Therefore, we studied whether rising receptor or Gαq protein levels might boost ligand-independent activity of WT and SAMs. Our data clearly demonstrate that basal activity of WT TP receptor is neither affected by amplification of receptor expression, nor of its cognate G protein. A modest increase in CA of E129V and E240V SAMs can be observed only after a substantial overexpression of Gαq, but not of Gαq and receptor. While this behavior is rather predictable due to the presence of an increased availability of signaling molecules (as demonstrated by the increase in basal IP production in cells transfected solely with Gαq), it really seems of little physiological importance considering that both SAMs retain fully their ability to cause agonist-induced signaling, something largely impaired in a CAM. Thus, we have separated two fundamental aspects of receptor function, basal and agonist-induced activity, supporting the notion that the active receptor conformation induced by agonists might be substantially different from that caused by constitutive activation , .
To test the hypothesis that CA might has gone unrecognized in SAMs bearing a single amino acid mutation, we have also generated and tested the double mutant E129V/E240V. Our data reveal that without rescued cell surface expression of TP double mutant, the cells lack the ability to generate IP in response to U46619, indicating that the double mutant protein is somewhat misrouted. However, restoring receptor to function again did not reveal any increase in basal activity, yet showed potency similar to that of E129V and E240V single SAMs. Therefore, we can conclude that TP receptor basal activity is not or only marginally affected by disruption of the extended network involving the conserved ERY motif.
Of notice, despite the presence of residues capable of forming the interhelical ionic lock, this interaction has not been found in the majority of the GPCR crystal structures resolved so far (regardless if they have been obtained in the presence of antagonists or inverse agonists), with the exception of rhodopsin , D3 receptors  and, to a limited subset of antagonist-bound A2A  and β1-AR  structures. Nevertheless, this interaction may still exist in the native receptors, as long time scale MD simulations performed on the β2-AR , , β1-AR  and A2AR  show that the ionic lock reforms and breaks, suggesting existence of equilibrium states characterized by the presence and the absence of the lock that might reflect different requirements for a basal activity in a physiological context. Therefore, receptors might simply have a different propensity to form this interhelical contact in the contest of the conformational plasticity characteristic of GPCRs, which might explain the agonist-independent activation observed for some of them. Interestingly, rhodopsin , D3  as well as the TP receptor have no or very low basal CA, at variance with what has been reported for the β2-AR (even bound to the inverse agonist carazolol ), β1-AR and A2A , , .
In addition, Vogel and colleagues have demonstrated that neutralization of the intrahelical salt bridge of rhodopsin is considerably more critical for shifting the photoproduct equilibrium to an active-like conformation than the disruption of the interhelical bonding between R3.50 and E6.30 . This salt bridge is indeed present in rhodopsin , D3  and β2-AR ,  bound to an antagonist or inverse agonist, and broken in both opsin  and β2-AR  active structures. However, while mutational studies on the E/D3.49 of opsin ,  or D3 receptor  indicate only a partial or no increase in basal activity, the same mutation in the β2-AR clearly produce a CAM . Because our data indicate that neither disruption of the intrahelical, nor of the interhelical (or both) interaction(s) affect TP basal activity, we might conclude that disruption of this network might be necessary but not sufficient to achieve full receptor activation. Indeed, the crystallographic structures of opsin  or even β2-AR  in their G protein-interacting conformation show significant rearrangement of the transmembrane regions beyond the disruption of the entire E/DRY network, suggesting that its neutralization might be only one of multiple constraints that must be “unlashed” to achieve full receptor activation. Indeed, similar behavior has been observed for other GPCRs , thus it seems conceivable that some receptors have developed a large activation energy barrier, while others might have a low energy barrier between the R and R* states leading, in the latter case, to a relevant basal activity .
We might speculate here that the increased affinity for full and partial agonists demonstrated by our SAMs might be due to an allosteric effect of the mutations at the agonist binding site, independent of G protein coupling. Alternatively, the mutation might shift the equilibrium toward one of the receptor species theorized by the Cubic Ternary Complex model of Weiss and colleagues, characterized by an increased ability to bind, but not activate G proteins . Indeed, the release of R3.50 from the wrapped conformation in the ground state might allow the binding of the Gα protein in a position previously occupied by H6 , , , . These findings are consistent with the loss of agonist-induced signaling/G protein coupling observed upon mutation of R3.50 for TP  as well as for a number of other class A GPCRs , including rhodopsin ,  and dopamine D3 receptor , just to limit to those that have been crystallized. Furthermore, MD simulations of TP SAMs in complex with heterotrimeric Gq revealed a better predisposition of R3.50 to perform connections at the receptor-G protein interface, as demonstrated by a larger solvent accessible surface (SAS) area in the cytosolic regions of the E129V mutant, compared to the WT . Thus, the effects of E3.49 mutation on the structural features of TP is suggestive of an increased efficiency in G protein coupling. This prediction has been challenged in vitro by performing a BRET2-based assay to measure early activation of Gq protein reflecting events close to the receptor and therefore not subjected to signaling amplification, feedback and cross regulation from different effector systems that may complicate interpretation of the results. Monitoring BRET signal variations resulting from structural rearrangements within the heterotrimeric Gαq and βγ protein in real time in living cells, we observed a significant leftward shift of the BRET concentration-response curves (augmented potency) and a larger decrease in BRET signal (augmented efficacy) in the E129V dose-response curves for all the agonists tested. In addition, for both the full agonist U46619 and the partial agonist 8-iso-PGF2α the leftward shift between WT and E129V mutant is larger in BRET signal (potency ratio of 76 and 9.7, respectively. See Table 4) than in binding affinities (Ki ratio of 10 and 4.4, respectively. See Table 3), between WT and E129V mutant. Overall, these observations may be interpreted as a magnification of the “efficiency” with which SAM directly promotes agonist-induced G protein activation. This, in turn, can be the result of an increased receptor-G protein interaction due to an enhanced G protein affinity for the receptor, or, alternatively, to an increase in the rate of GDP/GTP exchange. In either case, this effect should be ascribed to a change in the receptor conformation of the SAMs.
Collectively, pharmacological data lead us to show not only that non-conservative substitution of E3.49 and E6.30 TP results in mutants characterized by higher affinity/potency for different agonists, and increased intrinsic activity for partial agonists, but also that SAMs are more efficient in G protein coupling and activation. However, the low intrinsic basal activity of the TP relative to that of other GPCRs, indicates that the equilibrium between R and R* in TP strongly favors the inactive form. The failure of TP to be constitutively activated upon mutations in the hydrogen bond network indicates that its disruption is not the only structural feature required to activate the G protein, but rather that additional mechanism(s) govern the R-R* transition, playing variable roles in different GPCRs. In this light, and considering the TXA2/TP receptor relevance in the pathophysiology of the cardiovascular system, evolutionary forces may have favored regulatory mechanisms leading to low basal activity and selected against more highly active phenotypes.