用于开发具有抗射血分数保留的心力衰竭(HFpEF)疗效的APLNR激动剂的多尺度偏向化学空间重塑

Multiscale biased chemical space remodeling for developing APLNR agonists with anti-HFpEF efficacy.

作者信息

Sun Qiu, Tian Xiaowen, Tan Lun, Deng Yan, Liu Sicen, Xiong Yixiao, Feng Yuying, Wang Yujia, Zhang Lele, Zhu Jiayi, Xiao Huan, Shao Zhenhua, Guo Yingqiang, Yan Wei, Li Tao, Ouyang Liang

机构信息

Department of Cardiovascular Surgery, Cardiovascular Surgery Research Laboratory, State Key Laboratory of Biotherapy, West China Hospital, Sichuan University, Chengdu 610041, China.

Department of Anesthesiology, Laboratory of Mitochondrial Metabolism and Perioperative Medicine, National -Local Joint Engineering Research Centre of Translational Medicine of Anesthesiology, West China Hospital, Sichuan University, Chengdu 610041, China.

出版信息

Proc Natl Acad Sci U S A. 2025 May 6;122(18):e2423432122. doi: 10.1073/pnas.2423432122. Epub 2025 May 2.

Abstract

Heart failure with preserved ejection fraction (HFpEF) represents a significant global health burden, yet effective pharmacotherapies remain elusive. The angiotensin-like 1 receptor, also known as the apelin receptor (APLNR), is a promising target for treating HFpEF due to its role in modulating cardiovascular function. Despite the cardioprotective effects of endogenous ligand, apelin, achieving G-protein-biased agonism for therapeutic benefit poses a significant challenge. In this study, we unravel the biased signal transduction pathway mediated by a reported partial G-protein-biased APLNR agonist CMF-019 and developed a biased chemical space remodeling approach to identify exclusive G-protein-biased agonists targeting APLNR. These agonists exhibited enhanced Gi-protein-biased function and protective effects in both in vitro and in vivo. Our findings not only enhance comprehension of APLNR-biased agonism but also establish drug design strategies for modifying and reshaping biased chemical landscapes in other G-protein-coupled receptors (GPCRs).

摘要

射血分数保留的心力衰竭(HFpEF)是一项重大的全球健康负担,但有效的药物治疗方法仍然难以捉摸。血管紧张素样1受体,也称为apelin受体(APLNR),因其在调节心血管功能中的作用,是治疗HFpEF的一个有前景的靶点。尽管内源性配体apelin具有心脏保护作用,但实现具有治疗益处的G蛋白偏向性激动作用面临重大挑战。在本研究中,我们揭示了一种已报道的部分G蛋白偏向性APLNR激动剂CMF-019介导的偏向性信号转导途径,并开发了一种偏向性化学空间重塑方法,以鉴定靶向APLNR的独家G蛋白偏向性激动剂。这些激动剂在体外和体内均表现出增强的Gi蛋白偏向性功能和保护作用。我们的研究结果不仅增进了对APLNR偏向性激动作用的理解,还建立了用于修饰和重塑其他G蛋白偶联受体(GPCR)中偏向性化学格局的药物设计策略。

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