Structural and Biophysical Mechanisms of Class C G Protein-Coupled Receptor Function
Groundbreaking structural and spectroscopic studies of class A G protein-coupled receptors (GPCRs), such as rhodopsin and the \xce\xb22 adrenergic receptor, have provided a picture of how structural rearrangements between transmembrane helices control ligand binding, receptor activation and effector coupling. However, the activation mechanism of other GPCR classes remains more elusive in large part due to complexity in their domain assembly and quaternary structure. In this review, we focus on the class C GPCRs, which includes metabotropic glutamate receptors (mGluRs) and gamma-aminobutyric acid B (GABAB) receptors most prominently. We discuss the unique biophysical questions raised by the presence of large extracellular ligand binding domains (LBD) and constitutive homo/hetero-dimerization. Furthermore, we discuss how recent studies have begun to unravel how these fundamental class C GPCR features impact the processes of ligand binding, receptor activation, signal transduction, regulation by accessory proteins and crosstalk with other GPCRs.
G Protein-Coupled Receptors<!>Class C GPCRs: Assembly Mechanism and Overall Architecture<!>Ligand Binding Domains: Intra- and Inter-subunit Dynamics<!>Transmembrane Domain Activation and G Protein-Coupling<!>Oligomers between Class C and Class A GPCRs<!>Concluding Remarks
<p>G protein-coupled receptors (GPCRs) serve as signal transducers which convert extracellular signals into intracellular signaling events via heterotrimeric G proteins, and serve as major drug targets for human disorders [1]. All GPCRs share the same general structure: an amino-terminal extracellular domain (ECD), a seven-helix transmembrane domain (TMD), and an intracellular carboxy-terminal domain (CTD). Variability in the ECD and the location of ligand binding provides a basis for grouping GPCRs into major classes. Thus, ligands bind within the TMD for class A GPCRs which typically contain short (<50 residues) ECDs, while peptides that bridge the ECD (~120–160 residues) and the TMD activate class B GPCRs [2]. Class C GPCRs, on the other hand, bind ligands within a large (400–600 amino acid) N-terminal ECD [3]. Class F GPCRs (i.e. smoothened, frizzled) [4, 5] and adhesion GPCRs [6] also contain large ECDs and are activated via complex mechanisms that are relatively poorly understood.</p><p>Our base of understanding of TMD activation comes primarily from extensive structural studies of class A GPCRs [7, 8]. While most structures represent inactive states, an increasing number are considered to capture active states with such structures typically captured bound to G proteins or G protein-mimetic nanobodies (see Glossary). Comparison between structures in inactive and active states have revealed conserved "molecular switches" that facilitate allosteric communication between the ligand binding and intracellular transducer sites [9]. For example, the so-called "ionic lock" describes a salt bridge between Arg and Glu residues at the intracellular ends of TM3 and TM6, respectively, which stabilizes the inactive state and, upon breaking, allows the outward movement of the intracellular end of TM6 to create a cavity on the cytoplasmic face of the receptor that accommodates the Gα C-terminus to initiate signaling. The same cleft appears to also be engaged by G protein-coupled receptor kinases (GRKs) and arrestins [7, 8], which serve to both desensitize the receptor and initiate signaling cascades. Spectroscopic and computational methods have revealed that GPCRs exist in a dynamic ensemble of conformations that are selectively stabilized by ligands and, especially, by G proteins [10–12]. This conformational heterogeneity underlies the range of signaling dynamics initiated or inhibited by the many types of orthosteric and allosteric ligands that exist for GPCRs [13].</p><p>In this review, we analyze the assembly and ligand-regulated structural properties of class C GPCRs as revealed by a number of recent breakthroughs. Critically, a deeper understanding of the basic biophysical properties of GPCRs should also lead to improvements in the repertoire of pharmacology available for both basic science and clinical use (see [14]).</p><!><p>Class C GPCRs form a diverse, physiologically-important family (Fig 1A), including eight metabotropic glutamate receptor (mGluRs or mGlu Receptors) [15], two GABAB receptor subunits (GABABRs) [16], the calcium-sensing receptor (CaSR) [17], three T1R taste receptor subunits (T1Rs) [18], GPRC6a [19], a promiscuous L-amino acid receptor, and several orphan receptors. This family is distinguished from other GPCRs by two features: large ECDs and constitutive dimerization (Fig. 1B) which together raise many biophysical questions that make up the focus of this review. In all well-characterized class C GPCRs, the ECD contains a bi-lobed "clamshell" ligand binding domain (LBD), sometimes referred to as a venus flytrap motif, which is homologous to bacterial periplasmic amino-acid binding proteins and contains the orthosteric binding site for native ligands. Except for GABABRs, all non-orphan class C GPCRs contain an intermediate cysteine-rich domain (CRD) between the LBD and TMD (Fig. 1B). Class C orphan receptors (GPR156, GPR158, GPR179, GPRC5A, GPRC5B, GPRC5C, and GPRC5D) either have no ECD or an unrelated ~400 amino acid ECD. In 2019 the first snapshots of a dimeric, full-length class C GPCR, mGluR5, were captured using cryogenic electron microscopy (cryo-EM) [20] and more recently a series of papers reported full-length structures of the GABABR [21–24], providing a framework for our discussion and analysis (Fig. 1C).</p><p>mGluRs were first found to dimerize using biochemical assays, which identified an inter-subunit disulfide bridge formed via a conserved cysteine within the LBD, allowing for dimers to be observed in a denaturing gel [25]. Similar disulfide-mediated dimerization has been observed in denaturing gels for both the CaSR [26] and GPRC6a [27]. In recent years, fluorescence methods have confirmed the dimerization of all mGluRs, including the demonstration of strict dimerization using single molecule photobleaching analysis of GFP-tagged mGluRs in the plasma membrane of live cells [28]. Supporting the fundamental role of dimerization in mGluR activation, a nanodisc reconstitution study showed that mGluR2 dimerization is required for glutamate-driven G protein activation [29].</p><p>In the case of both GABABRs and T1Rs, the requirement of co-expression of two receptor subtypes for function enabled the demonstration of requisite heterodimerization. GABABRs employ a trafficking-based mechanism where GABAB1 and GABAB2 subunits form a coiled-coil between the CTDs, which masks an endoplasmic reticulum (ER) retention motif in GABAB1 to enable surface targeting of heterodimers [30]. Furthermore, within this complex only the GABAB1 subunit binds GABA and only the GABAB2 subunit binds G proteins[30]. Interestingly, GABAB2 can traffic in the absence of GABAB1 [31], GABAB responses have been observed in GABAB2 KO mice [32] and a cryo-EM structure of a GABAB1 homodimer in an active-like state was recently solved [21], suggesting that other biologically-relevant GABABR complexes may exist. In the case of T1Rs, it is unclear how specific heterodimer assembly and trafficking is controlled and whether monomeric or homodimeric species can form. mGluRs have also been shown to form a number of different hetero-dimer combinations largely through heterologous studies in cultured cells [28, 33, 34] and co-immunoprecipitation from brain lysates [35] (Fig. 1D). A consensus finding is that heterodimers can form either between group II and III mGluRs or between group I mGluRs. This assembly pattern seems to ensure the maintenance of a strictly Gq/11 (Group I) or Gi/o-coupled (Group II/III) receptor dimer. While biophysical studies have dissected the myriad effects of mGluR heterodimerization, the biological prominence and functional roles of such complexes remain poorly understood. Supporting a prominent role for heterodimerization in mGluR biology, a recent study used single cell RNA sequencing analysis to show a high degree of mGluR co-expression in cortical pyramidal cells and quantitative fluorescence-based analysis of dimerization propensities found many instances where heterodimerization is preferred over homodimerization [36].</p><p>Based on truncation studies of mGluRs [28, 29], class C GPCR dimers are known to form primarily via an inter-LBD interface with secondary contributions from TMDs. Crystal structures of isolated LBD dimers [37–40], as well as full-length mGluR5 structures [20], have revealed a core hydrophobic interface between the upper lobes (LB1) containing highly-conserved residues within helix B and C. Mutations within this hydrophobic core substantially reduce mGluR dimerization [28]. Further work is needed to dissect these interfaces in detail and decipher how they contribute to the specificity of homo- and hetero-dimeric interactions within the T1R and mGluR subfamilies. Interestingly, mutation of the cysteine involved in the inter-LBD disulfide bridge produces only subtle effects on mGluR dimerization, and appears to impair the activation process [28]. This cysteine is found within an unstructured, variable loop that is ~20 residues long and remains poorly understood. In the T1R2/R3 LBD structure [40] an asymmetric inter-subunit disulfide is formed between cysteine residues in different loops, likely providing stability and specificity to the heterodimer.</p><p>While dimers are widely accepted as the minimal functional unit of class C GPCRs, the formation of higher order oligomers has also been proposed (Fig. 1D). A live-cell single molecule imaging study used fluorescence intensity analysis to infer tetrameric and higher order GABABR complexes that formed in a density-dependent manner [31], consistent with prior FRET studies [41, 42]. The structural basis of such complexes remains unclear although inter-LBD[43] and inter-TMD[44] interactions have been proposed to mediate higher order oligomerization. Recently, brightness analysis in cultured neurons provided evidence for ligand-induced higher order oligomers of heterologously-expressed mGluR2 [45] while single molecule imaging of endogenous mGluR4 in cerebellar parallel fibers revealed primarily dimers [46], suggesting that higher-order complexes may exist for other class C GPCRs depending on receptor subtype and biological context. Further investigation of class C GPCR oligomerization and spatial distribution in live cells, as well as biochemical isolation and structural characterization of such complexes, will be required to clarify this issue.</p><!><p>The ligand binding and conformational properties of class C GPCR LBDs (Fig. 2A) have been studied extensively. All crystal structures of isolated LBDs have confirmed a similar bi-lobed structure where orthosteric ligands bind in the cleft between lobes [37–40, 47]. LBDs have been observed in open (interlobe angle ~40–50°) and closed (interlobe angle ~25°) conformations in both the presence and absence of ligands, but it is clear that agonists stabilize the closed state through specific interactions with residues in both the upper (LB1) and lower (LB2) lobes [37–40] (Fig. 2B). In contrast, orthosteric antagonists primarily interact with LB1 residues with minimal LB2 contacts in mGluR and GABABR structures [37, 38]. Interestingly, at the individual LBD level, closed state mGluR structures with agonists of variable efficacy show a very similar degree of LBD closure [48].</p><p>A major means of regulating class C GPCR LBDs appears to be through the binding of ions. This is most clear in the case of the CaSR which responds to millimolar extracellular calcium with high cooperativity [49]. CaSR LBD crystal structures showed four calcium binding sites and a binding site for L-tryptophan (L-Trp) in a site homologous to the orthosteric site for mGluRs and the GABABR [39, 47]. Functional studies confirm that L-Trp and calcium function as co-agonists to stabilize LBD closure and induce downstream signaling [39, 50]. Similarly, ions appear to serve as co-agonists of mGluRs, GPRC6a and the GABABR, although controversy exists over whether divalent cations (i.e. 1–10 mM Ca2+) [19, 51–53] or chloride ions (50–100 mM) [54] mediate such effects and the location of the associated binding sites. Notably, an inactive cryo-EM structure of the GABABR revealed a Ca2+ binding site on the LB2 surface of the GABAB1 subunit, distinct from the four sites identified in the CaSR but adjacent to the orthosteric site, provides a means of modulating agonist affinity [23]. Supporting the functional relevance of this site, either mutation of coordinating residues (E309K, E423R) or chelation of Ca2+ decreased basal activity of the GABABR [23].</p><p>While a 2-state open-closed model likely captures the dynamics of a single LBD, complexity arises at the level of inter-subunit rearrangement. Class C GPCR LBD structures have been solved as dimers which interact in a shoulder-to-shoulder fashion while facing opposite directions (Fig. 2B). Such structures can be sorted into two broadly-defined forms: "relaxed", with LB2 domains far apart, and "active", with an inter-LB2 interface engaged (Fig. 2B). Mutations at the electrostatic LB2 interface modify the activation of mGluRs [28, 52]. Combining intra-subunit (closed/open, C/O) and inter-subunit (active/relaxed, A/R) states provides a framework for modeling the conformational dynamics of LBD dimers (Fig. 2C). Consistent with the diversity of conformations that have been crystallized (Fig. 2C), substantial dynamics between LBDs have been measured in FRET studies using N-terminally SNAP-tagged mGluRs [28, 52, 55–57]. Vafabakhsh et al [52] used smFRET on full-length mGluR2 and mGluR3 to observe inter-LBD conformational changes, revealing the presence of at least 3 inter-convertible states populated on the 30–100 ms time scale (Fig. 2C). Agonist efficacy was closely correlated with the relative stabilization of the low FRET state which likely represents the C-C/A conformation. Based on mutagenesis, structural and kinetic analyses, the transient intermediate state was proposed to be an inactive O-C/R state, allowing for the proposal of a 3-state model of LBD activation (Fig. 2C). To assess the role of ligand occupancy in mGluR2, Levitz et al [28] used tethered photoswitchable ligands attached to either one or both subunits to find that binding of a single agonist leads to weak (~20%) activation, suggesting that transient closure of the un-liganded subunit produces active state occupancy. This is consistent with smFRET [52] and functional [58] studies of mGluR dimers where one subunit is mutated to decrease glutamate affinity. Together this work motivates further studies using high spatial and temporal resolution spectrosocopic and computational methods to develop a complete description of the ligand-induced conformational trajectories of mGluR2 as a model class C GPCR.</p><p>Other mGluR subtypes have been shown using smFRET to populate the same states, but with different kinetics and occupancies (Fig. 2D). Strikingly, even in the presence of saturating glutamate mGluR7 homodimers show rare, brief visits to the active state, but heterodimerization with mGluR2 produces a receptor with full active-state occupancy even in response to ligand binding in a single subunit [57]. Future work will be needed to investigate what determines the differences in conformational dynamics between closely-related subtypes and how this controls their distinct roles in sensing synaptic glutamate dynamics. Mutations to the LB1 and LB2 inter-LBD dimer interfaces can have large effects on conformational dynamics [28], suggesting a critical role for inter-subunit interactions in tuning receptor activation. Limited work has addressed the dynamics of inter-subunit conformational changes in other class C GPCRs, but crosslinking of LB2 residues stabilizes the active state of the GABABR supporting a conserved role of a "relaxed" to "active" inter-subunit transition [38]. However, compared to mGluRs, GABABR and CaSR structures show a much subtler dimer reorientation (Fig. 2E), which may accommodate the need to activate following closure of a single LBD. Ensemble FRET measurements of GABABRs tagged at the N-terminus or within the LBD suggest subtle and distinct inter-subunit conformational changes compared to mGluRs [59], motivating further analysis to dissect the distinct conformational pathways employed by different class C GPCRs.</p><!><p>While orthosteric ligand binding and the associated conformational changes of the LBDs are beginning to be well understood, the mechanistic properties of class C GPCR TMDs remain unclear. Whereas the TMDs do not contain binding sites for known native ligands, they do bind synthetic positive (PAMs) and negative (NAMs) allosteric modulators making them major targets for subtype-selective drug development for clinical applications [60, 61]. By binding to these sites, an allosteric ligand can modulate the action of the orthosteric ligand by altering its affinity and/or efficacy (Fig. 3A-B). Previously it was thought that allosteric ligands lack intrinsic efficacy on full-length receptors, and that only upon deletion of the ECD can PAMs act as agonists on both mGluRs [29, 62] and GABABRs [63]. However, it has become clear that many mGluR PAMs act as agonists, even when the LBD is bound to an orthosteric antagonist [64–67]. Allosteric ligands with intrinsic efficacy have also been reported for GABABRs, CaSR, and T1Rs [59, 68, 69]. Functional and conformational readouts have shown that mGluR PAMs possess a range of efficacies and kinetics of action, which may be modulated by drug-membrane interactions [67]. Similarly, while some NAMs serve merely as neutral antagonists that inhibit agonist-mediated activation, others can serve as inverse agonists to decrease basal activity (Fig. 3B) [67, 70].</p><p>The highest resolution (<3.0 Å) structural data that exist for class C GPCR TMDs come from NAM-bound crystal structures of the isolated TMDs of mGluR1 and mGluR5 [71–74], which show structural homology with class A and B GPCRs. As expected, the NAM binding pockets overlap with those for orthosteric class A GPCR ligands, and both structures reveal a narrow opening that restricts entrance to the allosteric pocket (Fig. 3C), potentially explaining the slow binding kinetics of allosteric drugs [67]. Several molecular switches characterized in class A GPCRs have been identified in these structures, with some notable differences (see Fig. 3C). For instance, in group I mGluRs an "ionic lock" forms between intracellular ends of TM3 and TM6 although the positive charge on TM3 is provided by K3.46 rather than R3.50 of the (D/E)RY motif as seen in class A GPCRs. Furthermore, a conserved serine in ICL1 is also positioned to interact with the ionic lock (Fig. 3C). Consistent with the classical role of the ionic lock, mutations to these residues increase constitutive activity in mGluR5 [72] and enhance agonist affinity in the GABABR [63]. The lack of active mGluR TMD structures has motivated computational work to try to assess the structural changes that drive PAM- or agonist-induced activation [75, 76]. Perez-Benito et al [75] used MD simulations and mutagenesis experiments on mGluR2 to propose a role for a "trigger" switch involving allosteric ligand-induced rearrangement of W6.48 and a "transmission" switch involved in relaying conformational changes to the intracellular face of the TMD (Fig. 3C), which is analogous to models of class A GPCR activation [9]. While the mGluR5 TMD did not show clear structural differences in apo and agonist-bound states in cryo-EM structures[20], full-length GABABR structures bound to an agonist and a PAM revealed subtle movements of TM3, TM4 and TM5 relative to the apo state within the GABAB2 subunit [22, 24]. The lack of major TM6 motions and the potential constraints provided by a TM6-TM6 dimer interface (see below) suggests that class C GPCRs use different structural rearrangement compared to class A GPCRs to enable G protein coupling. Intriguingly, phospholipids were found in cryo-EM structures bound within the core of GABABR TMDs [21, 23], suggesting that lipid composition is also a critical regulator of TMD conformation. Ultimately, further work is needed to define the TMD molecular switches across class C GPCRs, to characterize the intra-helical rearrangements that they regulate and to decipher how different PAMs can bind to and stabilize active states.</p><p>Class C GPCR TMDs exist within dimeric or oligomeric contexts raising the question of how they sense allosteric input from the dimeric LBDs and rearrange during the activation process. Single molecule imaging of detergent-solubilized TMDs revealed that inter-TMD interactions contribute to dimerization in mGluRs [28], although to a different degree for different subtypes [67]. While the NAM-bound mGluR1 TMD structure [71] showed a cholesterol-rich TM1 dimer interface (Fig. 3D), the mGluR5 TMD structure did not appear dimeric [72]. An inter-subunit crosslinking study on mGluR2 proposed a dimer reorientation model where a TM4/TM5 interface in the inactive state rotates to form a TM6 interface upon activation [77]. Similarly, GABABR crosslinking suggested a rearrangement from a TM5 interface to a TM6 interface upon activation [44]. Such a TM6 interface has now been confirmed in the full-length glutamate- and PAM-bound mGluR5 cryo-EM structure in a detergent micelle [20] as well as in full-length, detergent-solubilized GABABR agonist and PAM-bound structures [21–24] (Fig. 3E). In contrast, no TMD interface was seen in the nanodisc-reconstituted mGluR5 apo state with TM5 of each subunit nearly 20 Å way from each other [20], while GABABR structures show an inactive interface formed via TM5, the intracellular end of TM3 and either cholesterol or detergent molecules [21–23]. Further work is needed to assess the inter-TMD interactions across receptor subtypes in different conditions, but a number of mechanistically-relevant observations have emerged from the aforementioned structural studies. Supporting the importance of inter-TMD interactions, Park et al [23] showed that the inactive GABABR TM3/TM5 dimer interface is secured by a network of salt bridges referred to as an "intersubunit latch", the disruption of which enhances the receptor's constitutive activity. This observation further supports a model where inactive TMD interfaces transition to a TM6 interface to initiate activation. Consistent with the critical role of the TM6 interface, GABABR PAMs were found bound between TM6 residues in adjacent subunits [22, 24] (Fig. 3E), presumably stabilizing the active intersubunit orientation. Future work will be needed to determine if such an intersubunit allosteric binding site is seen in other class C GPCRs.</p><p>While extremely informative, the static nature of structural approaches provides limited information about the dynamics that underlie receptor activation, motivating the use of spectroscopic methods to assess receptor conformation in the plasma membrane of living cells. Extensive intra- and inter-subunit FRET studies using group I mGluR constructs tagged with fluorescent proteins (FPs) have been performed. Introduction of FPs into intracellular loop 2 (IL2) of each subunit leads to a FRET increase upon glutamate application, while simultaneous introduction of FPs into IL2 and the CTD of the same subunit produces a glutamate-induced FRET decrease [78, 79]. Such probes have been used for high resolution kinetic studies that revealed that glutamate-induced activation involves sequential inter- (~1 ms) and intra-subunit (~20 ms) conformational changes [80]. This is consistent with a model where TMD dimer re-arrangement precedes the intrasubunit conformational changes that enable G protein-coupling. While most inter-TMD FRET studies have focused on orthosteric agonists, Gutzeit et al [67] showed that PAMs can induce inter-subunit FRET increases in isolated mGluR TMD constructs, suggesting that TMD dimer reorientation can proceed without direct allosteric input from the LBDs. Though extreme caution is warranted when interpreting such FRET results structurally, these studies complement structural analysis to show that dynamic inter-TMD interactions are central to class C GPCR activation.</p><p>A major remaining question regarding class C GPCRs is how agonist binding within the LBD is allosterically coupled to the TMD. In mGluRs, mutational and cross-linking studies have shown that LBD-level conformational changes are relayed to the CRD via an inter-domain disulfide bond [81] and that inter-CRD interactions within a dimer stabilize the active state [82]. Based on cryo-EM structures, it was proposed that interactions between the CRD and extracellular loop 2 in mGluRs [20], or between the LBD-TMD linker and EL2 in the GABABR [21–24], initiate structural rearrangements at the level of the TMD. While attractive, experimental work is needed to test this model and extend this analysis across the class C GPCR family.</p><p>Lastly, little is known about the coupling mechanism between class C GPCR TMDs and G proteins. In class A GPCRs activation-associated structural changes are driven by both ligand and G protein binding [11], which may explain why no major intra-subunit rearrangements are seen in the full-length glutamate-bound mGluR5 structure that lacks G protein [20]. Mao et al [22] report GABABR structures in the presence of Gαi1 although the low resolution of the G proteins prevented modeling of the interaction interface. The lack of canonical outward TM6 motions in these structures suggests either that alternative means of controlling G protein access are used by class C GPCRs or such structures may have captured an intermediate state in the G protein coupling process. The stoichiometry of G protein coupling in GPCR dimers is not clear, except for the well-characterized GABABRs in which only the GABAB2 subunit is capable of coupling to G proteins [83]. Consistent with this, analysis of full-length cryo-EM structures suggests that the dimeric arrangement of TMDs precludes the binding of two G protein heterotrimers simultaneously. Evidence for asymmetric signal transduction, where only one TMD can adopt the active-state at a time exists for mGluR homodimers [84, 85] and, similarly, in mGluR2/4 heterodimers, the mGluR4 subunit is thought to couple to G protein unless the asymmetry is reversed via mGluR2 PAMs or mGluR4 NAMs [86]. In addition, the mechanisms by which class C GPCRs, recognize specific Gα protein families remains unclear. While it has been widely accepted that the C-terminus of Gα is the primary G protein mediator of selectivity [87], variable intracellular regions of GPCRs contribute to selectivity [88, 89]. Chimera studies of mGluRs have found that G protein coupling selectivity is determined primarily by IL2 [90], but further work is needed to decipher the mechanism. Finally, relatively little is known about coupling between class C GPCR TMDs and β-arrestins with conflicting studies and compelling evidence for β-arrestin-independent desensitization and internalization of some subtypes [91–93]. However, recent studies have demonstrated β-arrestin interactions for both mGluR7 [94] and the CaSR [95], motivating detailed study of class C GPCR/β-arrestin complexes. In addition to interactions with transducers, class C GPCRs also interact with an ever-increasing amount of accessory and regulator proteins (box 1), that tune the activation, signaling and localization of these receptors.</p><!><p>While obligate dimerization of class C GPCRs is widely accepted, the significance of class A GPCR oligomerization in living mammalian cells remains controversial. Many studies, using a wide-range of experimental techniques, have suggested that class A GPCR homo- and heteromerization alters receptor pharmacology, trafficking and function [96, 97]. However, reconstituted monomeric class A GPCRs effectively couple to G proteins and recent cellular studies have suggested that homodimers for various class A GPCRs exist only transiently or at high expression levels [96, 97]. Despite their divergent modes of assembly and gating, a number of class A and class C GPCR have been shown to form complexes based on either the use of co-IP, the design and application of bivalent ligands and resonance-based proximity assays. This includes interactions between mGluR5 and the adenosine A2A receptor [98], the μ-opioid receptor [99] and the D1 dopamine receptor [100]. These inter-family GPCR complexes provide a means of cross-talk between neuromodulatory systems, and have been implicated in mechanisms underlying Parkinson's disease [98, 99] and inflammatory pain [99].</p><p>The most extensively characterized class A-class C complex is formed between mGluR2 and the serotonin 2A receptor (5-HT2AR). Strong evidence exists for the formation of this heteromer in vitro, as well as in rodent and human frontal cortex, and it is thought to be involved in the signaling and behavioral responses induced by psychedelic 5-HT2AR agonists and atypical antipsychotics [101–105]. Initial cultured cell studies showed that activation of the Gi/o-coupled mGluR2, but not mGluR3, leads to Gq/11-dependent intracellular Ca2+ release in cells co-expressing 5-HT2AR (Fig. 4D). However, an important factor to consider with GPCR heteromers is how absolute and relative levels of expression of the individual components define the nature of the crosstalk. For example, agonist-induced trans-activation between mGluR2 and 5-HT2AR has been validated in some, but not all recent studies [106–109], likely due to differences in expression and cellular conditions. Under some conditions inverse conformational coupling, where the activated state of one receptor favors the inactive state of the partner receptor, has been observed [102]. This inverse coupling likely underscores the synergistic antipsychotic effects of inverse agonists of 5-HT2AR and agonists of mGluR2 [102].</p><p>Based on biophysical studies using chimeric constructs between mGluR2 and mGluR3, it has been suggested that crosstalk requires direct heteromerization between 5-HT2AR and mGluR2 that is dependent on three Ala residues within the intracellular half of TM4 of mGluR2 [103]. Furthermore, viral overexpression of wild-type, but not mGluR2ΔTM4 (an mGluR2/mGluR3 chimeric construct that is not able to interact with 5-HT2AR), was able to rescue a deficit in head-twitch behavior in mGluR2-KO mice [103]. Interestingly, residues at the extracellular end of TM4 have been proposed to contribute to mGluR2 homodimerization [77], raising the question of how this heteromeric complex assembles and what determines the mode of crosstalk (trans-activation versus inverse coupling). Overall, further work is needed to define how TM4 Ala residues contribute to the inter-family GPCR interface and to define the stability and stoichiometry of this biologically and clinically-relevant heteromer.</p><p>Together, the existence of class A-class C complexes indicates that class C GPCRs can be directly influenced by trans-interactions at the level of the TMD and can, in turn, influence other GPCRs this way. Further work is necessary to determine the stoichiometry, stability, inter-subunit interfaces, conformational dynamics, pharmacology, signaling and biological significance of class A-class C heteromers.</p><!><p>Over 30 years of research has established that class C GPCRs form a physiologically-important family of complex signaling machines. Progress has accelerated in recent years in large part due to technological breakthroughs that opened up new ways to observe or perturb GPCRs. Improved methods for x-ray crystallography and cryo-EM have produced insightful, atomic-level structures of class C GPCRs and their interacting proteins [20, 21–24, 110]. In parallel, the application of spectroscopic methods, especially at the single molecule level, have begun to reveal the dynamic nature of the class C GPCR activation process [28, 31, 52]. Proteomic methods continue to identify new receptor-specific accessory and effector proteins [111] and photopharmacology has enabled studies of receptor signaling with high spatiotemporal precision in native systems, including in vivo [112, 113]. In addition, the oligomeric nature of class C GPCRs has begun to become appreciated and examples of pharmacological treatments to treat disease based on receptor heteromers are emerging [102]. Future work will further develop and apply biophysical approaches coupled to genetic manipulation to enable an integration of our understanding of the molecular biophysical properties of class C GPCRs with a description of their cellular signaling dynamics in health and disease (see Outstanding Questions Box).</p>