Introduction
Chronic pain treatment is a major clinical challenge because most opioid analgesics such as morphine are associated with the side effects that hinder their application. Thus, current medications do not provide sufficient pain relief. As a result, there is a great need to develop new pain therapeutics that attenuate the pain signals without the side effects. The primary target of morphine and other clinical opioid analgesics is the μ-opioid receptor, μOR (Pasternak and Pan, Reference Pasternak and Pan2013), a G protein-coupled receptor (GPCR) that stimulates analgesic activity through signalling via the adenylyl cyclase-inhibitory family of G protein, Gi/o (Al-Hasani and Bruchas, Reference Al-Hasani and Bruchas2011). Concomitantly, the opioid analgesics can also act on κ-opioid receptor (κOR) and δ-opioid receptor (δOR), which altogether constitute three closest subtypes of opioid receptors that share 70% identity in their transmembrane (TM) domains (Waldhoer et al., Reference Waldhoer, Bartlett and Whistler2004). The negative side effects associated with prescription opioids stem from the activation of μOR (Matthes et al., Reference Matthes, Maldonado, Simonin, Valverde, Slowe, Kitchen, Befort, Dierich, Le Meur and Dollé1996; Zadina et al., Reference Zadina, Hackler, Ge and Kastin1997; Liu et al., Reference Liu, Liu, Sun, Ross, Kim, Tsai, Li, Jeffry, Kim and Loh2011) and δOR (Clapp et al., Reference Clapp, Kett, Olariu, Omoniyi, Wu, Kim and Szeto1998; Jutkiewicz et al., Reference Jutkiewicz, Baladi, Folk, Rice and Woods2006), whereas therapeutics activating κOR confer analgesia in both human and animals (Schmauss and Yaksh, Reference Schmauss and Yaksh1984; Nakazawa et al., Reference Nakazawa, Ikeda, Kaneko and Yamatsu1985; Pande et al., Reference Pande, Pyke, Greiner, Cooper, Benjamin and Pierce1996) with fewer side effects (Pan, Reference Pan1998; Bruchas and Roth, Reference Bruchas and Roth2016). Therefore, a multi-target pain modulator, that agonises κOR while simultaneously antagonising μOR and δOR, offers a promising approach to dramatically reduce neuropathic pain as well as avoiding the common side effects. To develop new analgesics with high efficacy but reduced side effects, it is critical to understand the activation mechanism underlying the choreography among μOR/κOR/δOR, Gi protein and agonists.
Generally, it is assumed that binding of agonists to inactive GPCRs shifts the equilibrium towards an activated conformation of the receptors (Clark, Reference Clark1926; Karlin, Reference Karlin1967). The activation of GPCRs is associated with a large opening between the cytoplasmic ends of TM6 and TM3, dramatically expanding the spacing in the intracellular region of the GPCR (Hilger et al., Reference Hilger, Kumar, Hu, Pedersen, O’Brien, Giehm, Jennings, Eskici, Inoue and Lerch2020). This expansion facilitates recruiting and activating G protein-bound guanosine diphosphate (GDP), which is later exchanged with guanosine triphosphate (GTP), to mediate rapid signalling (dissociation of Gα and Gβγ subunits into free active subunits) (Gilman, Reference Gilman1987; Bourne, Reference Bourne1997; Cabrera-Vera et al., Reference Cabrera-Vera, Vanhauwe, Thomas, Medkova, Preininger, Mazzoni and Hamm2003). In the ligand-first mechanism of activation, it is assumed that recruitment of the G protein depends greatly on random collisions between the activated receptor-bound agonist and the G protein, which is controlled by diffusion of the G protein (Orly and Schramm, Reference Orly and Schramm1976; Tolkovsky and Levitzki, Reference Tolkovsky and Levitzki1978). Therefore, activation of the GPCR first by a ligand and then coupling to the G protein are critical steps towards the signalling. Typically, a strong coupling between the cytoplasmic end of TM3 and TM6 stabilises the inactive state of Class A GPCRs (Sheikh et al., Reference Sheikh, Zvyaga, Lichtarge, Sakmar and Bourne1996; Ballesteros et al., Reference Ballesteros, Jensen, Liapakis, Rasmussen, Shi, Gether and Javitch2001), which inhibits TM6 outward movements. Thus, disruption and breaking of this coupling is a critical event in the activation of GPCRs (Ballesteros et al., Reference Ballesteros, Jensen, Liapakis, Rasmussen, Shi, Gether and Javitch2001; Yao et al., Reference Yao, Parnot, Deupi, Ratnala, Swaminath, Farrens and Kobilka2006; Kobilka, Reference Kobilka2007). In the process of activation, the G protein undergoes a significant separation of the α-helical (AH) domain of the Gα subunit from the RAS-like domain, which opens the nucleotide binding pocket to facilitate the exchange of GDP for a GTP nucleotide (Sprang, Reference Sprang1997; Oldham and Hamm, Reference Oldham and Hamm2008).
There remains considerable uncertainty about the mechanism by which agonists induce GPCRs to activate their cognate G proteins. Some GPCRs (Dror et al., Reference Dror, Arlow, Maragakis, Mildorf, Pan, Xu, Borhani and Shaw2011; Rasmussen et al., Reference Rasmussen, Choi, Fung, Pardon, Casarosa, Chae, DeVree, Rosenbaum, Thian and Kobilka2011; Nygaard et al., Reference Nygaard, Zou, Dror, Mildorf, Arlow, Manglik, Pan, Liu, Fung and Bokoch2013; Manglik et al., Reference Manglik, Kim, Masureel, Altenbach, Yang, Hilger, Lerch, Kobilka, Thian and Hubbell2015; Kato et al., Reference Kato, Zhang, Hu, Suomivuori, Kadji, Aoki, Kumar, Fonseca, Hilger and Huang2019), particularly μOR (Sounier et al., Reference Sounier, Mas, Steyaert, Laeremans, Manglik, Huang, Kobilka, Déméné and and Granier2015), feature a weak allosteric coupling between the ligand-binding pocket and the G protein coupling interface such that the agonist alone cannot stabilise the expanded cytoplasmic region of the GPCR in the active state conformation. This is in stark contrast to the assumption that ligand binding shifts the equilibrium towards the active conformation of receptors. Moreover, several GPCRs, particularly μOR, exhibit constitutive activity in the absence of ligand (Liu et al., Reference Liu, Ruckle and Prather2001; Okude et al., Reference Okude, Ueda, Kofuku, Sato, Nobuyama, Kondo, Shiraishi, Mizumura, Onishi and Natsume2015; Sena et al., Reference Sena, Cong, Giorgetti, Kless and Carloni2017), suggesting that activation of G protein by GPCRs need not always depend on the presence of an agonist. Envisioned random collisions between between G protein and receptors in the ligand-first mechanism of activation are comparatively slow given that cells constitute various receptors, G protein subunits and other downstream effectors such as arrestin, all of which may compete with the G protein to couple to the receptor. Hence, the ligand-first mechanism of activation cannot adequately describe how G proteins are rapidly activated (Gilman, Reference Gilman1987; Bourne, Reference Bourne1997; Cabrera-Vera et al., Reference Cabrera-Vera, Vanhauwe, Thomas, Medkova, Preininger, Mazzoni and Hamm2003) by activated receptors.
These inconsistencies invoked an opposite hypothesis in which G proteins prior to ligand binding can directly interact with GPCRs to make a pre-coupled complex (Nobles et al., Reference Nobles, Benians and Tinker2005; Galés et al., Reference Galés, Van Durm, Schaak, Pontier, Percherancier, Audet, Paris and Bouvier2006; Ayoub et al., Reference Ayoub, Maurel, Binet, Fink, Prézeau, Ansanay and Pin2007; Qin et al., Reference Qin, Dong, Wu and Lambert2011; Kilander et al., Reference Kilander, Petersen, Andressen, Ganji, Levy, Schuster, Dahl, Bryja and Schulte2014; Andressen et al., Reference Andressen, Ulsund, Krobert, Lohse, Bünemann and Levy2018). Interestingly, it was shown that the pre-coupled complex between the inactive G protein and inactive GPCR eventually leads to rapid G protein activation after the agonist binds to the receptor-G protein complex (Qin et al., Reference Qin, Dong, Wu and Lambert2011). Although the emergence of a pre-coupled G protein-GPCR complex has been observed previously (Nobles et al., Reference Nobles, Benians and Tinker2005; Galés et al., Reference Galés, Van Durm, Schaak, Pontier, Percherancier, Audet, Paris and Bouvier2006; Ayoub et al., Reference Ayoub, Maurel, Binet, Fink, Prézeau, Ansanay and Pin2007; Qin et al., Reference Qin, Dong, Wu and Lambert2011; Kilander et al., Reference Kilander, Petersen, Andressen, Ganji, Levy, Schuster, Dahl, Bryja and Schulte2014; Andressen et al., Reference Andressen, Ulsund, Krobert, Lohse, Bünemann and Levy2018), the detailed molecular mechanism by which both GPCR and G protein are activated through the G protein-first mechanism of activation remains not understood.
In this paper, we investigate the G protein-first paradigm (Fig. 1) using long-scale (~21 μs total) molecular dynamics (MD) simulations to follow the sequence of structural and energetic steps involved in activation of both the opioid receptors and the Gi protein. The activation process goes through several metastable states in which the GPCR structure undergoes various structural changes that define the important events during activation. Some of these metastable states may be separated by high energy barriers that may take microseconds or longer. Thus, we used meta-molecular dynamics (metaMD) simulations (Barducci et al., Reference Barducci, Bussi and Parrinello2008), in which relevant collective variables describing the slow degrees of freedom are biased to encourage the system to explore large regions of conformational phase space in much reduced time. We followed two important slow degrees of freedoms associated with activation of opioid receptors and Gi protein.
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(i) Opening the strong coupling between TM3 and TM6 in the inactive opioid receptors (μOR/κOR/δOR). The disruption and breaking of this coupling are critical events in activation of Class A GPCRs (Ballesteros et al., Reference Ballesteros, Jensen, Liapakis, Rasmussen, Shi, Gether and Javitch2001; Yao et al., Reference Yao, Parnot, Deupi, Ratnala, Swaminath, Farrens and Kobilka2006; Kobilka, Reference Kobilka2007).
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(ii) Opening the tight Gαi subunit coupled to GDP to an open form that enables the signalling arising from GDP-GTP exchange (Sprang, Reference Sprang1997; Oldham and Hamm, Reference Oldham and Hamm2008).
We report here the discovery that prior to binding of an agonist to the opioid receptors (μOR/κOR/δOR), the cognate Gi protein forms salt bridge anchors to all three intracellular loops (ICL) of the inactive opioid receptor, aligning the Gα5 helix to extend partially into the receptor to form a pre-activated complex. For the inactive conformation of opioid receptors, the conserved R3.50 (part of DRY motif in Class A GPCRs) establishes a polar interaction with the conserved T6.34 that locks the intracellular region closed. In the pre-activated (μOR/κOR/δOR)-Gi protein complex, we find that the terminal carboxylate of the Gα5 helix forms a salt bridge with R3.50, weakening the coupling between TM3 and TM6, which initiates expansion of the cytoplasmic GPCR region to accommodate the Gα5 helix. This pre-activated state is stable until agonist binds to this pre-activated (μOR/κOR/δOR)-Gi protein complex to induce the Gαi subunit to undergo a dramatic opening at the GDP binding site by ~16.0 to 24.0 Å. This exposes the GDP to water, making it susceptible to nucleotide exchange with GTP. Thus, binding of agonist converts the pre-activated opioid receptor-Gi protein complex to the fully activated complex. This discovery provides a new target for the design of improved selective multi-target pain modulators.
Results
Activated state of opioid receptors–agonist-Gi complex
The transducing signalling for GPCRs requires communications from the ligand-binding site in the extracellular portion to the intracellular domain of the receptor where the cognate G protein is recruited. During the activation process, the receptor conformation evolves from an inactive state (denoted as Σ0) to a fully activated state (denoted as Σ4′). To obtain the structure for the human opioid receptors bound with the full Gi protein and agonists (Σ4′), we started with the 3.5 Å resolution Cryo-electron microscopy (Cryo-EM) structure (Koehl et al., Reference Koehl, Hu, Maeda, Zhang, Qu, Paggi, Latorraca, Hilger, Dawson and Matile2018) of mouse μOR bound to DAMGO and the nucleotide-free Gi protein. Unfortunately, the Cryo-EM μOR-Gi protein structure did neither resolve the whole AH domain of Gαi subunit (missing residues 56–181 and 234–240) nor did it resolve the full side chains for five residues important for μOR-Gi protein coupling (including E28, E308 and E318 in the Gαi subunit, D312 in the Gβ subunit and K100ICL1 in the μOR).
Therefore, we built in the missing 133 residues of the AH domain from the active state complex of the human rhodopsin and Gi protein (PDB ID: 6CMO) and modelled in the five missing side chains. Subsequently, we immersed the resulting construct in the lipid bilayer, water and ions and carried out an aggregate of ~450 ns MD simulations with restraints on the Cryo-EM backbone atoms to ensure that the shape of proteins not be disturbed as the missing added segments are relaxed.
Strikingly, we find that Gi protein couples to μOR by forming strong salt bridge anchors to each of three ICLs (Fig. 2a – h ).
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• Our optimised complex indicates that the Gβ subunit binds directly to ICL1 by forming a strong (−1.7 ± 0.3 kcal mol−1) salt bridge: D312Gβ-K98ICL1 (Fig. 2b ).
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• The Gαi subunit interacts with the ICL2 and the cytosolic end of TM4 by making two pairs of salt bridges: R32GαiN-β1 loop-D177ICL2 and E28 GαiN-R1824.40 (Fig. 2c ). The superscripts are Ballesteros–Weinstein numbering for GPCRs (Pándy-Szekeres et al., Reference Pándy-Szekeres, Munk, Tsonkov, Mordalski, Harpsøe, Hauser, Bojarski and Gloriam2017). To assess the strength of the salt bridge between R32GαN-β1 loop-D177ICL2, we carried out a ~1.6 μs metaMD simulation (Fig. 2f ) to find that forming this salt bridge substantially decreases the energy by ~3 kcal mol−1.
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• Similarly, the Ras-like domain of Gαi couples to the ICL3 and the cytoplasmic end of TM6 by making two pairs of salt bridges: E318Gαi-α4-β6 loop-R263ICL3 and E318Gαi-α4-β6 loop-K2716.26 (Fig. 2d ). Our free energy calculations reveal high affinity between these pairs of salt bridges and −2.1 with −1.4 kcal mol−1 (Fig. 2g ,h).
Interestingly, none of these ionic anchors were identified in the Cryo-EM structure (Koehl et al., Reference Koehl, Hu, Maeda, Zhang, Qu, Paggi, Latorraca, Hilger, Dawson and Matile2018) − because E28, E308 and E318 in the Gαi subunit and D312 in Gβ subunit were not fully resolved.
Our MD simulations indicate that the activated Gαi-α5 helix engages in extensive polar interactions with μOR (Supplementary Fig. S2). Overall, we located 18 polar interactions of which only 5 were reported in the Cryo-EM structure. The other 13 polar interactions emerge readily while the backbone of the Cryo-EM construct remains fixed. Forming these salt bridges and hydrogen bonds leads to a final structure with root mean square deviation (RMSD) = 1.3 Å, well within the experimental resolution. Fig. 2i compares the optimised and Cryo-EM complexes. Interestingly, the calculated density map from MD has a better correlation, ~0.9, with the protein coordinates resolved by Cryo-EM, suggesting that our optimised structure can be considered as an experimental structure enhanced to achieve the atomic resolution of the full Gi protein-μOR DAMGO complex. We used the μOR-Gi complex as a template for applying various computational methods to obtain the fully active structure of the other opioid receptors bound to agonist and Gi protein.
We used the active conformation of mouse μOR (Huang et al., Reference Huang, Manglik, Venkatakrishnan, Laeremans, Feinberg, Sanborn, Kato, Livingston, Thorsen and Kling2015) as a template for GEnSeMBLE (Bray et al., Reference Bray, Abrol, Goddard, Trzaskowski and Scott2014) complete sampling predictions to obtain the 3D structure of human μOR. The Cryo-EM structure contained the DAMGO agonist peptide, but we used morphine, a clinical agonist. Thus, we employed the DarwinDock (Griffith, Reference Griffith2017) complete sampling method to predict the binding site of morphine to the human μOR. The resulting human μOR-morphine complex was superimposed onto the optimised mouse μOR-Gi complex to obtain the fully active state construct. Then, we equilibrated the resulting construct by performing a ~1 μs MD simulation (Fig. 3a ), leading to the Σ4′ fully activated structure. We find that the Gi protein interfaces the human μOR by forming salt bridge anchors to ICL1, ICL2 and the cytoplasmic end of TM6.
Our analysis shows that the Gβ subunit makes a direct and stable ionic contact from D312Gβ to K100ICL1 (Fig. 3b,h ). Interestingly, the Cryo-EM structures of the activated glucagon-like peptide-1 receptor complexed with Gs protein find that the same D312 makes a salt bridge with H171 in the ICL1 of GLP1 (Zhang et al., Reference Zhang, Sun, Feng, Hu, Chu, Qu, Tarrasch, Li, Kobilka and Kobilka2017; Liang et al., Reference Liang, Khoshouei, Glukhova, Furness, Zhao, Clydesdale, Koole, Truong, Thal and Lei2018). In addition, the Cryo-EM structure of the adenosine A2A receptor bound to a mini Gs protein (García-Nafría et al., Reference García-Nafría, Lee, Bai, Carpenter and Tate2018) also finds that the Gβ subunit makes polar contacts to ICL1, showing the significant role of Gβ in modulating G protein coupling.
We find that the Gαi subunit also makes a charge–charge contact with ICL2: R32GαiN-β1 loop to D179ICL2 (Fig. 3c,g ). This anchor coordinates R181ICL2 to involve a network of polar interactions (Fig. 3d ), playing a crucial role in stabilising the complex. In fact, the R181C mutation inhibits transduction signalling in vitro (Ravindranathan et al., Reference Ravindranathan, Joslyn, Robertson, Schuckit, Whistler and White2009) causing patients to become insensitive to morphine (Skorpen et al., Reference Skorpen, von Hofacker, Bjørngaard, Skogholt, Dale, Kaasa and Klepstad2016). The third set of ionic anchor emerges between E318Gαi-α4-β6 loop and K2736.26 that tightly couples the Ras-like domain and the Gαi-α5 helix to the cytoplasmic region of the μOR, stabilising the active position of Gαi-α5 helix (Fig. 3e,i ).
To eliminate the possibility that our discovery of ionic anchors might have resulted from our choice of force fields, Amber 14 (Dickson et al., Reference Dickson, Madej, Skjevik, Betz, Teigen, Gould and Walker2014), we performed two independent 1 μs of MD simulations (Supplementary Fig. S3) using the Charmm36m (Huang et al., Reference Huang, Rauscher, Nawrocki, Ran, Feig, de Groot, Grubmüller and MacKerell2017) and OPLS (Robertson et al., Reference Robertson, Tirado-Rives and Jorgensen2015) force fields. We find that the optimised complex obtained from all three of these well-validated force fields features ionic anchors between the Gi protein and the intracellular region of the μOR, confirming that the emergence of salt bridge anchors between μOR–Gi protein is not dependent to the choice of force field.
To determine whether the ionic anchors coupling the Gi protein to μOR, are restricted to μOR, we predicted the fully active state of κOR-MP1104-Gi (Mafi et al., Reference Mafi, Kim and Goddard2020) and δOR-DPI-287-Gi complexes. To predict these complexes, we followed our recent procedure (Grisshammer, Reference Grisshammer2020; Mafi et al., Reference Mafi, Kim and Goddard2020) in which we removed the mimetic G protein nanobody from the active conformation of κOR (PDB ID: 6B73) (Che et al., Reference Che, Majumdar, Zaidi, Ondachi, McCorvy, Wang, Mosier, Uprety, Vardy and Krumm2018) and δOR (PDB ID: 6PT2) (Claff et al., Reference Claff, Yu, Blais, Patel, Martin, Wu, Han, Holleran, Van der Poorten and White2019), and replaced it with our optimised Gi protein bound to the mouse μOR. Subsequently, we relaxed the resulting constructs by performing MD simulations to obtain the optimised active state complexes (full details provided in the Supplementary Information). Our analysis shows that Gi protein makes similar salt bridge anchors to ICL1, ICL2 and the cytosolic end of TM6 in the fully activated complex, Σ4′ (Fig. 4) for both κOR and δOR. This shows that the emergence of these ionic anchors is a common feature of opioid receptor subtypes. This finding suggests that salt bridge anchors between Gi protein and opioid receptors play essential roles for activation and consequently G protein signalling. Indeed, we find that these three anchors serve as a tripod orienting and positioning the Gi protein so that its Gαi-α5 helix is lined up for insertion into the μOR to establish the extensive interactions that stabilise the active state complex.
Mechanism of G protein activation prior to agonist binding
Prior to the ligand binding, we hypothesise that Gi protein has sufficient time to couple to the opioid receptors to form a pre-coupled state. To examine whether Gi protein can spontaneously couple to each of opioid receptors, we followed our proposed mechanism of G protein activation:
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1. The apo-opioid receptor initially exhibits a tight cytoplasmic region due to a polar interaction between R3.50 (part of DRY motif) and the conserved T6.34 of the opioid receptors. This coupling constitutes the slowest degree of freedom for the activation of opioid receptors. The disruption and breaking of this coupling are believed to be critical events in activating GPCRs (Kobilka, Reference Kobilka2007).
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2. Prior to agonist binding, we find that the Gi protein interfaces with the apo-opioid receptors by making salt bridge anchors to the three ICLs, thereby aligning the Gα-α5 helix such that its terminal carboxylate (F354) is able to form a salt bridge with R3.50.
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3. Formation of salt bridge: F354-R3.50 breaks the coupling between TM3-TM6 [R3.50-T6.34], which consequently opens up the cytoplasmic region of the opioid receptor to facilitate insertion of the Gα-α5 helix partly into the receptor core, forming the pre-activated state (Σ2) between Gi protein and apo-opioid receptors. Next, an agonist binds to the pre-activated complex (forming Σ3′) that subsequently cause the Gα to open up the Ras-like and AH domains binding to the GDP protein, leading to the fully active state (Σ4′) with GDP bound only to the Ras-like domain.
We formed a model (the full details provided in the Supplementary Information) of the pre-coupled complex (denoted as Σ1) between inactive human μOR (denoted as Σ0) and the tight Gi protein bound to GDP (Fig. 5a ). The inactive human μOR initially features a strong polar interaction between R1673.50 and T2816.34. In the Σ1 state, Gi protein was placed in close enough proximity of the inactive μOR that it could form ionic anchors to ICL1, ICL2, ICL3 and the cytosolic end of TM6 (Fig. 5a ). The inactive Gαi subunit is bound tightly to the GDP (Lambright et al., Reference Lambright, Sondek, Bohm, Skiba, Hamm and Sigler1996) coupling the helical and Ras-like domains. The starting orientation and position of the Gαi-α5 C-terminal helix is well beneath the intracellular region of inactive μOR, to avoid steric clashes between Gi protein and inactive receptor. Subsequently, we allowed the pre-coupled complex to find the optimum position and orientation of Gαi-α by performing a ~1 μs metaMD simulation. Our free energy calculations (Fig. 5b,c ) reveal that the terminal carboxylate of Gαi subunit, F354, moves ~6 Å to make a salt bridge with R1673.50 (~−2 kcal mol−1). In fact, the salt bridge: F354-R1673.50 weakens the intrinsic polar interaction between R1673.50 and T2816.34, which opens ultimately to ~6 Å. Upon breaking this hydrogen bond, T2816.34 rotates towards TM5, facilitating the penetration of the Gαi-α5 helix into the receptor core (Fig. 5c,d ). Our free energy calculations indicate that opening this TM3-TM6 coupling prior to agonist binding is spontaneous, substantially decreasing the energy by ~−2.4 kcal mol−1 (Fig. 5c ). We denote this as the pre-activated state (Σ2 state). The association of μOR with its cognate Gi protein prior to the agonist binding is consistent with the constitutive activity that μOR exhibits in its apo form (Liu et al., Reference Liu, Ruckle and Prather2001; Okude et al., Reference Okude, Ueda, Kofuku, Sato, Nobuyama, Kondo, Shiraishi, Mizumura, Onishi and Natsume2015; Sena et al., Reference Sena, Cong, Giorgetti, Kless and Carloni2017).
There remains a possibility that the rigid-body orientation of Gi protein could be very different in the pre-coupled state from that in the fully active complex. To eliminate the possibility that the specific rigid-body orientation used in the pre-coupled state (Σ1) is solely responsible for opening the TM3-TM6 coupling, we carried out an independent ~1 μs metaMD free energy calculation in which we included only the Gαi-α5 peptide (the last 21 residues: 334F-F354) placed in close proximity to the inactive μOR (Fig. 5e – i ). The increased degrees of freedom for the Gαi-α5 peptide enabled us to explore various positions and orientations (Supplementary Fig. S12), which would emerge from various orientations of whole Gi protein in complex with the μOR. Our analysis shows that prior to ligand binding, a charge–charge contact from the terminal carboxylate, F354, to R1673.50 (Fig. 5h ) contributes to opening the strong coupling between R1673.50-T2816.34. After breaking the TM3-TM6 coupling, the Gαi-α5 peptide penetrates deep into the core of μOR to establish a hydrogen bond with N2766.29. These calculations confirm that the formation of the pre-activated state between Gi protein and μOR is not an artefact resulting from a specific rigid-body orientation of the Gi protein modelled in the Σ1 state.
To find if initiation of activation by Gi protein before agonist binding is statistically significant, we performed two independent metaMD simulations (an aggregate ~1.4 μs) on our model of the pre-coupled state. We followed the same molecular mechanism to characterise the pre-activated state of κOR-Gi and δOR-Gi. Thus, we placed the inactive Gi protein in close proximity of κOR and δOR so that it could form salt bridge anchors with the receptors. In addition, we used Charmm36m (Huang et al., Reference Huang, Rauscher, Nawrocki, Ran, Feig, de Groot, Grubmüller and MacKerell2017) for these calculations to eliminate the possibility that the formation of pre-activated complex resulted solely from the choice of a specific force field.
Prior to agonist binding, the inactive Gi protein couples to inactive κOR and δOR to form a pre-activated complex (Fig. 5j,n ) just as for the human μOR. The movement of Gαi-α5 helix into the inactive κOR (Fig. 5 k,l) breaks the intrinsic polar interaction between R1563.50 and T2736.34 to open up space to accommodate the Gαi-α5 helix. Upon breaking the hydrogen bond between R1563.50-T2736.34, T2736.34 rotates towards TM5, just as did the analogous T6.34 in the μOR structure (Fig. 5m ). Our calculations indicate that the hydrogen bond is broken because F354 forms a salt bridge with R1563.50 (Fig. 5k ). Similarly, the affinity between Gi protein and inactive δOR (Fig. 5 o,p) breaks the polar interaction between R1463.50 and T2606.34 opening it to ~12 Å (Fig. 5q ). We find that F354 makes a salt bridge with R1463.50 (Supplementary Fig. S7), just as for μOR and κOR. But once the intracellular region of δOR opens up, F354 rearranges a polar interaction from its aromatic ring to the side chain of R1463.50 (Fig. 5q ). This allows the terminal carboxylate to establish a salt bridge with R160 on ICL2. Upon opening the polar interaction between R1463.50-T2606.34, T2606.34 rotates towards TM5, a behaviour similar to the other opioid receptors. Thus, rotation of T6.34 towards TM5 seems to be essential for the activation of opioid receptors.
Completion of G protein activation by agonist binding
To determine the role of agonist in the G protein-first activation paradigm, we inserted the agonists to the pre-activated complex (Σ2) of opioid receptors: morphine in μOR, MP1104 in κOR and DPI-287 in δOR, to build the pre-activated complex bound to agonist (Σ3′). A salt bridge from conserved D3.32 to the protonated N atom of agonists locks ligands into the orthosteric binding pocket of Σ3′ state (Supplementary Fig. S8).
We propose that agonist binding promotes the transformation of Σ3′ to Σ4′ by inducing the dramatic opening of the GDP binding pocket of the Gαi subunit. This opening of Gαi expedites GDP release, a critical event in activation of G protein and G protein signalling (Sprang, Reference Sprang1997; Oldham and Hamm, Reference Oldham and Hamm2008). Thus, we examined the energetics of opening the AH and Ras-like domains that bind to the GDP (Fig. 5), using an aggregate ~1.1 μs metaMD simulations. Our analysis shows that once morphine, MP1104 and DPI-287 bind the μOR, κOR and δOR, respectively, the Gαi subunit undergoes a remarkable opening, separating the AH and Ras-like domains by ~16 to ~24 Å from the GDP binding site. This is energetically favourable (~−6 kcal mol−1) in the presence of morphine (Fig. 6a ) and leaves the GDP water exposed and susceptible to dissociation or GTP exchange. In fact, our independent metaMD simulations on unliganded-μOR complexed with the inactive Gi protein-bound GDP (Supplementary Figs S16 and S17) find that the activation of Gi protein (GDP) coupled to the opioid receptors prevails only in the presence of an agonist. Without the agonist, opening the GαI subunit from the GDP binding pocket substantially increases the energy up to (~+30.0 kcal mol−1, Supplementary Fig. S16).
We find that the Gαi opening in the presence of liganded-κOR/δOR requires overcoming an energy barrier of ~2 kcal mol−1 to provide an exit pathway for GDP (Σ4′*, Fig. 6b ,c). This dramatic change in the Gαi structure is essential to the later exchange of the GDP for a GTP and signalling. However, we find that GDP still has sufficiently high affinity to the Ras-like domain, to remain bound to Gαi. In the Σ4′* state, the GDP retains polar contacts to the Ras-like domain while breaking the polar interactions with the Gαi-AH domain. It is well-known that the Ras-like domain is sufficient for binding of nucleotides (Markby et al., Reference Markby, Onrust and Bourne1993). The Σ4′* state reveals that GDP release and exchange may not be rapid, which agrees with a previous observation (Dror et al., Reference Dror, Mildorf, Hilger, Manglik, Borhani, Arlow, Philippsen, Villanueva, Yang and Lerch2015). Moreover, opening of Gαi from GDP binding site provides sufficient freedom to Gαi-α5 helix that it can penetrate deep into the accessible open intracellular region of opioid receptors to stabilise the fully active state. After GDP exchange or release, the Σ4′* eventually relaxes to the Σ4′ state as shown in Fig. 3.
In the ligand-first paradigm, the ability of the agonist to break open the TM3-TM6 coupling is crucial (Ballesteros et al., Reference Ballesteros, Jensen, Liapakis, Rasmussen, Shi, Gether and Javitch2001; Yao et al., Reference Yao, Parnot, Deupi, Ratnala, Swaminath, Farrens and Kobilka2006). Thus, to examine if the binding of agonist can trigger the activation by opening the cytoplasmic region of μOR, we inserted the morphine into the extracellular binding portion of μOR such that the protonated amine moiety of morphine makes a salt bridge with D1493.32 (Fig. 7a ), locking the morphine in the binding pocket. Since the hallmark of GPCR activation is outward movement of the cytosolic end of TM6 to expand the intracellular cavity to accommodate the Gα-α5 helix, we performed an aggregate ~2.4 μs metaMD simulations to evaluate the energetics associated with this TM6 repositioning. We find that the optimised μOR-bound morphine adopts a closed cytoplasmic packing (Fig. 7b ) that closely matches the crystallographic inactive μOR. Our analysis indicates that morphine bound μOR does not open the intracellular expansion; opening the distance between TM3 and TM6 (from ~10.5 to 18 Å) increases the energy by ~14 kcal mol−1 (Fig. 7c ). The tight cytoplasmic packing with the strong hydrogen bond (~−2 kcal mol−1) between R1673.50-T2816.34 (Fig. 7d,e ) impedes the TM6 from outward displacement. Thus, the binding of morphine does not shift the inactive state of μOR to an active conformation (Koehl et al., Reference Koehl, Hu, Maeda, Zhang, Qu, Paggi, Latorraca, Hilger, Dawson and Matile2018).
To examine if an agonist alone, in the absence of Gi protein or nanobody, could stabilise the active conformation of the μOR, we started with the fully active state of μOR bound to DAMGO and Gi protein resolved by Cryo-EM (Koehl et al., Reference Koehl, Hu, Maeda, Zhang, Qu, Paggi, Latorraca, Hilger, Dawson and Matile2018), and removed the Gi protein (Fig. 7f ). Then we allowed the resulting μOR-DAMGO complex to equilibrate with an aggregate ~1.4 μs metaMD simulations. Contrary to general expectations, our free energy calculations (Fig. 7g,h ) reveal that the TM6 undergoes a remarkable ~5 Å inward movement in an energetically downhill process, ~6 kcal mol−1, contracting the intracellular cavity to reach the inactive crystallographic conformation (Fig. 7i ). This contraction allows TM6 to couple to TM3 by making strong hydrogen bonds from T2796.34 to R1653.50 (Fig. 7h ), the intrinsic characteristic of the inactive μOR. In a second study, we removed the nanobody from the active state of μOR bound to BU72 (Huang et al., Reference Huang, Manglik, Venkatakrishnan, Laeremans, Feinberg, Sanborn, Kato, Livingston, Thorsen and Kling2015) and carried out a ~960 ns metaMD simulation to allow the resulting μOR-BU72 complex (Fig. 7j ) to equilibrate. Again, our free energy calculations find that TM6 moves towards TM3 by ~6 Å, with the energy decreasing by ~−2.2 kcal mol−1, to convert the μOR from the activated structure to the crystallographic inactive conformation (Fig. 7k – m ).
Our free energy calculations show that μOR features a loose allosteric coupling between the ligand-binding pocket and the Gi protein coupling interface which is consistent with the previous nucleic magnetic resonance study (Sounier et al., Reference Sounier, Mas, Steyaert, Laeremans, Manglik, Huang, Kobilka, Déméné and and Granier2015), revealing that BU72 does not stabilise the active conformation of μOR in the absence of downstream proteins.
To determine whether agonist binding to inactive conformation of κOR and δOR opens up the TM3-TM6 polar interaction, we inserted MP1104 and DPI-287 to the binding site of κOR and δOR, respectively, where the protonated N atom of agonists makes a salt bridge with D3.32 (Fig. 8a ,e). We allowed these GPCR-bound agonist structures to equilibrate by performing metaMD simulations. We find that MP1104 fails to break the hydrogen bond between R1563.50-T2736.34 (Fig. 8b ,c), which impedes the intercellular region from expansion, with the cytoplasmic configuration remaining close to the inactive state (Fig. 8d ). Thus, κOR possesses a weak allosteric coupling.
In contrast to κOR and μOR, we find that the binding of DPI-287 to δOR can spontaneously break open the hydrogen bond between R1463.50-T2606.34 to ~7 Å (~−9 kcal mol−1), allowing TM6 to experience a 5 Å outward movement (Fig. 8f –i), which expands the intracellular cavity to recruit Gi protein. This outward movement is a hallmark of activation in Class A GPCRs (Hilger et al., Reference Hilger, Kumar, Hu, Pedersen, O’Brien, Giehm, Jennings, Eskici, Inoue and Lerch2020). Thus, agonist binding to δOR can indeed shift the inactive to the active conformation, encouraging Gi protein activation. As a result, activation of Gi protein mediated by δOR favourably proceeds with either ligand-first or G protein-first activation mechanisms.
Discussion
We have shown that agonist binding to the pre-activated state of the Gi protein-opioid receptor completes the activation process triggered by the initial binding of Gi protein. Our free energy calculations confirm that the G protein-first activation mechanism provides a sequence of thermodynamically favourable events that lead to activation of opioid receptors and Gi protein. Indeed, we expect that the most active agonists must bind strongly to the pre-activated structure and that they must lead to a small barrier to induce the Σ3′ state to open the closed Gα while releasing the GDP to progress towards the ‘activated’ structure (Σ4′) described above.
A very important implication of our new G protein-first activation mechanism is that for a ligand to activate the G protein, it must bind to the pre-activated state, Σ2, forming Σ3′, which then must open up the AH and Ras-like subdomains of Gα tightly coupled to the GDP to form the final fully activated open Gα with the AH and Ras-like subdomains widely separated, as observed experimentally, Σ4′. The binding of agonists to pre-activated state is likely different than the final binding site in Σ4′ observed experimentally that must be considered in designing agonists. Indeed, we found important differences in the pharmacophore of Σ3′ compared to Σ4′. Unfortunately, the structure for an agonist bound to Σ2 to form Σ3′ has not yet been observed experimentally. Our only knowledge of this structure is from the simulations.
A second important consideration is that the agonist binding in Σ3′ must facilitate opening of the tightly coupled AH and Ras-like subdomains of Gα couple tightly to the GDP into the final fully activated open Gα observed experimentally. It is likely that the barrier for this activation may depend sensitively on the structure of the agonist and the binding site. It may be that a full agonist has a low barrier, but a partial agonist may have a higher barrier or two different barriers depending on the structure of the agonist. Thus, uncovering the G protein-first mechanism for G protein activation is just the first step in gaining control over the activation processes.
Methods
We performed long-scale MD and metaMD simulations for an aggregate ~21 μs as described in detail in the Supplementary Information to characterise the activation pathway of opioid receptors in accord with the G protein-first mechanism of activation using multitude of available Cryo-EM and crystal structures. We used three well-known force fields of Amber14 (Dickson et al., Reference Dickson, Madej, Skjevik, Betz, Teigen, Gould and Walker2014), Charmm36m (Huang et al., Reference Huang, Rauscher, Nawrocki, Ran, Feig, de Groot, Grubmüller and MacKerell2017) and OPLS (Robertson et al., Reference Robertson, Tirado-Rives and Jorgensen2015) to exclude the possible impacts of applied force field on results.
For the free energy calculations, the temperature was maintained at 310 K using a velocity-rescale (Bussi et al., Reference Bussi, Donadio and Parrinello2007) thermostat with a damping constant of 1.0 ps and the pressure was controlled at 1 bar using a Parrinello–Rahman barostat algorithm (Parrinello and Rahman, Reference Parrinello and Rahman1981) with a 5.0 ps damping constant. Semi-isotropic pressure coupling was used during this calculation. The Lennard–Jones cutoff radius was 10 Å, where, the interaction was smoothly shifted to 0 after 10 Å. Periodic boundary conditions were applied to all three directions. The Particle Mesh Ewald algorithm (Essmann et al., Reference Essmann, Perera, Berkowitz, Darden, Lee and Pedersen1995) with a real cutoff radius of 10 Å and a grid spacing of 1.2 Å was used to calculate the long-range coulombic interactions. A compressibility of 4.5 × 10−5 bar−1 was used in the xy-plane and also the z axis, to relax the box volume. In all the above simulations, water OH-bonds were constrained by the SETTLE algorithm (Miyamoto and Kollman, Reference Miyamoto and Kollman1992). The remaining H bonds were constrained using the P-LINCS algorithm (Hess, Reference Hess2008). All simulations were performed using GROMACS (Pronk et al., Reference Pronk, Páll, Schulz, Larsson, Bjelkmar, Apostolov, Shirts, Smith, Kasson and Van Der Spoel2013; Abraham et al., Reference Abraham, Murtola, Schulz, Páll, Smith, Hess and Lindahl2015) and free energy calculations were done using PLUMED-2 (Tribello et al., Reference Tribello, Bonomi, Branduardi, Camilloni and Bussi2014).
Acknowledgements
We thank Dr. Sijia Dong and Dr. Fan Liu for helpful discussions. This project was initiated with support by the GIST-Caltech Collaboration with Prof. Yong-Chul Kim of GIST, Korea. It was completed with support from NIH (R01HL155532). These calculations used the computational resources funded by DURIP (ONR N00014-16-1-2901) and the XSEDE (Extreme Science and Engineering Discovery Environment) supported by National Science Foundation Grant (ACI-1548562).
Supplementary Materials
To view supplementary material for this article, please visit http://dx.doi.org/10.1017/qrd.2021.7.
Author contributions
W.A.G. and A.M. designed the project. A.M. carried out all calculations. A.M. and S.-K.K. prepared all figures and the Supplementary Information. W.A.G., A.M. and S.-K.K. wrote the manuscript.
Conflict of interest
The authors declare no conflicts of interest.
Open Peer Review
To view the open peer review materials for this article, please visit http://dx.doi.org/10.1017/qrd.2021.7.
Comments
Comments to Author: This is an interesting study of the activation of opiod receptors, with a focus on differences between the G-protein coupled receptors μOR, κOR, and δOR regarding their interaction with the Gi protein, differences that may help in the design of drugs with reduced side effects.
The authors use model building based on available Cryo-EM and X-ray structures to create receptor-Gi complex structures that are subjected to extensive (a total of 17 μs) molecular dynamics simulations. The results strongly suggest that in order for the receptor to activate the Gi protein the agonist first has to bind to the receptor.
In the metadynamics simulations used to characterize the strength of specific interactions, the quantitative end result is sensitive to the choice of reaction coordinate (or collective variable). Qualitatively the observed differences are likely to be reliable indicators of the differences between the systems.