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BASIC NEUROSCIENCES, GENETICS AND IMMUNOLOGY - REVIEW ARTICLE
Neurotransmitter receptor heteromers in neurodegenerativediseases and neural plasticity
Rafael Franco
Received: 23 July 2008 / Accepted: 20 October 2008 / Published online: 11 November 2008
� Springer-Verlag 2008
Abstract Metabotropic receptors for neurotransmitters
on the plasma membrane of neurons are forming homo-
hetero- dimers and even homo- or hetero-oligomers. Neu-
rotransmission has been studied assuming that these
G-protein-coupled receptors were monomers. Then, on
considering receptor dimers, we are entering a new era for
the understanding how neurotransmitter receptors decode
signals originating at the nervous system. At the moment it
is becoming clear that receptor homo and hetero-oligomers
provide signaling diversity, help to understand synaptic
plasticity and open new therapeutic potential as targets for
neurodegenerative and neuropsychiatric diseases.
Keywords GPCR � Heteromer � Trimer � Oligomer �Neurotransmission � Metabotropic receptors �Heteromer fingerprint
Introduction
G-protein-coupled receptors (GPCRs) constitute a super-
family of proteins consisting of seven helices with
interconnecting loops; they are also known as 7 trans-
membrane (7TM), heptaspanning or heptahelical receptors.
It is generally accepted that some members of class C
GPCRs, which include metabotropic glutamate and taste
receptors function as homodimers and/or heterodimers
(Kunishima et al. 2000; Nelson et al. 2001). Those recep-
tors contain a long N terminal extracellular portion, which
for metabotropic glutamate receptors can be purified and
crystallized and appear as dimers in the solved 3D crystal
structure. Recently it has been possible to obtain crystals of
a member of the rhodopsin class A family of GPCRs, the ß2
adrenergic, and it appears to be monomeric (Rasmussen
et al. 2007; Rosenbaum et al. 2007). This finding is
probably due to the use of detergents during receptor
purification and the special conditions of crystallization. In
fact, there is strong evidence indicating that members of
this superfamily that were suspected to be monomeric
membrane receptors are expressed on the plasma mem-
brane as homo/heterodimers or multimers. Knowing the
details of how GPCRs interact (Ciruela et al. 2004), and the
stoichiometry and geometry of the oligomeric complexes
(including non-receptor scaffolding proteins: see Saura
et al. 1996; Burgueno et al. 2003; Sarrio et al. 2000) will be
instrumental to improve our understanding on how neuro-
transmission is taking place.
Suspecting the existence of receptor heteromers
The hypothesis on the existence of intramembrane recep-
tor–receptor interactions was introduced in the early 1980s
based on radioligand binding studies in membrane prepa-
rations from brain tissue (Agnati et al. 1980, 1982; Fuxe
et al. 1981). The first demonstration of GPCR homodimers
was achieved with ß-adrenergic and muscarinic receptors
R. Franco (&)
Department of Biochemistry and Molecular Biology,
and Centro de Investigacion Biomedica en Red sobre
Enfermedades Neurodegenerativas (CIBERNED),
Institut d’Investigacio Biomedica August Pi i Sunyer
(IDIBAPS), University of Barcelona, Barcelona, Spain
e-mail: [email protected]
URL: http://www.cima.es
Present Address:R. Franco
CIMA Centro de Investigacion Medica Aplicada,
Universidad de Navarra, Avda Pio XII 55,
31008 Pamplona, Spain
123
J Neural Transm (2009) 116:983–987
DOI 10.1007/s00702-008-0148-y
(Fraser and Venter 1982; Avissar et al. 1983). Maggio et al.
(1993) gave the first evidence for the ability of two GPCRs
to heteromerize by using coexpression of chimeras of M3
muscarinic and a2C-adrenergic receptor. Whereas isolated
chimeric constructs were not able to bind ligands, coex-
pression of two complementary chimeric receptors led to
the appearance of binding of agonists for both M3 and a2C
receptors. Subsequently, coexpression of receptors in the
same cell or tissue and detection of colocalization by
confocal microscopy supported the view that GPCR were
forming heteromers.
Coimmunoprecipitation followed by Western blotting
has been widely used to study protein–protein interactions.
However, coimmunoprecipitation of amphiphilic protein
membrane molecules, such as GPCRs, requires membrane
solubilization, thus raising the possibility that the observed
complexes are solubilization artefacts. To overcome this
technical limitation, bioluminescence and fluorescence
resonance energy transfer (BRET and FRET, respectively),
which are powerful biophysical techniques, were imple-
mented. FRET and BRET have allowed demonstration of
receptor–receptor heteromerization in the natural environ-
ment of the living cell. Recently, variations or combination
of these biophysical techniques has allowed detecting tri-
mers (Carriba et al. 2008) and dimers of dimers (Maurel
et al. 2008).
Detecting receptor heteromers in natural tissues:
the heteromer fingerprint
To use FRET for showing the occurrence of heteromers in
natural tissues specific anti-receptor antibodies having
attached fluorescent proteins must be used. This approach,
however, has technical limitations. Another approach is
being developed in which receptors fused to fluorescent
proteins are expressed as transgenes, being possible to
perform FRET in samples from the transgenic animal. It
should be noted that the knockout methodology is not a
method of choice to identify dimers. This is an important
limitation arising from the fact that a given protein may be
forming in the same or in different tissues not only one but
multiple heteromers. Then a lack of function in a knockout
animal may consequence of disruption of not one but
several heteromers. If any, knockouts may be useful as
negative controls of heteromer formation. Studies per-
formed by Maggio et al. (1999) showed that M2 and M3
muscarinic receptor subtypes can cross-interact with each
other and form a new pharmacological heteromeric
receptor, which would display a distinctive ligand binding
profile. This distinctive pharmacological characteristic is
indeed invaluable to detect heteromers in native tissues.
Ciruela et al. (2006) and Ferre et al. (2007) coined the term
‘‘heteromer fingerprint’’, which means that a specific fea-
ture of the heteromer is just needed to prove its existence in
natural tissues. This fingerprint is a specific feature of the
heteromer that is just needed to prove its existence in
natural tissues from animals without any genetic manipu-
lation. Finding a heteromeric fingerprint in a natural tissue
is the most direct evidence to prove the existence of het-
eromers in vivo. When looking for heteromer fingerprints
there are different possibilities, particularly fingerprint at
the ligand binding and at the signaling level. One of the
most common heteromer fingerprints at the ligand binding
level is shown by changes in the binding pattern caused by
binding to the partner receptor. Quite often the affinity of
agonists to one receptor varies when the partner receptor is
occupied by ligand. One of the best studied examples is the
ability of adenosine A2A receptor agonists to modify the
affinity of dopamine D2 agonists in the A2A–D2 receptor
heteromer (Ferre et al. 1991, 2007). A nice example of
heteromer fingerprint detected at the signaling level is
provided by the selective Gq–protein coupling of the
D1–D2 receptor heteromer. Whereas D1 and D2 receptor
expressed as homomers are coupled to Gs and Gi proteins,
respectively, activation of the heteromer leads to a
Gq-mediated calcium signaling (Lee et al. 2004; Rashid
et al. 2007).
New models for receptor dimers
Colquhoun (1973) and Thron (1973) pioneered studies that
led to the subsequent development of models to understand
the operation of neurotransmitter/hormone receptors (De
Lean et al. 1980; Costa and Herz 1989; Onaran et al. 1993;
Samama et al. 1993; Franco et al. 1996; Weiss et al. 1996a,
b, c; Hall 2000; Lorenzen et al. 2002). Those models
consider receptors as monomers and are modifications of
del Castillo and Katz (1957) model of nicotinic acetyl-
choline receptor activation.
Recently two similar models based on receptor dimers
have been devised (Albizu et al. 2006 and references
therein; Franco et al. 2005, 2006). They propose a ‘‘two-
state’’ dimer model based only in dimeric species. One of
its advantages is the usefulness to obtain parameters
‘‘specific’’ of the dimer. Interestingly, the development of
Casado et al. (2007) has demonstrated that a model of
constitutive dimers it is the simplest to explain both simple
and complex binding data. Taking into account the dimeric
structure of G-protein-coupled receptors, the interpretation
of the biphasic binding isotherms (non linear Scatchard
plots) is that the first ligand to the dimer modifies the
equilibrium parameters of binding of the second ligand
molecule to the dimer. If the affinity increases ‘‘positive
cooperativity’’ is detected and if it decreases ‘‘negative
984 R. Franco
123
cooperativity’’ is found. The main advantage of the
development performed by Casado et al. (2007) is the
possibility to obtain dimer-specific parameters (two affinity
constants and a dimer cooperativity index) from experi-
mental binding data.
Adenosine-dopamine and adenosine-glutamate receptor
dimers in neuroprotection and Parkinson’s disease
Parkinson’s is a well-characterized disease caused by
striatal neurodegeneration. The lack of dopaminergic
neurons and of dopamine itself causes motor deficits. A
functional interaction between the dopaminergic and ad-
enosinergic systems has been detailed described. In fact
the neuromodulator adenosine in both direct and indirect
projecting striatal pathways is able to counteract the
effects of dopamine. In the rat hemiparkinsonian model it
was demonstrated that agonists of adenosine receptors
were able to worsen the effects of the neurodegeneration
whereas adenosine receptor antagonists reversed those
effects. These results suggest that A2A receptor could be
target for Parkinson’s disease. At present there are dif-
ferent clinical trials in which different synthetic A2A
receptor antagonists are under evaluation. Although a
direct proof is difficult it is suspected that the real targets
for Parkinson’s are dopamine-receptor-containing dimers
(Franco et al. 2000; Ferre et al. 2007).
While lacking direct evidence for dimers as targets for
neurodegenerative and/or neuropsychiatric diseases what it
is true is that antiparkinsonian drugs are targeting dimers/
oligomers. The main therapeutic drug for Parkinson’s dis-
ease, L-DOPA (which is converted into dopamine), is
targeting dopamine receptor dimers as there must be few
monomers expressed on the plasma membrane of neurons.
Furthermore, adenosine-dopamine receptor heteromers
have been identified, and therefore L-DOPA is targeting
dopamine receptors in a variety of dopamine-receptor-
containing heteromers. Dopamine-receptor-containing
dimers include at least D1–D2 (Lee et al. 2004; Rashid et al.
2007) D1–D3 (Marcellino et al. 2008), adenosine-dopamine
A1–D1 (Gines et al. 2000), adenosine-dopamine A2–D2
(Hillion et al. 2002) and cannabinoid-dopamine CB1–D2
(Kearn et al. 2005). A recent report indicates the existence
of trimers of cannabinoid CB1, dopamine D2 and adenosine
A2A receptors (Carriba et al. 2008). As commented above
A2A receptor antagonists are under evaluation for the ther-
apy of Parkinson’s disease. Therefore these compounds are
targeting at least these reported A2A-receptor-containing
heteromers: A1/A2A (Ciruela et al. 2006), dopamine-aden-
osine A2–D2 (Hillion et al. 2002) cannabinoid-adenosine
CB1–A2A (Carriba et al. 2007) and the trimeric CB1–D2–
A2A (Carriba et al. 2008). In summary, alternative
approaches to drug screening based on dopamine receptor
monomers must be explored. Among them new alternatives
include the search for heteromer-selective drugs as the
dopamine-receptor-heteromer-selective drug reported by
Rashid et al. 2007, and dual drugs able to interact
simultaneously with adenosine and dopamine receptor
heteromers (Ventura et al., data in preparation).
Excitoxicity caused by exacerbated levels of extracel-
lular glutamate is behind a number of alterations in the
central nervous system. The role of ionotropic and
metabotropic glutamate receptors in the neurotransmitter-
mediated toxic effects is still controversial. On the other
hand, glutamate could also modulate the well-known
function of adenosine as neuroprotective factor (Dunwiddie
1985). Then it was hypothesized that targeting of gluta-
mate-adenosine mGlu1/A1 receptor heteromers could be
beneficial in situations of enhanced neuronal activity, in
which potentiation of postsynaptic adenosine A1 receptor
limits evoked depolarization. This phenomenon would
result in reduced activation of voltage-dependent Ca2? and
NMDA receptor channels, through which Ca2? ions enter
into cell bodies (Robbins et al. 1999).
In experiments of NMDA-mediated excitoxicity per-
formed in primary cultures of neurons Ciruela et al. (2001)
reported that exposure to both agonists of adenosine A1 and
metabotropic mGluR1a receptors results in an almost
complete neuroprotection, which was not achieved by any
of the two agonists when used alone. Thus, the spatio-
temporal segregation profile of adenosine/glutamate
release during synaptic activity is of special importance to
achieve a neuroprotective or a neurotoxic effect. The
results do not demonstrate that neuroprotection by the
combination of agonists is mediated by glutamate-adeno-
sine receptor heteromers. However as reasoned above,
potential neuroprotective agents acting on these receptors
would in fact act on receptor heteromers; also dual or
heteromer-selective drugs could (also potentially) be more
efficacious in achieving neuroprotection than drugs tar-
geting a single receptor.
Receptor dimers and synaptic plasticity
The readout of synaptic plasticity is the spatio/temporal and
quantitative expression of neurotransmitter active receptors
in neurons, especially around synapses and in dendritic
spines. A number of factors affect traffic, cell surface
expression and desensitization of receptors. More often than
not receptor heteromer formation results in qualitatively or
qualitatively ‘‘different’’ receptor traffic, expression and
desensitization. As an example the D1 receptor, which is
almost unable to desensitize when expressed in a heterol-
ogous system, desensitizes easily when coexpressed with a
Neurotransmitter receptor heteromers in neurodegenerative diseases and neural plasticity 985
123
receptor with which it forms heteromers. Thus, in heterol-
ogous cells expressing adenosine-dopamine A1–D1 receptor
heteromers pre-treatment with the D1R agonist SKF-38393
for 30–120 min does not alter the agonist-induced increase
in cAMP accumulation. In contrast, a significant reduction
of the SKF-38393-induced cAMP accumulation is found
after combined pre-treatment with both the dopamine and
adenosine receptor agonists (Gines et al. 2000). Similarly,
the down-regulation of cell surface dopamine and/or
adenosine receptors may markedly vary depending upon the
expression of receptor heteromers and the treatment given,
i.e., whether cells are treated with either an adenosine or a
dopamine receptor agonist or their combination. Interest-
ingly enough, one agonist may induce the internalization of
the heteromer (Gines et al. 2000). The traffic of adenosine
A2A and D2 receptors also depend on heteromer formation
and type of treatment (Agnati et al. 2005; Torvinen et al.
2005). Overall, adenosine and dopamine receptor-mediated
transmission, receptor heteromerization, and receptor traffic
(including cell surface clustering) are phenomena related to
each other in a complex manner (Franco et al. 2000).
As a summary of the above-reported findings concerning
receptor dimers/oligomers it is becoming clear that the
physiological relevance of dimers/oligomers is to provide
signalling diversity. In the central nervous system a given
neuron will sense a given neurotransmitter depending on the
heteromer, i.e., different cells expressing different hetero-
mers will respond differently to the same neurotransmitter:
dopamine, glutamate, etc. Taking advantage of the same
example given above, dopamine will lead to cAMP
increases if the target neuron expresses D1 receptors, to
cAMP decreases if the target neuron expresses D2 receptors
and to increases in intracellular Ca2? if D1–D2 heteromers
are expressed. It is foreseeable a huge variety of dimers/
trimers/tetramers arising by combining the dozens of
receptor subtypes existing for the different neurotransmit-
ters. For this reason synaptic plasticity is not a question of
expressing (qualitatively and/or quantitatively) different
receptor monomers in different circumstances but of having
different receptor heterooligomers in different circum-
stances. To advance in the understanding of how synaptic
plasticity takes place will require a clear understanding of
how heteromer formation and expression is regulated.
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