Structural basis of selective cannabinoid CB<sub>2</sub> receptor activation.

Li, Xiaoting; Chang, Hao; Bouma, Jara; de Paus, Laura V; Mukhopadhyay, Partha; Paloczi, Janos; Mustafa, Mohammed; van der Horst, Cas et al. · Nat Commun · 2023

basic_science · Level V

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Abstract

Cannabinoid CB<sub>2</sub> receptor (CB<sub>2</sub>R) agonists are investigated as therapeutic agents in the clinic. However, their molecular mode-of-action is not fully understood. Here, we report the discovery of LEI-102, a CB<sub>2</sub>R agonist, used in conjunction with three other CBR ligands (APD371, HU308, and CP55,940) to investigate the selective CB<sub>2</sub>R activation by binding kinetics, site-directed mutagenesis, and cryo-EM studies. We identify key residues for CB<sub>2</sub>R activation. Highly lipophilic HU308 and the endocannabinoids, but not the more polar LEI-102, APD371, and CP55,940, reach the binding pocket through a membrane channel in TM1-TM7. Favorable physico-chemical properties of LEI-102 enable oral efficacy in a chemotherapy-induced nephropathy model. This study delineates the molecular mechanism of CB<sub>2</sub>R activation by selective agonists and highlights the role of lipophilicity in CB<sub>2</sub>R engagement. This may have implications for GPCR drug design and sheds light on their activation by endogenous ligands.

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