The activation mechanism and antibody binding mode for orphan GPR20
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Updated: Aug 8, 2025

Characterization of Glycoproteins with the Immunoglobulin Fold by X-Ray Crystallography and Biophysical Techniques
Published on: July 5, 2018
Xi Lin1, Shan Jiang1,2, Yiran Wu1
1iHuman Institute, ShanghaiTech University, Pudong, Shanghai, China.
Abstract:
GPR20 is a class-A orphan G protein-coupled receptor (GPCR) and a potential therapeutic target for gastrointestinal stromal tumors (GIST) owing to its differentially high expression. An antibody-drug conjugate (ADC) containing a GPR20-binding antibody (Ab046) was recently developed in clinical trials for GIST treatment. GPR20 constitutively activates Gi proteins in the absence of any known ligand, but it remains obscure how this high basal activity is achieved. Here we report three cryo-EM structures of human GPR20 complexes including Gi-coupled GPR20 in the absence or presence of the Fab fragment of Ab046 and Gi-free GPR20. Remarkably, the structures demonstrate a uniquely folded N-terminal helix capping onto the transmembrane domain and our mutagenesis study suggests a key role of this cap region in stimulating the basal activity of GPR20. We also uncover the molecular interactions between GPR20 and Ab046, which may enable the design of tool antibodies with enhanced affinity or new functionality for GPR20. Furthermore, we report the orthosteric pocket occupied by an unassigned density which might be essential for exploring opportunities for deorphanization.
Insights
Gastrointestinal stromal tumor (GIST) target GPR20
Area of Science:
- Structural biology
- G protein-coupled receptors
- Oncology
Background:
- GPR20 is an orphan receptor overexpressed in GIST, making it a therapeutic target.
- A GPR20-binding antibody-drug conjugate (ADC), Ab046, is in clinical trials for GIST.
- The mechanism behind GPR20's high basal activity is unknown.
Purpose of the Study:
- To elucidate the structural basis of GPR20's basal activity.
- To characterize the interaction between GPR20 and the Ab046 antibody.
- To identify potential sites for GPR20 ligand binding.
Main Methods:
- Cryo-electron microscopy (cryo-EM) to determine GPR20 structures.
- Mutagenesis studies to investigate GPR20 function.
- Structural analysis of GPR20-Gi and GPR20-Ab046 complexes.
Main Results:
- Three cryo-EM structures of human GPR20 complexes were determined.
- A unique N-terminal helix capping the transmembrane domain was identified as crucial for basal activity.
- Molecular interactions between GPR20 and Ab046 were revealed.
- An unassigned density in the orthosteric pocket suggests a potential binding site.
Conclusions:
- The N-terminal helix plays a key role in GPR20's constitutive Gi activation.
- Structural insights enable the design of improved GPR20-targeting antibodies.
- Further investigation of the orthosteric pocket may lead to GPR20 deorphanization.
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