Strategies to Discover Unexpected Targets for Drugs Active at G Protein–Coupled Receptors
Abstract
G protein–coupled receptors (GPCRs) are an evolutionarily conserved family of signaling molecules comprising approximately 2% of the human genome; this receptor family remains a central focus in basic pharmacology studies and drug discovery efforts. Detailed studies of drug action at GPCRs over the past decade have revealed existing and novel ligands that exhibit polypharmacology—that is, drugs with activity at more than one receptor target for which they were designed. These “off-target” drug actions can be a liability that causes adverse side effects; however, in several cases, drugs with less selectivity demonstrate better clinical efficacy. Here we review physical screening and cheminformatic approaches that define drug activity at the GPCR receptorome. In many cases, such profiling has revealed unexpected targets that explain therapeutic actions as well as off-targets underlying drug side effects. Such drug-receptor profiling has also provided new insights into mechanisms of action of existing drugs and has suggested directions for future drug development.
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Most clinically effective antipsychotics also exhibit other actions that contribute to both therapeutic and side-effect profiles.
“most clinically effective antipsychotics also exhibit a myriad of other actions that contribute to both therapeutic and side-effect profiles [359,360].”
From Reward circuitry dysfunction in psychiatric and neurodevelopmental disorders and genetic syndromes: animal models and clinical findings (2012) · cites this paper as [359]
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- Authors
- Allen, J. A., & Roth, B. L.
- Affiliations
- University of North Carolina at Chapel Hill (US)
- Venue
- Annual Review of Pharmacology and Toxicology
- Publisher
- Annual Reviews
- Published
- 2011-02-10
- Volume
- 51
- Issue
- 1
- Pages
- 117-144
- ISSN
- 0362-1642 (ISSN-L)
- 1545-4304
- OpenAlex
- W2160203886
- Cited by
- 216
- References
- 145
- Citations by year
- 2026: 3 · 2025: 6 · 2024: 16 · 2023: 12 · 2022: 15 · 2021: 7 · 2020: 10 · 2019: 15 · 2018: 15 · 2017: 14 · 2016: 10 · 2015: 22 · 2014: 21 · 2013: 22 · 2012: 17
- FWCI
- 1.96
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- The Annual Review of Pharmacology and Toxicology (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institutes of Health
- U.S. Public Health Service (HHSN-271-2008-00025-C)
- National Institute of Mental Health (U19MH082441, R01MH061887)
- National Institute on Drug Abuse (R01DA017204)
- Eunice Kennedy Shriver National Institute of Child Health and Human Development (T32HD040127)
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Receptor Mechanisms and Signaling
- Physical Sciences › Computer Science › Computational Theory and Mathematics › Computational Drug Discovery Methods
- Life Sciences › Neuroscience › Cellular and Molecular Neuroscience › Neuroscience and Neuropharmacology Research
- Keywords
- G protein-coupled receptors, polypharmacology, cheminformatics, adverse drug reactions, receptor selectivity, mechanisms of drug action, drug development
- MeSH terms
- Animals, Pharmaceutical Preparations, Humans, Ligands, Drug Design, Drug Delivery Systems, Computational Biology, Receptors, G-Protein-Coupled, Drug Discovery, Drug-Related Side Effects and Adverse Reactions
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