Sequential Binding of Agonists to the 2 Adrenoceptor KINETIC EVIDENCE FOR INTERMEDIATE CONFORMATIONAL STATES *

The 2 adrenoreceptor ( 2AR) is a prototypical G protein-coupled receptor (GPCR) activated by catecholamines. Agonist activation of GPCRs leads to sequential interactions with heterotrimeric G proteins, which activate cellular signaling cascades, and with GPCR kinases and arrestins, which attenuate GPCRmediated signaling. We used fluorescence spectroscopy to monitor catecholamine-induced conformational changes in purified 2AR. Here we show that upon catecholamine binding, 2ARs undergo transitions to two kinetically distinguishable conformational states. Using a panel of chemically related catechol derivatives, we identified the specific chemical groups on the agonist responsible for the rapid and slow conformational changes in the receptor. The conformational changes observed in our biophysical assay were correlated with biologic responses in cellular assays. Dopamine, which induces only a rapid conformational change, is efficient at activating Gs but not receptor internalization. In contrast, norepinephrine and epinephrine, which induce both rapid and slow conformational changes, are efficient at activating Gs and receptor internalization. These results support a mechanistic model for GPCR activation where contacts between the receptor and structural determinants of the agonist stabilize a succession of conformational states with distinct cellular functions.

G protein-coupled receptors (GPCRs) 1 represent the largest family of membrane proteins in the human genome. They are responsible for the majority of cellular responses to hormones and neurotransmitters and are the largest group of targets for drug discovery. GPCRs are remarkably versatile biological sensors, responding to a broad spectrum of chemical entities ranging in size from a single photon of light, to ions, to small organic compounds, to peptides and protein hormones (1).
Rhodopsin has long been used as a model system for studying the structure and mechanism of activation of GPCRs. It is the only GPCR for which a high resolution structure is available (2). Light-induced conformational changes have been elucidated by a series of elegant biophysical studies (3)(4)(5)(6)(7)(8). Electron paramagnetic resonance spectroscopy studies provide evidence that photoactivation of rhodopsin involves a rotation and tilting of transmembrane domain 6 (TM6) relative to TM3 (3). Light-induced conformational changes have also been observed in the cytoplasmic domain spanning TM1 and TM2 (6) and the cytoplasmic end of TM7 and helix 8 (5).
Structural and biophysical studies on other GPCRs are more limited. Fluorescence spectroscopic analysis of ␤ 2 ARs labeled with environmentally sensitive fluorescent probes detects movement of both TM3 and TM6 upon agonist binding (9). More detailed analysis of conformational changes in TM6 of the ␤ 2 AR provide evidence for a rigid body motion similar to that observed upon activation of rhodopsin (10,11). Additional support for movement of TM3 and TM6 in the ␤ 2 AR comes from zinc cross-linking studies (12) and chemical reactivity measurements in constitutively active ␤ 2 AR mutants (13,14). Cysteine cross-linking studies in the M3 receptor provide evidence for the movement of the cytoplasmic ends of TM5 and TM6 toward each other upon agonist activation (15).
Based on this limited set of experiments, it appears that the agonist-induced conformational changes leading to G protein activation for monoamine receptors are similar to those observed for rhodopsin. However, the process linking agonist binding to these conformational changes for rhodopsin may not be generalizable to the larger family of GPCRs for hormones and neurotransmitters because of the unique covalent interaction between rhodopsin and its agonist trans-retinal. Thus, the dynamic processes of agonist association and dissociation common to other GPCRs are not part of the activation process of rhodopsin, and the mechanism by which ligand binding leads to structural changes in GPCRs is poorly understood.
A number of kinetic models have been developed to describe the process of agonist activation. These models are based on indirect measures of receptor conformation such as ligand binding affinity and G protein activation studies. Perhaps the most widely cited model is the extended ternary complex model (16 -18). A simplified version of this model (referred to as the two-state model) is commonly used as a conceptual framework to discuss experimental results. The two-state model proposes that a receptor exists primarily in two states, the inactive state (R) and the active state (R*). In the absence of ligands, the level of basal receptor activity is determined by the equilibrium between R and R*. The efficacy of ligands reflects their ability to alter the equilibrium between these two states. Full agonists stabilize R*, whereas inverse agonists stabilize R. Although often discussed in the context of two receptor states, the extended ternary complex model is compatible with multiple receptor states, and several lines of experimental evidence support the existence of multiple states (18,19).
We have used fluorescence lifetime spectroscopy to characterize the diversity of conformational states of the ␤ 2 AR (20). We found that the conformational states induced by full and * The costs of publication of this article were defrayed in part by the payment of page charges. This article must therefore be hereby marked "advertisement" in accordance with 18 U.S.C. Section 1734 solely to indicate this fact.
‡ To whom correspondence should be addressed. Tel.: 650-723-7069; Fax: 650-498-5092; E-mail: kobilka@stanford.edu. 1 The abbreviations used are: GPCR, G protein-coupled receptor; GRK, G protein-coupled receptor kinase; AR, adrenoceptor; TMR-␤ 2 AR, ␤ 2 AR labeled at Cys-265 with tetramethylrhodamine maleimide; TM, transmembrane. partial agonists are distinguishable. Moreover, we found that a single catecholamine agonist induces or stabilizes at least two conformational states that are distinguishable from the unliganded state. Based on these studies, we proposed the existence of an intermediate state between the inactive (unliganded state) and the fully activated state. We now show that it is possible to observe and characterize an intermediate state by kinetic analysis. We use fluorescence spectroscopy to monitor agonist-induced conformational changes in purified ␤ 2 AR over time. Our results support a mechanistic model for GPCR activation, where contacts between the receptor and structural determinants of the agonist stabilize a succession of conformational states with distinct cellular functions.
Receptor Purification and Labeling-␤ 2 AR was expressed in Sf9 cells and solubilized using methods described previously (21). CaCl 2 was added to a final concentration of 1 mM, and the detergent-solubilized ␤ 2 AR was purified by M1-FLAG affinity chromatography (Sigma). The receptor was eluted from the M1-FLAG resin in Buffer B. The concentration of functional, purified receptor was determined using a saturating concentration (10 nM) of [ 3 H]dihydroalprenolol as described previously (21). FLAG-purified receptor was diluted to a concentration of 1 M and labeled with tetramethylrhodamine-5-meleimide (Molecular Probes) at a final concentration of 1 M for 1 h on ice. Labeled receptor was then purified by alprenolol-Sepharose chromatography as described previously (21). The receptor was eluted from alprenolol-Sepharose with Buffer C and loaded directly onto M1-FLAG resin. The M1-FLAG resin was washed with Buffer D to remove free alprenolol and eluted with Buffer B. Two liters of Sf9 cells typically yield 500 l of a 5 M solution of tetramethylrhodamine-labeled ␤ 2 AR (TMR-␤ 2 AR).
Fluorescence Spectroscopy-Experiments were performed on a SPEX FluoroMax-3 spectrofluorometer with photon counting mode using an excitation and emission bandpass of 3.2 nm. Approximately 25 pmol of TMR-␤ 2 AR was desalted into 500 l of Buffer E immediately before spectroscopy. For time course experiments, excitation was at 541 nm, and emission was monitored at 571 nm. Unless otherwise indicated, all experiments were performed at 30°C, and the sample underwent constant stirring. Fluorescence intensity was corrected for dilution by ligands in all experiments and normalized to the initial value. All of the compounds tested had an absorbance of less than 0.01 at 541 and 571 nm in the concentrations used, excluding any inner filter effect in the fluorescence experiments. Spectra were corrected for fluorescence of the ligand when it was greater than 1% of the basal fluorescence of TMR-␤ 2 AR (only required for tyramine).
cAMP Accumulation-The production of cAMP was determined by adenylyl cyclase activation FlashPlate assay (PerkinElmer Life Sciences) as described previously (22).
Agonist-induced Internalization-HEK293 cells expressing FLAG-␤ 2 AR were cultured in poly-lysine-coated 12-well plates for 24 h. The cells were stimulated with different drugs for 10 min before fixing without permeabilization with 4% paraformaldehyde in phosphatebuffered saline (with Ca 2ϩ and Mg 2ϩ ). After blocking with 2.5% goat serum in phosphate-buffered saline (with Ca 2ϩ and Mg 2ϩ ), the cells were stained with Alexa-488 (Molecular Probes)-conjugated M1 antibody (Sigma) at a concentration of 1 g/ml for 30 min. The unbound antibody was removed by washing four times with phosphate-buffered saline (with Ca 2ϩ and Mg 2ϩ ). The cells were harvested with 1% SDS in phosphate-buffered saline, and the intensity of Alexa-488 emission was measured on a FluorMax-3 spectrofluorometer. The excitation was at 485 nm, and the emission was from 495 to 580 nm with an integration time of 0.3 s/nm. The fluorescence intensity was normalized after subtracting the background from cells without M1 antibody.
Statistical Analysis-Curve fitting and statistical analysis were performed using Prism (GraphPad Software, Inc.).

RESULTS AND DISCUSSION
Monitoring Agonist-induced Conformational Changes in the ␤ 2 AR with a Fluorescent Probe at the Cytoplasmic End of TM6 -To study agonist-induced conformational changes in the ␤ 2 AR, we monitor fluorescence intensity of purified ␤ 2 AR labeled at Cys-265 with tetramethylrhodamine maleimide (TMR-␤ 2 AR) as a function of time. We have shown previously that it is possible to monitor agonist-induced conformational changes in ␤ 2 ARs labeled at Cys-265 with either fluorescein maleimide (10,20) or tetramethylrhodamine maleimide (23). An environmentally sensitive fluorophore covalently bound to Cys-265 is well positioned to detect agonist-induced conformational changes relevant to G protein activation. Based on homology with rhodopsin (2), Cys-265 is located in the third intracellular loop (IC3) at the cytoplasmic end of the transmembrane 6 (TM6) (Fig. 1). Mutagenesis studies have shown this region of IC3 to be important for G protein coupling (24,25). Moreover, TM6, along with TM3 and TM5, contain amino acids that form the agonist binding site. The sites of interaction between catecholamines and the ␤ 2 AR have been extensively characterized (26 -28) and are summarized in Fig. 1. The amine nitrogen interacts with Asp-113 in TM3 (26), and the catechol hydroxyls interact with serines in TM5 (26 -28). Interactions with the aromatic ring and the chiral ␤-hydroxyl have both been mapped to TM6 (27).
Norepinephrine-induced Conformational Changes in ␤ 2 AR Are Biphasic- Fig. 2A shows the response of TMR-␤ 2 AR to a saturating concentration of two catecholamine agonists: norepinephrine and dopamine. The time versus intensity traces were fit with one-site and two-site exponential association functions. A two-site fit was significantly better than a one-site fit for the response to norepinephrine (p Ͻ 0.0001). In contrast, there was no significant difference between one-site and twosite fits for the response to dopamine. In Fig. 2A, the two-site fit for norepinephrine is broken into its component rapid (t1 ⁄2 rapid ϭ 2.8 Ϯ 0.4 s) and slow (t1 ⁄2 slow ϭ 70 Ϯ 6 s) phases. Of interest, the rapid phase of the response for norepinephrine is similar to the monophasic response observed for dopamine (t1 ⁄2 ϭ 4.2 Ϯ 0.3 s) ( Table I).
The Role of the Chiral ␤-Hydroxyl in Biphasic Conformational Changes-The difference in the response of TMR-␤ 2 AR to dopamine and norepinephrine can be attributed to the chiral ␤-hydroxyl present in norepinephrine but absent in dopamine ( Fig. 2A). Thus, conformational changes involving receptor interactions with the catechol ring, the catechol hydroxyls, and the amine nitrogen (present in both dopamine and norepineprine) are rapid, whereas conformational changes associated with interactions between the receptor and the ␤-hydroxyl (present in norepinephrine) are ϳ10 times slower. This is somewhat surprising considering that the ␤-hydroxyl contributes ϳ2 kCal/mol of binding energy (as determined by equilibrium binding affinity). The relatively slow rate of formation of this interaction between the receptor and the ␤-hydroxyl suggests that the conformational transition required to accommodate this interaction involves traversing a relatively large en-ergy barrier. Comparing the effects of (Ϫ) and (ϩ) enantiomers of norepinephrine on TMR-␤ 2 AR further demonstrates the importance of the chiral ␤-hydroxyl in the slow phase of the conformational response to norepinephrine. As shown in Fig.  2B, a rapid phase of comparable magnitude is observed for both isomers; however, during the slow phase for (ϩ) norepinephrine, there is a relative decrease in fluorescence. Thus, it appears that the ␤-hydroxyl of (ϩ) norepinephrine binds to the ␤ 2 AR but stabilizes a different conformational state. It is interesting that the rate of the slow component for (ϩ) norepinephrine is comparable with that for (Ϫ) norepinephrine. However, we do not know whether the ␤-hydroxyl of (ϩ) norepinephrine binds to the same amino acid side chain in the ␤ 2 AR as the ␤-hydroxyl of (Ϫ) norepinephrine.
To further characterize the structural components responsible for the rapid and slow conformational changes, we examined the response to a panel of ligands that are structurally related to catecholamines (Fig. 3). Like norepinephrine, isoproterenol and epinephrine both have chiral ␤-hydroxyls and both induce a biphasic change in the intensity of TMR-␤ 2 AR (Fig.   FIG. 2. Norepinephrine (Norepi) induces a biphasic conformational change in TMR-␤ 2 AR. As shown in A, agonist-induced conformational changes in response to norepinephrine and dopamine were examined by monitoring changes in the fluorescence intensity of TMR-␤ 2 AR as a function of time. The curves represent the average of three experiments. The response to norepinephrine was best fit with a twosite exponential association function (p Ͻ 0.0001), whereas there was no significant difference between a one-site and a two-site fit for the response to dopamine. The rapid and slow components of the biphasic response to norepinephrine are shown as dotted lines. B, a comparison of the conformational response to (ϩ) and (Ϫ) enantiomers of norepinephrine. The chiral ␤-hydroxyl (red) determines the direction of the slow component of the biphasic response. The tracings are representative of three independent experiments performed on the same preparation of TMR-␤ 2 AR. All drugs were added to achieve a final concentration of 100 M.  3A). The magnitude of the slow component (isoproterenol Ϸ epinephrine Ͼ norepinephrine) correlates with the presence of an alkyl substituent on the amine of the agonist. Moreover, the rate of the slow component for norepinephrine, which lacks an amine substituent, is significantly faster (t1 ⁄2 2 ϭ 70 Ϯ 6 s) than that of the slow components for epinephrine (t1 ⁄2 2 ϭ 164 Ϯ 20 s) and isoproterenol (t1 ⁄2 2 ϭ 147 Ϯ 10 s) (Table I). Thus, like receptor interactions with the chiral ␤-hydroxyl, conformational changes involving interactions between the amine substituent and the ␤ 2 AR are relatively slow.
The Catechol Ring Is Required for the Rapid Component of the Biphasic Conformational Change-To understand the structural basis of the rapid phase of TMR-␤ 2 AR response to catecholamines, we compared responses to dopamine, tyramine, catechol, and resorcinol (Fig. 3B). Tyramine, which differs from dopamine in lacking the meta-hydroxyl on the catechol ring, does not induce a detectable change in the fluorescence of TMR-␤ 2 AR. Thus, the catechol structure is essential for the rapid conformational response. In fact, catechol alone induces a small, rapid response in TMR-␤ 2 AR, whereas no detectable response is observed with resorcinol. The difference in the magnitude of the fluorescence response to dopamine and catechol can be attributed to the interaction of the amine nitrogen of dopamine and Asp-113 in TM3 of the ␤ 2 AR (Fig. 1). Therefore, this interaction must occur on a similar rapid time scale (t1 ⁄2 Ͻ 5 s).
Sequential Binding Model-These fluorescence experiments provide evidence for a sequential binding model (Fig. 4) in which the process of binding of a small organic agonist occurs by kinetically distinguishable steps through discrete intermediate conformational states. This model proposes that the unliganded receptor exists in a dynamic and relatively flexible state R (see Fig. 4) that can undergo transitions to an undetermined number of states. The flexibility of the unliganded state is based on fluorescence lifetime studies (20) and the observation that R is more susceptible to thermal denaturation (29) and proteolysis (30). Moreover, R may undergo spontaneous transitions to a state capable of activating the G protein, explaining the high basal activity observed for some GPCRs (31). We propose that in the R state, the receptor does not have a high affinity binding site for the agonist. That is, in the R state, the specific amino acid side chains involved in agonist binding (Fig. 1) are not arranged to simultaneously coordinate the ligand. These interactions between the receptor and the agonist are formed sequentially, such that each interaction increases the probability of the subsequent interaction. The process results in a series of intermediate states (R 1 and R 2 and R 3 ). In our model, we hypothesize that R 1 results from interactions between the catechol ring of the agonist and TMs 5 and 6 of the receptor. R 2 occurs when the amine nitrogen interacts with TM3. Our speculation that binding of the catechol ring precedes the binding of the amine is based on the observation that catechol alone induces a rapid conformational response in TMR-␤ 2 AR (Fig. 3B). In contrast, tyramine, which lacks an intact catechol ring but has the amine group, produces no conformational change that can be detected by our reporter on TM6. Nevertheless, the magnitude of the response for dopamine is greater than that for catechol, suggesting that the interaction between the amine and Asp-113 facilitates or stabilizes the interaction of the catechol ring with TM5 and TM6. The transitions from R to R 1 and R 2 are rapid. R 3 occurs when the receptor engages the ␤-hydroxyl. The transition from R 2 to R 3 is slow.
The Rapid and Slow Conformational States May Have Different Functional Properties-The relatively large difference in the rates of the rapid and slow conformational responses suggest that the different receptor states may have distinct functional properties. Agonist binding promotes interactions between the ␤ 2 AR and G s , thereby activating signaling cascades. Agonists also promote interactions between the ␤ 2 AR and GRKs and arrestins, which block access to G proteins and, for many GPCRs, mediate endocytosis of the receptor (32). In an effort to determine the functional properties of the intermediate states proposed in the sequential binding model (Fig. 4), we examined the effect of the panel of catecholamine-related compounds on G protein activation (cAMP accumulation, Fig. 5A) and interactions with GRK and arrestin (␤ 2 AR endocytosis, Fig. 5B). The state stabilized by binding of the catechol ring alone (R 1 ) is not sufficient to activate the G protein. However, R 2 , the state stabilized by binding the catechol ring and the amine (dopamine), efficiently interacts with G s . Maximal cAMP accumulation in response to dopamine is ϳ95% of that induced by isoproterenol. Thus, dopamine is a strong partial agonist for the ␤ 2 AR in promoting interactions with G s . In contrast, dopamine is only marginally effective at promoting ␤ 2 AR internalization (Fig. 5B), suggesting that the dopamine is less efficient at stabilizing interactions between the ␤ 2 AR and GRK and/or arrestin. Norepinephrine, epinephrine, and isoproterenol, which stabilize both R 2 and R 3 , are significantly more effective in stimulating ␤ 2 AR internalization. Thus, the slow transition from R 2 to R 3 appears to be required for promoting interactions between the receptor and GRK and/or arrestin.
Conclusion-By examining conformational changes in the ␤ 2 AR induced by a panel of closely related ligands, we gain insight into the sequence of events linking ligand binding to receptor activation. Moreover, our studies demonstrate that a single small organic ligand such as norepinephrine can induce at least two kinetically and functionally distinct conformational states: a rapid state capable of activating G s and a slow state required for efficient agonist-induced internalization. Since interactions between the ␤ 2 AR and GRK and/or arrestin are required for internalization, it is likely that the slow conformational state promotes interactions between the ␤ 2 AR and one or both of these regulatory proteins. It is interesting to speculate that the kinetics of ligand binding may be responsible for the timing of the sequence of receptor activation and desensitization. Our results are in agreement with studies on the -opioid receptor demonstrating that different ligands induce distinct conformational states that differ in promoting G protein activation and receptor internalization (33). More recently, time-resolved peptide binding studies on the neurokinin receptor revealed that an agonist peptide binds with biphasic kinetics. The rapid binding component was associated with a cellular calcium response, whereas the slow component was required for cAMP signaling (34). Thus, it is likely that our finding that a single agonist can induce or stabilize multiple functionally distinct conformational states will be generalizable to other GPCRs, particularly those activated by peptides and protein hormones where there are a larger number of sites of interaction between receptor and agonist. A better understanding of this conformational heterogeneity will facilitate the design of more effective and selective pharmaceuticals.