Molecular Interventions 1:108-116 (2001)
© 2001 American Society of Pharmacology and Experimental Therapeutics
Review
Splice Variants of GPCRs
Kenneth P. Minneman
Department of Pharmacology Emory University Medical School Atlanta, GA
30322
Correspondence: E-mail kminneman{at}pharm.emory.edu; fax
(404) 727-0365

Each of the cultured
human cells shown above expresses the dopamine D3 receptor, a G proteincoupled
receptor, that has been manipulated so as to fluoresce red. Some of the cells additionally express a
truncated variant of the D3 receptor (green) that prevents trafficking of both variants to
the plasma membrane and that has been associated with schizophrenia. As discussed in the accompanying
article, other GPCRs are subject to less drastic forms of splicing that may play important roles in
their localization, trafficking, and signaling.
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ABSTRACT
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Gproteincoupled receptors (GPCRs) are encoded by a vast gene superfamily, reflecting the
large number of ligands that must be specifically recognized at any given cell surface. The discovery
that the variety of GPCRs is further expanded through the generation of splice variants was therefore
somewhat surprising. Studies of the functional consequences of alternative splicing have focused on
ligand binding, signaling, constitutive activity, and downregulation. However, GPCRs also appear to
interact directly with many other intracellular proteins in addition to G proteins. Intriguingly, the
domains involved in these interactions are the predominant sites of variation arising through
splicing.
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INTRODUCTION
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G proteincoupled receptors (GPCRs) and ligand-gated channels are two important classes of
receptors that help define cellular responsiveness to extracellular signals. GPCRs are structurally
much simpler than the multimeric ligand-gated channels. It is believed that each GPCR contains a
single binding site for its ligand, whereas ligand-gated channels manifest multiple ligand binding
sites. Finally, splice variants of ligand-gated channels are common, whereas each GPCR is far more
likely to be the single product of its gene. These qualities have tended to make GPCRs, one of the
largest human protein families, attractive targets for drug development.
Recent studies, however, suggest that GPCRs may be more complex than previously thought. Evidence
is now very strong that GPCRs: i) sometimes arise through alternative splicing; ii) may associate to
form homo- or heterodimers within the cell membrane; and iii) can interact directly with other
proteins in macromolecular complexes. These new perspectives have had a major impact on our
understanding of GPCR pharmacology. In this article, I discuss splice variants of GPCRs and their
possible functional significance, a topic recently reviewed by Kilpatrick et al. (1).
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GPCR GENESTRUCTURE AND SPLICE VARIATION
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Molecular cloning of GPCRs in the 1980s led to the realization that their genes have unusual
structures. Although less than five percent of human genes lack introns in their protein-coding
regions, most mammalian GPCRs (>90%) are intron-less (2). This finding led to the widespread use of genomic libraries for the
cloning of additional of GPCRs, so that the possibility of alternative gene splicing was generally
ignored. However, splice variants of the rat D2 dopamine receptor were first reported in
1989 (3), and other GPCR genes have since been
found to contain introns in their open reading frames (ORFs).
It is now clear that the genes that encode GPCRs are structurally heterogeneous. As Table
1
shows, however, an increasingly complex genomic
structure does not correlate with the number of known splice variants. Although most GPCR genes have
no introns in their ORFs, others (e.g., rhodopsin) have multiple introns and yet still appear to evade
alternative splicing. Some GPCR genes, like that for the D2 dopamine receptor, have many
introns but yield few splice variants, and others, such as that for
1A-adrenergic
receptors, have one intron in their primary ORF but yield multiple splice variants. At the extreme,
the GABAB-R1 (
-aminobutyric acid type B receptor 1) gene has twenty
introns in its ORF, with only two splice variants reported to date. Further comparison of GPCR genes
must remain limited, because there are undoubtedly GPCR splice variants not yet identified. However,
many GPCRs have been examined extensively and identification of large numbers of additional splice
variants is unlikely.
Why do most mammalian GPCR genes lack introns? In C. elegans, virtually all GPCR genes,
which make up almost five percent of the organism's total gene content, contain introns in their
ORFs (2). Similarly, serotonin 5HT1
receptor genes have introns in Drosophila (4),
whereas the human 5HT1 receptor genes do not (5). It may be evolutionarily advantageous for the GPCRs in higher
organisms to be encoded by intron-less genes (2). If so, human GPCR genes that do contain introns must be under pressure
to retain them, possibly implying important functional differences between GPCR splice variants. It is
interesting that all five human muscarinic acetylcholine receptor genes are intron-less, although the
homologous C. elegans gene contains introns and encodes three splice variations within the
third intracellular loop (6). Whether the
increased number of GPCR genes in higher organisms is somehow related to decreased gene complexity is
not yet clear.
Splice variants are usually identified by use of the reverse transcriptasepolymerase chain
reaction (RT-PCR), or by parallel sequencing of multiple cDNA clones. Tissue distribution of splice
variants is often supported by analysis of RNA (usually, in situ hybridization); however, their
biological significance can be difficult to determine. Selective antibodies are not usually available,
and the heavy reliance on PCR techniques and sequencing can complicate the interpretation of
functional relevance. Premature stop codons that would produce proteins lacking one or more
transmembrane domains have been reported for several GPCRs (1); however, it is not yet clear whether these truncated proteins are
expressed, and they are not considered below. This review focuses only on splice variants of human
origin that have been reported by at least two laboratories, or which have been confirmed by at least
two methods. These criteria substantially reduce the number of splice variants considered
(1) but increase the likelihood of functional
relevance. The resulting survey shows that human GPCR splice variants cluster into three main groups
(Figure 1
): those with variation in the intracellular
C-terminal tail; those varying in the third intracellular (i3) loop; and those that vary in the
extracellular N terminus. For reasons of space, the few splice variants that have been reported in
extracellular and other intracellular loops (1)
are not discussed here.

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Figure 1. Schematic simplification of the GPCR structure and summary of three classes of human GPCR
splice variants. The seven transmembrane domains are shown as blue cylinders; the remaining
canonical polypeptide sequence is shown as colored string: extracellular loops (e1, e2, and e3), and
two intracellular loops (i1 and i2) are shown in blue; the N-terminal sequence is green; intracellular
loop i3 is red; and the C-terminal sequence is purple. Alternative splice variants, including those
that represent alternative N and C termini, are indicated by the pod-like expansions superimposed upon
the string. Numbers in parentheses next to receptor names indicate how many splice variants exist in
addition to the first receptor cDNA sequence cloned. Human sequences verified by two independent labs
or approaches are included. References for each of the splice variants are available in the online
version of this article.
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SPLICE VARIANTS OF THE C-TERMINAL TAIL
The largest group of splice variants pertains to the C terminus, and comprises thirty-four
variants of twelve different receptors (Figure 1
).
C-terminal splice variants of GPCRs share sequence identity with regard to their seven transmembrane
domains, but differ in the length and sequence of the intracellular tail. Five of the receptors in
this group have shown only a single splice variant, two show two splice variants, and five are more
extensively spliced. These five receptors (
1A-adrenergic, metabotropic glutamate
mGluR1, mu-opioid, prostanoid EP3, serotonin 5HT4) account for more than
two-thirds (25/34) of the total C-terminal variants and more than half (25/46) of all verified human
splice variants. Receptors that manifest splice variation in the C terminus can be further classified
according to where and how their sequences diverge: Some show complete divergence shortly after the
seventh transmembrane domain (i.e., mGluR1 and the prostanoid EP3, FP, and TP receptors);
others diverge close to the C terminus (i.e.,
1A-adrenergic, mu-opioid,
5HT4, mGluR7, GABAB-R2c); a final group results from a deletion
(i.e., GABAB-R2b) or insertion (i.e., 5HT7, mGluR5) of a small
sequence within the C-terminal tail (Figure 1
).
SPLICE VARIANTS OF THE THIRD INTRACELLULAR
LOOP
Seven variants pertain to alteration of the third intracellular (i3) loop, representing four
receptors (Figure 1
), and arise through variable
insertion of coding exons. The dopamine D2 receptor, the first GPCR for which a splice
variant was reported, exists in "short" and "long" forms that differ by
twenty-nine residues in the i3 loop. The PACAP (pituitary adenylate cyclase activating polypeptide)
receptor may be the most interesting example in this class, where variable insertion of two
alternative 28-residue segments in the i3 loop results in four separate human isoforms. Similar splice
variants of histamine H3 and cholecystokinin B receptors have also been reported.
SPLICE VARIANTS OF THE N TERMINUS
Five variants of three receptors are confirmed that represent variation in the extracellular N
terminus (Figure 1
). These are formed by exon skipping,
resulting in either a truncated terminus, or a short deletion within the domain. Human
GABAB-R1 receptors belongs to this group, with GABAB-R1b
receptors having a truncated N terminus and GABAB-R1c receptors having a shorter
deletion in this region. Similar isoforms have been reported for the CRFR2 (corticotropin-releasing
factor receptor type 2) receptor and the PACAP receptor.
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FUNCTIONAL DIFFERENCES BETWEEN SPLICE VARIANTS
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Because there are often many closely related GPCRs for a particular ligand, the role of additional
splice variants is unclear. For example, there are three
1-adrenergic receptor
subtypes among the nine adrenergic receptors. These closely related subtypes respond to the same
transmitter and activate the same signals (7),
and so the existence of three additional splice variants of the
1A subtype is puzzling
(8, 9). However, the structural regions where the splice variations occur have
led to some ideas about their function. The i3 loop and C-terminal tail are often important in G
protein coupling, whereas C-terminal phosphorylation plays an important role in desensitization. Thus,
G protein coupling and desensitization of GPCRs alternatively spliced in these regions have been
carefully compared. The N terminus is often involved in amino acid and polypeptide binding, and
N-terminal splice variants have been proposed to influence binding specificity. In addition, recent
findings about interactions of GPCRs with other proteins may provide new insights into the functional
roles of splice variants.
COUPLING EFFICIENCY
G protein activation is the major function of GPCRs, and the efficiency and specificity of
coupling of splice variants is worthy of particular attention. Coupling differences have been reported
for several known splice variants, particularly for those differing in intracellular domains. When rat
PACAP receptor isoforms with alternatively spliced i3 loops were first identified, they were shown to
differentially couple to adenylate cyclase and phospholipase C (10). Similarly, these signaling pathways are also differentially affected
by C-terminal splice variants of bovine prostanoid EP3 receptors (11), with two isoforms inhibiting and two activating adenylate
cyclase. These data are consistent with previous ideas about the role of the i3 loop and C terminus in
G protein coupling, and suggest that alternative splicing of GPCRs might be a major mechanism for
controlling signaling specificity.
Nevertheless, differences in coupling between splice variants seem to be neither robust nor
consistent. For example, human PACAP receptor splice variants differ from their rat orthologs in that
distinct human isoforms show similar activation of adenylate cyclase (12). Similarly, all four human EP3 receptor splice variants
inhibit adenylate cyclase (13), whereas a
mixture of inhibition and stimulation occurs upon activation of the bovine isoforms. Rat
SSTR2 (somatostatin receptor type 2) C-terminal splice variants do not show the differences
in coupling observed with mouse orthologs (14),
and the proposed differential coupling of i3 loop variants of the D2 dopamine receptor to
distinct Gi proteins is also controversial (15).
These discrepancies may be due to the difficulties involved in comparing coupling efficiencies of
closely related receptors. Heterologous expression is usually required, and the lack of suitable
radioligands or antibodies can make it difficult to determine whether similar expression levels are
achieved, and whether receptor density is within a physiological range. In fact, in studies where
receptor density can be controlled and quantified, splice variants often show few differences in
coupling efficiency. For example, human
1A-adrenergic receptor isoforms show
comparable activation of phospholipase C (16),
and human 5HT4 receptor isoforms cause similar activation of adenylate cyclase
(17). Thus, although coupling efficiency may
vary for alternatively spliced GPCRs, these differences are often subtle and their biological
significance remains to be determined.
DESENSITIZATION
Phosphorylation of the C-terminal tail is important in the desensitization of many GPCRs;
intriguingly, one of the most obvious differences among C-terminal splice variants is in the number of
potential phosphorylation sites. For example, the C-terminal tail of the human prostanoid TPß
receptor contains an additional eleven serines, an additional four threonines, and one extra tyrosine
compared to the shorter TP
isoform (18),
and the mGluR1a contains fifty-four more Ser/Thr residues than the much shorter mGluR1b
(19). For this reason, desensitization patterns
of several C-terminal splice variants have been carefully compared.
Despite these dramatic sequence alterations, differences in desensitization of C-terminal splice
variants have been found to be relatively modest. The clearest differences appear to be associated
with receptor internalization. As shown in Figure 2
, rat
mu-opioid (20) and human mGluR1 (21) receptor C-terminal splice variants both exhibit
differences in agonist-induced internalization. In both cases, chronic agonist exposure causes a
greater loss in cell surface localization for the shorter isoform (mu-opioid-1B, mGluR1b) than for the
longer isoform. These observations must be interpreted cautiously, however, because loss in receptor
density at the cell surface is a function of both internalization and recovery to the membrane, two
processes that can vary independently (20).
Also, some C-terminal splice variants show no apparent differences in desensitization. Human
prostanoid TP
and TPß C-terminal isoforms have large differences in the number of potential
phosphorylation sites, but a thorough study using isoform-specific antibodies found similar dose- and
time-dependence for agonist-induced phosphorylation, and identical rates of desensitization
(18). Other studies of the same receptors have,
however, reported differences in splice variant internalization (22). Thus, C-terminal splice variants of GPCRs sometimes, although not
always, show differences in desensitization.

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Figure 2. Examples of C-terminal splice variants exhibiting different desensitization profiles. The
time course of the effect of agonist exposure on cell surface receptor expression is shown
schematically for rat mu-opioid (20) and human
mGluR1 (21) receptor isoforms.
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AGONIST-INDEPENDENT CONSTITUTIVE ACTIVITY
Some GPCRs spontaneously assume an active conformation without agonist binding, and differences in
such constitutive activity have been reported for several splice variants. These differences have been
found mainly with C-terminal splice variants, including mGluR1 (23), prostanoid EP3 (24), and 5HT4 receptors (25). An increase in the density of Gs-linked 5HT4
receptors from 100 to 500 fmol/mg protein caused an almost fourfold increase in basal cAMP production
for the 5-HT4a splice variant, and other C-terminal splice variants were associated with
altered rates of cAMP production (25).
Differences in constitutive activity were also reported for C-terminal variants of the
Gi-coupled prostanoid EP3 receptor, at least at elevated expression levels
(24). Similar differences have been reported
for Gq-coupled mGluR1 receptors, although receptor density could not be quantified
(23). However, constitutive activity is
difficult to quantify, and is generally inferred from differences in second messenger levels caused by
changes in receptor density obtained by heterologous overexpression. The functional significance of
such differences thus awaits further study.
LIGAND BINDING
Because intracellular domains do not generally contribute to formation of the ligand-binding
pocket, it is not surprising that splice variation of intracellular sequences elicits almost no effect
on ligand binding. Pharmacological differences are more likely to be associated with N-terminal splice
variants. In fact, an N-terminal splice variant of the PACAP receptor, with a 21-residue deletion,
causes a substantial change in agonist affinity (26). Conversely, no significant differences in ligand binding profiles
have been reported for N-terminal splice variants of the CRFR2 and GABAB-R1
receptors. However, it is difficult to draw broad conclusions because the number of N-terminal splice
variants is limited, and there are few drugs available for characterizing these receptors.
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LOCALIZATION
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Sequence-specific probes have made it possible to map, by in situ hybridization, the distribution
of differentially spliced GPCR mRNA, particularly in brain. Not surprisingly, GPCR splice variants
often show differential distribution among many tissues and brain regions (1), consistent with cell-specific control of transcription and splicing. A
recent report suggests that different D2 dopamine receptor isoforms, formed by alternate
splicing of the i3 loop, effect distinct functions based on their preferential pre- versus
postsynaptic localization. Specifically, the targeted ablation of the additional exon that establishes
the D2 long isoform resulted in mice expressing only the short form of the D2
receptor but evidencing normal total D2 receptor density and pharmacology. Significantly,
however, D2-mediated postsynaptic motor responses were essentially abolished in these mice,
whereas D2 presynaptic regulation of dopamine release appeared to be normal (27). Thus, the D2 long isoform functions primarily
postsynaptically, and the D2 short isoform appears to be primarily presynaptic. Little is
known about the mechanisms underlying such differential distribution, which may reveal quite a bit
about the functional roles of these splice variants.
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PROTEIN-PROTEIN INTERACTIONS INVOLVING INTRACELLULAR DOMAINS OF GPCRs
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It has become clear in recent years that GPCRs exhibit specific interactions with many proteins in
addition to G proteins, such as anchoring molecules, molecules involved in intracellular signaling,
and "adaptor" molecules that may link receptors to other molecules or signals. Such
proteinprotein interactions depend mainly upon intracellular domains, particularly on the
C-terminal tail (28). Because these are the
domains most commonly altered in GPCR splice variants, it is likely that splicing will influence such
interactions.
Although GPCRs have been known for many years to bind arrestins and kinases involved in
desensitization, the diversity of other proteins that bind to GPCR intracellular domains has only
recently become apparent. In this regard, one important protein is Homer, an immediate-early gene
product found to associate with the C-terminal tails of mGluRs 1 and 5 (29). Homer represents a family of proteins, the longer forms of which have
coiled-coil domains that mediate the formation of multimeric complexes. Homer proteins bind to a
C-terminal proline-rich sequence of mGluR1 family members that is also present in both the ryanodine
receptor and the inositol 1,4,5-trisphosphate receptor. It has been suggested that Homer proteins
create a regulated physical link between mGluR receptors and inositol 1,4,5-trisphosphate receptors,
and that this link is disrupted by production of the immediate-early-gene product Homer-1a
(30), which lacks the coiled-coil domain.
Significantly, the Homer-binding motif is present in both splice variants of the mGluR5 receptor
and in the mGluR1a receptor, but is not present in the three mGluR1b, mGluR1c, or mGluR1d receptor
splice variants (31). In these latter three
isoforms, the long C-terminal tail (318 residues) of mGluR1a is replaced by a much shorter C-terminal
sequence (11-26 residues), eliminating the Homer-binding domain. If the current model is correct,
removal of this binding domain will have an important impact on the properties of mGluR1 splice
variants, probably leading to alterations in localization, coupling, and regulation.
Another novel protein found to interact with a GPCR intracellular domain is the sodium/hydrogen
exchange regulatory factor (NHERF). This PDZ domaincontaining protein associates specifically
with the last four amino acids of the C terminus of the ß2-adrenergic receptor in an
agonist-dependent manner (32). PDZ domains are
important components of molecular scaffolds that hold large multiprotein signaling complexes together,
and are thought to correctly position signaling molecules for interaction. Although there are no
ß2-adrenergic receptor splice variants, there may be similar interactions of PDZ
domains with other GPCRs. This is particularly interesting because C-terminal splice variants often
differ by only a few amino acids at the end of the tail, precisely where PDZ domains bind.
Protein partners that interact with the i3 loop of GPCRs have also been identified (28). An example is spinophilin, which binds to the i3 loop of
dopamine D2 receptors (33), where
alternative splicing can occur. Proteinprotein interactions may also be important in the
function of N-terminal splice variants. The N-terminal domain of the GABAB-R1
receptor contains two complement protein modules (SCR or "sushi" domains) that are
involved in specific proteinprotein recognition events. Either one or both of these modules are
removed in the two known human GABAB-R1 splice variants (35, 36). The
functional significance of this splice variation has yet to be determined.
These observations suggest that important functional differences between splice variants may be
explained by the presence or absence of protein-binding motifs and resulting differences in
proteinprotein interactions. Differential interactions of such proteins with GPCR splice
variants could have a marked impact on their localization and/or functional properties, as illustrated
schematically in Figure 3
. In fact, C-terminal binding
partners for SSTR2 (SSTRIP/Shank1) (37), mGluR7 (calmodulin) (38), and
1A-adrenergic receptors (neuronal nitric oxide
synthase) (39) have been reported. All of these
receptors exist as C-terminal splice variants, although we do not yet know whether the partner
proteins will bind differentially to these splice variants and the functional significance of such
interactions remains unclear. However, the identification of such binding partners strengthens the
hypothesis that alternate splicing of GPCRs may remove or add particular protein-binding motifs,
resulting in receptors with differential localization and function.

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Figure 3. Potential role of proteinprotein interactions in the differentiation of splice variant
function. C-terminal splice variation may result in distinct protein-binding motifs, leading to
specific interactions with intracellular proteins. This mode of functional regulation, mediated by
splicing, is shown in the schematic for two variants of mGluR1. Specifically, the immediate-early gene
product Homer is schematized to interact with mGluR1a but not the shorter C-terminal splice variant
mGluR1b. Homer proteins bind to a proline-rich consensus motif in the C-terminal tail of mGluR1a that
is spliced out of mGluR1b. The homodimerization of Homer through its coiled-coil domains is proposed
to physically link the mGluR1a receptor to the inositol 1,4,5-trisphosphate receptor (IP3R), which
also contains a Homer binding motif. Because the mGluR1b (shown), mGluR1c, and mGluR1d C-terminal
splice variants do not contain a Homer binding motif, they would not be expected to associate with
Homer proteins. Whether these C-terminal splice variants specifically interact with other proteins is
not yet known. Other protein-binding sequences that may be introduced into or excluded from GPCRs are
discussed in the text.
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DIMERIZATION
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Another surprising discovery was the recent observation that heterodimerization is necessary for
correct assembly and function of some GPCRs. The major breakthrough came with the observation that the
dimerization of distinct polypeptides, each containing seven transmembrane domains, was required to
form a GABABR with native pharmacological and signaling properties (35). Heterodimerization is apparently required for export of one of the
GABAB-R subunits to the cell surface and specifically functions to mask a C-terminal signal
for retention in the endoplasmic reticulum (40). Interestingly, splice variation has been reported for
GABAB-Rs both in the intracellular tail, thought to be responsible for dimerization
(GABAB-R2), and in the extracellular N-terminus responsible for GABA binding
(GABAB-R1). However, the subdomains that are alternatively spliced are not those
currently believed to be involved in either dimerization or binding, and no effect of alternative
splicing has yet been reported for either of these parameters. Analogous results have been reported
for several other GPCRs, including opioid receptors, suggesting that GPCR heterodimerization may be
relatively common (41). If other GPCRs with
C-terminal splice variants also prove to undergo C-taildependent dimerization, important
functional implications for the existence of splice variants will have to be considered.
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CONCLUSIONS
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It is now clear that a relatively small subset of GPCRs undergo alternative splicing to generate
isoforms differing in particular intracellular and extracellular domains. Most of the verified human
splice variants represent variation of GPCR C termini, although splicing can also affect other
regions. We still know little about the functional roles of GPCR splice variants, but differences in
ligand binding, signaling efficiency, constitutive activity, and desensitization have been reported.
This area has recently become more interesting not only by the discovery of a large number of
intracellular proteins that specifically associate with GPCRs, but also by the recognition that some
GPCRs require heterodimerization for correct assembly and function. Because these
proteinprotein interactions often involve C-terminal domains, splice variants may arise as a
mechanism to regulate such associations. The addition or deletion of discrete protein binding motifs
by alternative splicing may thus confer important functional characteristics on particular splice
variants, and the elucidation of such characteristics may provide new insights into the physiological
function of GPCR splice variation.
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Kenneth P. Minneman, Ph.D., is Charles Howard Candler Professor of Pharmacology at Emory
University. His research interests include the pharmacology, structure, molecular biology, and
mechanisms of signal transduction of adrenergic receptor subtypes.
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