Symmetric activation and modulation of the human calcium-sensing receptor
Jinseo Park, Hao Zuo, Aurel Frangaj, Ziao Fu, Laura Y. Yen, Zhening Zhang, Lidia Mosyak, Vesna Slavkovich, Jonathan Liu, Kimberly M. Ray, Baohua Cao, Francesca Vallese, Yong Geng, Shaoxia Chen, Robert A. Grassucci, Venkata P. Dandey, Yong Zi Tan, Edward T. Eng, Yeji Lee, Brian Kloss, Zheng Liu, Wayne A. Hendrickson, Clinton S. Potter, Bridget Carragher, Joseph H. Graziano, Arthur D. Conigrave, Joachim Frank, Oliver B. Clarke, Qing Fan
Abstract
levels and contributes to nutrient-dependent maintenance and metabolism of diverse organs. Allosteric modulation of the CaS receptor corrects disorders of calcium homeostasis. Here, we report the cryogenic-electron microscopy reconstructions of a near-full-length CaS receptor in the absence and presence of allosteric modulators. Activation of the homodimeric CaS receptor requires a break in the transmembrane 6 (TM6) helix of each subunit, which facilitates the formation of a TM6-mediated homodimer interface and expansion of homodimer interactions. This transformation in TM6 occurs without a positive allosteric modulator. Two modulators with opposite functional roles bind to overlapping sites within the transmembrane domain through common interactions, acting to stabilize distinct rotamer conformations of key residues on the TM6 helix. The positive modulator reinforces TM6 distortion and maximizes subunit contact to enhance receptor activity, while the negative modulator strengthens an intact TM6 to dampen receptor function. In both active and inactive states, the receptor displays symmetrical transmembrane conformations that are consistent with its homodimeric assembly.