PMID- 25150870 OWN - NLM STAT- MEDLINE DCOM- 20150511 LR - 20140825 IS - 1940-6029 (Electronic) IS - 1064-3745 (Linking) VI - 1175 DP - 2014 TI - G protein-coupled receptor mutations and human genetic disease. PG - 153-87 LID - 10.1007/978-1-4939-0956-8_8 [doi] AB - Genetic variations in G protein-coupled receptor genes (GPCRs) disrupt GPCR function in a wide variety of human genetic diseases. In vitro strategies and animal models have been used to identify the molecular pathologies underlying naturally occurring GPCR mutations. Inactive, overactive, or constitutively active receptors have been identified that result in pathology. These receptor variants may alter ligand binding, G protein coupling, receptor desensitization and receptor recycling. Receptor systems discussed include rhodopsin, thyrotropin, parathyroid hormone, melanocortin, follicle-stimulating hormone (FSH), luteinizing hormone, gonadotropin-releasing hormone (GNRHR), adrenocorticotropic hormone, vasopressin, endothelin-beta, purinergic, and the G protein associated with asthma (GPRA or neuropeptide S receptor 1 (NPSR1)). The role of activating and inactivating calcium-sensing receptor (CaSR) mutations is discussed in detail with respect to familial hypocalciuric hypercalcemia (FHH) and autosomal dominant hypocalemia (ADH). The CASR mutations have been associated with epilepsy. Diseases caused by the genetic disruption of GPCR functions are discussed in the context of their potential to be selectively targeted by drugs that rescue altered receptors. Examples of drugs developed as a result of targeting GPCRs mutated in disease include: calcimimetics and calcilytics, therapeutics targeting melanocortin receptors in obesity, interventions that alter GNRHR loss from the cell surface in idiopathic hypogonadotropic hypogonadism and novel drugs that might rescue the P2RY12 receptor congenital bleeding phenotype. De-orphanization projects have identified novel disease-associated receptors, such as NPSR1 and GPR35. The identification of variants in these receptors provides genetic reagents useful in drug screens. Discussion of the variety of GPCRs that are disrupted in monogenic Mendelian disorders provides the basis for examining the significance of common pharmacogenetic variants. FAU - Thompson, Miles D AU - Thompson MD AD - Department of Pharmacology, University of Toronto, 1 King's College Circle, Toronto, ON, Canada, M5S 1A8, miles.thompson@utoronto.ca. FAU - Hendy, Geoffrey N AU - Hendy GN FAU - Percy, Maire E AU - Percy ME FAU - Bichet, Daniel G AU - Bichet DG FAU - Cole, David E C AU - Cole DE LA - eng GR - Canadian Institutes of Health Research/Canada PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review PL - United States TA - Methods Mol Biol JT - Methods in molecular biology (Clifton, N.J.) JID - 9214969 RN - 0 (Receptors, G-Protein-Coupled) SB - IM MH - Animals MH - *Genetic Association Studies MH - Genetic Diseases, Inborn/diagnosis/genetics/metabolism MH - Humans MH - *Mutation MH - Receptors, G-Protein-Coupled/*genetics/metabolism EDAT- 2014/08/26 06:00 MHDA- 2015/05/12 06:00 CRDT- 2014/08/25 06:00 PHST- 2014/08/25 06:00 [entrez] PHST- 2014/08/26 06:00 [pubmed] PHST- 2015/05/12 06:00 [medline] AID - 10.1007/978-1-4939-0956-8_8 [doi] PST - ppublish SO - Methods Mol Biol. 2014;1175:153-87. doi: 10.1007/978-1-4939-0956-8_8.