Antihistamine drugs work by preventing histamine from attaching to H1 receptors

Itchy eyes, scratchy throat, running nose--it's allergy season! What triggers these allergic reactions, and how do allergy medications work?

The outer surface of many of our cells, including those in the airways, has a protein called the H1 receptor. This protein attaches to histamine, an organic compound involved in immune responses. In some people, the binding triggers allergic reactions, such as hay fever or food and pet allergies. Antihistamine drugs work by preventing histamine from attaching to H1 receptors.

H1 receptors belong to a special family of proteins called G protein-coupled receptors, or GPCRs. Scientists estimate that there are about 800 different types of GPCRs in the membranes of our cells. Some are sensing molecules that let us see, smell and taste; others give us a boost after a few sips of coffee, make us retreat during a conflict or help fight off infection. GPCRs also are associated with diseases ranging from asthma to schizophrenia, and they are the target of more than a third of marketed drugs, including heart medications and antidepressants.

Yet GPCRs' structures--key to understanding how they work and to designing more effective drugs--have remained relatively hidden from view. Researchers funded by the National Institutes of Health have given us a peek at some of them, and the improved methods these scientists have developed could reveal lots more structures in the near future.

Structural Clues

Labs around the world have tried for years to obtain detailed images of human GPCRs because the precise, three-dimensional arrangement of a protein's atoms provides important details about how a protein interacts with its natural partner molecules in the body or with drug molecules. But the structures of membrane proteins, including GPCRs, are as difficult to determine as they are valuable to understand.

One challenge is that GPCRs are exceedingly flimsy and fragile when not anchored within their native cell membranes. This makes it very hard to coax them to form crystals so that their structures can be determined through X-ray crystallography.

Right now, we know the structures of about 1 percent of all human GPCRs, and researchers are using two key approaches to generate and study more. Stanford University's Brian Kobilka, who shared the 2012 Nobel Prize in chemistry for his work on GPCRs, is among the scientists who are focusing on specific GPCRs to better understand how they function and interact with other molecules, including drugs.

Other scientists, such as Raymond Stevens at The Scripps Research Institute, are taking a complementary approach to get structures that represent each of the major branches of the GPCR family tree. Knowing more about one member could enable scientists to computationally model the others.

GPCR Gallery

In addition to the H1 histamine receptor, some of the key structures that the Stevens group and its collaborators, including Kobilka and other scientists around the world, have solved using the family tree approach include the:

•β2 adrenergic receptor, or the molecular "fight or flight" switch.
•A2A adenosine receptor, sometimes called the "caffeine receptor."
•CXCR4 chemokine receptor, which has been linked to more than 20 types of cancer.
•D3 dopamine receptor, which plays a vital role in the central nervous system, affecting our movement, cognition and emotion.
•Kappa opioid receptor, a protein on the surface of brain cells that is centrally involved in pleasure as well as in pain, addiction, depression, psychosis and related conditions.

See representations of these proteins' structures in the image and video gallery from NIH's National Institute of General Medical Sciences: http://images.nigms.nih.gov/index.cfm?event=doSearch&searchTerm=gpcr&typeID=&sizeID=

Technical Breakthroughs

What was the game-changing technical breakthrough that has made determining these structures possible?

"I'm always asked that question," says Stevens, "and the answer is that there wasn't just one breakthrough, there were about 15 separate developments by several different investigators around the world, each breakthrough critically needed in combination with one another, and they came together after a long time."

Some of these breakthroughs have improved researchers' ability to produce and purify GPCRs in quantities sufficient for crystallization. Other breakthroughs have been aimed at stabilizing GPCRs, making them more crystallizable and holding them in a specific structural conformation. Scientists continue to improve other methods, including the ability to model new GPCR structures from known ones.

Source: The Scripps Research Institute

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