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<front>
<journal-meta>
<journal-id journal-id-type="publisher-id">Front. Pharmacol.</journal-id>
<journal-title>Frontiers in Pharmacology</journal-title>
<abbrev-journal-title abbrev-type="pubmed">Front. Pharmacol.</abbrev-journal-title>
<issn pub-type="epub">1663-9812</issn>
<publisher>
<publisher-name>Frontiers Media S.A.</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="publisher-id">1394516</article-id>
<article-id pub-id-type="doi">10.3389/fphar.2024.1394516</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Pharmacology</subject>
<subj-group>
<subject>Review</subject>
</subj-group>
</subj-group>
</article-categories>
<title-group>
<article-title>Exploring orphan GPCRs in neurodegenerative diseases</article-title>
<alt-title alt-title-type="left-running-head">&#xd6;z-Arslan et al.</alt-title>
<alt-title alt-title-type="right-running-head">
<ext-link ext-link-type="uri" xlink:href="https://doi.org/10.3389/fphar.2024.1394516">10.3389/fphar.2024.1394516</ext-link>
</alt-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname>&#xd6;z-Arslan</surname>
<given-names>Devrim</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
<xref ref-type="fn" rid="fn1">
<sup>&#x2020;</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/1362848/overview"/>
<role content-type="https://credit.niso.org/contributor-roles/visualization/"/>
<role content-type="https://credit.niso.org/contributor-roles/Writing - review &#x26; editing/"/>
<role content-type="https://credit.niso.org/contributor-roles/writing-original-draft/"/>
<role content-type="https://credit.niso.org/contributor-roles/conceptualization/"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Yavuz</surname>
<given-names>Melis</given-names>
</name>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
<xref ref-type="aff" rid="aff3">
<sup>3</sup>
</xref>
<xref ref-type="fn" rid="fn1">
<sup>&#x2020;</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/1280408/overview"/>
<role content-type="https://credit.niso.org/contributor-roles/Writing - review &#x26; editing/"/>
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<role content-type="https://credit.niso.org/contributor-roles/visualization/"/>
<role content-type="https://credit.niso.org/contributor-roles/conceptualization/"/>
</contrib>
<contrib contrib-type="author" corresp="yes">
<name>
<surname>Kan</surname>
<given-names>Beki</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
<xref ref-type="corresp" rid="c001">&#x2a;</xref>
<xref ref-type="fn" rid="fn1">
<sup>&#x2020;</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/2671224/overview"/>
<role content-type="https://credit.niso.org/contributor-roles/supervision/"/>
<role content-type="https://credit.niso.org/contributor-roles/Writing - review &#x26; editing/"/>
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<role content-type="https://credit.niso.org/contributor-roles/conceptualization/"/>
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</contrib-group>
<aff id="aff1">
<sup>1</sup>
<institution>Department of Biophysics</institution>, <institution>Acibadem MAA University</institution>, <institution>School of Medicine</institution>, <addr-line>Istanbul</addr-line>, <country>T&#xfc;rkiye</country>
</aff>
<aff id="aff2">
<sup>2</sup>
<institution>Department of Neurosciences</institution>, <institution>Acibadem MAA University</institution>, <institution>Institute of Health Sciences</institution>, <addr-line>&#x130;stanbul</addr-line>, <country>T&#xfc;rkiye</country>
</aff>
<aff id="aff3">
<sup>3</sup>
<institution>Department of Pharmacology</institution>, <institution>Acibadem MAA University</institution>, <institution>School of Pharmacy</institution>, <addr-line>Istanbul</addr-line>, <country>T&#xfc;rkiye</country>
</aff>
<author-notes>
<fn fn-type="edited-by">
<p>
<bold>Edited by:</bold> <ext-link ext-link-type="uri" xlink:href="https://loop.frontiersin.org/people/521196/overview">Patricia Rijo</ext-link>, Lusofona University, Portugal</p>
</fn>
<fn fn-type="edited-by">
<p>
<bold>Reviewed by:</bold> <ext-link ext-link-type="uri" xlink:href="https://loop.frontiersin.org/people/2174235/overview">Aarti Sharma</ext-link>, Mayo Clinic Arizona, United States</p>
<p>
<ext-link ext-link-type="uri" xlink:href="https://loop.frontiersin.org/people/2010967/overview">Marc L&#xf3;pez Cano</ext-link>, University of Barcelona, Spain</p>
</fn>
<corresp id="c001">&#x2a;Correspondence: Beki Kan, <email>beki.kan@acibadem.edu.tr</email>
</corresp>
<fn fn-type="other" id="fn1">
<label>
<sup>&#x2020;</sup>
</label>
<p>ORCID: Devrim &#xd6;z-Arslan, <ext-link ext-link-type="uri" xlink:href="https://orcid.org/0000-0002-7461-7391">orcid.org/0000-0002-7461-7391</ext-link>; Melis Yavuz, <ext-link ext-link-type="uri" xlink:href="https://orcid.org/0000-0003-1250-9755">orcid.org/0000-0003-1250-9755</ext-link>; Beki Kan, <ext-link ext-link-type="uri" xlink:href="https://orcid.org/0000-0002-2738-9680">orcid.org/0000-0002-2738-9680</ext-link>
</p>
</fn>
</author-notes>
<pub-date pub-type="epub">
<day>04</day>
<month>06</month>
<year>2024</year>
</pub-date>
<pub-date pub-type="collection">
<year>2024</year>
</pub-date>
<volume>15</volume>
<elocation-id>1394516</elocation-id>
<history>
<date date-type="received">
<day>01</day>
<month>03</month>
<year>2024</year>
</date>
<date date-type="accepted">
<day>15</day>
<month>05</month>
<year>2024</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright &#xa9; 2024 &#xd6;z-Arslan, Yavuz and Kan.</copyright-statement>
<copyright-year>2024</copyright-year>
<copyright-holder>&#xd6;z-Arslan, Yavuz and Kan</copyright-holder>
<license xlink:href="http://creativecommons.org/licenses/by/4.0/">
<p>This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.</p>
</license>
</permissions>
<abstract>
<p>Neurodegenerative disorders represent a significant and growing health burden worldwide. Unfortunately, limited therapeutic options are currently available despite ongoing efforts. Over the past decades, research efforts have increasingly focused on understanding the molecular mechanisms underlying these devastating conditions. Orphan receptors, a class of receptors with no known endogenous ligands, emerge as promising druggable targets for diverse diseases. This review aims to direct attention to a subgroup of orphan GPCRs, in particular class A orphans that have roles in neurodegenerative disorders, including Alzheimer&#x2019;s disease, Parkinson&#x2019;s disease, Huntington&#x2019;s disease, and Multiple sclerosis. We highlight the diverse roles orphan receptors play in regulating critical cellular processes such as synaptic transmission, neuronal survival and neuro-inflammation. Moreover, we discuss the therapeutic potential of targeting orphan receptors for the treatment of neurodegenerative disorders, emphasizing recent advances in drug discovery and preclinical studies. Finally, we outline future directions and challenges in orphan receptor research.</p>
</abstract>
<kwd-group>
<kwd>GPCR</kwd>
<kwd>orphan GPCRs</kwd>
<kwd>Alzhemier&#x2019;s disease</kwd>
<kwd>Parkinson&#x2019;s disease</kwd>
<kwd>Neurodegenaration</kwd>
</kwd-group>
<custom-meta-wrap>
<custom-meta>
<meta-name>section-at-acceptance</meta-name>
<meta-value>Experimental Pharmacology and Drug Discovery</meta-value>
</custom-meta>
</custom-meta-wrap>
</article-meta>
</front>
<body>
<sec id="s1">
<title>Introduction</title>
<p>G protein-coupled receptors (GPCRs) also called seven transmembrane (7TM) receptors constitute the largest receptor family in the human protein atlas. GPCRs remain highly sought-after drug targets, owing to their ability to interact with numerous endogenous ligands. GPCRs are categorized into distinct classes based on sequence homology and functional similarities These are, Class A; rhodopsin-like receptors, Class B; secretin family, Class C; metabotropic glutamate receptors, Class D; fungal mating pheromone receptors, Class E; cAMP receptors, and Class F; frizzled (FZD) and smoothened (SMO) receptors (<xref ref-type="bibr" rid="B85">Lee et al., 2018</xref>). Among these families the largest is the Class A family, which also includes the class A orphan subgroup. GPCRs play a vital role in many physiological and pathological processes and mediate the signaling of nearly two-thirds of hormones and neurotransmitters (<xref ref-type="bibr" rid="B155">Spillantini et al., 1997</xref>). While GPCRs represent a vast array of potential therapeutic targets, there are still more than 140 GPCRs, notwithstanding the olfactory receptor family, for which the natural ligands are lacking. These so-called orphan receptors remain unexplored in terms of their endogenous ligands, molecular signaling pathways and functions (<xref ref-type="bibr" rid="B62">Sriram and Insel, 2018</xref>).</p>
<p>Despite their elusive nature, orphan GPCRs present an intriguing opportunity to unravel hidden molecular mechanisms and potential treatment avenues for many debilitating conditions. In this context, investigating the involvement of orphan receptors in the pathogenesis and progression of neurodegenerative diseases holds the promise of uncovering novel targets that could redefine the landscape of drug development and improve the lives of individuals affected by these disorders (<xref ref-type="table" rid="T1">Table 1</xref>). This exploration represents a dynamic and evolving area of research, poised to contribute significantly to the ongoing efforts to combat the complexities of neurodegenerative diseases.</p>
<table-wrap id="T1" position="float">
<label>TABLE 1</label>
<caption>
<p>Orphan GPCR expression and ligands.</p>
</caption>
<table>
<thead valign="top">
<tr>
<th align="center">Orphan Receptors</th>
<th align="center">Other Names</th>
<th align="center">Expressed in</th>
<th align="center">Gene</th>
<th align="center">Signaling</th>
<th align="center">Hypothetical Endogenous Agonists</th>
<th align="center">Agonist</th>
</tr>
</thead>
<tbody valign="top">
<tr>
<td align="center" rowspan="4">
<bold>GPR3</bold>
</td>
<td align="left">&#x2022; GPCR21</td>
<td align="left">Brain</td>
<td align="left" rowspan="4">1p36.11</td>
<td align="left">Gi</td>
<td align="left">S1P (<xref ref-type="bibr" rid="B169">Uhlenbrock et al., 2002</xref>)</td>
<td align="left">
<bold>Inverse Agonists</bold>
</td>
</tr>
<tr>
<td align="left">&#x2022; GPCR3</td>
<td align="left">Hippocampus Habenula</td>
<td align="left">Gs (<xref ref-type="bibr" rid="B35">Freudzon et al., 2005</xref>)</td>
<td align="left" rowspan="3">DHS1P and DPI (<xref ref-type="bibr" rid="B14">Capaldi et al., 2018</xref>)</td>
<td align="left">AF64394 (<xref ref-type="bibr" rid="B65">Jensen et al., 2014</xref>)</td>
</tr>
<tr>
<td align="left">&#x2022; ACCA orphan receptor adenylate cyclase constitutive activator G protein-coupled receptor R4</td>
<td align="left" rowspan="2">Cortex Amygdala</td>
<td align="left">ERK1/2 and Akt (<xref ref-type="bibr" rid="B118">Morales et al., 2018b</xref>)</td>
<td align="left" rowspan="2">Diphenyleneiodonium chloride (<xref ref-type="bibr" rid="B187">Ye et al., 2014</xref>)</td>
</tr>
<tr>
<td align="left">&#x2022; Gpcr20</td>
<td align="left">&#x3b2;-arrestin2 (<xref ref-type="bibr" rid="B83">Laun et al., 2019</xref>; <xref ref-type="bibr" rid="B64">Isawi et al., 2020</xref>)</td>
</tr>
<tr>
<td align="center" rowspan="3">
<bold>GPR6</bold>
</td>
<td align="left">&#x2022; Sphingosine 1-phosphate receptor</td>
<td align="left">Basal Ganglia</td>
<td align="left" rowspan="3">6q21</td>
<td align="left">G<sub>s</sub> (<xref ref-type="bibr" rid="B169">Uhlenbrock et al., 2002</xref>)</td>
<td align="left" rowspan="3">S1P (<xref ref-type="bibr" rid="B57">Ignatov et al., 2003b</xref>)</td>
<td align="left" rowspan="3"/>
</tr>
<tr>
<td align="left" rowspan="2">&#x2022; GPR6</td>
<td align="left" rowspan="2">Striatopallidal neurons frontal cortex, retrosplenial cortex, hippocampus, amygdala, and hypothalamus</td>
<td align="left">Gi/o, affecting Ca2&#x002B; mobilization (<xref ref-type="bibr" rid="B83">Laun et al., 2019</xref>)</td>
</tr>
<tr>
<td align="left">&#x3b2;-arrestin (<xref ref-type="bibr" rid="B83">Laun et al., 2019</xref>)</td>
</tr>
<tr>
<td align="center" rowspan="3">
<bold>GPR12</bold>
</td>
<td align="left">&#x2022; Gpcr01/20/21/12</td>
<td align="left">Brain</td>
<td align="left" rowspan="3">13q12.13</td>
<td align="left">G&#x3b1;s (<xref ref-type="bibr" rid="B162">Tanaka et al., 2007</xref>)</td>
<td align="left" rowspan="3">S1P (<xref ref-type="bibr" rid="B56">Ignatov et al., 2003a</xref>)</td>
<td align="left" rowspan="3"/>
</tr>
<tr>
<td align="left" rowspan="2">&#x2022; R334</td>
<td align="left">Cerebral cortex</td>
<td align="left" rowspan="2">G&#x3b1;i (<xref ref-type="bibr" rid="B83">Laun et al., 2019</xref>)</td>
</tr>
<tr>
<td align="left">Hippocampus Striatum</td>
</tr>
<tr>
<td align="center" rowspan="6">
<bold>GPR17</bold>
</td>
<td align="left">&#x2022; P2Y-like receptor</td>
<td align="left">Oligodendrocyte precursor cells</td>
<td align="left" rowspan="6">2q14.3</td>
<td align="left">G&#x3b1;i</td>
<td align="left">LTC4, LTD4 (<xref ref-type="bibr" rid="B13">Benned-Jensen and Rosenkilde, 2010</xref>)</td>
<td align="left" rowspan="6"/>
</tr>
<tr>
<td align="left" rowspan="5">&#x2022; UDP/CysLT receptorR12 Uracil nucleotide/cysteinyl leukotriene receptor</td>
<td align="left">Frontal cortex Striatum</td>
<td align="left">G&#x3b2;&#x3b3; (<xref ref-type="bibr" rid="B93">Liu et al., 2021</xref>)</td>
<td align="left">UDP-glucose,</td>
</tr>
<tr>
<td align="left" rowspan="4">Brain stem Medulla</td>
<td align="left">G&#x3b1;s</td>
<td align="left">UDP-galactose,</td>
</tr>
<tr>
<td align="left">G&#x3b1;q</td>
<td align="left" rowspan="3">UDP (<xref ref-type="bibr" rid="B21">Ciana et al., 2006</xref>; <xref ref-type="bibr" rid="B13">Benned-Jensen and Rosenkilde, 2010</xref>)</td>
</tr>
<tr>
<td align="left">&#x3b2;-arrestins increased Ca2&#x002B; flux (<xref ref-type="bibr" rid="B18">Chen et al., 2009</xref>)</td>
</tr>
<tr>
<td align="left">ERK1/2</td>
</tr>
<tr>
<td align="center" rowspan="9">
<bold>GPR18</bold>
</td>
<td align="left">&#x2043; GPCRW</td>
<td align="left" rowspan="9"/>
<td align="left" rowspan="9">13q32.3</td>
<td align="left">Gi/Go family, Gq/G11 family</td>
<td align="left" rowspan="9">N-arachidonoylglycine (<xref ref-type="bibr" rid="B74">Kohno et al., 2006</xref>)</td>
<td align="left">
<bold>Agonists</bold>
</td>
</tr>
<tr>
<td align="left">&#x2043; NAGly receptor</td>
<td align="left">G&#x3b1;i/o</td>
<td align="left">N-arachidonoylglycine</td>
</tr>
<tr>
<td align="left" rowspan="7">&#x2043; N-arachidonoyol glycine receptor</td>
<td align="left">PI3K/Akt-ERK1/2 (<xref ref-type="bibr" rid="B109">Matouk et al., 2017</xref>)</td>
<td align="left">O-1602, abnormal cannabidiol</td>
</tr>
<tr>
<td align="left" rowspan="6">MAPK (<xref ref-type="bibr" rid="B112">McHugh et al., 2010</xref>; <xref ref-type="bibr" rid="B113">McHugh et al., 2012</xref>) eNOS/NO (<xref ref-type="bibr" rid="B32">Fitzgerald et al., 2023</xref>)</td>
<td align="left">&#x394;9-tetrahydrocannabinol</td>
</tr>
<tr>
<td align="left">Anandamide</td>
</tr>
<tr>
<td align="left">Arachidonylcyclopropylamide</td>
</tr>
<tr>
<td align="left">Cannabidiol</td>
</tr>
<tr>
<td align="left">AM251 (<xref ref-type="bibr" rid="B113">McHugh et al., 2012</xref>)</td>
</tr>
<tr>
<td align="left">PSB-KD107 (<xref ref-type="bibr" rid="B147">Schoeder et al., 2020</xref>)</td>
</tr>
<tr>
<td align="center" rowspan="7">
<bold>GPR37</bold>
</td>
<td align="left">&#x2022; EDNRBL/EDNRLB</td>
<td align="left">Cerebellum Spleen</td>
<td align="left" rowspan="7">7q31.33</td>
<td align="left">G&#x3b1;i</td>
<td align="left">The peptides prosaptide and prosaposin (<xref ref-type="bibr" rid="B115">Meyer et al., 2013</xref>)</td>
<td align="left">
<bold>Agonists</bold>
</td>
</tr>
<tr>
<td align="left">&#x2022; PAELR</td>
<td align="left">Thymus Peripheral blood leukocytes</td>
<td align="left">G&#x3b2;&#x3b3;</td>
<td align="left" rowspan="6">Regenerating islet-derived family member 4 (Reg4) (<xref ref-type="bibr" rid="B137">Rezgaoui et al., 2006</xref>; <xref ref-type="bibr" rid="B115">Meyer et al., 2013</xref>; <xref ref-type="bibr" rid="B172">Wang et al., 2016</xref>)</td>
<td align="left" rowspan="6">Neuropeptide head activator (<xref ref-type="bibr" rid="B137">Rezgaoui et al., 2006</xref>)</td>
</tr>
<tr>
<td align="left">&#x2022; hET(B)R-LP</td>
<td align="left">Lymph node</td>
<td align="left">G&#x3b1;s</td>
</tr>
<tr>
<td align="left">&#x2022; GPCR CNS1</td>
<td align="left">Lung</td>
<td align="left">G&#x3b1;q</td>
</tr>
<tr>
<td align="left">&#x2022; Parkin-associated endothelin B-like receptor</td>
<td align="left" rowspan="3">Testis</td>
<td align="left">&#x3b2;-arrestins increased Ca2&#x002B; flux</td>
</tr>
<tr>
<td align="left" rowspan="2">&#x2022; Endothelin B receptor-like protein 1</td>
<td align="left">MAPK</td>
</tr>
<tr>
<td align="left">ERK1/2 (<xref ref-type="bibr" rid="B185">Yang et al., 2016</xref>)</td>
</tr>
<tr>
<td align="center" rowspan="7">
<bold>GPR49</bold>
</td>
<td align="left">&#x2022; Lgr5</td>
<td align="left">Glioblastoma stem cells</td>
<td align="left" rowspan="7">12q21.1</td>
<td align="left">G&#x3b1; i/o</td>
<td align="left" rowspan="7"/>
<td align="left">
<bold>Agonists</bold>
</td>
</tr>
<tr>
<td align="left">&#x2022; GPR49</td>
<td align="left">Spinal cord</td>
<td align="left">PLC</td>
<td align="left">R-spondin-1</td>
</tr>
<tr>
<td align="left">&#x2022; FEX</td>
<td align="left">Motor neurons of brain stem</td>
<td align="left">PKC</td>
<td align="left">R-spondin-2</td>
</tr>
<tr>
<td align="left">&#x2022; GPR67</td>
<td align="left" rowspan="4">Layer 5a and 6 neurons in cortex</td>
<td align="left">&#x3b2;-arrestin (<xref ref-type="bibr" rid="B151">Snow et al., 1998</xref>)</td>
<td align="left">R-spondin-3</td>
</tr>
<tr>
<td align="left">&#x2022; Orphan G protein-coupled receptor HG38</td>
<td align="left">MAPK/ERK PI3K/Akt pathways (<xref ref-type="bibr" rid="B177">Watson et al., 2018</xref>)</td>
<td align="left" rowspan="3">R-spondin-4 (<xref ref-type="bibr" rid="B15">Carmon et al., 2011</xref>)</td>
</tr>
<tr>
<td align="left" rowspan="2">&#x2022; Leucine-rich repeat-containing G protein-coupled receptor 5</td>
<td align="left">G 12/13</td>
</tr>
<tr>
<td align="left">Rho kinase Pathway (<xref ref-type="bibr" rid="B81">Kwon et al., 2013</xref>)</td>
</tr>
<tr>
<td align="center" rowspan="5">
<bold>GPR50</bold>
</td>
<td align="left">&#x2022; MTNRL</td>
<td align="left">Cortex</td>
<td align="left" rowspan="5">Xq28</td>
<td align="left">MT receptors</td>
<td align="left" rowspan="5"/>
<td align="left" rowspan="5"/>
</tr>
<tr>
<td align="left">&#x2022; H9</td>
<td align="left">Midbrain</td>
<td align="left">GPR50/MT1 heterodimer is without G protein coupling (<xref ref-type="bibr" rid="B87">Levoye et al., 2006</xref>)</td>
</tr>
<tr>
<td align="left">&#x2022; Mel1c</td>
<td align="left">Pons</td>
<td align="left" rowspan="3">ADAM17-Notch (<xref ref-type="bibr" rid="B142">Saha et al., 2020</xref>)</td>
</tr>
<tr>
<td align="left" rowspan="2">&#x2022; Melatonin-related receptor</td>
<td align="left">Amygdala Hippocampus except glial cells</td>
</tr>
<tr>
<td align="left">Inhibitory interneurons</td>
</tr>
<tr>
<td align="center">
<bold>GPR52</bold>
</td>
<td align="left"/>
<td align="left">Prefrontal cortex<break/>Basal ganglia<break/>Striatonig</td>
<td align="left">1q25.1</td>
<td align="left">G&#x3b1;s (<xref ref-type="bibr" rid="B91">Lin et al., 2020</xref>)<break/>PKA<break/>CREB<break/>ERK1/2<break/>&#x3b2;-arrestin-2-dependent (<xref ref-type="bibr" rid="B174">Wang et al., 2020a</xref>; <xref ref-type="bibr" rid="B48">Hatzipantelis et al., 2020b</xref>)</td>
<td align="left"/>
<td align="left">
<bold>Agonists</bold>
<break/>Derivative 17 (<xref ref-type="bibr" rid="B123">Nakahata et al., 2018</xref>)<break/>Compound 7a: 3-[2-(3-Chloro-5-fluorobenzyl)-1-benzothiophen-7-yl]-N-(2-ethoxyethyl)benzamide (<xref ref-type="bibr" rid="B148">Setoh et al., 2014</xref>)</td>
</tr>
<tr>
<td align="center">
<bold>GPR55</bold>
</td>
<td align="left"/>
<td align="left">central nerve tissues and cells</td>
<td align="left">2q37.1</td>
<td align="left">MAPK/ERK (PI3K)/Akt<break/>RhoA-dependent Ca2&#x002B; signaling<break/>NFAT (<xref ref-type="bibr" rid="B50">Henstridge et al., 2008</xref>)<break/>G&#x3b1;12/13-RhoA-ROCK and G&#x3b1;q-PLC-PKC(88)<break/>Gq-G11, mitogen-activated protein kinase 1, and calcium signaling (<xref ref-type="bibr" rid="B50">Henstridge et al., 2008</xref>; <xref ref-type="bibr" rid="B4">Andradas et al., 2011</xref>)</td>
<td align="left">anandamide<break/>2-arachidonoylglycerol<break/>2-arachidonoylglycerolphosphoinositol lysophosphatidylinositol<break/>N-palmitoylethanolamine (<xref ref-type="bibr" rid="B140">Ryberg et al., 2007</xref>)</td>
<td align="left">2-arachidonoylglycerol<break/>N-palmitoylethanolamine<break/>JWH015<break/>O-1602 (<xref ref-type="bibr" rid="B140">Ryberg et al., 2007</xref>)&#x2a;</td>
</tr>
<tr>
<td align="center">
<bold>GPR78</bold>
</td>
<td align="left"/>
<td align="left">Brain<break/>Frontal cortex<break/>Putamen<break/>Thalamus<break/>Hypothalamus<break/>Amygdala<break/>Hippocampus<break/>Pons<break/>Medulla<break/>Midbrain</td>
<td align="left">4p16.1</td>
<td align="left">G&#x3b1;s<break/>G&#x3b1;q-Rho GTPase (<xref ref-type="bibr" rid="B26">Dong et al., 2016</xref>)</td>
<td align="left">Teratocarcinoma-derived growth factor I (Cripto)<break/>DnaJ-like protein MTJ-1<break/>&#x3b1;2-macroglobulin<break/>Kringle 5<break/>Par-4 (<xref ref-type="bibr" rid="B6">Arap et al., 2004</xref>; <xref ref-type="bibr" rid="B43">Gonzalez-Gronow et al., 2009</xref>; <xref ref-type="bibr" rid="B7">Araujo et al., 2018</xref>)</td>
<td align="left">
<bold>Agonists</bold>
<break/>BC71 and two peptides</td>
</tr>
<tr>
<td align="center" rowspan="5">
<bold>GPR83</bold>
</td>
<td align="left">&#x2022; GIR</td>
<td align="left">Hippocampus Amygdala</td>
<td align="left" rowspan="5">11q21</td>
<td align="left">G&#x3b1;i/o</td>
<td align="left" rowspan="5"/>
<td align="left">
<bold>Agonists</bold>
</td>
</tr>
<tr>
<td align="left">&#x2022; GPR72</td>
<td align="left">Prefrontal cortex</td>
<td align="left">G&#x3b1;q (<xref ref-type="bibr" rid="B98">Lueptow et al., 2018</xref>)</td>
<td align="left">PEN (<xref ref-type="bibr" rid="B169">Uhlenbrock et al., 2002</xref>)</td>
</tr>
<tr>
<td align="left">&#x2022; Glucocorticoid induced receptor</td>
<td align="left" rowspan="3">Various hypothalamic nuclei</td>
<td align="left" rowspan="3">MAPK (<xref ref-type="bibr" rid="B122">M&#xfc;ller et al., 2013</xref>)</td>
<td align="left" rowspan="3">Zn2&#x002B; (<xref ref-type="bibr" rid="B122">M&#xfc;ller et al., 2013</xref>)</td>
</tr>
<tr>
<td align="left">&#x2022; G protein-coupled receptor 72</td>
</tr>
<tr>
<td align="left">&#x2022; JP05</td>
</tr>
<tr>
<td align="center" rowspan="9">
<bold>GPR84</bold>
</td>
<td align="left">&#x2022; GPCR4</td>
<td align="left" rowspan="9">Microglial cells</td>
<td align="left" rowspan="9">12q13.13</td>
<td align="left" rowspan="9">G&#x3b1;i/o (<xref ref-type="bibr" rid="B160">Suzuki et al., 2013b</xref>)<break/>MAPK/ERK (<xref ref-type="bibr" rid="B175">Wang et al., 2023</xref>)</td>
<td align="left">Medium chain free fatty acids with carbon chain lengths of 9&#x2013;14</td>
<td align="left">
<bold>Agonists:</bold> decanoic acid</td>
</tr>
<tr>
<td align="left" rowspan="8">&#x2022; Inflammation-related G-protein coupled receptor EX33</td>
<td align="left" rowspan="8">6-n-octylaminouracil (<xref ref-type="bibr" rid="B159">Suzuki et al., 2013a</xref>)</td>
<td align="left">undecanoic acid</td>
</tr>
<tr>
<td align="left">lauric acid</td>
</tr>
<tr>
<td align="left">Embelin (orthosteric)</td>
</tr>
<tr>
<td align="left">PSB-16434 (orthosteric)</td>
</tr>
<tr>
<td align="left">ZQ-16 (orthosteric)</td>
</tr>
<tr>
<td align="left">6-nonylpyridine-2,4-diol (orthosteric)</td>
</tr>
<tr>
<td align="left">DL-175 (orthosteric)</td>
</tr>
<tr>
<td align="left">Allosteric modulator DIM (Agonist) (<xref ref-type="bibr" rid="B173">Wang et al., 2006</xref>; <xref ref-type="bibr" rid="B159">Suzuki et al., 2013a</xref>; <xref ref-type="bibr" rid="B100">Madar et al., 2021</xref>; <xref ref-type="bibr" rid="B107">Marsango et al., 2022</xref>)</td>
</tr>
<tr>
<td align="center" rowspan="4">
<bold>GPR85</bold>
</td>
<td align="left">&#x2022; Srep2</td>
<td align="left">Hippocampal formation</td>
<td align="left" rowspan="4">7q31.1</td>
<td align="left" rowspan="4"/>
<td align="left" rowspan="4"/>
<td align="left" rowspan="4">New inverse agonists developed (<xref ref-type="bibr" rid="B143">Sakai et al., 2022</xref>)</td>
</tr>
<tr>
<td align="left">&#x2022; SREB2/SREB</td>
<td align="left" rowspan="3">Olfactory bulb Cerebellum</td>
</tr>
<tr>
<td align="left">&#x2022; Super conserved receptor expressed in brain 2</td>
</tr>
<tr>
<td align="left">&#x2022; PKrCx1</td>
</tr>
<tr>
<td align="center" rowspan="2">
<bold>GPR88</bold>
</td>
<td align="left">&#x2022; STRG</td>
<td align="left" rowspan="2">Striatum</td>
<td align="left" rowspan="2">1p21.2</td>
<td align="left">G&#x3b1;i/o (<xref ref-type="bibr" rid="B30">Ehrlich et al., 2017</xref>)</td>
<td align="left" rowspan="2"/>
<td align="left" rowspan="2">2-PCCA and RTI-13951&#x2013;33 (<xref ref-type="bibr" rid="B40">Garisetti et al., 2023</xref>)</td>
</tr>
<tr>
<td align="left">&#x2022; striatum-specific GPCR</td>
<td align="left">&#x3b2;-arrestin (<xref ref-type="bibr" rid="B82">Laboute et al., 2020</xref>)</td>
</tr>
</tbody>
</table>
<table-wrap-foot>
<fn>
<p>&#x2a;Those with multiple ligands have not been placed. Table has been updated from the <ext-link ext-link-type="uri" xlink:href="https://www.guidetopharmacology.org/GRAC/FamilyDisplayForward?familyId=16#83">https://www.guidetopharmacology.org/GRAC/FamilyDisplayForward?familyId&#x003D;16&#x23;83</ext-link>
</p>
</fn>
<fn>
<p>Genes: <ext-link ext-link-type="uri" xlink:href="https://www.informatics.jax.org/marker/MGI:101908">https://www.informatics.jax.org/marker/MGI:101908</ext-link>
</p>
</fn>
</table-wrap-foot>
</table-wrap>
<p>The research on orphan receptors has emerged as a promising area in chasing for novel drug targets, particularly for neurodegenerative disorders such as Parkinson&#x2019;s disease (PD), Alzheimer&#x2019;s disease (AD), Huntington&#x2019;s disease (HD), and Multiple sclerosis (MS) (<xref ref-type="fig" rid="F1">Figure 1</xref>). These disorders pose significant challenges, characterized by complex and multifaceted pathologies that currently lack comprehensive therapeutic solutions. Neurodegenerative disorders usually manifest as progressive decline in major functions such as cognition, motor functions and accompanying mood disorders depending on the anatomical region in the brain effected. For instance, PD is characterized by the gradual deterioration of dopaminergic neurons in the substantia nigra pars compacta, marked with the accumulation of intracellular protein inclusions known as Lewy bodies, composed of misfolded &#x3b1;-synuclein (&#x3b1;-syn) (<xref ref-type="bibr" rid="B155">Spillantini et al., 1997</xref>). The damage of PD is not restricted to the dopaminergic neurons in the substantia nigra but also expand to motor systems, the limbic system, medulla oblongata/pontine tegmentum and olfactory bulb and the autonomic centers, as inferred from the anticholinergic side effects of anti-Parkinson&#x2019;s medications (<xref ref-type="bibr" rid="B63">Braak et al., 2004</xref>). AD is another age related neurodegenerative disease in which mitochondrial dysfunction, tau pathology, A&#x3b2; plaques and neurofibrillary tangles are deposited and lead to neuronal damage and cell death, primarily affecting memory and cognitive functions (<xref ref-type="bibr" rid="B168">Tiraboschi et al., 2004</xref>). The genetic neurodegenerative Huntington&#x2019;s disease also causes a progressive breakdown of neurons, progressive tissue lost specifically in the caudate and cortical thinning related to distinct motor and cognitive phenotypes, affecting motor control, cognition, and behavior (<xref ref-type="bibr" rid="B27">Draganski and Bhatia, 2010</xref>). Another chronic inflammation-based pathology leads to MS, which targets the central nervous system (CNS). In MS the inflammation, demyelination, and neuronal damage (<xref ref-type="bibr" rid="B77">Korn, 2008</xref>) progresses into the axon injury/loss, which is followed by long-term physical and cognitive impairments (<xref ref-type="bibr" rid="B156">Springer, 2021</xref>).</p>
<fig id="F1" position="float">
<label>FIGURE 1</label>
<caption>
<p>Orphan GPCRs in Neurodegenerative Disorders. The figure illustrates the expression and localization of orphan GPCRs in Parkinson&#x2019;s Disease, Alzheimer&#x2019;s Disease, Multiple Sclerosis, and Huntington Disease.</p>
</caption>
<graphic xlink:href="fphar-15-1394516-g001.tif"/>
</fig>
<p>Despite extensive research and progress in the de-orphanization of GPCRs, more than 1000 GPCRs are still classified as orphan receptors, without identified ligands and with unknown physiological functions. In this review, we draw attention to a subgroup of orphan GPCRs, in particular Class A orphans, including GPR3, GPR6, GPR12, GPR17, GPR18, GPR37, GPR49, GPR50, GPR52, GPR55, GPR78, GPR83, GPR84, GPR85, GPR88, that have links to neurodegenerative disorders.</p>
<p>We provide an overview of the proposed &#x2018;&#x2019;hypothetical&#x2019;&#x2019; endogenous ligands, and designed ligands according to the identified structures and signaling pathways linked to these receptors (<xref ref-type="table" rid="T1">Table 1</xref>). We seek to integrate this knowledge with insights into the pathophysiology of neurodegenerative disorders, while also considering the relevant anatomical brain locations already associated and implicated in these neurodegenerative conditions.</p>
<sec id="s1-1">
<title>GPR3, GPR6, and GPR12</title>
<p>GPR3, GPR6 and GPR12 comprise a family of closely related orphan receptors that belong to the class A family of GPCRs (<xref ref-type="bibr" rid="B83">Laun et al., 2019</xref>). These orphan receptors display high constitutive activity and are capable of signaling through G protein-mediated and non-G protein-mediated mechanisms (<xref ref-type="bibr" rid="B117">Morales et al., 2018a</xref>; <xref ref-type="bibr" rid="B83">Laun et al., 2019</xref>). Three independent groups reported the molecular cloning of GPR3, GPR6 and GPR12 (<xref ref-type="bibr" rid="B141">Saeki et al., 1993</xref>; <xref ref-type="bibr" rid="B29">Eggerickx et al., 1995</xref>; <xref ref-type="bibr" rid="B153">Song et al., 1995</xref>). The genes encoding these receptors were located in the human chromosomal regions 1p36.1, 6q21 and 13q12, respectively. GPR3, GPR6 and GPR12 share over 60% sequence identity and common conserved motifs and structural features among them. GPR3 and GPR6 share common chromosomal positions with cannabinoid receptors, suggesting that they have a common ancestor (<xref ref-type="bibr" rid="B34">Fredriksson et al., 2003</xref>). Molecules targeting GPR3, GPR6 and GPR12 are of interest for therapeutic applications since they are implicated in several neurodegenerative diseases, including AD, PD, HD and MS. In addition to neurodegenerative disorders, these orphan receptors may impact other brain-related processes such as neuropathic pain, cocaine reinforcement or cell survival and proliferation (<xref ref-type="bibr" rid="B117">Morales et al., 2018a</xref>). Their high presence in the central nervous system and also their proposed roles in neurite outgrowth renders them valuable for the basic understanding of physiological processes and the underlying mechanisms of orphan GPCRs and possibly all GPCRs.</p>
<p>
<bold>GPR3</bold>: GPR3 is extensively expressed in the brain, primarily in the hippocampus, habenula, cortex and amygdala (<xref ref-type="bibr" rid="B29">Eggerickx et al., 1995</xref>). Activation of GPR3 leads to an increase in adenylyl cyclase, which in turn augments the level of intracellular cyclic adenosine monophosphate (cAMP). It is known that cAMP plays significant roles in neurons including neurite outgrowth, axonal regeneration and axonal guidance. Tanaka et al. have demonstrated that neuronal expression of the GPR3 receptor enhances neurite outgrowth, and regulates the proliferation of cerebellar granule cell precursors (<xref ref-type="bibr" rid="B162">Tanaka et al., 2007</xref>; <xref ref-type="bibr" rid="B164">Tanaka et al., 2009</xref>). The same group of investigators have shown that GPR3 protects neurons from apoptosis via activation of ERK and AKT signaling (<xref ref-type="bibr" rid="B163">Tanaka et al., 2014</xref>). Conversely, adverse effects of GPR3 are implicated in the amyloid pathology observed in AD.</p>
<p>One of the pathological hallmarks of AD is the progressive accumulation of aggregates of amyloid peptides in the brain. The amyloid beta (A&#x3b2;) peptides are generated from the sequential breakdown of amyloid precursor protein (APP) by two peptides, the &#x3b2;- and &#x3b3;-secretases. The &#x3b2;-secretases and &#x3b3;-secretases play a fundamental role in APP proteolysis and A&#x3b2; generation. GPR3 has been identified to play a role in regulating the breakdown of APP, thereby modulating the progression of AD. In both neuronal cultures and animal models, GPR3 was shown to upregulate the &#x3b3;-secretase activity and A&#x3b2; accumulation (<xref ref-type="bibr" rid="B167">Thathiah et al., 2009</xref>). In a subsequent study, the same researchers demonstrated that GPR3 messenger RNA (mRNA) levels were elevated in 18 post-mortem brain tissue of AD patients (<xref ref-type="bibr" rid="B166">Thathiah et al., 2013</xref>). The physiological consequence of loss of the GPR3 gene was investigated in four AD-mouse models by Huang et al., 2015 (<xref ref-type="bibr" rid="B54">Huang et al., 2015</xref>). These investigators observed that genetic deletion of GPR3 reduced amyloid pathology in all of the AD mouse models they studied. These studies suggest that lowering GPR3 activity may be beneficial in reducing amyloid pathology in AD.</p>
<p>A Lysophospholipid sphingosine-1-phosphate (S1P) has been suggested as an endogenous ligand of GPR3 in rats (<xref ref-type="bibr" rid="B169">Uhlenbrock et al., 2002</xref>). DHS1P and DPI are also potential endogenous ligands for GPR3 mentioned in the literature (<xref ref-type="bibr" rid="B169">Uhlenbrock et al., 2002</xref>; <xref ref-type="bibr" rid="B14">Capaldi et al., 2018</xref>). Furthermore, an inverse agonist, AF64394, has been proposed for GPR3 (<xref ref-type="bibr" rid="B65">Jensen et al., 2014</xref>; <xref ref-type="bibr" rid="B71">Kaushik and Sahi, 2017</xref>).</p>
<p>
<bold>GPR6:</bold> GPR6 was initially described as S1P receptor (<xref ref-type="bibr" rid="B117">Morales et al., 2018a</xref>; <xref ref-type="bibr" rid="B8">Atanes et al., 2021</xref>). It is co-localized to dopamine D1 and D2 receptors, as are GPR52 and GPR88 (<xref ref-type="bibr" rid="B131">Rahman et al., 2022</xref>). GPR6 which is extensively expressed in striatopallidal neurons in the basal ganglia (<xref ref-type="bibr" rid="B94">Lobo et al., 2007</xref>; <xref ref-type="bibr" rid="B76">Komatsu et al., 2014</xref>) has ubiquitous functions and it induces an increase in cAMP levels when it is linked to stimulatory Gs protein. It plays a significant role in human instrumental learning in which the dopaminergic system has a critical role. In rodent cerebellar granule neurons, overexpression of GPR6 boosts neurite outgrowth (<xref ref-type="bibr" rid="B162">Tanaka et al., 2007</xref>; <xref ref-type="bibr" rid="B83">Laun et al., 2019</xref>). On the other hand, studies carried out in GPR6-knock-out mouse models suggest that GPR6 inhibition may provide benefits for PD. In GPR6-knock out mice, phosphorylation of dopamine and cAMP-regulated phosphoprotein of 32&#xa0;kDa (DARPP-32) at threonine 34 increased significantly, while production of DARPP-32 in the striatum did not (<xref ref-type="bibr" rid="B127">Oeckl et al., 2014</xref>; <xref ref-type="bibr" rid="B124">Nishi and Shuto, 2017</xref>).</p>
<p>
<bold>GPR12:</bold> GPR12 is phylogenetically related to the Cannabidiol Receptors (CB-1 and CB-2) (<xref ref-type="bibr" rid="B180">Wong et al., 2023</xref>). GPR12 is also a constitutively active receptor expressed mainly in the central nervous system. S1P (<xref ref-type="bibr" rid="B29">Eggerickx et al., 1995</xref>; <xref ref-type="bibr" rid="B169">Uhlenbrock et al., 2002</xref>; <xref ref-type="bibr" rid="B108">Martin et al., 2015</xref>) and sphingosine-phosphorylcholine (SPC) (<xref ref-type="bibr" rid="B56">Ignatov et al., 2003a</xref>; <xref ref-type="bibr" rid="B3">Allende et al., 2020</xref>) are potential endogenous ligands for GPR12. GPR 12 is expressed mainly in the central nervous system, in structures related to cognitive processes such as the cerebral cortex, the hippocampus and the striatum (<xref ref-type="bibr" rid="B141">Saeki et al., 1993</xref>). In mice, GPR12 is expressed in the area controlling emotion and metabolism (<xref ref-type="bibr" rid="B56">Ignatov et al., 2003a</xref>). Other functions ascribed to GPR12 include pain control, neurite outgrowth and regeneration (<xref ref-type="bibr" rid="B3">Allende et al., 2020</xref>). A study in rat pheochromocytoma PC12 cells demonstrated that GPR12 overexpression promotes neurite outgrowth by inducing differentiation of PC12 into neuron-like cells. This effect was accompanied by activation of ERK1/2 signaling (<xref ref-type="bibr" rid="B97">Lu et al., 2012</xref>). A report based on SNP microarray-based genome-wide association suggests a link between GPR12 and antipsychotic response to schizophrenia treatment (<xref ref-type="bibr" rid="B190">Zhao et al., 2022</xref>).</p>
</sec>
<sec id="s1-2">
<title>GPR17</title>
<p>GPR17 is an orphan GPCR that is expressed in oligodendrocyte precursor cells (OPCs) and premature oligodendrocytes (<xref ref-type="bibr" rid="B36">Fumagalli et al., 2011</xref>). GPR17, a purinergic P2Y-like receptor, responds both to uracil nucleotides (UDP, UDP-glucose, UDP-galactose) and cysteinyl leukotrienes CysLTs, such as LTD4 and LTC4. These endogenous ligands are released extracellularly at sites of neuroinflammation, where GPR17 is elevated (<xref ref-type="bibr" rid="B36">Fumagalli et al., 2011</xref>). The expression of GPR17 increases during damage to nerve cells. Furthermore, it takes part both in the process of inducing damage and also in the local repair of the damaged myelin sheath. Thus, GPR17 is an attractive target for MS.</p>
<p>The GPR17 gene was first isolated in 1996 and characterized for the first time in 2006 (<xref ref-type="bibr" rid="B134">Raport et al., 1996</xref>; <xref ref-type="bibr" rid="B21">Ciana et al., 2006</xref>). Phylogenetically, GPR17 is closely related to the purine subfamily and cysteinyl leukotriene receptors CysLT1 and CysLT2 (<xref ref-type="bibr" rid="B37">Fumagalli et al., 2016</xref>). It has been classified into the rhodopsin-like family, together with the purinergic P2Y receptor. In humans, the gene for GPR17 is located on chromosome 2q21. GPR17 receptors are present in neurons and some parenchymal quiescent OPCs. GPR17 is one of the key proteins expressed in human adult neuroprogenitor cells and participates in neuronal repair. GPR17 receptors are found in abundance in the nervous system, including the frontal cortex, striatum, brain stem and medulla (<xref ref-type="bibr" rid="B16">Ceruti et al., 2011</xref>). In addition, it is expressed in organs that undergo ischemic injury, including the brain, kidney and heart (<xref ref-type="bibr" rid="B21">Ciana et al., 2006</xref>; <xref ref-type="bibr" rid="B16">Ceruti et al., 2011</xref>; <xref ref-type="bibr" rid="B28">Dziedzic et al., 2020</xref>).</p>
<p>The level of GPR17 receptors is increased in oligodendrocyte lineage cells during the differentiation of OPCs into premature oligodendrocytes (<xref ref-type="bibr" rid="B2">Alavi et al., 2018</xref>). Recent reports indicate that GPR17 receptors play a role in both demyelination and remyelination processes in the central nervous system (CNS) (<xref ref-type="bibr" rid="B28">Dziedzic et al., 2020</xref>). These receptors seem to contribute to the death of neurons in sites of inflammation and also cause nerve tissue repair. Myelin sheath destruction and axonal injury are among the hallmarks of MS. The presence of oligodendrocytes and intact myelin sheath are essential for the proper functioning of neurons. Thus, they can serve as a sensor for local damage to the myelin sheath and as a potential marker of the neurodegenerative process in MS. In an <italic>in vivo</italic> mouse model of MS that presents clinical and pathological similarities to human MS, a highly selective GPR17 agonist delayed the onset of encephalomyelitis (<xref ref-type="bibr" rid="B128">Parravicini et al., 2020</xref>).</p>
</sec>
<sec id="s1-3">
<title>GPR18</title>
<p>GPR18 was first cloned by Gantz et al., in 1997. In humans, GPR18 is abundantly expressed in the spleen, thymus, peripheral blood leukocytes, lymph node, cerebellum, lung and testis, among others (<xref ref-type="bibr" rid="B39">Gantz et al., 1997</xref>; <xref ref-type="bibr" rid="B170">Vassilatis et al., 2003</xref>). GPR18 is also expressed in several immune cell types where it is involved in different biological functions. It shares low sequence homology with the cannabinoid receptors CB-1R and CB-2R and displays moderate identity with the putative cannabinoid receptor GPR55 (<xref ref-type="bibr" rid="B119">Morales et al., 2020</xref>).</p>
<p>GPR18 regulates polymorphonuclear cell infiltration and protects organs from acute immune responses (<xref ref-type="bibr" rid="B136">Reyes-Resina et al., 2018</xref>). The interest in GPR18 lies in its ability to recognize cannabinoid ligands and its propensity to heteromize with CBRs. This suggests that GPR18 and its heteromers may be attractive targets for neurodegenerative disorders.</p>
<p>The therapeutic potential of GPR18 has been shown through <italic>in vitro</italic> and animal model studies. It has been shown that GPR18 can interact with the CB-2R in activating microglia of the AD model. Two different compounds have been proposed as putative ligands for GPR18; however, due to insufficient <italic>in vivo</italic> data, GPR18 is still grouped under class A orphan GPCRs. (for an extensive review on GPR18, see Morales et al., 2020) (<xref ref-type="bibr" rid="B119">Morales et al., 2020</xref>).</p>
</sec>
<sec id="s1-4">
<title>GPR37</title>
<p>Among orphan receptors with therapeutic potential for the treatment of neurodegenerative diseases, GPR37 is of particular interest since it is extensively expressed in the brain and the central nervous system and because it is related to the dopaminergic system and brain myelination. GPR37 is recognized as the parkin-associated -endothelin receptor-like receptor (Pael receptor) since it was originally identified as a substrate of parkin (<xref ref-type="bibr" rid="B60">Imai et al., 2000</xref>; <xref ref-type="bibr" rid="B59">Imai et al., 2001</xref>). Parkin is an E3 ubiquitin ligase encoded by the PARK2 gene involved in ubiquitination and proteasome-mediated degradation of misfolded proteins (<xref ref-type="bibr" rid="B59">Imai et al., 2001</xref>). Mutations in the PARK2 gene are the most common cause of autosomal recessive juvenile parkinsonism (AR-JP) (<xref ref-type="bibr" rid="B73">Kitada et al., 1998</xref>). An insoluble form of GPR37 was reported to accumulate in the brains of AR-JP patients. It is worth mentioning that modulation of GPR37 signaling is implicated in other diseases such as bipolar and major depression disorders, autism and epilepsy.</p>
<p>The GPR37 gene was first discovered in humans and localized to chromosome 7 (7q3l) as encoding for 7TM 613 amino acid-protein (<xref ref-type="bibr" rid="B105">Marazziti et al., 1998</xref>). Immunohistochemical mapping of GPR37 protein levels in mouse brain showed that the receptor is widely expressed in oligodendrocytes, whereas neuronal expression is mainly limited to the nigrostriatal dopaminergic system and hippocampus (<xref ref-type="bibr" rid="B59">Imai et al., 2001</xref>).</p>
<p>Although its physiological relevance remains to be elucidated, GPR37 may be an attractive target for PD, since it interacts with the D2R, the 5-HT4R and also with the adenosine A<sub>2A</sub> receptor, A<sub>2A</sub>R. In PD, GPR37 acts as an A<sub>2A</sub>R inhibitor via receptor oligomerization. Recent studies suggest that GPR37 has a bidirectional role in PD pathogenesis. While its physiological role seems to be neuroprotective, it can misfold and aggregate intracellularly, ultimately leading to cell death (<xref ref-type="bibr" rid="B86">Leinartait&#xe9; and Svenningsson, 2017</xref>).</p>
<p>Thus far, three different molecules, the head activator (HA), prosaposin (PSAP) and regenerating islet-derived family member 4 (Reg4) have been suggested to signal via GPR37, (<xref ref-type="bibr" rid="B137">Rezgaoui et al., 2006</xref>; <xref ref-type="bibr" rid="B115">Meyer et al., 2013</xref>; <xref ref-type="bibr" rid="B172">Wang et al., 2016</xref>), but currently GPR37 remains as a de-orphanized GPCR. Since GPR37 toxically accumulates in AR-JP, Morato et al. have explored the possibility of ecto-GPR37 as a potential biomarker for PD. Briefly, the presence of peptides from the N-terminus cleaved domain of GPR37 (i.e., ecto-GPR37) in human cerebrospinal fluid (CSF) samples of control subjects, PD patients and AD patients were identified by LC-MS analysis and quantified by an in-house ELISA method (<xref ref-type="bibr" rid="B120">Morat&#xf3; et al., 2021</xref>). The authors reported that significantly higher levels of ecto-GPR37 were detectable in the CSF of PD patients, but not in AD patients. Therefore, these authors suggest that ecto-GPR37 may be a promising potential biomarker for PD.</p>
</sec>
<sec id="s1-5">
<title>GPR49</title>
<p>GPR49, also known as Lgr5, that plays a critical role in various cancers, including basal cell carcinoma, head and neck squamous cell carcinoma, oral squamous cell carcinoma, and hepatocellular carcinoma (<xref ref-type="bibr" rid="B184">Yamamoto et al., 2003</xref>; <xref ref-type="bibr" rid="B165">Tanese et al., 2008</xref>; <xref ref-type="bibr" rid="B101">Major et al., 2013</xref>). Recent studies show that LCR5 is also expressed in neuronal stem cells such as glioblastoma stem cells and is associated with neuronal differentiation and maturation (<xref ref-type="bibr" rid="B104">Mao et al., 2013</xref>). In addition, LGR5 is abundantly expressed in spinal cord, motor neurons in brain stem, and neurons in Layer 5a and 6 in cortex, thereby LGR5 might be involved in the development of projection neuron in CNS (<xref ref-type="bibr" rid="B152">Song et al., 2015</xref>). Based on its expression in motor neurons and cortex, GPR49 may play a crucial role in the development of neurodegenerative diseases, although no studies have identified a link between this receptor and these disorders.</p>
</sec>
<sec id="s1-6">
<title>GPR50</title>
<p>GPR50 is widely distributed in many brain region such as cortex, midbrain, pons, amygdala and hippocampus except glial cells (<xref ref-type="bibr" rid="B45">Grunewald et al., 2012</xref>). In addition, it is also expressed in the inhibitory interneurons, These data suggest that GPR50 might modulate the excitability of neurons and regulate synaptic plasticity and cognitive function (<xref ref-type="bibr" rid="B90">Li et al., 2020</xref>). Furthermore, there is a growing evidence showing that GPR50 may be involved in the hypothalamus&#x2013;pituitary&#x2013;adrenal (HPA) axis and the glucocorticoid receptor (GR) signaling, leptin signaling, adaptive, thermogenesis, torpor and neuronal differentiation (<xref ref-type="bibr" rid="B12">Bechtold et al., 2012</xref>; <xref ref-type="bibr" rid="B72">Khan and He, 2017</xref>).</p>
<p>Although there is a potential link between GPR50 and psychiatric conditions and given the overlap between psychiatric and neurological disorders, recent findings have addressed the role of GPR50 in neurodegenerative diseases. Chen et al. (2019) have demonstrated a significant link between GPR50 hypomethylation and AD in males, suggesting a potential role for GPR50 in the development or progression of AD (<xref ref-type="bibr" rid="B17">Chen et al., 2019</xref>).</p>
<p>Moreover, GPR50, previously known as melatonin-related receptor, was cloned from the human pituitary and recognized as a member of the melatonin receptor subfamily and showed high amino acid similarities (45%) with MT1 and MT2 (<xref ref-type="bibr" rid="B135">Reppert et al., 1996</xref>). <xref ref-type="bibr" rid="B191">Zlotos et al. (2014)</xref> suggested the potential heterodimerization of melatonin receptor subtypes, including MT1 and MT2, with GPR50, which might affect melatonin receptor function (<xref ref-type="bibr" rid="B191">Zlotos et al., 2014</xref>). Changes in these receptors&#x27; expression patterns may contribute to the development and progression of the disease, pointing to a possible link between GPR50-related melatonin signaling pathways and neurodegenerative diseases like AD. Although the importance of GPR50 and ligand interactions has been established for neurodegenerative diseases, further research is needed to clarify downstream signaling pathways.</p>
</sec>
<sec id="s1-7">
<title>GPR52</title>
<p>GPR52 is predominantly expressed in the brain, particularly in regions associated with symptoms of neuropsychiatric disorders and Huntington&#x2019;s disease (<xref ref-type="bibr" rid="B76">Komatsu et al., 2014</xref>; <xref ref-type="bibr" rid="B125">Nishiyama et al., 2017</xref>; <xref ref-type="bibr" rid="B47">Hatzipantelis et al., 2020a</xref>; <xref ref-type="bibr" rid="B174">Wang P. et al., 2020</xref>; <xref ref-type="bibr" rid="B99">Ma et al., 2020</xref>). Along with GPR6 and GPR8, GPR52 shows promise as a therapeutic psychiatric receptor, especially due to its association with dopamine receptors in the basal ganglia (<xref ref-type="bibr" rid="B132">Rahman et al., 2023</xref>).</p>
<p>In light of its involvement in cAMP signaling pathways and potential effects on physiological functions, the expression and signaling cascade of the orphan receptor GPR52 has drawn attention in recent years. GPR52 has been found to co-localize with D1 receptors in the prefrontal cortex and with D2 receptors in the basal ganglia, indicating its involvement in dopaminergic transmission in these regions (<xref ref-type="bibr" rid="B76">Komatsu et al., 2014</xref>; <xref ref-type="bibr" rid="B23">Constantinof et al., 2019</xref>). In addition, the expression profiles in the prefrontal cortex overlap with D1 dopamine receptors, suggesting a potential influence on locomotor activity through the activation of DRD1 and NMDA receptors via cAMP accumulation (<xref ref-type="bibr" rid="B47">Hatzipantelis et al., 2020a</xref>). Moreover, it has been suggested that GPR52&#x2019;s activation of ERK1/2 signaling and the recruitment of &#x3b2;-arrestins in frontal cortical neurons are mechanisms that require further investigation (<xref ref-type="bibr" rid="B181">Woo et al., 2020</xref>).</p>
<p>GPR52 signaling via cAMP has been implicated in opposing D2 signaling in the striatum while stimulating D1/NMDA function in the frontal cortex (<xref ref-type="bibr" rid="B139">Russell et al., 2021</xref>). However, the effectiveness of GPR52 agonism in modulating D2/3 receptor signaling outside of the striatum may be limited by lower expression levels (<xref ref-type="bibr" rid="B131">Rahman et al., 2022</xref>). Moreover, GPR52-expressing neurons in the habenular nucleus have been suggested to provide negative compensatory signals to dopaminergic neurons in the midbrain. GPR52 has also been linked glutamatergic transmission in addition to the modulation of dopaminergic transmission, further emphasizing its role in cognitive and emotional processes (<xref ref-type="bibr" rid="B76">Komatsu et al., 2014</xref>).</p>
<p>Furthermore, the identification of GPR52 selective antagonists through high-throughput screening and studies of the structure-activity connection presents novel possibilities for therapeutic approaches for diseases such as Huntington&#x2019;s disease (<xref ref-type="bibr" rid="B75">Komatsu, 2021</xref>).</p>
<p>Reducing GPR52 or using antagonist can result in a decrease in soluble mutant Huntingtin (mHTT) protein levels, thereby improving HD-like phenotypes (<xref ref-type="bibr" rid="B186">Yao et al., 2015</xref>). This effect is linked to the modulation of mHTT levels through the inhibition of GPR52 function (<xref ref-type="bibr" rid="B182">Wu et al., 2023</xref>). Additionally, research has shown that GPR52 plays a role in rescuing behavioral phenotypes in HD mouse models, indicating its potential as a therapeutic target for the disease (<xref ref-type="bibr" rid="B158">Stott et al., 2021</xref>).</p>
<p>An understanding of the complex relationship between GPR52 and other receptors like dopamine D2 will help to develop novel treatment strategies that could address the complex pathophysiology of conditions like PD.</p>
</sec>
<sec id="s1-8">
<title>GPR55</title>
<p>G-protein coupled receptor 55 (GPR55) is widely expressed in the central nerve tissues and cells, and plays a role in controlling oxidative and inflammatory cell homeostasis (<xref ref-type="bibr" rid="B5">Apweiler et al., 2021</xref>). GPR55 interacts with two cannabinoid receptors (CB1/CB2). GPR55 forms heteromer structure with CB1 and CB2 receptors like other orphan receptors (GPR3/GPR6/GPR12/GPR18), or PPAR&#x3b3;, subsequently leading to complex interactions that can either inhibit or enhance GPR55-mediated signaling (<xref ref-type="bibr" rid="B5">Apweiler et al., 2021</xref>; <xref ref-type="bibr" rid="B130">Perez-Olives et al., 2021</xref>).</p>
<p>GPR55 plays a crucial role in various cellular processes such as cell proliferation, migration, survival, and tumorigenesis in various cancer cell lines (<xref ref-type="bibr" rid="B46">Hasenoehrl et al., 2019</xref>; <xref ref-type="bibr" rid="B1">Akimov et al., 2023</xref>). It triggers a cascade of signaling events by interacting with different receptors or ligands, leading to diverse outcomes in different cell types (<xref ref-type="bibr" rid="B10">Balenga et al., 2014</xref>; <xref ref-type="bibr" rid="B149">Shi et al., 2017</xref>; <xref ref-type="bibr" rid="B52">Hill et al., 2019</xref>). Additionally, GPR55 has been implicated in modulating neurotransmitter release at central synapses, further highlighting its diverse functions (<xref ref-type="bibr" rid="B161">Sylantyev et al., 2013</xref>).</p>
<p>Furthermore, it has been demonstrated that GPR55 stimulates the extracellular signal-regulated kinase (ERK) cascade, which in turn stimulates the growth of cancer cells (<xref ref-type="bibr" rid="B4">Andradas et al., 2011</xref>; <xref ref-type="bibr" rid="B102">Mangini et al., 2017</xref>). GPR55 has been shown to promote cancer cell proliferation via the extracellular signal-regulated kinase (ERK) cascade (<xref ref-type="bibr" rid="B4">Andradas et al., 2011</xref>; <xref ref-type="bibr" rid="B102">Mangini et al., 2017</xref>). The cell type-dependent RhoA activation reported upon activation of GPR55 in different studies indicate to cell type-specific downstream signaling cascade (<xref ref-type="bibr" rid="B92">Liu et al., 2016</xref>).</p>
<p>Numerous physiological processes and diseases, such as neuropathic pain, cancer, metabolic diseases, inflammatory pain, bone growth, and neurological disorders have been linked to GPR55 (<xref ref-type="bibr" rid="B78">Kotsikorou et al., 2013</xref>). While its role in diseases like obesity, diabetes, osteoporosis, and cancer has been studied, its involvement in CNS disorders such as depression, AD, and PD remains poorly understood (<xref ref-type="bibr" rid="B5">Apweiler et al., 2021</xref>). It has been implicated in various physiological processes and diseases, including neuroinflammation and neurodegenerative conditions like Multiple sclerosis (MS) (<xref ref-type="bibr" rid="B144">Saliba et al., 2018</xref>).</p>
<p>Very recent studies have delineated the association between GPR55 and cannabioid receptors and cannabidiol (CBD), a cannabinoid compound. CBD has been found to cause vasorelaxation through CB1 activation and has been implicated in modulating seizures through interactions with CB1, CB2, GPR18, GPR55, and other receptors (<xref ref-type="bibr" rid="B157">Stanley et al., 2015</xref>; <xref ref-type="bibr" rid="B95">Longoria et al., 2022</xref>). Additionally, CBD has been used in clinical practice for conditions like spasticity in MS and childhood epilepsy (<xref ref-type="bibr" rid="B53">Hind et al., 2016</xref>; <xref ref-type="bibr" rid="B41">Golub and Reddy, 2021</xref>). A number of studies demonstrate that the GPR55, PPAR&#x3b3;, and TRPV channels signaling pathways are linked to the anti-inflammatory effects of CBD (<xref ref-type="bibr" rid="B96">L&#xf6;tsch et al., 2018</xref>). Since inflammation is one of the hallmarks of neurodegenerative diseases, targeting GPR55 might be a novel therapeutic approach for the treatment of neurodegenerative diseases like PD, AD, and MS (<xref ref-type="bibr" rid="B144">Saliba et al., 2018</xref>).</p>
<p>Recent evidence has pointed out that single nucleotide polymorphisms (SNPs) in GPR55 are linked to AD progression, suggesting a role in the disease (<xref ref-type="bibr" rid="B121">Mori-Fegan et al., 2023</xref>). In AD mouse models, activation of GPR55 has been shown to reduce synaptic dysfunction, oxidative stress, neuroinflammation, and cognitive impairment (<xref ref-type="bibr" rid="B183">Xiang et al., 2022</xref>). Furthermore, research indicates that endocannabinoid-related receptors, such as GPR55, are expressed more abundantly in mice models of AD, indicating that these receptors have a role in the disease (<xref ref-type="bibr" rid="B114">Medina-Vera et al., 2023</xref>). GPR55 is also expressed on microglia cells which are known to be essential for neuroinflammation. GPR55 antagonists have also been shown to have anti-neuroinflammatory properties in microglial cells, suggesting a possible treatment path for neurological disorders characterized by neuroinflammation (<xref ref-type="bibr" rid="B144">Saliba et al., 2018</xref>).</p>
<p>Activation of GPR55 has been observed to mitigate cognitive impairment, oxidative stress, neuroinflammation, and synaptic dysfunction in AD mouse models (<xref ref-type="bibr" rid="B183">Xiang et al., 2022</xref>). The GPR55 agonist, O-1602, has displayed a potential in ameliorating cognitive impairment, neuroinflammation, oxidative stress, and apoptosis induced by lipopolysaccharide in mice, suggesting a neuroprotective role (<xref ref-type="bibr" rid="B176">Wang XS. et al., 2020</xref>).</p>
<p>In addition to AD, GPR55 has been implicated in PD. Recent studies have shown high expression of GPR55 in the striatum and in the external globus pallidus, indicating a potential link between GPR55 activity and motor dysfunction in PD (<xref ref-type="bibr" rid="B129">Patricio et al., 2022</xref>; <xref ref-type="bibr" rid="B180">Wong et al., 2023</xref>). GPR55 and CB1 heteromers have also shown significant neuroprotection against parkinsonism-inducing toxins, as in AD (<xref ref-type="bibr" rid="B24">Cooray et al., 2020</xref>). Additionally, the expression of heteromers consisting of GPR55 and CB1/CB2 receptors in the striatum has been evaluated in parkinsonian macaques, highlighting a correlation between Parkinsonism and altered expression of these heteromers (<xref ref-type="bibr" rid="B11">Basile and Mazzon, 2022</xref>). The use of GPR55 as a therapeutic target for managing motor deficits in PD has been proposed, with research focusing on the effects of GPR55 selective ligands in PD rat models (<xref ref-type="bibr" rid="B31">Fatemi et al., 2021</xref>; <xref ref-type="bibr" rid="B146">S&#xe1;nchez-Zavaleta et al., 2023</xref>). The therapeutic potential of GPR55 has been also explored in PD, with studies indicating that GPR55 activation may reduce circuit dysfunction in PD-related afferent systems, making it a promising approach for treating disease-related motor dysfunction (<xref ref-type="bibr" rid="B51">Hewer et al., 2023</xref>).</p>
<p>In experimental autoimmune encephalomyelitis models of MS, the genetic background has been found to influence the effects of gene knockout, particularly of GPR55 and CB2 receptors, on disease severity (<xref ref-type="bibr" rid="B126">Nouh et al., 2023</xref>). Specifically, GPR55 has been associated with pro-inflammatory roles in mouse models of gastrointestinal inflammation and MS (<xref ref-type="bibr" rid="B80">Kurano et al., 2021</xref>; <xref ref-type="bibr" rid="B126">Nouh et al., 2023</xref>).</p>
</sec>
<sec id="s1-9">
<title>GPR78</title>
<p>GPR78 is closely analogous to the GPR26 gene and is exclusively identified in the placenta and pituitary glands of humans. There were no mRNA transcripts detected in other central nervous system regions, including the frontal cortex, putamen, thalamus, hypothalamus, amygdala, hippocampus, pons, medulla, and midbrain (<xref ref-type="bibr" rid="B84">Lee et al., 2001</xref>). GPR78 is generally expressed in endoplasmic reticulum and inactivates ER stress sensors ATF-6, PERK and IRE1 (<xref ref-type="bibr" rid="B7">Araujo et al., 2018</xref>). <italic>In vitro</italic>, GPR78 is shown to increase intracellular cAMP (<xref ref-type="bibr" rid="B70">Jones et al., 2007</xref>). Acting as a regulator within the phosphoinositide 3-kinase (PI3K)&#x2013;protein kinase B (AKT) signaling network, it exerts varied downstream effects on the proliferation, survival, metastasis, and chemoresistance of cancer cells. BC71 and two peptides have been developed for the GPR78 receptors (<xref ref-type="bibr" rid="B6">Arap et al., 2004</xref>; <xref ref-type="bibr" rid="B43">Gonzalez-Gronow et al., 2009</xref>; <xref ref-type="bibr" rid="B7">Araujo et al., 2018</xref>). Since GPR78 is expressed in the basal ganglia, it may be also be involved in the pathophysiology of PD.</p>
</sec>
<sec id="s1-10">
<title>GPR83</title>
<p>GPR83, also known as JP05, GIR, and GPR72, is a GPCR initially identified in thymoma as a glucocorticoid-induced receptor. It is extensively present in CD4<sup>&#x002B;</sup>CD25<sup>&#x002B;</sup> regulatory T (Treg) cells and the central nervous system, particularly in brain regions like the hippocampus, amygdala, prefrontal cortex, and various hypothalamic nuclei. GPR83 is implicated in stress-associated physiology and may play significant roles in learning and memory, reward, emotional behaviors, and stress regulation. GPR83-deficient mice showed delayed spatial learning acquisition and an increased preference for sucrose (<xref ref-type="bibr" rid="B88">Li DY. et al., 2013</xref>; <xref ref-type="bibr" rid="B89">Li J. et al., 2013</xref>). GPR83 and GPR171 signaling pathways in brain regions control feeding and reward behaviors. Recently, there has been discussion concerning the de-orphanization of GPR83, attributed to its discovery of binding with bigLEN or PEN, known to regulate feeding behavior (<xref ref-type="bibr" rid="B42">Gomes et al., 2016</xref>). FAM237A and FAM237B are the ligands which are shown to activate GPR83, and the latter activate GPR83 through the G&#x3b1;q signaling pathway (<xref ref-type="bibr" rid="B145">Sallee et al., 2020</xref>). Although a direct correlation between GPR83 and neurodegenerative disorders has not been demonstrated yet, its involvement in learning and memory may have an impact for AD research.</p>
</sec>
<sec id="s1-11">
<title>GPR84</title>
<p>GPR84, a Gi-coupled GPCR, has been suggested to recognize endogenous medium-chain fatty acids (MCFAs) (<xref ref-type="bibr" rid="B34">Fredriksson et al., 2003</xref>; <xref ref-type="bibr" rid="B33">Foord et al., 2005</xref>). Similar to GPR83, GPR84 also takes part in immune defense through microglia, which are essential in immune defense of the CNS and its diseases (<xref ref-type="bibr" rid="B150">Simard et al., 2006</xref>). In addition to modulating the microglial cells, GPR84 modulates the production of interleukin-4 (IL-4) by T lymphocytes, as well (<xref ref-type="bibr" rid="B179">Wittenberger et al., 2001</xref>; <xref ref-type="bibr" rid="B189">Yousefi et al., 2001</xref>; <xref ref-type="bibr" rid="B171">Venkataraman and Kuo, 2005</xref>).</p>
<p>In an experimental study, the gene of GPR84 is upregulated in microglial cells within the brains of APP/PS1 transgenic mice, a model for AD. The increased GPR84 activity correlates with faster cognitive decline and a decrease in the number of microglia, particularly around areas with amyloid plaques. Interestingly, the absence of GPR84 does not impact the formation of plaques or the hippocampal neurogenesis, but leads to &#x3b2;-amyloid-induced microgliosis and therefore contributes to the &#x3b2;-amyloid-induced dendritic degeneration (<xref ref-type="bibr" rid="B9">Audoy-R&#xe9;mus et al., 2015</xref>). A recent study of human data using machine learning methods, where human samples from the entorhinal cortex bearing neurofibrillary tangles or none were examined, showed that among the other genes, GPR84 gene is differentially expressed. This suggests GPR84 has a potential to be a marker for AD (<xref ref-type="bibr" rid="B100">Madar et al., 2021</xref>). 6-n-octylaminouracil and 9&#x2013;14 carbon chain fatty acids have been proposed as endogenous ligands (<xref ref-type="bibr" rid="B173">Wang et al., 2006</xref>; <xref ref-type="bibr" rid="B159">Suzuki et al., 2013a</xref>). Decanoic acid, lauric acid, embelin, PSB-16434, ZQ-16, 6-nonylpyridine-2,4-diol, DL-175 are orthosteric and DIM is an allosteric agonist (<xref ref-type="bibr" rid="B173">Wang et al., 2006</xref>; <xref ref-type="bibr" rid="B159">Suzuki et al., 2013a</xref>; <xref ref-type="bibr" rid="B154">Southern et al., 2013</xref>; <xref ref-type="bibr" rid="B107">Marsango et al., 2022</xref>).</p>
</sec>
<sec id="s1-12">
<title>GPR85</title>
<p>GPR85 previously named as, Super conserved receptor expressed in brain-2, SREB2, has been associated with the brain, and has been linked to autism spectrum disorder and schizophrenia, so far. It has a neuroectodermal origin and is highly expressed in the mouse cerebral cortex and human adults. Its expression is increased with development and neuronal differentiation (<xref ref-type="bibr" rid="B49">Hellebrand et al., 2001</xref>). In rat, the expression of the gpr85 gene was found to be declined gradually after birth and became undetectable by postnatal day 18, but its weak expression was observed in the adult hippocampal formation, olfactory bulb, and cerebellum (<xref ref-type="bibr" rid="B66">Jeon et al., 2002</xref>). mRNA profiling across the species of adult human, monkey, and rat forebrains, SREB2 mRNA were detected in the hippocampal dentate gyrus, hippocampal formation, olfactory system, and supraoptic and paraventricular nuclei (<xref ref-type="bibr" rid="B110">Matsumoto et al., 2005</xref>).</p>
<p>Few studies have explored the association of GPR85 with brain disorders. However, its expression holds potential as a target for conditions like schizophrenia or epilepsy. Overexpression in transgenic mice resulted in decreased social interaction, abnormal sensorimotor gating, and impaired memory. Additionally, GPR85 expression increased in the adult hippocampal formation, piriform cortex, and amygdaloid complex following treatment with kainic acid, which induces convulsive epilepsy (<xref ref-type="bibr" rid="B66">Jeon et al., 2002</xref>; <xref ref-type="bibr" rid="B111">Matsumoto et al., 2008</xref>).</p>
<p>Studies designing novel ligands for GPR85 continues and so far, a new inverse agonist has been identified (<xref ref-type="bibr" rid="B143">Sakai et al., 2022</xref>). The association of GPR85 with learning and memory suggests a potential link to AD. GPR85 continues to be investigated with specific ligands and antagonists.</p>
</sec>
<sec id="s1-13">
<title>GPR88</title>
<p>GPR88 exhibits widespread expression in the spleen, liver, and brain. It is conserved between humans and mice and is mapped to the 1p21.3 chromosomes in humans and 3G1 in mice. Initially characterized as a receptor specific to the striatum, GPR88 plays a role in various physiological processes within the central nervous system (<xref ref-type="bibr" rid="B116">Mizushima et al., 2000</xref>).</p>
<p>As it is connected to the striatum, it is no surprise that GPR88 has been extensively investigated with animal models of PD research. GPR88 is mainly expressed in the striatum of rodents, humans and is specifically associated with movement disorders (<xref ref-type="bibr" rid="B188">Ye et al., 2019</xref>). Knocking down Gpr88 negatively affected the expression of DARPP-32, a key protein in medium spiny neurons controlling dopamine reception. Gpr88 knockout mice showed increased spontaneous locomotion, drug-induced catalepsy sensitivity, and motor incoordination, suggesting GPR88&#x2019;s role in motor function. While direct links between Gpr88 mutations and human PD are lacking, sporadic chorea cases in humans have been associated with mutations in GPR88 (<xref ref-type="bibr" rid="B188">Ye et al., 2019</xref>).</p>
<p>One of the most problematic issue in the management of PD is L-DOPA mediated tardive dyskinesia due to the long term use of dopaminergic agents. GPR88 proteins seem to be promising targets for the mitigation of dyskinesia. For instance, Gpr88 knockdown seem to prevent the onset of dyskinesia (<xref ref-type="bibr" rid="B103">Mantas et al., 2020</xref>). In this study while Gpr88 knockout mice exhibited less involuntary movements, less serotonin displacement and reduced tacrine-induced PD-like tremor and spontaneous locomotion (<xref ref-type="bibr" rid="B103">Mantas et al., 2020</xref>). An association between HD, an autosomal dominant condition which emerges around midlife, and GPR88 has also been proposed. (<xref ref-type="bibr" rid="B138">Rocher et al., 2016</xref>). mHTT, that affects striatal medium spiny neurons (MSNs) sustain their functionality over several decades (<xref ref-type="bibr" rid="B138">Rocher et al., 2016</xref>). In an <italic>in vivo</italic> study with a mice model of HD, BACHD, in which there is high expression levels of neuropathogenic, full length mutant huntingtin (fl-mHTT) genes, lower expression of GPR88 has been found in the striatum, that is accompanied by hyperexcitability, increased amplitude of AMPA receptor-mediated synaptic and a decline in spine density (<xref ref-type="bibr" rid="B138">Rocher et al., 2016</xref>).</p>
<p>Similarly, in a Gpr88-inactivated lentiviral-mediated knock-down striatal 6-OHDA rat model, a specifically designated microRNA (miR) (KD-Gpr88) reduced acute amphetamine-induced turning behavior and normalized striatal Gad67 and proenkephalin expression, indicating to an association with the severity of L-DOPA induced dyskinesia (<xref ref-type="bibr" rid="B61">Ingallinesi et al., 2019</xref>). In a further study of the same group, using medial forebrain bundle injections in an early Parkinson (6-OHDA)_ model, lentiviral-delivery of the specific microRNA to knock down GPR88 seemed to mitigate mood, motivation, and cognition alterations by modulating the regulator of G-protein signaling 4 and the truncated splice variant of the FosB transcription factor (<xref ref-type="bibr" rid="B38">Galet et al., 2021</xref>). GPR88 primarily couples to Gi/o proteins (<xref ref-type="bibr" rid="B68">Jin et al., 2018</xref>) and its known agonists are 2-PCCA and RTI-13951-33 (<xref ref-type="bibr" rid="B40">Garisetti et al., 2023</xref>). In summary, GPR84 may be a promising target in PD and HD in the future.</p>
</sec>
</sec>
<sec id="s2" sec-type="discussion">
<title>Discussion</title>
<p>GPCRs are primary targets for drug development. Many drugs used today are the results of sustained research, stimulated by recent findings of additional signaling pathways. Orphan GPCRs hold the potential of being novel therapeutic targets for disorders that currently have no radical therapies. However, the allure of orphan GPCRs comes with a caveat. GPCRs, in general, are intricately linked to diverse signaling pathways, making them less than ideal drug targets. The association with multiple pathways raises concerns about potential side effects, already encountered with existing GPCR targets. Nevertheless, research on orphan GPCRs is expected to enhance our comprehension of their specific physiological and neuropathological functions in the years ahead. Orphan GPCRs have been associated with various physiological processes, including neuromodulation (<xref ref-type="bibr" rid="B22">Civelli, 2012</xref>), circadian behavior regulation (<xref ref-type="bibr" rid="B25">Doi et al., 2016</xref>), and immune response modulation that makes them this promising targets with the disorders that have these bases. Orphan GPCRs are also implicated in immune responses, with some receptors regulating key immune cells through metabolite signaling (<xref ref-type="bibr" rid="B55">Husted et al., 2017</xref>). Moreover, orphan GPCRs have shown a preference for associating with lipid and lipid-like molecules, suggesting a potential role in lipid metabolism and signaling pathways (<xref ref-type="bibr" rid="B58">Im, 2004</xref>; <xref ref-type="bibr" rid="B178">Wei et al., 2017</xref>; <xref ref-type="bibr" rid="B69">Jobe and Vijayan, 2024</xref>).</p>
<p>Sphingosine-1-phosphates (S1Ps) are signaling lipids which act on the S1PR family of cognate GPCRs and have been shown to modulate neuroinflammation, a process known to be involved in both neurodegenerative and cerebrovascular diseases (<xref ref-type="bibr" rid="B20">Chua et al., 2020</xref>). S1P, as an agonist on GPR3, GPR6, GPR12, may be a promising target in Alzheimer&#x2019;s Disease (<xref ref-type="bibr" rid="B79">Kunkel et al., 2013</xref>). Despite the promising roles of GPR3 (<xref ref-type="bibr" rid="B54">Huang et al., 2015</xref>; <xref ref-type="bibr" rid="B14">Capaldi et al., 2018</xref>), GPR6, and GPR12 in neurodegenerative diseases, including AD, further research is required to fully elucidate their mechanisms of action and validate them as viable therapeutic targets. Sphingosine 1-phosphate (S1P) also plays a crucial role in inflammation, particularly in the context of MS. For example, Fingolimod (FTY720), an S1P receptor modulator, has been approved as an oral treatment for relapsing forms of MS, highlighting the relevance of S1P in MS treatment (<xref ref-type="bibr" rid="B19">Choi et al., 2010</xref>). Therefore, agonists on GPR3, GPR6, GPR12 can be considered as candidates for MS research.</p>
<p>Due to the heterogeneous expression of some orphan GPRCs such as; GPR3, GPR6, GPR18 and GPR55 with cannabinoid receptors of CB1 and CB2, the modulatory effects of CB receptors seem to be also intrinsically regulated by these specific orphan receptors. CB2 receptors, in particular, have been shown to have neuroprotective effects in conditions like HD by attenuating microglial activation and preventing neurodegeneration (<xref ref-type="bibr" rid="B133">Rajesh et al., 2007</xref>). CB1 receptors have been shown to provide neuroprotection through the inhibition of excitotoxicity and oxidative stress, as evidenced in animal models of some neurodegenerative diseases such as MS (<xref ref-type="bibr" rid="B106">Maresz et al., 2005</xref>; <xref ref-type="bibr" rid="B44">Gowran et al., 2010</xref>). The endocannabinoid system, involving CB1 and CB2 receptors, their ligands, and associated enzymes, acts as a key modulatory system influencing various pathological processes in neurodegenerative disorders (<xref ref-type="bibr" rid="B67">Jhaveri et al., 2007</xref>).</p>
<p>Furthermore, many orphan GPCRs, such as GPR83, GPR84 and GPR85 are expressed in various tissues, including immune system cells, Tregs, monocytes, macrophages, microglia and in the different brain regions (<xref ref-type="bibr" rid="B178">Wei et al., 2017</xref>). GPR83 has been linked to the regulation of stress, mood, reward-related behaviors, and immune function (<xref ref-type="bibr" rid="B98">Lueptow et al., 2018</xref>). GPR84 has been proposed to be involved in microglial motility after neuronal injury, suggesting a potential role in neuroprotection (<xref ref-type="bibr" rid="B178">Wei et al., 2017</xref>). Overall, these results indicate that orphan GPCRs are versatile receptors with implications in both immune responses and neuronal functions. Their involvement in inflammation and immune cell regulation, and along with their proposed neuroprotective roles make them promising targets for therapeutic interventions in conditions involving immune dysregulation and neuroinflammation.</p>
<p>Furthermore, current progress in GPCR structural biology, virtual libraries, molecular modelling and the use of cryo-EM for structure elucidation, has made a significant impact on overcoming different of obstacles in identifying orphan GPCRs ligands. These studies that emphasize the heterodimer or oligomeric structure of orphan GPCRs are critical for their function and signaling.</p>
<p>In conclusion, orphan GPCRs are widely expressed in the CNS and are involved in a wide range of physiological effects. Understanding the interactions of orphan receptors with other GPCRs such as cannabinoid receptors, dopamine receptors and melatonin receptors and their propensity to form heteromers will provide insights into the complex structural and functional mechanisms underlying neurodegenerative disease (<xref ref-type="fig" rid="F1">Figure 1</xref>). Deciphering the ligands for orphan GPCRs and understanding their structure and signaling mechanism will facilitate identification of small molecules targeted for the therapy of neurodegenerative diseases.</p>
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<title>Author contributions</title>
<p>D&#xd6;-A: Visualization, Writing&#x2013;review and editing, Writing&#x2013;original draft, Conceptualization. MY: Writing&#x2013;review and editing, Writing&#x2013;original draft, Visualization, Conceptualization. BK: Supervision, Writing&#x2013;review and editing, Writing&#x2013;original draft, Conceptualization.</p>
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<p>The author(s) declare that no financial support was received for the research, authorship, and/or publication of this article.</p>
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<p>The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.</p>
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