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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">1367991</article-id>
<article-id pub-id-type="doi">10.3389/fphar.2025.1367991</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Pharmacology</subject>
<subj-group>
<subject>Original Research</subject>
</subj-group>
</subj-group>
</article-categories>
<title-group>
<article-title>Agonist efficacy at the &#x3b2;<sub>2</sub>AR is driven by the faster association rate of the G<sub>s</sub> protein</article-title>
<alt-title alt-title-type="left-running-head">Harwood 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.2025.1367991">10.3389/fphar.2025.1367991</ext-link>
</alt-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname>Harwood</surname>
<given-names>Clare R.</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/2622165/overview"/>
</contrib>
<contrib contrib-type="author" corresp="yes">
<name>
<surname>Sykes</surname>
<given-names>David A.</given-names>
</name>
<uri xlink:href="https://loop.frontiersin.org/people/2129814/overview"/>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
<xref ref-type="aff" rid="aff3">
<sup>3</sup>
</xref>
<xref ref-type="corresp" rid="c001">&#x2a;</xref>
<role content-type="https://credit.niso.org/contributor-roles/formal-analysis/"/>
<role content-type="https://credit.niso.org/contributor-roles/Writing - review &#x26; editing/"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Redfern-Nichols</surname>
<given-names>Theo</given-names>
</name>
<xref ref-type="aff" rid="aff4">
<sup>4</sup>
</xref>
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</contrib>
<contrib contrib-type="author">
<name>
<surname>Underwood</surname>
<given-names>Owen</given-names>
</name>
<xref ref-type="aff" rid="aff3">
<sup>3</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Nicholson</surname>
<given-names>Colin</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Khoshgrudi</surname>
<given-names>Armin N.</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Koers</surname>
<given-names>Eline J.</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Ladds</surname>
<given-names>Graham</given-names>
</name>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
<xref ref-type="aff" rid="aff4">
<sup>4</sup>
</xref>
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<contrib contrib-type="author" corresp="yes">
<name>
<surname>Briddon</surname>
<given-names>Stephen J.</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>
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</contrib>
<contrib contrib-type="author" corresp="yes">
<name>
<surname>Veprintsev</surname>
<given-names>Dmitry B.</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="aff" rid="aff3">
<sup>3</sup>
</xref>
<xref ref-type="corresp" rid="c001">&#x2a;</xref>
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<aff id="aff1">
<sup>1</sup>
<institution>Division of Physiology, Pharmacology and Neuroscience</institution>, <institution>School of Life Sciences</institution>, <institution>University of Nottingham</institution>, <addr-line>Nottingham</addr-line>, <country>United Kingdom</country>
</aff>
<aff id="aff2">
<sup>2</sup>
<institution>Centre of Membrane Proteins and Receptors (COMPARE)</institution>, <institution>University of Birmingham and University of Nottingham</institution>, <addr-line>Nottingham</addr-line>, <country>United Kingdom</country>
</aff>
<aff id="aff3">
<sup>3</sup>
<institution>Z7 Biotech Ltd.</institution>, <addr-line>Nottingham</addr-line>, <country>United Kingdom</country>
</aff>
<aff id="aff4">
<sup>4</sup>
<institution>Department of Pharmacology</institution>, <institution>University of Cambridge</institution>, <addr-line>Cambridge</addr-line>, <country>United Kingdom</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/17865/overview">Ravinder Abrol</ext-link>, California State University, Northridge, United States</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/25508/overview">Vsevolod V. Gurevich</ext-link>, Vanderbilt University, United States</p>
<p>
<ext-link ext-link-type="uri" xlink:href="https://loop.frontiersin.org/people/1087930/overview">Emma T. van der Westhuizen</ext-link>, University of Melbourne, Australia</p>
</fn>
<corresp id="c001">&#x2a;Correspondence: David A. Sykes, <email>david.sykes@nottingham.ac.uk</email>; Stephen J. Briddon, <email>stephen.briddon@nottingham.ac.uk</email>; Dmitry B. Veprintsev, <email>dmitry.veprintsev@nottingham.ac.uk</email>
</corresp>
</author-notes>
<pub-date pub-type="epub">
<day>27</day>
<month>03</month>
<year>2025</year>
</pub-date>
<pub-date pub-type="collection">
<year>2025</year>
</pub-date>
<volume>16</volume>
<elocation-id>1367991</elocation-id>
<history>
<date date-type="received">
<day>09</day>
<month>01</month>
<year>2024</year>
</date>
<date date-type="accepted">
<day>24</day>
<month>02</month>
<year>2025</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright &#xa9; 2025 Harwood, Sykes, Redfern-Nichols, Underwood, Nicholson, Khoshgrudi, Koers, Ladds, Briddon and Veprintsev.</copyright-statement>
<copyright-year>2025</copyright-year>
<copyright-holder>Harwood, Sykes, Redfern-Nichols, Underwood, Nicholson, Khoshgrudi, Koers, Ladds, Briddon and Veprintsev</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>
<sec>
<title>Introduction</title>
<p>The &#x3b2;<sub>2</sub>-adrenoceptor (&#x3b2;<sub>2</sub>AR) is a class A G protein-coupled receptor (GPCR). It is therapeutically relevant in asthma and chronic obstructive pulmonary disease (COPD), where &#x3b2;<sub>2</sub>AR agonists relieve bronchoconstriction. The &#x3b2;<sub>2</sub>AR is a prototypical GPCR for structural and biophysical studies. However, the molecular basis of agonist efficacy at the &#x3b2;<sub>2</sub>AR is not understood. We hypothesised that the kinetics of GPCR&#x2013;G protein interactions could play a role in determining ligand efficacy. By studying a range of agonists with varying efficacy, we examined the relationship between ligand-induced mini-G<sub>s</sub> binding to the &#x3b2;<sub>2</sub>AR and ligand efficacy, along with the ability of individual ligands to activate the G protein in cells.</p>
</sec>
<sec>
<title>Methods</title>
<p>We used NanoBRET technology to measure ligand-induced binding of purified Venus-mini-G<sub>s</sub> to &#x3b2;<sub>2</sub>AR-nLuc in membrane preparations under both equilibrium and kinetic conditions. In addition, we examined the ability of these &#x3b2;<sub>2</sub>AR agonists to activate the heterotrimeric G<sub>s</sub> protein, measured using the G<sub>s</sub>-CASE protein biosensor in living cells. This assay detects a reduction in NanoBRET between the nano-luciferase (nLuc) donor on the G&#x3b1; subunit and Venus acceptor on the G&#x3b3; upon G<sub>s</sub> protein activation.</p>
</sec>
<sec>
<title>Results</title>
<p>The 12 &#x3b2;<sub>2</sub>AR agonists under study revealed a broad range of ligand potency and efficacy values in the cellular G<sub>s</sub>-CASE assays. Kinetic characterisation of mini-G<sub>s</sub> binding to the agonist &#x3b2;<sub>2</sub>AR complex revealed a strong correlation between ligand efficacy values (E<sub>max</sub>) and mini-G<sub>s</sub> affinity (<italic>K</italic>
<sub>d</sub>) and its association rate (<italic>k</italic>
<sub>on</sub>). In contrast, there was no correlation between ligand efficacy and reported ligand dissociation rates (or residence times).</p>
</sec>
<sec>
<title>Conclusion</title>
<p>The association rate (<italic>k</italic>
<sub>on</sub>) of the G protein to the agonist &#x3b2;<sub>2</sub>AR complex is directly correlated with ligand efficacy. These data support a model in which higher-efficacy agonists induce the &#x3b2;<sub>2</sub>AR to adopt a conformation that is more likely to recruit G protein. Conversely, these data did not support the role of agonist binding kinetics in determining the molecular basis of efficacy.</p>
</sec>
</abstract>
<kwd-group>
<kwd>G protein-coupled receptor</kwd>
<kwd>&#x3b2;2-adrenoceptor</kwd>
<kwd>efficacy</kwd>
<kwd>kinetics</kwd>
<kwd>association rate kon</kwd>
<kwd> dissociation rate koff</kwd>
</kwd-group>
<contract-sponsor id="cn001">Medical Research Council<named-content content-type="fundref-id">10.13039/501100000265</named-content>
</contract-sponsor>
<contract-sponsor id="cn002">Biotechnology and Biological Sciences Research Council<named-content content-type="fundref-id">10.13039/501100000268</named-content>
</contract-sponsor>
<contract-sponsor id="cn003">Royal Society<named-content content-type="fundref-id">10.13039/501100000288</named-content>
</contract-sponsor>
<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) are the largest family of membrane proteins in the human genome and are responsible for modulating a broad range of hormonal, neurological, and immune responses. GPCR-directed therapeutics currently target over 100 diverse receptors and represent 34% of all US Food and Drug Administration (FDA)-approved drugs, making them the most widely targeted receptors (<xref ref-type="bibr" rid="B13">Hauser et al., 2017</xref>). Despite their therapeutic importance, the molecular basis of ligand efficacy&#x2014;the ability of a drug to affect GPCR signal transduction&#x2014;is not fully understood. It is hoped that a deeper understanding of the molecular basis of efficacy will aid in more rational drug design.</p>
<p>The process of GPCR activation involves agonist binding, a ligand-induced conformational change in the receptor and the subsequent recruitment and activation of a G protein. Several studies have implicated ligand residence time in the molecular basis of efficacy at GPCRs. For example, a positive correlation has been observed between the efficacy of seven agonists at the muscarinic M3 receptor and 10 agonists at the adenosine A<sub>2A</sub> receptor (A<sub>2A</sub>R) with their ligand residence time (<xref ref-type="bibr" rid="B33">Sykes et al., 2009b</xref>; <xref ref-type="bibr" rid="B11">Guo et al., 2012</xref>). Conversely, no correlation between efficacy and residency time was found for ligands at the adenosine A<sub>1</sub> receptor (<xref ref-type="bibr" rid="B19">Louvel et al., 2014</xref>).</p>
<p>Biophysical studies have shown that agonists shift the receptor conformational landscape in favour of a unique active conformation, compared to the unliganded state (<xref ref-type="bibr" rid="B6">Deupi and Kobilka, 2010</xref>; <xref ref-type="bibr" rid="B21">Mary et al., 2012</xref>; <xref ref-type="bibr" rid="B24">Nygaard et al., 2013</xref>), but how conformational differences in a population translate to greater or lesser signalling responses remains to be fully elucidated. Structural studies have found little differences in GPCR conformations adopted by ligand-bound GPCR&#x2013;G-protein complexes (<xref ref-type="bibr" rid="B22">Masureel et al., 2018</xref>; <xref ref-type="bibr" rid="B39">Zhang et al., 2020</xref>). However, using nuclear magnetic resonance (NMR), <xref ref-type="bibr" rid="B18">Liu et al. (2012)</xref> showed efficacy-dependent differences in the conformational state of &#x3b2;<sub>2</sub>AR bound to different agonists prior to G protein binding. Similar results have been observed for the &#x3b2;<sub>1</sub>AR (<xref ref-type="bibr" rid="B8">Grahl et al., 2020</xref>; <xref ref-type="bibr" rid="B16">Jones et al., 2024</xref>) and A<sub>2A</sub>R (<xref ref-type="bibr" rid="B38">Ye et al., 2016</xref>). Alternatively, some studies (<xref ref-type="bibr" rid="B23">Nikolaev et al., 2006</xref>; <xref ref-type="bibr" rid="B9">Gregorio et al., 2017</xref>) show correlations between ligand efficacy and the rate of GPCR and G protein activation, suggesting a key role for G protein binding kinetics in dictating pharmacological efficacy.</p>
<p>Consequentially, we aimed to delineate the roles of ligand binding and receptor&#x2013;G protein binding kinetics in agonist efficacy. We focused on the &#x3b2;<sub>2</sub>-adrenoceptor (&#x3b2;<sub>2</sub>AR), a prototypical class A GPCR, which is one of the most structurally, functionally, and therapeutically well-characterised GPCRs. The &#x3b2;<sub>2</sub>AR is also an essential target in the treatment of asthma and COPD, and as a result, a wide range of clinically used agonists of varying efficacies have been developed to target the &#x3b2;<sub>2</sub>AR, which could be utilised in this study.</p>
<p>G proteins are heterotrimeric, consisting of &#x3b1;, &#x3b2;, and &#x3b3; subunits The G&#x03B1; subunit comprises of a helical and GTPase domain. Full-length heterotrimeric G proteins are dynamic complexes that are difficult to isolate. To overcome this, we chose to utilise mini-G proteins (<xref ref-type="bibr" rid="B4">Carpenter and Tate, 2016</xref>) as tools to study the dynamics of &#x3b2;<sub>2</sub>AR activation. The mini-G<sub>s</sub> protein is the isolated GTPase domain of the G&#x3b1; subunit, which has been engineered with several thermostabilising mutations that make it a rigid protein, locked in its active state, as shown in the agonist-bound A<sub>2A</sub>R-mini-G<sub>s</sub> structure (<xref ref-type="bibr" rid="B3">Carpenter et al., 2016</xref>; <xref ref-type="bibr" rid="B5">Carpenter and Tate, 2017</xref>). These mini-G proteins have also been converted into convenient probes that report the active state of a GPCR (<xref ref-type="bibr" rid="B35">Wan et al., 2018</xref>).</p>
<p>We investigated the binding kinetics and affinity of fluorescently labelled (Venus-fused) mini-G<sub>s</sub> proteins for the &#x3b2;<sub>2</sub>AR in complex with a set of agonists of varying efficacy, from partial to full agonists. In addition, we correlated ligand binding affinities, residence times, and efficacy at the level of heterotrimeric G<sub>s</sub> protein activation for these agonists.</p>
</sec>
<sec sec-type="materials|methods" id="s2">
<title>Materials, instruments and software</title>
<sec id="s2-1">
<title>Materials</title>
<p>The T-REx&#x2122;-293 Cell Line was obtained from Invitrogen (CA, United States). T75 and T175 mammalian cell culture flasks were purchased from Fisher Scientific (Loughborough, United Kingdom). All cell culture reagents, including Hank&#x2019;s balanced salt solution (HBSS), phosphate-buffered saline (PBS), and foetal calf serum (FCS), were purchased from Sigma Aldrich (Gillingham, United Kingdom), except for blasticidin, which was obtained from Gibco&#x2122; (MA, United States), and Zeocin&#x2122;. Polyethylenimine (PEI) (25&#xa0;kDa) was obtained from Polysciences Inc. (PA, United States), and the culture plates were obtained from Greiner Bio-One (code 655098 Kremsmu&#x308;nster, Austria).</p>
<p>HisTrap FF crude 5-mL columns were obtained from GE Healthcare (IL, United States). Vivaspin protein concentrators were obtained from Sartorius (Go&#x308;ttingen, Germany). Slide-A-Lyzer Dialysis Cassettes, NuPAGE LDS Sample Buffer, NuPAGE 4%&#x2013;12% Bis-Tris 15 &#xd7; 1.0&#xa0;mm well gels, NuPAGE MOPS SDS Running Buffer, PageRuler Prestained Protein Ladder, were all obtained from Thermo Fisher (MA, United States).</p>
<p>Salmeterol was obtained from Tocris (Bristol, U.K). Formoterol hemifumarate was obtained from APExBIO (TX, United States), and BI-167-107 was obtained from Boehringer Ingelheim (Ingelheim, Germany). Compound 26 was a gift from Novartis. (&#xb1;)-Epinephrine hydrochloride, noradrenaline, salbutamol hemisulfate, and isoprenaline hydrochloride were purchased from Sigma-Aldrich (Gillingham, United Kingdom). Dobutamine hydrochloride was obtained from Merck Life Sciences, UK. Isoxsuprine hydrochloride, ritodrine hydrochloride, and tulobuterol were obtained from CliniSciences Limited. Nano-Glo luciferase substrate was obtained from Promega (WI, United States). All other chemicals were purchased from Sigma-Aldrich (Gillingham, United Kingdom).</p>
</sec>
<sec id="s2-2">
<title>Instruments and software</title>
<p>BMG PHERAstar FSX plate reader (BMG Labtech, Offenburg, Germany), fitted with BRET1 plus optic module (ex. 475/30&#xa0;nm, em. 535/30&#xa0;nm) and MARS software, was purchased from BMG Labtech (Offenburg, Germany). GraphPad Prism 9 was purchased from GraphPad Software (San Diego, United States). Microsoft Excel&#x2122; XP was purchased from Microsoft (Washington, United States).</p>
</sec>
</sec>
<sec sec-type="methods" id="s3">
<title>Methods</title>
<sec id="s3-1">
<title>Molecular biology</title>
<p>The construct pcDNA4TO-TwinStrep (TS)-SNAP-&#x3b2;<sub>2</sub>AR was generated through the amplification of the SNAP and &#x3b2;<sub>2</sub>AR sequences from the pSNAPf-ADRB2 plasmid (NEB) and inserted into pcDNA4TO-TS using Gibson assembly (<xref ref-type="bibr" rid="B14">Heydenreich et al., 2017</xref>). pcDNA4TO-TS-SNAP-&#x3b2;<sub>2</sub>AR-nLuc was generated by Dr. Brad Hoare through the amplification of pcDNA4TO-TS-SNAP-&#x3b2;<sub>2</sub>AR and nanoLuc, with the insertion of nanoLuc into pcDNA4TO-TS-SNAP-&#x3b2;<sub>2</sub>AR via Gibson assembly. Both constructs used a signal peptide based on the 5HT<sub>3A</sub> receptor to increase protein folding and expression. The CASE G<sub>s</sub> (or G<sub>s</sub>-CASE) protein constructs were designed and optimised by the Schulte Lab (<xref ref-type="bibr" rid="B28">Schihada et al., 2021</xref>) and were obtained from Addgene. Mammalian Venus-fused mini-G<sub>s</sub> constructs were a kind gift from Nevin Lambert (<xref ref-type="bibr" rid="B35">Wan et al., 2018</xref>). For the bacterial expression of Venus-mini-G<sub>s</sub> and mini-G<sub>s</sub>, protein encoding DNA sequences were amplified from the corresponding mammalian constructs and inserted into the pJ411 vector containing MKK-HIS10-TEV N-terminal tag (<xref ref-type="bibr" rid="B29">Sun et al., 2015</xref>) via Gibson assembly, yielding the constructs MKK-HIS10-TEV-mini-G<sub>s</sub> and MKK-HIS10-TEV-Venus-mini-G<sub>s</sub>.</p>
</sec>
<sec id="s3-2">
<title>Transfection and mammalian cell culture</title>
<p>pcDNA4TO-TS-SNAP-&#x3b2;<sub>2</sub>AR or pcDNA4TO-TS-SNAP-&#x3b2;<sub>2</sub>AR-nLuc was stably transfected into T-REx&#x2122;-293 cells (Invitrogen) using PEI. A stable mixed population was selected by resistance to 5&#xa0;&#x3bc;g/mL blasticidin and 20&#xa0;&#x3bc;g/mL zeocin. Stable cell lines were maintained in high-glucose DMEM (Sigma D6429) with 10% FBS, 5&#xa0;&#x3bc;g/&#x3bc;L blasticidin, and 20&#xa0;&#x3bc;g/&#x3bc;L zeocin at 37&#xb0;C in a humidified atmosphere of 5% CO<sub>2.</sub> When &#x223c;70% confluent, TS-SNAP-&#x3b2;<sub>2</sub>AR or TS-SNAP-&#x3b2;<sub>2</sub>AR-nLuc expression was induced with 1&#xa0;&#x3bc;g/mL tetracycline. Cells were left to express for 50&#xa0;h before harvesting for assays. The T-REx&#x2122;-293 pcDNA4TO-TS-SNAP-&#x3b2;<sub>2</sub>AR-CASE G<sub>s</sub> stable cell line was generated by stably transfecting the CASE G<sub>s</sub> constructs into the T-REx&#x2122;-293 pcDNA4TO-TS-SNAP-&#x3b2;<sub>2</sub>AR using PEI. A mixed population stable cell line was generated by selection with 500&#xa0;&#x3bc;g/mL G418, and then a single colony population was generated via FACS.</p>
</sec>
<sec id="s3-3">
<title>Membrane preparations of TS-SNAP-&#x3b2;<sub>2</sub>AR-nLuc</title>
<p>For membrane preparation, all steps were conducted at 4&#xb0;C to avoid tissue degradation. Cell pellets were thawed and re-suspended using ice-cold buffer containing 10&#xa0;mM HEPES and 10&#xa0;mM EDTA (pH 7.4). The suspension was homogenised using an electrical homogeniser (ULTRA-TURRAX, IKA-Werke GmbH, Germany) and subsequently centrifuged at 1,200 &#xd7; g for 5&#xa0;min. The pellet obtained, containing cell nucleus and other heavy organelles, was discarded, and the supernatant was centrifuged for 30&#xa0;min at 48,000 &#xd7; g at 4&#xb0;C (Beckman Avanti J-251 Ultra-centrifuge; Beckman Coulter). The supernatant was discarded, and the pellet was re-suspended in the same buffer (10&#xa0;mM HEPES and 10&#xa0;mM EDTA; pH 7.4) and centrifuged again for 30&#xa0;min as described above. Finally, the supernatant was discarded, and the pellet was re-suspended in ice-cold 10&#xa0;mM HEPES and 0.1&#xa0;mM EDTA (pH 7.4). Protein concentration determination was carried out using the bicinchoninic acid assay kit (Sigma-Aldrich) with BSA as the standard. The final membrane suspension was aliquoted and maintained at &#x2212;80&#xb0;C until required for the assays.</p>
</sec>
<sec id="s3-4">
<title>Solubilisation of the TS-SNAP-&#x3b2;<sub>2</sub>AR or TS-SNAP-&#x3b2;<sub>2</sub>AR-nLuc</title>
<p>TS-SNAP-&#x3b2;<sub>2</sub>AR or TS-SNAP-&#x3b2;<sub>2</sub>AR-nLuc was solubilised from stably transfected T-REx<sup>TM</sup>-293 cell membranes, as described previously (<xref ref-type="bibr" rid="B12">Harwood et al., 2024</xref>). Solubilisation was carried out using 1% DDM (w/v) in 20&#xa0;mM HEPES, 5% (v/v) glycerol, and 150&#xa0;mM NaCl, pH 8, at 4&#xb0;C for 2&#x2013;3&#xa0;h. Samples were clarified by ultracentrifugation at 4&#xb0;C for 1&#xa0;h at 100,000 &#xd7; g.</p>
</sec>
<sec id="s3-5">
<title>Production of mini-G<sub>s</sub>
</title>
<p>His-TEV-Venus-mini-G<sub>s</sub> and His-TEV-mini-G<sub>s</sub> were expressed in NiCo21(DE3) <italic>E.</italic> coli, cultured in Terrific Broth (Gibco). 1L cultures were induced with 1&#xa0;mM isopropyl &#x3b2;-D-1-thiogalactopyranoside (IPTG) at OD &#x3d; 0.6 and incubated for a further 20&#xa0;h at 20&#xb0;C and 225 RPM. Pellets from 1L cultures were thawed on ice, and re-suspended in 50&#xa0;mL lysis buffer (20&#xa0;mM HEPES, pH 7.5, 500&#xa0;mM NaCl, 40&#xa0;mM imidazole, 10% glycerol, 8&#xa0;mM &#x3b2;-mercaptoethanol (BME), 1&#xa0;&#x3bc;M guanosine diphosphate (GDP), complete protease inhibitors (Roche), DNase I, and lysozyme) using a Dounce homogeniser. Lysis occurred on ice via sonication, using a Vibra-Cell probe sonicator with 5 &#xd7; 10-s pulses, 30&#xa0;s apart. The lysate was loaded onto the HisTrap FF crude 5-mL column, using A&#x308;KTA&#x2122; start protein purification system at a flow rate of 5&#xa0;mL/min. The system and column had been equilibrated with 10 column volumes (CV) of buffer A (20&#xa0;mM HEPES, 500&#xa0;mM NaCl, 40&#xa0;mM imidazole, 10% glycerol, 8&#xa0;mM BME, and 1&#xa0;&#x3bc;M GDP). Unbound protein was washed out with 10 CV of buffer A. Bound protein was then eluted over an 8 CV gradient of 0% to 100% buffer B at a flow rate of 5&#xa0;mL/min (Buffer B &#x3d; 20&#xa0;mM HEPES, 500&#xa0;mM NaCl, 400&#xa0;mM imidazole, 10% glycerol, 8&#xa0;mM BME, and 1&#xa0;&#x3bc;M GDP). The presence of His-TEV-Venus-mini-G<sub>s</sub> and His-TEV-mini-G<sub>s</sub> was confirmed by SDS-PAGE analysis and InstantBlue staining for protein. Pooled elution fractions were then concentrated using 10,000 or 30,000 molecular weight cutoff (MWCO) Vivaspin protein concentrators by centrifugation at 3000 <italic>&#xd7;</italic> g and 4&#xb0;C for 15-min intervals over 2&#x2013;3&#xa0;h. Protein was exchanged into assay buffer using Slide-A-Lyzer 10,000 or 30,000 MWCO dialysis cassettes for untagged and Venus-tagged mini-G<sub>s</sub> protein samples, respectively. Dialysis occurred overnight at 4&#xb0;C under constant stirring. The assay buffer consisted of 20&#xa0;mM HEPES, 150&#xa0;mM NaCl, 10% glycerol, 8&#xa0;mM BME, and 1&#xa0;&#x3bc;M GDP. The purified mini-G<sub>s</sub> protein was flash-frozen using liquid nitrogen and stored at &#x2212;80&#xb0;C.</p>
</sec>
<sec id="s3-6">
<title>Membrane-based TS-SNAP-&#x3b2;<sub>2</sub>AR-Venus-mini-G<sub>s</sub> NanoBRET binding assays</title>
<p>The assay buffer, consisting of HBSS (Sigma H8264) containing 10&#xa0;mM HEPES, 0.1% BSA, and 0.1% ascorbic acid, pH 7.4, was used in all NanoBRET assays. For recruitment assays, varying concentrations of &#x3b2;<sub>2</sub>AR agonists were used to recruit Venus-mini-G<sub>s</sub> to the TS-SNAP-&#x3b2;<sub>2</sub>AR. Assays were run in 50&#xa0;&#x3bc;L volumes in white 384-well OptiPlate (Revvity). Receptor, ligand, 0.3&#xa0;&#x3bc;M mini-G<sub>s</sub> proteins, and 10&#xa0;&#x3bc;M furimazine were added to the plate and incubated for 60&#xa0;min at room temperature before reading on PHERAstar FSX using the BRET1 module. For kinetic assays, in which the affinity of Venus-mini-G<sub>s</sub> for the agonist-bound TS-SNAP-&#x3b2;<sub>2</sub>AR-nLuc receptors was measured over time, assays were run in 50&#xa0;&#x3bc;L volumes in white 384-well OptiPlate. Varying concentrations (10&#x2013;300&#xa0;nM) of Venus-mini-G<sub>s</sub> were added to assay plates. TS-SNAP-&#x3b2;<sub>2</sub>AR membranes were pre-incubated with saturating concentrations (100x EC<sub>50</sub>) of selected &#x3b2;<sub>2</sub>AR agonists and furimazine for 15&#xa0;min prior to addition to the plate. TS-SNAP-&#x3b2;<sub>2</sub>AR membranes were added to the plate offline and mixed with the Venus-mini-G<sub>s</sub> on a plate shaker (MixMate, Eppendorf) at 600 RPM for 10&#xa0;s. The mixture was then immediately read on PHERAstar FSX as described above, with readings taken over a period of 240&#xa0;min.</p>
</sec>
<sec id="s3-7">
<title>G<sub>s</sub>-CASE activation assays</title>
<p>For G<sub>s</sub>-CASE activation assays, a single population of T-REx&#x2122;-293 stably expressing pcDNA4TO-TS-SNAP-&#x3b2;<sub>2</sub>AR and CASE G<sub>s</sub> was plated at 50,000 cells/well in 96-well plates, in a volume of 100&#xa0;&#x3bc;L, and induced for 48&#xa0;h with 1&#xa0;&#x3bc;g/mL tetracycline at 37&#xb0;C and 5% CO<sub>2</sub>. Plates were washed once with 100&#xa0;&#x3bc;L/well assay buffer (HBSS containing 10&#xa0;mM HEPES, 0.1% BSA, and 0.1% ascorbic acid) prior to the addition of 90&#xa0;&#x3bc;L/well of assay buffer containing 10&#xa0;&#x3bc;M furimazine, diluted in assay buffer, to achieve a final concentration of 8&#xa0;&#x3bc;M. The plates were incubated at 37&#xb0;C and 5% CO<sub>2</sub> for 20&#xa0;min. A white back seal was placed on the underside of the plate, and luminescence was read on a PHERAstar FSX using the BRET1 module for 3&#xa0;min to establish a baseline BRET signal. The plate reader was then paused, and 10&#xa0;&#x3bc;L of &#xd7;10 ligand dilutions were added accordingly. Readings were taken over a period of 30&#xa0;min.</p>
</sec>
<sec id="s3-8">
<title>Mathematical modelling</title>
<p>The previously described ordinary differential model (ODE) of the cubic ternary complex model (<xref ref-type="bibr" rid="B36">Weiss et al., 1996</xref>), with additional reactions to simulate the G protein activation cycle, was used (<xref ref-type="bibr" rid="B37">Woodroffe et al., 2009</xref>; <xref ref-type="bibr" rid="B2">Bridge et al., 2018</xref>). The model, encoded in COPASI (<xref ref-type="bibr" rid="B15">Hoops et al., 2006</xref>), includes ligand binding, receptor activation, G protein binding, and the G protein cycle, whereby the model output is activated G protein G&#x3b1;<sub>GTP</sub> and receptor occupancy (<xref ref-type="bibr" rid="B2">Bridge et al., 2018</xref>). Prior to the addition of the ligand, we first compute the system for 10<sup>6</sup>&#xa0;s. To enable the simulation of the data, the cooperativity factor &#x3b2; (see <xref ref-type="sec" rid="s13">Supplementary Figure 7</xref>; <xref ref-type="sec" rid="s13">Supplementary Table 3</xref>) was varied, and simulations were performed. Steady state was reached after 5&#xa0;min, and outputs are shown after 10&#xa0;min.</p>
</sec>
<sec id="s3-9">
<title>Data analysis</title>
<p>All non-linear regression and statistical analyses were performed using GraphPad Prism 9. Multiple replicates were combined, such as TR-FRET equilibrium binding curves and mini-G<sub>s</sub> equilibrium recruitment curves, as shown in <xref ref-type="sec" rid="s13">Supplementary Material</xref>. Data points for each replicate were normalised to the maximum value obtained for each ligand in each experiment. Competition ligand-binding data were fitted to a one-site model (<xref ref-type="disp-formula" rid="e1">Equation 1</xref>).<disp-formula id="e1">
<mml:math id="m1">
<mml:mrow>
<mml:mi>Y</mml:mi>
<mml:mo>&#x3d;</mml:mo>
<mml:mfrac>
<mml:mrow>
<mml:mi>B</mml:mi>
<mml:mi>o</mml:mi>
<mml:mi>t</mml:mi>
<mml:mi>t</mml:mi>
<mml:mi>o</mml:mi>
<mml:mi>m</mml:mi>
<mml:mo>&#x2b;</mml:mo>
<mml:mfenced open="(" close=")" separators="&#x7c;">
<mml:mrow>
<mml:mi>T</mml:mi>
<mml:mi>o</mml:mi>
<mml:mi>p</mml:mi>
<mml:mo>&#x2212;</mml:mo>
<mml:mi>B</mml:mi>
<mml:mi>o</mml:mi>
<mml:mi>t</mml:mi>
<mml:mi>t</mml:mi>
<mml:mi>o</mml:mi>
<mml:mi>m</mml:mi>
</mml:mrow>
</mml:mfenced>
</mml:mrow>
<mml:mrow>
<mml:mrow>
<mml:mfenced open="(" close=")" separators="&#x7c;">
<mml:mrow>
<mml:mn>1</mml:mn>
<mml:mo>&#x2b;</mml:mo>
<mml:msup>
<mml:mn>10</mml:mn>
<mml:mrow>
<mml:mfenced open="(" close=")" separators="&#x7c;">
<mml:mrow>
<mml:mi>x</mml:mi>
<mml:mo>&#x2212;</mml:mo>
<mml:msub>
<mml:mrow>
<mml:mi>L</mml:mi>
<mml:mi>o</mml:mi>
<mml:mi>g</mml:mi>
<mml:mi>I</mml:mi>
<mml:mi>C</mml:mi>
</mml:mrow>
<mml:mrow>
<mml:mn>50</mml:mn>
<mml:mtext>&#x2009;</mml:mtext>
</mml:mrow>
</mml:msub>
</mml:mrow>
</mml:mfenced>
</mml:mrow>
</mml:msup>
</mml:mrow>
</mml:mfenced>
</mml:mrow>
</mml:mrow>
</mml:mfrac>
<mml:mo>,</mml:mo>
</mml:mrow>
</mml:math>
<label>(1)</label>
</disp-formula>where Y is the binding of tracer, x &#x3d; Log [ligand], IC<sub>50</sub> is the concentration of the competing ligand that displaces 50% of radioligand-specific binding.</p>
<p>CASE G<sub>s</sub> activation data from individual experiments were fitted to sigmoidal (variable slope) curves using a &#x201c;four-parameter logistic equation&#x201d; (<xref ref-type="disp-formula" rid="e2">Equation 2</xref>):<disp-formula id="e2">
<mml:math id="m2">
<mml:mrow>
<mml:mi>Y</mml:mi>
<mml:mo>&#x3d;</mml:mo>
<mml:mi>B</mml:mi>
<mml:mi>o</mml:mi>
<mml:mi>t</mml:mi>
<mml:mi>t</mml:mi>
<mml:mi>o</mml:mi>
<mml:mi>m</mml:mi>
<mml:mo>&#x2b;</mml:mo>
<mml:mfrac>
<mml:mrow>
<mml:mfenced open="(" close=")" separators="&#x7c;">
<mml:mrow>
<mml:mi>T</mml:mi>
<mml:mi>o</mml:mi>
<mml:mi>p</mml:mi>
<mml:mo>&#x2212;</mml:mo>
<mml:mi>B</mml:mi>
<mml:mi>o</mml:mi>
<mml:mi>t</mml:mi>
<mml:mi>t</mml:mi>
<mml:mi>o</mml:mi>
<mml:mi>m</mml:mi>
</mml:mrow>
</mml:mfenced>
</mml:mrow>
<mml:mrow>
<mml:mn>1</mml:mn>
<mml:mo>&#x2b;</mml:mo>
<mml:msup>
<mml:mn>10</mml:mn>
<mml:mrow>
<mml:mrow>
<mml:mfenced open="(" close=")" separators="&#x7c;">
<mml:mrow>
<mml:mi>l</mml:mi>
<mml:mi>o</mml:mi>
<mml:mi>g</mml:mi>
<mml:mi>E</mml:mi>
<mml:mi>C</mml:mi>
<mml:mn>50</mml:mn>
<mml:mo>&#x2212;</mml:mo>
<mml:mi>X</mml:mi>
</mml:mrow>
</mml:mfenced>
</mml:mrow>
<mml:mo>&#x2217;</mml:mo>
<mml:mi>H</mml:mi>
<mml:mi>i</mml:mi>
<mml:mi>l</mml:mi>
<mml:mi>l</mml:mi>
<mml:mi>s</mml:mi>
<mml:mi>l</mml:mi>
<mml:mi>o</mml:mi>
<mml:mi>p</mml:mi>
<mml:mi>e</mml:mi>
</mml:mrow>
</mml:msup>
</mml:mrow>
</mml:mfrac>
<mml:mo>,</mml:mo>
</mml:mrow>
</mml:math>
<label>(2)</label>
</disp-formula>where Bottom is the plateaus of the agonist concentration response curve and Top is the basal response (fixed to 1). LogEC<sub>50</sub> is the concentration of the agonist that produces a half-maximal effect, and the Hillslope is the unitless slope factor or Hillslope, which was fixed to &#x2212;1.</p>
<p>Mini-G<sub>s</sub> association data were fitted to a global fitting model (<xref ref-type="disp-formula" rid="e3">Equation 3</xref>) using GraphPad Prism 9.2 to simultaneously calculate <italic>k</italic>
<sub>on</sub> and <italic>k</italic>
<sub>off</sub> using the following equations, where <italic>k</italic>
<sub>obs</sub> equals the observed rate of association and L is the concentration of mini-G<sub>s</sub>.<disp-formula id="equ1">
<mml:math id="m3">
<mml:mrow>
<mml:msub>
<mml:mi>K</mml:mi>
<mml:mi mathvariant="normal">d</mml:mi>
</mml:msub>
<mml:mo>&#x3d;</mml:mo>
<mml:mfrac>
<mml:mrow>
<mml:msub>
<mml:mi>k</mml:mi>
<mml:mtext>off</mml:mtext>
</mml:msub>
</mml:mrow>
<mml:mrow>
<mml:msub>
<mml:mi>k</mml:mi>
<mml:mtext>on</mml:mtext>
</mml:msub>
</mml:mrow>
</mml:mfrac>
<mml:mo>,</mml:mo>
</mml:mrow>
</mml:math>
</disp-formula>
<disp-formula id="equ2">
<mml:math id="m4">
<mml:mrow>
<mml:mi mathvariant="normal">L</mml:mi>
<mml:mo>&#x3d;</mml:mo>
<mml:mtext>Hotnm</mml:mtext>
<mml:mo>&#x2a;</mml:mo>
<mml:mn>1</mml:mn>
<mml:mi mathvariant="normal">e</mml:mi>
<mml:mo>&#x2212;</mml:mo>
<mml:mn>9</mml:mn>
<mml:mo>,</mml:mo>
</mml:mrow>
</mml:math>
</disp-formula>
<disp-formula id="equ3">
<mml:math id="m5">
<mml:mrow>
<mml:msub>
<mml:mi>K</mml:mi>
<mml:mtext>ob</mml:mtext>
</mml:msub>
<mml:mo>&#x3d;</mml:mo>
<mml:msub>
<mml:mi>k</mml:mi>
<mml:mtext>on</mml:mtext>
</mml:msub>
<mml:mo>&#x2a;</mml:mo>
<mml:mi mathvariant="normal">L</mml:mi>
<mml:mo>&#x2b;</mml:mo>
<mml:msub>
<mml:mi>k</mml:mi>
<mml:mtext>off</mml:mtext>
</mml:msub>
<mml:mo>,</mml:mo>
</mml:mrow>
</mml:math>
</disp-formula>
<disp-formula id="equ4">
<mml:math id="m6">
<mml:mrow>
<mml:mtext>Occupancy</mml:mtext>
<mml:mo>&#x3d;</mml:mo>
<mml:mi mathvariant="normal">L</mml:mi>
<mml:mo>/</mml:mo>
<mml:mrow>
<mml:mfenced open="(" close=")" separators="&#x7c;">
<mml:mrow>
<mml:mi mathvariant="normal">L</mml:mi>
<mml:mo>&#x2b;</mml:mo>
<mml:msub>
<mml:mi>K</mml:mi>
<mml:mi mathvariant="normal">d</mml:mi>
</mml:msub>
</mml:mrow>
</mml:mfenced>
</mml:mrow>
<mml:mo>,</mml:mo>
</mml:mrow>
</mml:math>
</disp-formula>
<disp-formula id="equ5">
<mml:math id="m7">
<mml:mrow>
<mml:msub>
<mml:mi mathvariant="normal">Y</mml:mi>
<mml:mi>max</mml:mi>
</mml:msub>
<mml:mo>&#x3d;</mml:mo>
<mml:mtext>Occupancy</mml:mtext>
<mml:mo>&#x2a;</mml:mo>
<mml:msub>
<mml:mi mathvariant="normal">B</mml:mi>
<mml:mi>max</mml:mi>
</mml:msub>
<mml:mo>,</mml:mo>
</mml:mrow>
</mml:math>
</disp-formula>
<disp-formula id="equ6">
<mml:math id="m8">
<mml:mrow>
<mml:mtext>drift</mml:mtext>
<mml:mo>&#x3d;</mml:mo>
<mml:msub>
<mml:mi mathvariant="normal">B</mml:mi>
<mml:mi>max</mml:mi>
</mml:msub>
<mml:mo>&#x2a;</mml:mo>
<mml:mo>&#x2061;</mml:mo>
<mml:mi>exp</mml:mi>
<mml:mrow>
<mml:mfenced open="(" close=")" separators="&#x7c;">
<mml:mrow>
<mml:mo>&#x2212;</mml:mo>
<mml:mtext>drift</mml:mtext>
<mml:mo>&#x2a;</mml:mo>
<mml:mi mathvariant="normal">X</mml:mi>
</mml:mrow>
</mml:mfenced>
</mml:mrow>
<mml:mo>,</mml:mo>
</mml:mrow>
</mml:math>
</disp-formula>
<disp-formula id="e3">
<mml:math id="m9">
<mml:mrow>
<mml:mi mathvariant="normal">Y</mml:mi>
<mml:mo>&#x3d;</mml:mo>
<mml:mrow>
<mml:mfenced open="(" close=")" separators="&#x7c;">
<mml:mrow>
<mml:msub>
<mml:mi mathvariant="normal">Y</mml:mi>
<mml:mi>max</mml:mi>
</mml:msub>
<mml:mo>&#x2a;</mml:mo>
<mml:mrow>
<mml:mfenced open="(" close=")" separators="&#x7c;">
<mml:mrow>
<mml:mn>1</mml:mn>
<mml:mo>&#x2212;</mml:mo>
<mml:mi>exp</mml:mi>
<mml:mrow>
<mml:mfenced open="(" close=")" separators="&#x7c;">
<mml:mrow>
<mml:mo>&#x2212;</mml:mo>
<mml:mn>1</mml:mn>
<mml:mo>&#x2a;</mml:mo>
<mml:msub>
<mml:mi>k</mml:mi>
<mml:mtext>ob</mml:mtext>
</mml:msub>
<mml:mo>&#x2a;</mml:mo>
<mml:mi mathvariant="normal">X</mml:mi>
</mml:mrow>
</mml:mfenced>
</mml:mrow>
</mml:mrow>
</mml:mfenced>
</mml:mrow>
</mml:mrow>
</mml:mfenced>
</mml:mrow>
<mml:mo>&#x2a;</mml:mo>
<mml:mtext>drift</mml:mtext>
<mml:mo>.</mml:mo>
</mml:mrow>
</mml:math>
<label>(3)</label>
</disp-formula>
</p>
<p>Saturation binding curves for Venus-mini-G<sub>s</sub> binding to the agonist TS-SNAP-&#x3b2;<sub>2</sub>AR-nLuc were fitted to a one-site specific binding model according to <xref ref-type="disp-formula" rid="e4">Equation 4</xref>. The final <italic>K</italic>
<sub>d</sub> values were taken as an average of <italic>K</italic>
<sub>d</sub> values from individual specific curve fits.<disp-formula id="e4">
<mml:math id="m10">
<mml:mrow>
<mml:mi mathvariant="bold-italic">Y</mml:mi>
<mml:mo>&#x3d;</mml:mo>
<mml:mfrac>
<mml:mrow>
<mml:mi>B</mml:mi>
<mml:mi>m</mml:mi>
<mml:mi>a</mml:mi>
<mml:mi>x</mml:mi>
<mml:mo>&#x2217;</mml:mo>
<mml:mi>X</mml:mi>
<mml:mtext>&#x2009;</mml:mtext>
</mml:mrow>
<mml:mrow>
<mml:mfenced open="(" close=")" separators="&#x7c;">
<mml:mrow>
<mml:msub>
<mml:mi>K</mml:mi>
<mml:mi>d</mml:mi>
</mml:msub>
<mml:mo>&#x2b;</mml:mo>
<mml:mi>X</mml:mi>
</mml:mrow>
</mml:mfenced>
</mml:mrow>
</mml:mfrac>
<mml:mo>,</mml:mo>
</mml:mrow>
</mml:math>
<label>(4)</label>
</disp-formula>where Y is the specific binding, <italic>K</italic>
<sub>d</sub> is the equilibrium dissociation constant of the labelled ligand (in this case, Venus-mini-G<sub>s</sub>), and x represents [Venus-mini-G<sub>s</sub>] in nM.</p>
</sec>
<sec id="s3-10">
<title>Statistical analysis</title>
<p>Pearson&#x2019;s correlation coefficient was used to investigate correlations between mini-G<sub>s</sub> recruitment, CASE-G<sub>s</sub> activation, mini-G<sub>s</sub> binding <italic>K</italic>
<sub>d</sub>, <italic>k</italic>
<sub>on</sub> and <italic>k</italic>
<sub>off</sub> values, and literature p<italic>K</italic>
<sub>i/d</sub>. Deming regression was applied to determine the line of best fit while accounting for errors in observations on both the x- and y-axes. All statistical analyses were performed in GraphPad Prism 9, and p &#x3c; 0.05 was considered statistically significant.</p>
</sec>
</sec>
<sec sec-type="results" id="s4">
<title>Results</title>
<sec id="s4-1">
<title>Characterisation of &#x3b2;<sub>2</sub>AR agonist efficacy for G<sub>s</sub> activation</title>
<p>To produce a suitable dataset for analysis, we chose 12 &#x3b2;<sub>2</sub>AR agonists anticipated to have a diverse range of efficacies, affinities, and ligand binding kinetics. We first characterised the efficacy of these compounds in activating the heterotrimeric G<sub>s</sub> protein using a NanoBRET-based biosensor (<xref ref-type="bibr" rid="B28">Schihada et al., 2021</xref>; <xref ref-type="bibr" rid="B12">Harwood et al., 2024</xref>). In this assay format, G<sub>s</sub> protein activation results in a decrease in the NanoBRET signal as the nLuc-labelled &#x3b1;-subunit of the G<sub>s</sub> protein dissociates from the Venus-labelled &#x3b3;-subunit. These experiments are summarised in <xref ref-type="fig" rid="F1">Figures 1A&#x2013;C</xref> and <xref ref-type="table" rid="T1">Table 1</xref>.</p>
<fig id="F1" position="float">
<label>FIGURE 1</label>
<caption>
<p>T-REx<sup>TM</sup>-293-SNAP-&#x3b2;<sub>2</sub>AR G<sub>s</sub>-CASE activation assay. <bold>(A)</bold> Concentration-response curves are shown for the full agonist formoterol and the partial agonist tulobuterol. The Gs-CASE baseline BRET signal was set to 1 for normalisation purposes. The response to each agonist is expressed as a fractional change relative to the basal response. Response data are representative of three or more experiments. <bold>(B)</bold> Gs-CASE pEC<sub>50</sub> and <bold>(C)</bold> E<sub>max</sub> values are shown for the 12 agonists. Data are presented as the mean &#xb1; SEM of three or more experiments.</p>
</caption>
<graphic xlink:href="fphar-16-1367991-g001.tif"/>
</fig>
<table-wrap id="T1" position="float">
<label>TABLE 1</label>
<caption>
<p>Summary of efficacy and potency values obtained for &#x3b2;<sub>2</sub>AR agonists in the G<sub>s</sub>-CASE activation assay.</p>
</caption>
<table>
<thead valign="top">
<tr>
<th rowspan="2" align="left">
</th>
<th colspan="2" align="center">Gs-CASE assay</th>
</tr>
<tr>
<th align="center">pEC<sub>50</sub>
</th>
<th align="center">E<sub>max</sub>
</th>
</tr>
</thead>
<tbody valign="top">
<tr>
<td align="left">Formoterol</td>
<td align="center">8.28 &#xb1; 0.22</td>
<td align="center">0.944 &#xb1; 0.005</td>
</tr>
<tr>
<td align="left">Salbutamol</td>
<td align="center">7.05 &#xb1; 0.15</td>
<td align="center">0.956 &#xb1; 0.004</td>
</tr>
<tr>
<td align="left">Salmeterol</td>
<td align="center">7.95 &#xb1; 0.28</td>
<td align="center">0.959 &#xb1; 0.007</td>
</tr>
<tr>
<td align="left">Compound 26</td>
<td align="center">8.03 &#xb1; 0.17</td>
<td align="center">0.945 &#xb1; 0.004</td>
</tr>
<tr>
<td align="left">BI167107</td>
<td align="center">7.43 &#xb1; 0.22</td>
<td align="center">0.946 &#xb1; 0.006</td>
</tr>
<tr>
<td align="left">Tulobuterol</td>
<td align="center">7.42 &#xb1; 0.25</td>
<td align="center">9.974 &#xb1; 0.002</td>
</tr>
<tr>
<td align="left">Ritodrine</td>
<td align="center">6.95 &#xb1; 0.33</td>
<td align="center">0.967 &#xb1; 0.003</td>
</tr>
<tr>
<td align="left">Isoxsuprine</td>
<td align="center">6.63 &#xb1; 0.41</td>
<td align="center">0.971 &#xb1; 0.002</td>
</tr>
<tr>
<td align="left">Isoprenaline</td>
<td align="center">8.69 &#xb1; 0.18</td>
<td align="center">0.951 &#xb1; 0.004</td>
</tr>
<tr>
<td align="left">Noradrenaline</td>
<td align="center">6.77 &#xb1; 0.15</td>
<td align="center">0.957 &#xb1; 0.001</td>
</tr>
<tr>
<td align="left">Dobutamine</td>
<td align="center">6.49 &#xb1; 0.48</td>
<td align="center">0.969 &#xb1; 0.004</td>
</tr>
<tr>
<td align="left">Adrenaline</td>
<td align="center">8.62 &#xb1; 0.36</td>
<td align="center">0.957 &#xb1; 0.001</td>
</tr>
</tbody>
</table>
<table-wrap-foot>
<fn>
<p>The T-REx&#x2122;-293-SNAP-&#x3b2;<sub>2</sub>AR CASE G<sub>s</sub> stable cell line was induced with 1&#xa0;&#x3bc;g/mL tetracycline for 48&#xa0;h. The Gs-CASE response of each agonist was expressed as a fractional change in the basal response. Values are presented as the mean &#xb1; SEM of three or more experiments.</p>
</fn>
</table-wrap-foot>
</table-wrap>
<p>The Gs-CASE assay functions as a non-amplified system, showing very distinct differences in measurable efficacy between full and partial agonists. The concentration-response curves for formoterol (full) and tulobuterol (partial agonist) are shown in <xref ref-type="fig" rid="F1">Figure 1A</xref>. A broad range of potencies was observed for the 12 tested ligands, with pEC<sub>50</sub> values ranging from 6.49 &#xb1; 0.48 for dobutamine to 8.69 &#xb1; 0.18 for isoprenaline (see <xref ref-type="fig" rid="F1">Figure 1B</xref>; <xref ref-type="table" rid="T1">Table 1</xref>). <xref ref-type="fig" rid="F1">Figure 1C</xref> shows a range of efficacy values for each agonist, represented by E<sub>max</sub> (maximal decrease in basal BRET) values, with the lowest efficacy agonists being tulobuterol and isoxsuprine and the highest being formoterol and Compound 26.</p>
</sec>
<sec id="s4-2">
<title>Validation of mini-G<sub>s</sub> proteins as tools for probing G<sub>s</sub> protein binding</title>
<p>In order to investigate the mechanism underlying the differences in efficacy, we expressed and purified fluorescently labelled mini-G<sub>s</sub> proteins from <italic>E</italic>. coli (<xref ref-type="sec" rid="s13">Supplementary Figure 1</xref>); our aim was to probe the affinity and binding kinetics of Venus-mini-G<sub>s</sub> protein for the agonist-bound &#x3b2;<sub>2</sub>AR&#x2013;nLuc complex using NanoBRET. <xref ref-type="fig" rid="F2">Figure 2A</xref> shows that all 12 agonists recruited Venus-mini-G<sub>s</sub> protein to &#x3b2;<sub>2</sub>AR-nLuc in HEK cell membranes in a concentration-dependent manner, with varying E<sub>max</sub> and pEC<sub>5o</sub> values (<xref ref-type="table" rid="T2">Table 2</xref>). Moreover, <xref ref-type="fig" rid="F2">Figure 2B</xref> reveals a strong correlation (R<sup>2</sup> &#x3d; 0.80, p &#x3d; 0.0001) between E<sub>max</sub> values for mini-G<sub>s</sub> recruitment and E<sub>max</sub> values for G<sub>s</sub>-CASE activation, further validating these assays as effective tools for investigating &#x3b2;<sub>2</sub>AR&#x2013;G<sub>s</sub> interactions.</p>
<fig id="F2" position="float">
<label>FIGURE 2</label>
<caption>
<p>&#x3b2;<sub>2</sub>AR ligand efficacy determined in the Venus-mini-G<sub>s</sub> recruitment assay. <bold>(A)</bold> Ligand-induced increases in BRET, following the recruitment of Venus-labelled mini-G<sub>s</sub> to &#x3b2;<sub>2</sub>AR-nLuc. The Venus-mini-G<sub>s</sub> ligand-response amplitude of each agonist was compared to the maximal response of formoterol (1&#xa0;&#x3bc;M). <bold>(B)</bold> Correlation of the Gs-CASE assay-response amplitude, expressed as the maximal &#x394; (E<sub>max</sub>) in the baseline BRET signal, with E<sub>max</sub> measured in the mini-Gs recruitment assay. Data are presented as the mean &#xb1; SEM of three experiments.</p>
</caption>
<graphic xlink:href="fphar-16-1367991-g002.tif"/>
</fig>
<table-wrap id="T2" position="float">
<label>TABLE 2</label>
<caption>
<p>Summary of mini-Gs assay potency (pEC<sub>50</sub>) and efficacy (E<sub>max</sub>) values and literature pK<sub>i</sub> values for the 12 agonists of varied efficacy under study.</p>
</caption>
<table>
<thead valign="top">
<tr>
<th rowspan="2" align="left">
</th>
<th colspan="2" align="center">Mini-Gs recruitment assay</th>
<th align="center">Radioligand binding</th>
</tr>
<tr>
<th align="center">pEC<sub>50</sub>
</th>
<th align="center">E<sub>max</sub> (% formoterol response)</th>
<th align="center">p<italic>K</italic>
<sub>i</sub> or p<italic>K</italic>
<sub>d</sub>
</th>
</tr>
</thead>
<tbody valign="top">
<tr>
<td align="left">Formoterol</td>
<td align="center">8.92 &#xb1; 0.09</td>
<td align="center">99.9 &#xb1; 6.7</td>
<td align="center">8.63 &#xb1; 0.02</td>
</tr>
<tr>
<td align="left">Salbutamol</td>
<td align="center">6.85 &#xb1; 0.09</td>
<td align="center">70.2 &#xb1; 6.0</td>
<td align="center">6.01 &#xb1; 0.03</td>
</tr>
<tr>
<td align="left">Salmeterol</td>
<td align="center">9.64 &#xb1; 0.08</td>
<td align="center">64.1 &#xb1; 3.8</td>
<td align="center">9.26 &#xb1; 0.06</td>
</tr>
<tr>
<td align="left">Compound 26</td>
<td align="center">9.48 &#xb1; 0.03</td>
<td align="center">105.1 &#xb1; 1.6</td>
<td align="center">&#x2a;9.81 &#xb1; 0.09</td>
</tr>
<tr>
<td align="left">BI167107</td>
<td align="center">9.48 &#xb1; 0.03</td>
<td align="center">101.6 &#xb1; 0.83</td>
<td align="center">&#x2a;&#x2a;10.1</td>
</tr>
<tr>
<td align="left">Tulobuterol</td>
<td align="center">7.50 &#xb1; 0.04</td>
<td align="center">25.1 &#xb1; 2.3</td>
<td align="center">6.83 &#xb1; 0.09</td>
</tr>
<tr>
<td align="left">Ritodrine</td>
<td align="center">7.07 &#xb1; 0.08</td>
<td align="center">45.6 &#xb1; 2.9</td>
<td align="center">5.81 &#xb1; 0.07</td>
</tr>
<tr>
<td align="left">Isoxsuprine</td>
<td align="center">6.76 &#xb1; 0.14</td>
<td align="center">29.2 &#xb1; 2.4</td>
<td align="center">5.93 &#xb1; 0.09</td>
</tr>
<tr>
<td align="left">Isoprenaline</td>
<td align="center">7.27 &#xb1; 0.14</td>
<td align="center">113.4 &#xb1; 2.0</td>
<td align="center">6.64 &#xb1; 0.09</td>
</tr>
<tr>
<td align="left">Noradrenaline</td>
<td align="center">6.08 &#xb1; 0.06</td>
<td align="center">105.1 &#xb1; 1.3</td>
<td align="center">5.41 &#xb1; 0.07</td>
</tr>
<tr>
<td align="left">Dobutamine</td>
<td align="center">6.52 &#xb1; 0.08</td>
<td align="center">35.2 &#xb1; 0.9</td>
<td align="center">5.84 &#xb1; 0.05</td>
</tr>
<tr>
<td align="left">Adrenaline</td>
<td align="center">7.30 &#xb1; 0.08</td>
<td align="center">107.0 &#xb1; 2.9</td>
<td align="center">6.13 &#xb1; 0.05</td>
</tr>
</tbody>
</table>
<table-wrap-foot>
<fn>
<p>The mini-Gs assay values are presented as the mean of three experiments &#xb1;SEM. Literature binding p<italic>K</italic>
<sub>i</sub>/p<italic>K</italic>
<sub>d</sub> values are taken from <xref ref-type="bibr" rid="B1">Baker (2010)</xref>, <xref ref-type="bibr" rid="B25">Rasmussen et al. (2011a)</xref>, <xref ref-type="bibr" rid="B27">Rosethorne et al. (2016)</xref>, <xref ref-type="bibr" rid="B1">Baker (2010)</xref>, <xref ref-type="bibr" rid="B27">Rosethorne et al. (2016)</xref>, and <xref ref-type="bibr" rid="B26">Rasmussen et al. (2011b)</xref>. The Venus-labelled mini-G<sub>s</sub> ligand-response amplitude of each agonist was compared to the maximal response of formoterol (1&#xa0;&#x3bc;M). Data are shown as the mean &#xb1; SEM of three experiments.</p>
</fn>
</table-wrap-foot>
</table-wrap>
</sec>
<sec id="s4-3">
<title>Investigating the kinetics of mini-G<sub>s</sub> protein binding to the &#x3b2;<sub>2</sub>AR in complex with agonists of varying efficacies</title>
<p>We established a kinetic NanoBRET binding assay to measure Venus-mini-G<sub>s</sub> protein recruitment to &#x3b2;<sub>2</sub>AR-nLuc in membrane preparations. To achieve this, we pre-incubated receptor-containing membranes with a saturating concentration (&#xd7;100 EC<sub>50</sub>) of each &#x3b2;<sub>2</sub>AR agonist, as characterised above. The pre-incubated membranes were then added to a plate containing various concentrations of Venus-mini-G<sub>s</sub> protein, and we measured the association between these two proteins using NanoBRET (<xref ref-type="fig" rid="F3">Figure 3</xref>; <xref ref-type="table" rid="T3">Table 3</xref>). Both association and dissociation rates (<italic>k</italic>
<sub>on</sub> and <italic>k</italic>
<sub>off</sub>) of Venus-mini-G<sub>s</sub> for agonist &#x3b2;<sub>2</sub>AR-nLuc could be obtained by analysing the observed association kinetics (<xref ref-type="table" rid="T3">Table 3</xref>). These studies showed that the full agonists, isoprenaline (<italic>k</italic>
<sub>on</sub> &#x3d; 3.00 &#xb1; 0.1 &#xd7; 10<sup>5</sup>&#xa0;M<sup>&#x2212;1</sup> min<sup>&#x2212;1</sup>) and adrenaline (<italic>k</italic>
<sub>on</sub> &#x3d; 3.06 &#xb1; 0.15 &#xd7; 10<sup>5</sup>&#xa0;M<sup>&#x2212;1</sup> min<sup>&#x2212;1</sup>), induce faster recruitment of the mini-G<sub>s</sub> protein than the partial agonists, ritodrine (<italic>k</italic>
<sub>on</sub> &#x3d; 6.13 &#xb1; 0.75 &#xd7; 10<sup>4</sup>&#xa0;M<sup>&#x2212;1</sup> min<sup>&#x2212;1</sup>) and isoxsuprine (<italic>k</italic>
<sub>on</sub> &#x3d; 4.97 &#xb1; 0.29 &#xd7; 10<sup>4</sup>&#xa0;M<sup>&#x2212;1</sup> min<sup>&#x2212;1</sup>). <italic>k</italic>
<sub>off</sub> values were similar for all ligands, with all values within the range of 0.0070&#x2013;0.0113&#xa0;min<sup>&#x2212;1</sup>. We also conducted these mini-G<sub>s</sub> kinetics studies on &#x3b2;<sub>2</sub>AR-nLuc extracted into DDM detergent micelles, using 6 of the 12 ligands (<xref ref-type="sec" rid="s13">Supplementary Figure 2</xref>; <xref ref-type="sec" rid="s13">Supplementary Table 1</xref>) and observed similar results.</p>
<fig id="F3" position="float">
<label>FIGURE 3</label>
<caption>
<p>Kinetics of the association of Venus-mini-G<sub>s</sub> to the agonist &#x3b2;<sub>2</sub>AR&#x2013;nLuc complex, as measured using nanoBRET. Recruitment of the mini-G<sub>s</sub> protein by <bold>(A)</bold> formoterol, <bold>(B)</bold> salbutamol, <bold>(C)</bold> salmeterol, <bold>(D)</bold> Compound 26, <bold>(E)</bold> BI167107, <bold>(F)</bold> tulobuterol, <bold>(G)</bold> ritodrine, <bold>(H)</bold> isoxsuprine, <bold>(I)</bold> isoprenaline, <bold>(J)</bold> noradrenaline, <bold>(K)</bold> dobutamine, and <bold>(L)</bold> adrenaline. Data are presented as the mean &#xb1; SEM of three experiments.</p>
</caption>
<graphic xlink:href="fphar-16-1367991-g003.tif"/>
</fig>
<table-wrap id="T3" position="float">
<label>TABLE 3</label>
<caption>
<p>Summary of mean <italic>k</italic>
<sub>off</sub>, <italic>k</italic>
<sub>on</sub>, and <italic>K</italic>
<sub>d</sub> values for purified Venus-mini-G<sub>s</sub> recruitment to TS-SNAP-<bold>&#x3b2;</bold>
<sub>2</sub>AR-nLuc by various &#x3b2;<sub>2</sub>AR agonists; NanoBRET between TS-SNAP-&#x3b2;<sub>2</sub>AR-nLuc and Venus-mini-G<sub>s</sub> read on PHERAstar FSX, at room temperature, using the BRET1 module.</p>
</caption>
<table>
<thead valign="top">
<tr>
<th rowspan="2" align="left">
</th>
<th colspan="3" align="center">Mini-G<sub>s</sub> recruitment assay</th>
</tr>
<tr>
<th align="center">Mini-G<sub>
<italic>s</italic>
</sub> <italic>k</italic>
<sub>off</sub> (min<sup>&#x2212;1</sup>)</th>
<th align="center">Mini-G<sub>
<italic>s</italic>
</sub> <italic>k</italic>
<sub>on</sub> (M<sup>&#x2212;1</sup> min<sup>&#x2212;1</sup>)</th>
<th align="center">Mini-G<sub>
<italic>s</italic>
</sub> <italic>K</italic>
<sub>d</sub> (nM)</th>
</tr>
</thead>
<tbody valign="top">
<tr>
<td align="left">Formoterol</td>
<td align="center">0.0084 &#xb1; 0.0003</td>
<td align="center">2.77 &#xb1; 0.09 &#xd7; 10<sup>5</sup>
</td>
<td align="center">30.4 &#xb1; 2.0</td>
</tr>
<tr>
<td align="left">Salbutamol</td>
<td align="center">0.0113 &#xb1; 0.0003</td>
<td align="center">1.16 &#xb1; 0.04 &#xd7; 10<sup>5</sup>
</td>
<td align="center">97.5 &#xb1; 5.9</td>
</tr>
<tr>
<td align="left">Salmeterol</td>
<td align="center">0.0109 &#xb1; 0.0007</td>
<td align="center">9.18 &#xb1; 1.24 &#xd7; 10<sup>4</sup>
</td>
<td align="center">126 &#xb1; 27</td>
</tr>
<tr>
<td align="left">Compound 26</td>
<td align="center">0.0076 &#xb1; 0.0007</td>
<td align="center">2.73 &#xb1; 0.13 &#xd7; 10<sup>5</sup>
</td>
<td align="center">27.8 &#xb1; 1.2</td>
</tr>
<tr>
<td align="left">BI167107</td>
<td align="center">0.0070 &#xb1; 0.0002</td>
<td align="center">2.58 &#xb1; 0.07 &#xd7; 10<sup>5</sup>
</td>
<td align="center">27.1 &#xb1; 1.3</td>
</tr>
<tr>
<td align="left">Tulobuterol</td>
<td align="center">0.0073 &#xb1; 0.0015</td>
<td align="center">4.43 &#xb1; 0.39 &#xd7; 10<sup>4</sup>
</td>
<td align="center">161 &#xb1; 21</td>
</tr>
<tr>
<td align="left">Ritodrine</td>
<td align="center">0.0107 &#xb1; 0.0004</td>
<td align="center">6.13 &#xb1; 0.75 &#xd7; 10<sup>4</sup>
</td>
<td align="center">182 &#xb1; 32</td>
</tr>
<tr>
<td align="left">Isoxsuprine</td>
<td align="center">0.0096 &#xb1; 0.0011</td>
<td align="center">4.97 &#xb1; 0.29 &#xd7; 10<sup>4</sup>
</td>
<td align="center">193 &#xb1; 11</td>
</tr>
<tr>
<td align="left">Isoprenaline</td>
<td align="center">0.0073 &#xb1; 0.0003</td>
<td align="center">3.00 &#xb1; 0.11 &#xd7; 10<sup>5</sup>
</td>
<td align="center">24.5 &#xb1; 1.6</td>
</tr>
<tr>
<td align="left">Noradrenaline</td>
<td align="center">0.0076 &#xb1; 0.0012</td>
<td align="center">2.99 &#xb1; 0.25 &#xd7; 10<sup>5</sup>
</td>
<td align="center">25.0 &#xb1; 2.0</td>
</tr>
<tr>
<td align="left">Dobutamine</td>
<td align="center">0.0008 &#xb1; 0.0007</td>
<td align="center">6.16 &#xb1; 0.26 &#xd7; 10<sup>4</sup>
</td>
<td align="center">133 &#xb1; 5</td>
</tr>
<tr>
<td align="left">Adrenaline</td>
<td align="center">0.0077 &#xb1; 0.0006</td>
<td align="center">3.06 &#xb1; 0.15 &#xd7; 10<sup>5</sup>
</td>
<td align="center">25.1 &#xb1; 0.1</td>
</tr>
</tbody>
</table>
<table-wrap-foot>
<fn>
<p>Values are presented as the mean &#xb1; SEM of three independent experiments.</p>
</fn>
</table-wrap-foot>
</table-wrap>
<p>To probe the binding affinity of the Venus mini-G<sub>s</sub> protein to the agonist &#x3b2;<sub>2</sub>AR&#x2013;nLuc complex, we added ligands in excess (&#xd7;100 reported pEC<sub>50</sub> determined in the mini-G<sub>s</sub> recruitment assay, see above) and incubated with the membrane fraction expressing &#x3b2;<sub>2</sub>AR-nLuc for 15&#xa0;min prior to the addition of Venus-labelled mini-G<sub>s</sub> (<xref ref-type="fig" rid="F4">Figure 4</xref>). The resulting affinity (p<italic>K</italic>
<sub>d</sub>) values are summarised in <xref ref-type="table" rid="T3">Table 3</xref>, which ranged from 24&#xa0;nM for the full agonist isoprenaline to 193&#xa0;nM for the partial agonist isoxsuprine. These data also showed a difference in the maximum amount of mini-G<sub>s</sub> protein (E<sub>max</sub>) recruited over the limited concentration range studied (300&#x2013;10&#xa0;nM), with full agonists exhibiting higher recruitment compared to partial agonists.</p>
<fig id="F4" position="float">
<label>FIGURE 4</label>
<caption>
<p>Equilibrium binding of Venus-mini-G<sub>s</sub> bound to &#x3b2;<sub>2</sub>AR-nLuc at saturating concentrations of each agonist, as reflected by an increase in the BRET signal. The full agonist &#x3b2;<sub>2</sub>AR complexes recruit Venus-mini-G<sub>s</sub> with higher affinity compared to partial agonist &#x3b2;<sub>2</sub>AR mG complexes. Data shown are presented as the mean &#xb1; SEM of three experiments.</p>
</caption>
<graphic xlink:href="fphar-16-1367991-g004.tif"/>
</fig>
</sec>
<sec id="s4-4">
<title>Affinity and the rate of association of Venus-mini-Gs protein for &#x3b2;<sub>2</sub>AR-nLuc correlated with agonist efficacy</title>
<p>Finally, we performed Pearson&#x2019;s correlation analysis between both the association rates (<italic>k</italic>
<sub>on</sub>) and dissociation rates (<italic>k</italic>
<sub>off</sub>) and the affinity (pK<sub>d</sub>) values for Venus-mini-Gs binding agonist &#x3b2;<sub>2</sub>AR&#x2013;nLuc complexes vs. agonist efficacy, comparing both G<sub>s</sub>-CASE and mini-G<sub>s</sub> assay E<sub>max</sub> values (<xref ref-type="fig" rid="F5">Figure 5</xref>). This analysis showed a strong correlation between ligand efficacy (E<sub>max</sub>) measured in both assay formats and mini-G<sub>s</sub> association rates (<italic>k</italic>
<sub>on</sub>) (R<sup>2</sup> &#x3d; 0.78, p &#x3c; 0.0001 and R<sup>2</sup>&#x3d; 0.99, p &#x3c; 0.0001 respectively; see <xref ref-type="fig" rid="F5">Figures 5A, D</xref>) and between ligand efficacy (E<sub>max</sub>) and mini-G<sub>s</sub> affinity (pK<sub>d</sub>) (R<sup>2</sup> 0.70, p &#x3d; 0.0007 and R<sup>2</sup> &#x3d; 0.93, p &#x3c; 0.0001, respectively; see <xref ref-type="fig" rid="F5">Figures 5C, F</xref>). This suggests that the differences in agonist efficacy can be explained by agonist &#x3b2;<sub>2</sub>AR complexes&#x2019; ability to recruit the G<sub>s</sub> protein. No correlation was observed between ligand efficacy (E<sub>max</sub>) measured in either assay formats and mini-G<sub>s</sub> dissociation rates (<italic>k</italic>
<sub>off</sub>) (R<sup>2</sup> &#x3d; 0.06, p &#x3d; 0.45 and R<sup>2</sup> &#x3d; 0.16, p &#x3d; 0.20, respectively; see <xref ref-type="fig" rid="F5">Figures 5B, E</xref>).</p>
<fig id="F5" position="float">
<label>FIGURE 5</label>
<caption>
<p>Correlation plots of G<sub>s</sub>-CASE activation E<sub>max</sub> with <bold>(A)</bold> agonist &#x3b2;<sub>2</sub>AR complex Venus-mini-G<sub>s</sub> association rate (<italic>k</italic>
<sub>on</sub>), <bold>(B)</bold> &#x3b2;<sub>2</sub>AR complex Venus-mini-G<sub>s</sub> affinity (p<italic>K</italic>
<sub>d</sub>), and <bold>(C)</bold> &#x3b2;<sub>2</sub>AR complex Venus-mini-G<sub>s</sub> dissociation rate (<italic>k</italic>
<sub>off</sub>). The GS-CASE response to each agonist is expressed as a fractional change relative to the basal response. Correlation plots of mini-G<sub>s</sub> assay E<sub>max</sub> with <bold>(D)</bold> agonist &#x3b2;<sub>2</sub>AR complex Venus-mini-G<sub>s</sub> association rate (<italic>k</italic>
<sub>on</sub>), <bold>(E)</bold> &#x3b2;<sub>2</sub>AR complex Venus-mini-G<sub>s</sub> affinity (p<italic>K</italic>
<sub>d</sub>), and <bold>(F)</bold> &#x3b2;<sub>2</sub>AR complex Venus-mini-G<sub>s</sub> dissociation rate (<italic>k</italic>
<sub>off</sub>). The Venus-labelled mini-G<sub>s</sub> ligand-response amplitude of each agonist in the mini-G<sub>s</sub> assay was compared to the maximal response of formoterol (1&#xa0;&#x3bc;M). Deming regression was applied to determine the line of best fit. Data are shown as the mean &#xb1; SEM of three experiments.</p>
</caption>
<graphic xlink:href="fphar-16-1367991-g005.tif"/>
</fig>
<p>We also performed this same correlation analysis between these mini-G<sub>s</sub> kinetics values obtained in detergent micelles and G<sub>s</sub> efficacy data obtained in the Gs-CASE assay and found a similar trend (<xref ref-type="sec" rid="s13">Supplementary Figure 4</xref>).</p>
</sec>
<sec id="s4-5">
<title>Efficacy of &#x3b2;<sub>2</sub>AR agonists does not correlate with ligand binding kinetics</title>
<p>Previous studies have suggested that for some GPCRs, there is a relationship between ligand efficacy and the dissociation rates of ligand binding (<xref ref-type="bibr" rid="B32">Sykes et al., 2009a</xref>; <xref ref-type="bibr" rid="B10">Guo et al., 2016</xref>). To investigate the correlations between ligand residence time and efficacy, we analyzed existing kinetic data. This analysis revealed a broad range of measured <italic>k</italic>
<sub>off</sub> values, with adrenaline exhibiting the fastest dissociation rate and Compound 26 showing the slowest.</p>
<p>The relationships between agonist efficacy, as determined by E<sub>max</sub> values obtained from the Gs-CASE and mini-G<sub>s</sub> recruitment assays, and literature ligand binding association (<italic>k</italic>
<sub>on</sub>) and dissociation rates (<italic>k</italic>
<sub>off</sub>) were determined using Pearson&#x2019;s correlation analysis (see <xref ref-type="fig" rid="F6">Figure 6</xref>). This analysis showed no statistically significant correlation between ligand <italic>k</italic>
<sub>off</sub> values and the efficacy values determined for 6 of the 12 &#x3b2;<sub>2</sub>AR agonists. Moreover, we also conducted kinetic TR-FRET-based ligand binding studies on 6 of the 12 &#x3b2;<sub>2</sub>AR agonists in detergent micelles (<xref ref-type="sec" rid="s13">Supplementary Figure 5</xref>) and found no statistically significant correlation (R<sup>2</sup> &#x3d; 0.26, p &#x3d; 0.29) between relative ligand residence times (IC<sub>50</sub> 1 min/IC<sub>50</sub> equilibrium) and their efficacy (<xref ref-type="sec" rid="s13">Supplementary Figure 6</xref>; <xref ref-type="sec" rid="s13">Supplementary Table 2</xref>).</p>
<fig id="F6" position="float">
<label>FIGURE 6</label>
<caption>
<p>Correlation plots of ligand efficacy with ligand binding parameters. Plot of <bold>(A)</bold> ligand dissociation rates (<italic>k</italic>
<sub>off</sub>) with G<sub>s</sub>-CASE activation E<sub>max</sub> and <bold>(B)</bold> ligand association rate (<italic>k</italic>
<sub>on</sub>) with G<sub>s</sub>-CASE activation E<sub>max</sub>. The Gs-CASE assay response amplitude is expressed as the maximal &#x394; (E<sub>max</sub>) in the baseline BRET signal, which was set to 1.0. Plot of <bold>(C)</bold> ligand dissociation rates (<italic>k</italic>
<sub>off</sub>) with mini-G<sub>s</sub> assay E<sub>max</sub> and <bold>(D)</bold> ligand association rate (<italic>k</italic>
<sub>on</sub>) with mini-G<sub>s</sub> assay E<sub>max</sub>. The Venus-labelled mini-G<sub>s</sub> ligand-response amplitude of each agonist in the mini-G<sub>s</sub> assay was compared to the maximal response of formoterol (1&#xa0;&#x3bc;M). Deming regression was applied to determine the line of best fit. Data are shown as the mean &#xb1; SEM of three experiments. Ligand association and dissociation rates were taken from <xref ref-type="bibr" rid="B34">Sykes et al., 2014</xref>, <xref ref-type="bibr" rid="B31">Sykes et al., 2012</xref> and <xref ref-type="bibr" rid="B27">Rosethorne et al., 2016</xref>.</p>
</caption>
<graphic xlink:href="fphar-16-1367991-g006.tif"/>
</fig>
</sec>
</sec>
<sec sec-type="discussion" id="s5">
<title>Discussion</title>
<p>In this study, we aimed to investigate the molecular basis for ligand efficacy. The first hypothesis was that the ligand binding kinetics, or ligand residence time, may influence efficacy. The second hypothesis was that the kinetics of G protein recruitment to the receptor&#x2013;agonist complex may be correlated to ligand efficacy.</p>
<p>We found no correlations between the ligand binding kinetics and its efficacy. Whilst some studies suggested a role for ligand dissociation kinetics (<xref ref-type="bibr" rid="B11">Guo et al., 2012</xref>; <xref ref-type="bibr" rid="B32">Sykes et al., 2009</xref>) for adenosine A2<sub>A</sub> and muscarinic M<sub>3</sub> receptors, our data are congruent with the previously reported observation that it was not the case for &#x3b2;<sub>2</sub>AR (<xref ref-type="bibr" rid="B31">Sykes and Charlton, 2012</xref>).</p>
<p>Alternatively, we observed a linear correlation between ligand-induced differences in mini-G<sub>s</sub> protein binding kinetics (<italic>k</italic>
<sub>on</sub>) and affinity (p<italic>K</italic>
<sub>d</sub>) for the agonist-bound &#x3b2;<sub>2</sub>AR and agonist efficacy, the ability of a ligand to activate the heterotrimeric G<sub>s</sub> protein. In contrast, our data showed minimal difference in the dissociation rate (<italic>k</italic>
<sub>off)</sub> or corresponding residence time (1/<italic>k</italic>
<sub>off</sub>) of the Venus-mini-G<sub>s</sub> when binding to different agonist-&#x3b2;<sub>2</sub>AR complexes. Since the affinity of mini-G<sub>s</sub> is a ratio of <italic>k</italic>
<sub>on</sub> and <italic>k</italic>
<sub>off</sub> and mini-G<sub>s</sub> <italic>k</italic>
<sub>off</sub> appears relatively constant, it is expected that mini-G<sub>s</sub> <italic>k</italic>
<sub>on</sub> and its affinity correlate.</p>
<p>Our hypothesis is that agonist binding to the &#x3b2;<sub>2</sub>AR increases the propensity for G protein recruitment, which underlies the molecular basis of ligand efficacy at the &#x3b2;<sub>2</sub>AR (<xref ref-type="fig" rid="F7">Figure 7A</xref>). To support our hypothesis, we applied a previously validated mathematical model of the cubic ternary complex model (BioModels ID:2306220001) to investigate the effect of increasing the forward rate of G protein binding to the activated receptor, on both G protein activation and agonist&#x2013;receptor occupancy at the &#x3b2;<sub>2</sub>AR (<xref ref-type="fig" rid="F7">Figures 7B, C</xref>). As indicated, increasing the on-rate for G protein recruitment increases the efficacy and potency of G protein activation by the ligand, without changing agonist&#x2013;receptor occupancy (<xref ref-type="fig" rid="F7">Figure 7B</xref>). This, therefore, supports our hypothesis that an increase in G protein recruitment propensity underlies the molecular basis of ligand efficacy at the &#x3b2;<sub>2</sub>AR.</p>
<fig id="F7" position="float">
<label>FIGURE 7</label>
<caption>
<p>Conformational model of efficacy proposed by this study: <bold>(A)</bold> agonists of higher efficacy induce a conformation of &#x3b2;<sub>2</sub>AR that is more likely to recruit a mini-G<sub>s</sub> protein, but once bound, there is no difference in the &#x3b2;<sub>2</sub>AR conformation within the agonist &#x3b2;<sub>2</sub>AR-mini&#x2013;G<sub>s</sub> complex. <bold>(B)</bold> Use of the cubic ternary complex model to investigate the effect of increasing the rate of G protein recruitment on the potency of the agonist&#x2013;receptor complex to activate the G protein. Arrow indicates increases in apparent ligand EC<sub>50</sub> values for the formation of G&#x3b1;GTP. <bold>(C)</bold> Use of the cubic ternary complex model to investigate the effect of increasing the rate of G protein recruitment on agonist affinity for the GPCR. Dotted line indicates log (<italic>K</italic>
<sub>d</sub>) of ligand-receptor occupancy. As shown in the figure, the association rate of G&#x3b1; to the receptor does not affect ligand binding affinity; hence, the yellow and blue curves lie directly on top of each other.</p>
</caption>
<graphic xlink:href="fphar-16-1367991-g007.tif"/>
</fig>
<p>These differences in the rate of mini-G<sub>s</sub> recruitment and the resulting differences in mini-G<sub>s</sub> affinity suggest that subtle differences in agonist &#x3b2;<sub>2</sub>AR complex conformations result in differences in agonist efficacy due of differences in the ability of these conformations to affect the recruitment of Venus-mini-G<sub>s</sub>. As the dissociation rates of the mini-G<sub>s</sub> protein are very similar for all ligands, the structure of the GPCR&#x2013;G protein complex is likely similar for all ligands. This hypothesis aligns with recent observations made by NMR (<xref ref-type="bibr" rid="B16">Jones et al., 2024</xref>), where the full agonist isoprenaline induced a different conformational state of the &#x3b2;<sub>1</sub> adrenergic receptor (&#x3b2;<sub>1</sub>AR) compared to the partial agonists xamoterol and salbutamol. However, the conformations were similar in the case of the ternary complex with mini-G<sub>s</sub>. The authors also reported faster recruitment kinetics for the full agonist isoprenaline, a result that aligns well with our own observations for a wide range of partial and full agonists, as presented in this study.</p>
<p>Moreover, this conformational model (see <xref ref-type="fig" rid="F7">Figure 7</xref>) is supported by data from hydrogen/deuterium exchange mass spectrometry (HDMS) and hydroxy radical foot printing mass spectrometry (HDX) (<xref ref-type="bibr" rid="B7">Du et al., 2019</xref>), where the conformational changes involved in &#x3b2;<sub>2</sub>AR&#x2013;G<sub>s</sub> protein complex formation were investigated. Du et al. showed that the conformation of the initial &#x3b2;<sub>2</sub>AR&#x2013;G<sub>s</sub> structure differs from that of the fully formed nucleotide free &#x3b2;<sub>2</sub>AR&#x2013;G<sub>s</sub> complex. Furthermore, NMR studies (<xref ref-type="bibr" rid="B24">Nygaard et al., 2013</xref>; <xref ref-type="bibr" rid="B20">Manglik et al., 2015</xref>) show that the agonist BI-167-107 alone is not sufficient to fully stabilise the &#x3b2;<sub>2</sub>AR in the active state and that nanobody 80 is required to fully stabilise the active state. These data support our findings that the conformation of the agonist &#x3b2;<sub>2</sub>AR complex differs from that of the agonist &#x3b2;<sub>2</sub>AR&#x2013;mini-G<sub>s</sub> complex. Moreover, <xref ref-type="bibr" rid="B18">Liu et al. (2012)</xref> investigated the conformational states of &#x3b2;<sub>2</sub>AR bound to agonists of a range of efficacies and showed efficacy-dependent differences in the agonist &#x3b2;<sub>2</sub>AR conformational state. Structural studies of the agonist-bound &#x3b2;<sub>2</sub>AR or other class A GPCRs have only been possible in the presence of a G protein mimetics (<xref ref-type="bibr" rid="B26">Rasmussen et al., 2011b</xref>) and show only very small conformational differences that do not seem to explain differences in efficacy (<xref ref-type="bibr" rid="B17">Katritch et al., 2009</xref>). This further supports our finding that there was no difference in the agonist &#x3b2;<sub>2</sub>AR&#x2013;mini-G<sub>s</sub> complex conformation.</p>
<p>We performed the majority of this study in membranes as we believe this environment is the most physiologically relevant for performing a kinetic analysis of ligand-induced mini-G<sub>s</sub> binding. We also reproduced most of the experiments with receptor isolated in DDM detergent micelles (<xref ref-type="sec" rid="s13">Supplementary Figures 2&#x2013;6</xref>); this approach gives us confidence that our conclusions are relevant purely at the biophysical level, independent of the regulatory elements of the cell, while also establishing a baseline for future biophysical studies. However, the full applicability of our findings to the native cell environment remains to be fully elucidated. Interestingly, <xref ref-type="bibr" rid="B30">Sungkaworn et al. (2017)</xref> investigated the association rate (<italic>k</italic>
<sub>on)</sub> and dissociation rate (<italic>k</italic>
<sub>off)</sub> of G&#x3b1;<sub>I</sub> binding to the &#x3b1;2AR receptor in CHO cells in response to a range of agonists using single molecule microscopy. They showed that efficacy is at least partially correlated with <italic>k</italic>
<sub>on</sub> but not <italic>k</italic>
<sub>off</sub> of the G&#x3b1;<sub>I</sub> protein. Taken together with the evidence from the current study, this suggests that the conformational model of efficacy proposed may extend to the cellular environment. Future work will investigate whether this model of efficacy proposed is relevant to the &#x3b2;<sub>2</sub>AR in its native cellular environment and whether this model can be generalized as a mechanism for agonist efficacy at other GPCRs.</p>
</sec>
<sec sec-type="conclusion" id="s6">
<title>Conclusion</title>
<p>In summary, these findings suggest that differences in initial agonist-GPCR conformations, where full agonists stabilise a state that readily recruits G protein, could be central to understanding the molecular basis of efficacy for the 12 &#x3b2;<sub>2</sub>AR agonists studied. In contrast, we found no evidence linking ligand or G protein binding dissociation kinetics to the molecular basis of ligand efficacy at the &#x3b2;<sub>2</sub>AR. We propose a conformational model of efficacy, in which agonists with higher efficacy stabilise a conformation of &#x3b2;<sub>2</sub>AR that is more likely to recruit the G protein. The results from mini-G protein association experiments with ligand prebound to the receptor provide a convenient and direct measurement of ligand efficacy. Further studies incorporating a broader range of agonists with varying efficacies, along with measurements across different receptor types, would help determine whether this mechanism is a general feature of GPCR efficacy.</p>
</sec>
</body>
<back>
<sec sec-type="data-availability" id="s7">
<title>Data availability statement</title>
<p>The raw data supporting the conclusions of this article will be made available by the authors, without undue reservation.</p>
</sec>
<sec sec-type="ethics-statement" id="s8">
<title>Ethics statement</title>
<p>Ethical approval was not required for the studies on humans in accordance with the local legislation and institutional requirements because only commercially available established cell lines were used. Ethical approval was not required for the studies on animals in accordance with the local legislation and institutional requirements because only commercially available established cell lines were used.</p>
</sec>
<sec sec-type="author-contributions" id="s9">
<title>Author contributions</title>
<p>CH. DS: formal analysis and writing&#x2013;review and editing. TR-N: investigation, methodology, resources, writing&#x2013;original draft, and writing&#x2013;review and editing. OU, CN, AK, EK, and GL: conceptualization, supervision, writing&#x2013;original draft, and writing&#x2013;review and editing. SB: conceptualization, funding acquisition, supervision, writing&#x2013;original draft, and writing&#x2013;review and editing. DV: conceptualization, funding acquisition, resources, supervision, writing&#x2013;original draft, and writing&#x2013;review and editing.</p>
</sec>
<sec sec-type="funding-information" id="s10">
<title>Funding</title>
<p>The author(s) declare that financial support was received for the research and/or publication of this article. CH was funded by a Medical Research Council (MRC) IMPACT PhD studentship. TR-N was funded by a UK Biotechnology and Biological Sciences Research Council iCase studentship (BB/V509334/1) co-funded with AstraZeneca. AK is funded by the BBSRC Doctorate Training Program at the University of Nottingham. GL is a Royal Society Industry Fellow (NF\R2\212001). EK, CN, DS and DV gratefully acknowledge funding by the Medical Research Council [grant number MR/Y003667/1] and Biotechnology and Biological Sciences Research Council [BB/Y51407X/1] and [BB/Z514500/1].</p>
</sec>
<ack>
<p>The authors would like to thank Dr. Bradley Hoare and Dr. Franziska M. Heydenreich for, respectively, generating the pcDNA4TO-TS-SNAP-&#x3b2;<sub>2</sub>AR-nLuc and pcDNA4TO-TS-SNAP-&#x3b2;<sub>2</sub>AR and Nevin Lambert for sharing the templates for Venus-mG plasmids used in this study.</p>
</ack>
<sec sec-type="COI-statement" id="s11">
<title>Conflict of interest</title>
<p>DS and DV are founding directors of Z7 Biotech Ltd., an early-stage drug discovery company. OU is an employee of Z7 Biotech Ltd.</p>
<p>The remaining 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>
</sec>
<sec sec-type="disclaimer" id="s12">
<title>Publisher&#x2019;s note</title>
<p>All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article, or claim that may be made by its manufacturer, is not guaranteed or endorsed by the publisher.</p>
</sec>
<sec id="s13">
<title>Supplementary material</title>
<p>The Supplementary Material for this article can be found online at: <ext-link ext-link-type="uri" xlink:href="https://www.frontiersin.org/articles/10.3389/fphar.2025.1367991/full#supplementary-material">https://www.frontiersin.org/articles/10.3389/fphar.2025.1367991/full&#x23;supplementary-material</ext-link>
</p>
<supplementary-material xlink:href="DataSheet1.pdf" id="SM1" mimetype="application/pdf" xmlns:xlink="http://www.w3.org/1999/xlink"/>
</sec>
<ref-list>
<title>References</title>
<ref id="B1">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Baker</surname>
<given-names>J. G.</given-names>
</name>
</person-group> (<year>2010</year>). <article-title>The selectivity of beta-adrenoceptor agonists at human beta1-beta2- and beta3-adrenoceptors</article-title>. <source>Br. J. Pharmacol.</source> <volume>160</volume> (<issue>5</issue>), <fpage>1048</fpage>&#x2013;<lpage>1061</lpage>. <pub-id pub-id-type="doi">10.1111/j.1476-5381.2010.00754.x</pub-id>
</citation>
</ref>
<ref id="B2">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Bridge</surname>
<given-names>L. J.</given-names>
</name>
<name>
<surname>Mead</surname>
<given-names>J.</given-names>
</name>
<name>
<surname>Frattini</surname>
<given-names>E.</given-names>
</name>
<name>
<surname>Winfield</surname>
<given-names>I.</given-names>
</name>
<name>
<surname>Ladds</surname>
<given-names>G.</given-names>
</name>
</person-group> (<year>2018</year>). <article-title>Modelling and simulation of biased agonism dynamics at a G protein-coupled receptor</article-title>. <source>J. Theor. Biol.</source> <volume>442</volume>, <fpage>44</fpage>&#x2013;<lpage>65</lpage>. <pub-id pub-id-type="doi">10.1016/j.jtbi.2018.01.010</pub-id>
</citation>
</ref>
<ref id="B3">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Carpenter</surname>
<given-names>B.</given-names>
</name>
<name>
<surname>Nehme</surname>
<given-names>R.</given-names>
</name>
<name>
<surname>Warne</surname>
<given-names>T.</given-names>
</name>
<name>
<surname>Leslie</surname>
<given-names>A. G.</given-names>
</name>
<name>
<surname>Tate</surname>
<given-names>C. G.</given-names>
</name>
</person-group> (<year>2016</year>). <article-title>Structure of the adenosine A(2A) receptor bound to an engineered G protein</article-title>. <source>Nature</source> <volume>536</volume> (<issue>7614</issue>), <fpage>104</fpage>&#x2013;<lpage>107</lpage>. <pub-id pub-id-type="doi">10.1038/nature18966</pub-id>
</citation>
</ref>
<ref id="B4">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Carpenter</surname>
<given-names>B.</given-names>
</name>
<name>
<surname>Tate</surname>
<given-names>C. G.</given-names>
</name>
</person-group> (<year>2016</year>). <article-title>Engineering a minimal G protein to facilitate crystallisation of G protein-coupled receptors in their active conformation</article-title>. <source>Protein Eng. Des. Sel.</source> <volume>29</volume> (<issue>12</issue>), <fpage>583</fpage>&#x2013;<lpage>594</lpage>. <pub-id pub-id-type="doi">10.1093/protein/gzw049</pub-id>
</citation>
</ref>
<ref id="B5">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Carpenter</surname>
<given-names>B.</given-names>
</name>
<name>
<surname>Tate</surname>
<given-names>C. G.</given-names>
</name>
</person-group> (<year>2017</year>). <article-title>Expression, purification and crystallisation of the adenosine A(2A) receptor bound to an engineered mini G protein</article-title>. <source>Bio Protoc.</source> <volume>7</volume> (<issue>8</issue>), <fpage>e2234</fpage>. <pub-id pub-id-type="doi">10.21769/BioProtoc.2234</pub-id>
</citation>
</ref>
<ref id="B6">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Deupi</surname>
<given-names>X.</given-names>
</name>
<name>
<surname>Kobilka</surname>
<given-names>B. K.</given-names>
</name>
</person-group> (<year>2010</year>). <article-title>Energy landscapes as a tool to integrate GPCR structure, dynamics, and function</article-title>. <source>Physiol. (Bethesda)</source> <volume>25</volume> (<issue>5</issue>), <fpage>293</fpage>&#x2013;<lpage>303</lpage>. <pub-id pub-id-type="doi">10.1152/physiol.00002.2010</pub-id>
</citation>
</ref>
<ref id="B7">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Du</surname>
<given-names>Y.</given-names>
</name>
<name>
<surname>Duc</surname>
<given-names>N. M.</given-names>
</name>
<name>
<surname>Rasmussen</surname>
<given-names>S. G. F.</given-names>
</name>
<name>
<surname>Hilger</surname>
<given-names>D.</given-names>
</name>
<name>
<surname>Kubiak</surname>
<given-names>X.</given-names>
</name>
<name>
<surname>Wang</surname>
<given-names>L.</given-names>
</name>
<etal/>
</person-group> (<year>2019</year>). <article-title>Assembly of a GPCR-G protein complex</article-title>. <source>Cell</source> <volume>177</volume> (<issue>5</issue>), <fpage>1232</fpage>&#x2013;<lpage>1242</lpage>. <pub-id pub-id-type="doi">10.1016/j.cell.2019.04.022</pub-id>
</citation>
</ref>
<ref id="B8">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Grahl</surname>
<given-names>A.</given-names>
</name>
<name>
<surname>Abiko</surname>
<given-names>L. A.</given-names>
</name>
<name>
<surname>Isogai</surname>
<given-names>S.</given-names>
</name>
<name>
<surname>Sharpe</surname>
<given-names>T.</given-names>
</name>
<name>
<surname>Grzesiek</surname>
<given-names>S.</given-names>
</name>
</person-group> (<year>2020</year>). <article-title>A high-resolution description of &#x3b2;1-adrenergic receptor functional dynamics and allosteric coupling from backbone NMR</article-title>. <source>Nat. Commun.</source> <volume>11</volume> (<issue>1</issue>), <fpage>2216</fpage>. <pub-id pub-id-type="doi">10.1038/s41467-020-15864-y</pub-id>
</citation>
</ref>
<ref id="B9">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Gregorio</surname>
<given-names>G. G.</given-names>
</name>
<name>
<surname>Masureel</surname>
<given-names>M.</given-names>
</name>
<name>
<surname>Hilger</surname>
<given-names>D.</given-names>
</name>
<name>
<surname>Terry</surname>
<given-names>D. S.</given-names>
</name>
<name>
<surname>Juette</surname>
<given-names>M.</given-names>
</name>
<name>
<surname>Zhao</surname>
<given-names>H.</given-names>
</name>
<etal/>
</person-group> (<year>2017</year>). <article-title>Single-molecule analysis of ligand efficacy in &#x3b2;2AR-G-protein activation</article-title>. <source>Nature</source> <volume>547</volume> (<issue>7661</issue>), <fpage>68</fpage>&#x2013;<lpage>73</lpage>. <pub-id pub-id-type="doi">10.1038/nature22354</pub-id>
</citation>
</ref>
<ref id="B10">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Guo</surname>
<given-names>D.</given-names>
</name>
<name>
<surname>Heitman</surname>
<given-names>L. H.</given-names>
</name>
<name>
<surname>Ap</surname>
<given-names>I. J.</given-names>
</name>
</person-group> (<year>2016</year>). <article-title>The added value of assessing ligand-receptor binding kinetics in drug discovery</article-title>. <source>ACS Med. Chem. Lett.</source> <volume>7</volume> (<issue>9</issue>), <fpage>819</fpage>&#x2013;<lpage>821</lpage>. <pub-id pub-id-type="doi">10.1021/acsmedchemlett.6b00273</pub-id>
</citation>
</ref>
<ref id="B11">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Guo</surname>
<given-names>D.</given-names>
</name>
<name>
<surname>Mulder&#x2010;Krieger</surname>
<given-names>T.</given-names>
</name>
<name>
<surname>Ijzerman</surname>
<given-names>A. P.</given-names>
</name>
<name>
<surname>Heitman</surname>
<given-names>L. H.</given-names>
</name>
</person-group> (<year>2012</year>). <article-title>Functional efficacy of adenosine A&#x2082;A receptor agonists is positively correlated to their receptor residence time</article-title>. <source>Br. J. Pharmacol.</source> <volume>166</volume> (<issue>6</issue>), <fpage>1846</fpage>&#x2013;<lpage>1859</lpage>. <pub-id pub-id-type="doi">10.1111/j.1476-5381.2012.01897.x</pub-id>
</citation>
</ref>
<ref id="B12">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Harwood</surname>
<given-names>C. R.</given-names>
</name>
<name>
<surname>Sykes</surname>
<given-names>D. A.</given-names>
</name>
<name>
<surname>Redfern-Nichols</surname>
<given-names>T.</given-names>
</name>
<name>
<surname>Ladds</surname>
<given-names>G.</given-names>
</name>
<name>
<surname>Briddon</surname>
<given-names>S. J.</given-names>
</name>
<name>
<surname>Veprintsev</surname>
<given-names>D. B.</given-names>
</name>
</person-group> (<year>2024</year>). <article-title>Agonist efficacy at the &#x3b2;<sub>2</sub>AR is driven by agonist-induced differences in receptor affinity for the G<sub>s</sub> protein, not ligand binding kinetics</article-title>. <source>bioRxiv</source> <volume>2024</volume>. <comment>2001.2005.574357</comment>. <pub-id pub-id-type="doi">10.1101/2024.01.05.574357</pub-id>
</citation>
</ref>
<ref id="B13">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Hauser</surname>
<given-names>A. S.</given-names>
</name>
<name>
<surname>Attwood</surname>
<given-names>M. M.</given-names>
</name>
<name>
<surname>Rask-Andersen</surname>
<given-names>M.</given-names>
</name>
<name>
<surname>Schioth</surname>
<given-names>H. B.</given-names>
</name>
<name>
<surname>Gloriam</surname>
<given-names>D. E.</given-names>
</name>
</person-group> (<year>2017</year>). <article-title>Trends in GPCR drug discovery: new agents, targets and indications</article-title>. <source>Nat. Rev. Drug Discov.</source> <volume>16</volume> (<issue>12</issue>), <fpage>829</fpage>&#x2013;<lpage>842</lpage>. <pub-id pub-id-type="doi">10.1038/nrd.2017.178</pub-id>
</citation>
</ref>
<ref id="B14">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Heydenreich</surname>
<given-names>F. M.</given-names>
</name>
<name>
<surname>Miljus</surname>
<given-names>T.</given-names>
</name>
<name>
<surname>Jaussi</surname>
<given-names>R.</given-names>
</name>
<name>
<surname>Benoit</surname>
<given-names>R.</given-names>
</name>
<name>
<surname>Milic</surname>
<given-names>D.</given-names>
</name>
<name>
<surname>Veprintsev</surname>
<given-names>D. B.</given-names>
</name>
</person-group> (<year>2017</year>). <article-title>High-throughput mutagenesis using a two-fragment PCR approach</article-title>. <source>Sci. Rep.</source> <volume>7</volume> (<issue>1</issue>), <fpage>6787</fpage>. <pub-id pub-id-type="doi">10.1038/s41598-017-07010-4</pub-id>
</citation>
</ref>
<ref id="B15">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Hoops</surname>
<given-names>S.</given-names>
</name>
<name>
<surname>Sahle</surname>
<given-names>S.</given-names>
</name>
<name>
<surname>Gauges</surname>
<given-names>R.</given-names>
</name>
<name>
<surname>Lee</surname>
<given-names>C.</given-names>
</name>
<name>
<surname>Pahle</surname>
<given-names>J.</given-names>
</name>
<name>
<surname>Simus</surname>
<given-names>N.</given-names>
</name>
<etal/>
</person-group> (<year>2006</year>). <article-title>COPASI--a COmplex PAthway SImulator</article-title>. <source>Bioinformatics</source> <volume>22</volume> (<issue>24</issue>), <fpage>3067</fpage>&#x2013;<lpage>3074</lpage>. <pub-id pub-id-type="doi">10.1093/bioinformatics/btl485</pub-id>
</citation>
</ref>
<ref id="B16">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Jones</surname>
<given-names>A. J. Y.</given-names>
</name>
<name>
<surname>Harman</surname>
<given-names>T. H.</given-names>
</name>
<name>
<surname>Harris</surname>
<given-names>M.</given-names>
</name>
<name>
<surname>Lewis</surname>
<given-names>O. E.</given-names>
</name>
<name>
<surname>Ladds</surname>
<given-names>G.</given-names>
</name>
<name>
<surname>Nietlispach</surname>
<given-names>D.</given-names>
</name>
</person-group> (<year>2024</year>). <article-title>Binding kinetics drive G protein subtype selectivity at the &#x3b2;1-adrenergic receptor</article-title>. <source>Nat. Commun.</source> <volume>15</volume> (<issue>1</issue>), <fpage>1334</fpage>. <pub-id pub-id-type="doi">10.1038/s41467-024-45680-7</pub-id>
</citation>
</ref>
<ref id="B17">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Katritch</surname>
<given-names>V.</given-names>
</name>
<name>
<surname>Reynolds</surname>
<given-names>K. A.</given-names>
</name>
<name>
<surname>Cherezov</surname>
<given-names>V.</given-names>
</name>
<name>
<surname>Hanson</surname>
<given-names>M. A.</given-names>
</name>
<name>
<surname>Roth</surname>
<given-names>C. B.</given-names>
</name>
<name>
<surname>Yeager</surname>
<given-names>M.</given-names>
</name>
<etal/>
</person-group> (<year>2009</year>). <article-title>Analysis of full and partial agonists binding to beta2-adrenergic receptor suggests a role of transmembrane helix V in agonist-specific conformational changes</article-title>. <source>J. Mol. Recognit.</source> <volume>22</volume> (<issue>4</issue>), <fpage>307</fpage>&#x2013;<lpage>318</lpage>. <pub-id pub-id-type="doi">10.1002/jmr.949</pub-id>
</citation>
</ref>
<ref id="B18">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Liu</surname>
<given-names>J. J.</given-names>
</name>
<name>
<surname>Horst</surname>
<given-names>R.</given-names>
</name>
<name>
<surname>Katritch</surname>
<given-names>V.</given-names>
</name>
<name>
<surname>Stevens</surname>
<given-names>R. C.</given-names>
</name>
<name>
<surname>Wuthrich</surname>
<given-names>K.</given-names>
</name>
</person-group> (<year>2012</year>). <article-title>Biased signaling pathways in &#x3b2;2-adrenergic receptor characterized by 19F-NMR</article-title>. <source>Science</source> <volume>335</volume> (<issue>6072</issue>), <fpage>1106</fpage>&#x2013;<lpage>1110</lpage>. <pub-id pub-id-type="doi">10.1126/science.1215802</pub-id>
</citation>
</ref>
<ref id="B19">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Louvel</surname>
<given-names>J.</given-names>
</name>
<name>
<surname>Guo</surname>
<given-names>D.</given-names>
</name>
<name>
<surname>Agliardi</surname>
<given-names>M.</given-names>
</name>
<name>
<surname>Mocking</surname>
<given-names>T. A. M.</given-names>
</name>
<name>
<surname>Kars</surname>
<given-names>R.</given-names>
</name>
<name>
<surname>Pham</surname>
<given-names>T. P.</given-names>
</name>
<etal/>
</person-group> (<year>2014</year>). <article-title>Agonists for the adenosine A1 receptor with tunable residence time. A case for nonribose 4-Amino-6-aryl-5-cyano-2-thiopyrimidines</article-title>. <source>J. Med. Chem.</source> <volume>57</volume> (<issue>8</issue>), <fpage>3213</fpage>&#x2013;<lpage>3222</lpage>. <pub-id pub-id-type="doi">10.1021/jm401643m</pub-id>
</citation>
</ref>
<ref id="B20">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Manglik</surname>
<given-names>A.</given-names>
</name>
<name>
<surname>Kim</surname>
<given-names>T. H.</given-names>
</name>
<name>
<surname>Masureel</surname>
<given-names>M.</given-names>
</name>
<name>
<surname>Altenbach</surname>
<given-names>C.</given-names>
</name>
<name>
<surname>Yang</surname>
<given-names>Z.</given-names>
</name>
<name>
<surname>Hilger</surname>
<given-names>D.</given-names>
</name>
<etal/>
</person-group> (<year>2015</year>). <article-title>Structural insights into the dynamic process of &#x3b2;2-adrenergic receptor signaling</article-title>. <source>Cell</source> <volume>161</volume>, <fpage>1101</fpage>&#x2013;<lpage>1111</lpage>. <pub-id pub-id-type="doi">10.1016/j.cell.2015.04.043</pub-id>
</citation>
</ref>
<ref id="B21">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Mary</surname>
<given-names>S.</given-names>
</name>
<name>
<surname>Damian</surname>
<given-names>M.</given-names>
</name>
<name>
<surname>Louet</surname>
<given-names>M.</given-names>
</name>
<name>
<surname>Floquet</surname>
<given-names>N.</given-names>
</name>
<name>
<surname>Fehrentz</surname>
<given-names>J. A.</given-names>
</name>
<name>
<surname>Marie</surname>
<given-names>J.</given-names>
</name>
<etal/>
</person-group> (<year>2012</year>). <article-title>Ligands and signaling proteins govern the conformational landscape explored by a G protein-coupled receptor</article-title>. <source>Proc. Natl. Acad. Sci. U. S. A.</source> <volume>109</volume>, <fpage>8304</fpage>&#x2013;<lpage>8309</lpage>. <pub-id pub-id-type="doi">10.1073/pnas.1119881109</pub-id>
</citation>
</ref>
<ref id="B22">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Masureel</surname>
<given-names>M.</given-names>
</name>
<name>
<surname>Zou</surname>
<given-names>Y.</given-names>
</name>
<name>
<surname>Picard</surname>
<given-names>L.-P.</given-names>
</name>
<name>
<surname>van der Westhuizen</surname>
<given-names>E.</given-names>
</name>
<name>
<surname>Mahoney</surname>
<given-names>J. P.</given-names>
</name>
<name>
<surname>Rodrigues</surname>
<given-names>J. P. G. L. M.</given-names>
</name>
<etal/>
</person-group> (<year>2018</year>). <article-title>Structural insights into binding specificity, efficacy and bias of a &#x3b2;2AR partial agonist</article-title>. <source>Nat. Chem. Biol.</source> <volume>14</volume> (<issue>11</issue>), <fpage>1059</fpage>&#x2013;<lpage>1066</lpage>. <pub-id pub-id-type="doi">10.1038/s41589-018-0145-x</pub-id>
</citation>
</ref>
<ref id="B23">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Nikolaev</surname>
<given-names>V. O.</given-names>
</name>
<name>
<surname>Hoffmann</surname>
<given-names>C.</given-names>
</name>
<name>
<surname>B&#xfc;nemann</surname>
<given-names>M.</given-names>
</name>
<name>
<surname>Lohse</surname>
<given-names>M. J.</given-names>
</name>
<name>
<surname>Vilardaga</surname>
<given-names>J.-P.</given-names>
</name>
</person-group> (<year>2006</year>). <article-title>Molecular basis of partial agonism at the neurotransmitter alpha2A-adrenergic receptor and Gi-protein heterotrimer</article-title>. <source>J. Biol. Chem.</source> <volume>281</volume> (<issue>34</issue>), <fpage>24506</fpage>&#x2013;<lpage>24511</lpage>. <pub-id pub-id-type="doi">10.1074/jbc.M603266200</pub-id>
</citation>
</ref>
<ref id="B24">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Nygaard</surname>
<given-names>R.</given-names>
</name>
<name>
<surname>Zou</surname>
<given-names>Y.</given-names>
</name>
<name>
<surname>Dror</surname>
<given-names>R. O.</given-names>
</name>
<name>
<surname>Mildorf</surname>
<given-names>T. J.</given-names>
</name>
<name>
<surname>Arlow</surname>
<given-names>D. H.</given-names>
</name>
<name>
<surname>Manglik</surname>
<given-names>A.</given-names>
</name>
<etal/>
</person-group> (<year>2013</year>). <article-title>The dynamic process of &#x3b2;(2)-adrenergic receptor activation</article-title>. <source>Cell</source> <volume>152</volume> (<issue>3</issue>), <fpage>532</fpage>&#x2013;<lpage>542</lpage>. <pub-id pub-id-type="doi">10.1016/j.cell.2013.01.008</pub-id>
</citation>
</ref>
<ref id="B25">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Rasmussen</surname>
<given-names>S. G.</given-names>
</name>
<name>
<surname>Choi</surname>
<given-names>H. J.</given-names>
</name>
<name>
<surname>Fung</surname>
<given-names>J. J.</given-names>
</name>
<name>
<surname>Pardon</surname>
<given-names>E.</given-names>
</name>
<name>
<surname>Casarosa</surname>
<given-names>P.</given-names>
</name>
<name>
<surname>Chae</surname>
<given-names>P. S.</given-names>
</name>
<etal/>
</person-group> (<year>2011a</year>). <article-title>Structure of a nanobody-stabilized active state of the &#x3b2;(2) adrenoceptor</article-title>. <source>Nature</source> <volume>469</volume> (<issue>7329</issue>), <fpage>175</fpage>&#x2013;<lpage>180</lpage>. <pub-id pub-id-type="doi">10.1038/nature09648</pub-id>
</citation>
</ref>
<ref id="B26">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Rasmussen</surname>
<given-names>S. G.</given-names>
</name>
<name>
<surname>DeVree</surname>
<given-names>B. T.</given-names>
</name>
<name>
<surname>Zou</surname>
<given-names>Y.</given-names>
</name>
<name>
<surname>Kruse</surname>
<given-names>A. C.</given-names>
</name>
<name>
<surname>Chung</surname>
<given-names>K. Y.</given-names>
</name>
<name>
<surname>Kobilka</surname>
<given-names>T. S.</given-names>
</name>
<etal/>
</person-group> (<year>2011b</year>). <article-title>Crystal structure of the &#x3b2;2 adrenergic receptor-Gs protein complex</article-title>. <source>Nature</source> <volume>477</volume> (<issue>7366</issue>), <fpage>549</fpage>&#x2013;<lpage>555</lpage>. <pub-id pub-id-type="doi">10.1038/nature10361</pub-id>
</citation>
</ref>
<ref id="B27">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Rosethorne</surname>
<given-names>E. M.</given-names>
</name>
<name>
<surname>Bradley</surname>
<given-names>M. E.</given-names>
</name>
<name>
<surname>Gherbi</surname>
<given-names>K.</given-names>
</name>
<name>
<surname>Sykes</surname>
<given-names>D. A.</given-names>
</name>
<name>
<surname>Sattikar</surname>
<given-names>A.</given-names>
</name>
<name>
<surname>Wright</surname>
<given-names>J. D.</given-names>
</name>
<etal/>
</person-group> (<year>2016</year>). <article-title>Long receptor residence time of C26 contributes to super agonist activity at the human &#x3b2;2 adrenoceptor</article-title>. <source>Mol. Pharmacol.</source> <volume>89</volume> (<issue>4</issue>), <fpage>467</fpage>&#x2013;<lpage>475</lpage>. <pub-id pub-id-type="doi">10.1124/mol.115.101253</pub-id>
</citation>
</ref>
<ref id="B28">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Schihada</surname>
<given-names>H.</given-names>
</name>
<name>
<surname>Shekhani</surname>
<given-names>R.</given-names>
</name>
<name>
<surname>Schulte</surname>
<given-names>G.</given-names>
</name>
</person-group> (<year>2021</year>). <article-title>Quantitative assessment of constitutive G protein&#x2013;coupled receptor activity with BRET-based G protein biosensors</article-title>. <source>Sci. Signal.</source> <volume>14</volume> (<issue>699</issue>), <fpage>eabf1653</fpage>. <pub-id pub-id-type="doi">10.1126/scisignal.abf1653</pub-id>
</citation>
</ref>
<ref id="B29">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Sun</surname>
<given-names>D.</given-names>
</name>
<name>
<surname>Flock</surname>
<given-names>T.</given-names>
</name>
<name>
<surname>Deupi</surname>
<given-names>X.</given-names>
</name>
<name>
<surname>Maeda</surname>
<given-names>S.</given-names>
</name>
<name>
<surname>Matkovic</surname>
<given-names>M.</given-names>
</name>
<name>
<surname>Mendieta</surname>
<given-names>S.</given-names>
</name>
<etal/>
</person-group> (<year>2015</year>). <article-title>Probing G&#x3b1;i1 protein activation at single-amino acid resolution</article-title>. <source>Nat. Struct. Mol. Biol.</source> <volume>22</volume> (<issue>9</issue>), <fpage>686</fpage>&#x2013;<lpage>694</lpage>. <pub-id pub-id-type="doi">10.1038/nsmb.3070</pub-id>
</citation>
</ref>
<ref id="B30">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Sungkaworn</surname>
<given-names>T.</given-names>
</name>
<name>
<surname>Jobin</surname>
<given-names>M.-L.</given-names>
</name>
<name>
<surname>Burnecki</surname>
<given-names>K.</given-names>
</name>
<name>
<surname>Weron</surname>
<given-names>A.</given-names>
</name>
<name>
<surname>Lohse</surname>
<given-names>M. J.</given-names>
</name>
<name>
<surname>Calebiro</surname>
<given-names>D.</given-names>
</name>
</person-group> (<year>2017</year>). <article-title>Single-molecule imaging reveals receptor&#x2013;G protein interactions at cell surface hot spots</article-title>. <source>Nature</source> <volume>550</volume> (<issue>7677</issue>), <fpage>543</fpage>&#x2013;<lpage>547</lpage>. <pub-id pub-id-type="doi">10.1038/nature24264</pub-id>
</citation>
</ref>
<ref id="B31">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Sykes</surname>
<given-names>D. A.</given-names>
</name>
<name>
<surname>Charlton</surname>
<given-names>S. J.</given-names>
</name>
</person-group> (<year>2012</year>). <article-title>Slow receptor dissociation is not a key factor in the duration of action of inhaled long-acting &#x3b2;2-adrenoceptor agonists</article-title>. <source>Br. J. Pharmacol.</source> <volume>165</volume> (<issue>8</issue>), <fpage>2672</fpage>&#x2013;<lpage>2683</lpage>. <pub-id pub-id-type="doi">10.1111/j.1476-5381.2011.01639.x</pub-id>
</citation>
</ref>
<ref id="B32">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Sykes</surname>
<given-names>D. A.</given-names>
</name>
<name>
<surname>Dowling</surname>
<given-names>M. R.</given-names>
</name>
<name>
<surname>Charlton</surname>
<given-names>S. J.</given-names>
</name>
</person-group> (<year>2009a</year>). <article-title>Exploring the mechanism of agonist efficacy: a relationship between efficacy and agonist dissociation rate at the muscarinic M3 receptor</article-title>. <source>Mol. Pharmacol.</source> <volume>76</volume> (<issue>3</issue>), <fpage>543</fpage>&#x2013;<lpage>551</lpage>. <pub-id pub-id-type="doi">10.1124/mol.108.054452</pub-id>
</citation>
</ref>
<ref id="B33">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Sykes</surname>
<given-names>D. A.</given-names>
</name>
<name>
<surname>Dowling</surname>
<given-names>M. R.</given-names>
</name>
<name>
<surname>Charlton</surname>
<given-names>S. J.</given-names>
</name>
</person-group> (<year>2009b</year>). <article-title>Exploring the mechanism of agonist efficacy: a relationship between efficacy and agonist dissociation rate at the muscarinic M3 receptor</article-title>. <source>Mol. Pharmacol.</source> <volume>76</volume> (<issue>3</issue>), <fpage>543</fpage>&#x2013;<lpage>551</lpage>. <pub-id pub-id-type="doi">10.1124/mol.108.054452</pub-id>
</citation>
</ref>
<ref id="B34">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Sykes</surname>
<given-names>D. A.</given-names>
</name>
<name>
<surname>Parry</surname>
<given-names>C.</given-names>
</name>
<name>
<surname>Reilly</surname>
<given-names>J.</given-names>
</name>
<name>
<surname>Wright</surname>
<given-names>P.</given-names>
</name>
<name>
<surname>Fairhurst</surname>
<given-names>R. A.</given-names>
</name>
<name>
<surname>Charlton</surname>
<given-names>S. J.</given-names>
</name>
</person-group> (<year>2014</year>). <article-title>Observed drug-receptor association rates are governed by membrane affinity: the importance of establishing &#x201c;micro-pharmacokinetic/pharmacodynamic relationships&#x201d; at the &#x3b2;2-adrenoceptor</article-title>. <source>Mol. Pharmacol.</source> <volume>85</volume> (<issue>4</issue>), <fpage>608</fpage>&#x2013;<lpage>617</lpage>. <pub-id pub-id-type="doi">10.1124/mol.113.090209</pub-id>
</citation>
</ref>
<ref id="B35">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Wan</surname>
<given-names>Q.</given-names>
</name>
<name>
<surname>Okashah</surname>
<given-names>N.</given-names>
</name>
<name>
<surname>Inoue</surname>
<given-names>A.</given-names>
</name>
<name>
<surname>Nehm&#xe9;</surname>
<given-names>R.</given-names>
</name>
<name>
<surname>Carpenter</surname>
<given-names>B.</given-names>
</name>
<name>
<surname>Tate</surname>
<given-names>C. G.</given-names>
</name>
<etal/>
</person-group> (<year>2018</year>). <article-title>Mini G protein probes for active G protein&#x2013;coupled receptors (GPCRs) in live cells</article-title>. <source>J. Biol. Chem.</source> <volume>293</volume> (<issue>19</issue>), <fpage>7466</fpage>&#x2013;<lpage>7473</lpage>. <pub-id pub-id-type="doi">10.1074/jbc.RA118.001975</pub-id>
</citation>
</ref>
<ref id="B36">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Weiss</surname>
<given-names>J. M.</given-names>
</name>
<name>
<surname>Morgan</surname>
<given-names>P. H.</given-names>
</name>
<name>
<surname>Lutz</surname>
<given-names>M. W.</given-names>
</name>
<name>
<surname>Kenakin</surname>
<given-names>T. P.</given-names>
</name>
</person-group> (<year>1996</year>). <article-title>The cubic ternary complex receptor-occupancy model. III. resurrecting efficacy</article-title>. <source>J. Theor. Biol.</source> <volume>181</volume> (<issue>4</issue>), <fpage>381</fpage>&#x2013;<lpage>397</lpage>. <pub-id pub-id-type="doi">10.1006/jtbi.1996.0139</pub-id>
</citation>
</ref>
<ref id="B37">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Woodroffe</surname>
<given-names>P. J.</given-names>
</name>
<name>
<surname>Bridge</surname>
<given-names>L. J.</given-names>
</name>
<name>
<surname>King</surname>
<given-names>J. R.</given-names>
</name>
<name>
<surname>Hill</surname>
<given-names>S. J.</given-names>
</name>
</person-group> (<year>2009</year>). <article-title>Modelling the activation of G-protein coupled receptors by a single drug</article-title>. <source>Math. Biosci.</source> <volume>219</volume> (<issue>1</issue>), <fpage>32</fpage>&#x2013;<lpage>55</lpage>. <pub-id pub-id-type="doi">10.1016/j.mbs.2009.02.003</pub-id>
</citation>
</ref>
<ref id="B38">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Ye</surname>
<given-names>L.</given-names>
</name>
<name>
<surname>Van Eps</surname>
<given-names>N.</given-names>
</name>
<name>
<surname>Zimmer</surname>
<given-names>M.</given-names>
</name>
<name>
<surname>Ernst</surname>
<given-names>O. P.</given-names>
</name>
<name>
<surname>Prosser</surname>
<given-names>R. S.</given-names>
</name>
</person-group> (<year>2016</year>). <article-title>Activation of the A2A adenosine G-protein-coupled receptor by conformational selection</article-title>. <source>Nature</source> <volume>533</volume> (<issue>7602</issue>), <fpage>265</fpage>&#x2013;<lpage>268</lpage>. <pub-id pub-id-type="doi">10.1038/nature17668</pub-id>
</citation>
</ref>
<ref id="B39">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Zhang</surname>
<given-names>Y.</given-names>
</name>
<name>
<surname>Yang</surname>
<given-names>F.</given-names>
</name>
<name>
<surname>Ling</surname>
<given-names>S.</given-names>
</name>
<name>
<surname>Lv</surname>
<given-names>P.</given-names>
</name>
<name>
<surname>Zhou</surname>
<given-names>Y.</given-names>
</name>
<name>
<surname>Fang</surname>
<given-names>W.</given-names>
</name>
<etal/>
</person-group> (<year>2020</year>). <article-title>Single-particle cryo-EM structural studies of the &#x3b2;2AR-Gs complex bound with a full agonist formoterol</article-title>. <source>Cell Discov.</source> <volume>6</volume> (<issue>1</issue>), <fpage>45</fpage>. <pub-id pub-id-type="doi">10.1038/s41421-020-0176-9</pub-id>
</citation>
</ref>
</ref-list>
</back>
</article>