A R T I C L E S
Hassan and Koh
(80-fold less potent) in cellular transcription assays indicating
that the transduction mechanism is specifically impaired.16
diseases,21-24 we have developed thyroid hormone receptor
analogues that complement mutant forms of TRâ associated with
the genetic disease RTH (resistance to thyroid hormone). RTH
is characterized by a hyposensitivity to thyroid hormone
triiodothyronine (T3) in peripheral tissues. The vast majority
of RTH-associated mutations show dominant-negative inherit-
ance indicating that the presence of one mutant copy of the
receptor is able to compete with, and directly interfere with,
the function of wild-type copies of the receptor through the
formation of inactive receptor dimers.8,25 The dominant negative
activity of RTH-associated TR mutants implies that these
receptors have a relatively stable structure that can bind DNA
and form receptor dimers but are functionally impaired in their
ability to bind ligand and recruit coactivators.
Surprisingly, many TRâ mutants associated with RTH are
only mildly less responsive to T3 than wild-type TRâ (TRâ-
(wt)). For example, some of the most common RTH-associated
mutants, TRâ(R320C), TRâ(R320H), and TRâ(M310T), under
investigation in our laboratory show less than a 10-fold reduction
in responsiveness to T3 compared to wild-type, TRâ(wt).21,22,26
Evidently, even relatively modest changes in hormone respon-
siveness are sufficient to upset the normal balance of peripheral
tissue responsiveness and hormone synthesis needed to cause
RTH.
In general, nuclear receptors appear to accommodate a wide
range of mutations without gross impairment of receptor
function. Even when ligand potency is significantly reduced by
receptor mutations, ligands often show full efficacy though at
higher ligand concentrations.27 Similarly, NHRs can often
accommodate a range of ligand structures that would initially
appear to cause steric clashes with receptor side chains.28,29 In
contrast, some RTH-associated mutations are known to have
dramatic effects on receptor function. Mutations to His435,
His435fTyr, His435fLeu, and His435fGln have been shown
to have large effects on hormone responsiveness and have been
identified in RTH patients as well as in TSH secreting pituitary
adenoma (TSHoma) tumors.30,31 TRâ(H435Y) has a strongly
refractory response to T3 and is 230-times less responsive
toward T3 than TRâ(wt). TRâ(H435L) is completely devoid
of cellular activity within experimentally accessible concentra-
tions of T3.30 Examination of the T3-TRâ(wt) cocrystal
structure32 does not suggest any obvious structural perturbations
associated with these mutations. Rather, mutations to His435,
a part of TR’s His-Phe switch, may disrupt the normal molecular
transduction of the ligand-binding signal to helix-12. Similar
Several groups have developed analogue-selective forms of
hormone receptors as ligand-inducible regulators of gene
expression by screening ligand libraries to match mutant
receptors or by applying selection/directed evolution methods
to identify receptors that respond to otherwise inactive ligand
analogues.2,4,5,18,19 One of the challenges associated with
generating orthogonal ligand-receptor pairs from NHRs is
finding mutations that efficiently prevent activation by the
endogenous hormone without otherwise compromising the
receptor’s structure or intrinsic ability to activate gene transcrip-
tion. A few groups have used genetic selections in yeast to
identify mutant receptors that selectively respond to synthetic
ligands; however, the ligand’s selectivity for the mutant versus
the wild-type receptor can change substantially when these
ligand-receptor pairs are transferred to mammalian cell lines.1,4,5
In some cases, receptors selected for their ability to respond to
synthetic ligands may also retain significant activity for their
natural ligands.4
For consideration as artificial transcriptional regulators,
engineered receptors should not be responsive to physiological
concentrations of the natural hormone but respond to concentra-
tions of a synthetic ligand analogue that do not activate wild-
type (or other endogenous) receptors. We have termed ligand-
receptor pairs that match this practical definition for functioning
independent of the endogenous hormone-receptor pair as
“functionally orthogonal.”2,20 Though of potential academic
interest, the change in the receptor’s selectivity for the synthetic
versus natural ligand (i.e., the receptor’s “ligand selectivity”)
will have little practical importance if the concentrations of
synthetic ligand needed to activate the engineered receptors also
activate endogenous receptors. Provided that a modified receptor
is no longer responsive to endogenous concentrations of the
natural ligand, the synthetic ligand’s receptor selectivity, defined
as EC50(mutant)/EC50(wt) for a given ligand, represents a
practical measurement of selectivity of a system. By this
criterion ligand-receptor pairs developed by directed evolution
strategies do not show better receptor selectivity than the best
systems developed by rational design.2 This suggests that
judicious choice of the site of receptor modification is necessary
for any ligand-receptor engineering strategy.
As part of our program to generate small molecules that
rescue function to mutant NHRs associated with human genetic
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