Review
RAMPs: the past, present and future

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The discovery of receptor-activity-modifying proteins (RAMPs) as accessory proteins required for the appropriate localization and function of certain G-protein coupled receptors (GPCRs) produced a paradigm shift in our understanding of GPCR regulation. Three RAMPs have now been demonstrated to be crucial for various aspects of the life cycle of calcitonin-like receptor (CLR) including endoplasmic reticulum-to-Golgi translocation, internalization and recycling. Although the RAMP–CLR interaction was the first to be identified, other GPCRs belonging to both the class B and C families of GPCRs also seem to be regulated by RAMPs. The recent advances in our knowledge of the cellular and biochemical regulation of RAMPs and how they in turn regulate the life cycle of GPCRs could lead to therapeutic advances in several diseases.

Section snippets

The discovery of RAMPs

The reception and transmission of information between cells is one of the most fundamental of all physiological processes. The seven-transmembrane (7-TM) G-protein coupled receptors (GPCRs) constitute the largest family of cell-surface receptors and, notably, ∼40% of therapeutic drug targets are directed towards these receptors. At present, ∼950 genes that encode for GPCRs have been identified in the human genome. Therefore, it is not surprising that understanding the cellular expression and

Expression and distribution of RAMPs

RAMPs are ubiquitous, although the abundance of each individual isoform depends on the tissue type (Table 1). In addition, RAMP isoform expression usually correlates with the response of a given cell type to CGRP, AM or both. For example, in aortic endothelial cells, expression of RAMP2 but not RAMP1 has been reported. These cells selectively respond to AM and not to CGRP [18]. In some cells such as SKNMC, although both RAMP1 and RAMP2 are present, the cells respond to only CGRP [19]. It is not

Molecular mechanisms of RAMP–receptor interactions

From a variety of biochemical and confocal microscopy approaches, it is now clear that RAMPs and the CLR interact at the endoplasmic reticulum (ER) or Golgi and remain partners throughout the life cycle of the receptor 35, 36, 37. Recent studies have also suggested that structural elements in the N terminus of CLR (amino acids 23–60) are required for CLR–RAMP1 transport to the cell surface [38]. In addition, the amino acid sequence The-Arg-Asn-Lys-Ile-Met-Thr in the N terminus of mouse CLR was

Role of extracellular and transmembrane domains of RAMPs

In an effort to identify the domains responsible for agonist-binding specificity in RAMP1, the behavior of various deletion mutants of the extracellular domain have been examined [42]. Deletion of amino acid residues 91–94, 96–100 or 101–103 abolishes binding to, and the cAMP stimulation by, CGRP or AM. Deletion of residues 78–80 or 88–90 decreases only the AM-induced cAMP response. Using chimeras of the extracellular domains of RAMP1, and transmembrane and intracellular domains of

Role of the RAMP C terminus

The roles of the intracellular tails of the RAMPs have traditionally received less attention than those of the extracellular and intramembrane domains. However, new data indicate that these short domains are important determinants of function: deletion of the C-terminal tail of RAMP3 significantly enhances AM-induced internalization of the receptor complex without affecting the cell-surface targeting of the receptor, AM binding or AM signaling [53]. The cytoplasmic tails of the RAMPs contain

Interaction of RAMPs with class B GPCRs

Although initially thought to be important only in the case of CLR, subsequent studies have shown that CTR could also dimerize with RAMPs. However, this interaction changed the ligand selectivity of CTR from CT to AMY [65]. The binding of CT to the CTR and signaling does not require RAMPs, whereas AMY binding and signaling requires dimerization with RAMPs. Recent studies have shown that, in addition to CLR and CTR, other receptors in the class B of GPCRs (Box 1) can also interact with RAMPs. In

Interaction of RAMPs with class C GPCRs

Until now, RAMPs were primarily associated with the regulation of class B GPCRs. However, a recent study has demonstrated that GPCRs belonging to the class C family can also be regulated by RAMPs: a recombinant calcium-sensing receptor (CaSR) expressed in COS7 cells does not translocate to the membrane unless RAMP1 or RAMP3, but not RAMP2, is co-expressed [67] – a paradigm that is similar to that of CLR. RAMPs also facilitate the trafficking of CaSR from the ER to the Golgi in addition to

Concluding remarks and future perspectives

Although heterodimerization of GPCRs is now a well-accepted phenomenon, the regulation of receptor signaling has become more complicated because of the diversity in ligand binding and signaling pathways that the various combinations of heterodimers can evoke. This is especially true for CGRP and AM binding to CLR. Because AM and CGRP receptors are potential therapeutic targets for several diseases such as migraine, hypertension, pulmonary hypertension and sepsis, understanding how ligand

Acknowledgements

We acknowledge the American Heart Association (Grant # 0255636N) for support.

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