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| Title | Structural insights into single-pass transmembrane receptor GC-A activation by distinct antihypertensive antibodies. |
|---|---|
| Journal, issue, pages | Nat Commun, Vol. 17, Issue 1, Year 2026 |
| Publish date | Apr 6, 2026 |
Authors | Shian Liu / Onorina Manzo / Jinan Wang / Lan Zhu / Fu Xiao / Yi-Chen Su / Devanshu Kurre / Wei Liu / Yinglong Miao / Annarita Di Lorenzo / Xin-Yun Huang / ![]() |
| PubMed Abstract | The single-pass transmembrane receptor guanylyl cyclase A (GC-A), also known as natriuretic peptide receptor A (NPR-A) or NPR1, regulates blood pressure through vasodilation and natriuresis, making ...The single-pass transmembrane receptor guanylyl cyclase A (GC-A), also known as natriuretic peptide receptor A (NPR-A) or NPR1, regulates blood pressure through vasodilation and natriuresis, making it a promising therapeutic target for hypertension and heart failure. We describe two monoclonal antibodies, XX16 and REGN5308, that differentially activate GC-A. Using cryo-electron microscopy and molecular dynamics simulations, we reveal that XX16 stabilizes GC-A in an active conformation even without its ligand ANP, whereas REGN5308 requires ANP to fully promote receptor activation. Both antibodies increase ANP binding affinity to GC-A and enhance GC-A-mediated cGMP signaling, although XX16 exerts a stronger stabilizing influence on ATP and GTP binding. In a mouse model of obesity-induced hypertension, XX16 treatment significantly reduces blood pressure, underscoring its therapeutic potential. These findings outline the structural and functional basis of GC-A activation by antibody positive allosteric modulators, offering strategies for durable antihypertensive therapies and improved management of cardiovascular diseases. |
External links | Nat Commun / PubMed:41942428 / PubMed Central |
| Methods | EM (single particle) |
| Resolution | 2.7 - 3.3 Å |
| Structure data | EMDB-47328, PDB-9dzf: EMDB-47329, PDB-9dzg: EMDB-47330, PDB-9dzh: EMDB-47331, PDB-9dzj: EMDB-47332, PDB-9dzk: |
| Chemicals | ![]() ChemComp-CL: ![]() ChemComp-HOH: ![]() ChemComp-NAG: |
| Source |
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Keywords | MEMBRANE PROTEIN / receptor |
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