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TitleMetabolite-gated vascular contractility switch: OXGR1 activation mechanism enables agonist therapy for rosacea erythema.
Journal, issue, pagesCell, Year 2026
Publish dateMar 5, 2026
AuthorsWenqin Xiao / Yan Zhu / Xinjie Tang / Kongkai Zhu / Weifeng Zhang / Mengting Chen / Kui Cai / San Xu / Zheng Wu / Mei Wang / Jiayi Liu / Linglong Long / Zixin Tan / Aike Wu / Songqi Zhou / Zhixiang Zhao / Yan Tang / Yingxue Huang / Ben Wang / Fangfen Liu / Qian Wang / Fan Yang / Dan Jian / Wei Shi / Hongfu Xie / Xiang Chen / Lulu Guo / Zhili Deng / Jinpeng Sun / Ji Li /
PubMed AbstractRosacea, an inflammatory skin disorder, poses a dilemma owing to limited effectiveness of treatments for pathological vasodilation-mediated erythema. Here, we identify oxoglutaric acid (α-KG) as a ...Rosacea, an inflammatory skin disorder, poses a dilemma owing to limited effectiveness of treatments for pathological vasodilation-mediated erythema. Here, we identify oxoglutaric acid (α-KG) as a rosacea-associated metabolite elevated in patients and correlated with erythema severity. Exogenous α-KG administration ameliorates rosacea-like manifestations in murine models. Mechanistically, α-KG activates OXGR1, a vascular smooth muscle cell (VSMC)-enriched G protein-coupled receptor (GPCR) to induce Gq signaling and enhance MYL9 phosphorylation, promoting VSMC contraction and limiting vasodilation. Cryo-electron microscopy (cryo-EM) structures of OXGR1-Gq complexes bound to α-KG or itaconate reveal a specific bipartite-acid pocket recognizing its endogenous agonist and an activation mechanism distinct from classical GPCRs. Building on these structures, we developed A-1, a synthetic selective OXGR1 agonist that mitigates erythema and inflammation with efficacy comparable to first-line therapy while offering enhanced safety in rosacea-like models. These findings link a metabolite to vascular dysfunction and nominate OXGR1 agonism for precision treatment of erythema and vascular disorders.
External linksCell / PubMed:41791372
MethodsEM (single particle)
Resolution2.4 - 2.7 Å
Structure data

EMDB-65192, PDB-9vmn:
Cryo-EM structure of the a-KG-OXGR1-Gq complex
Method: EM (single particle) / Resolution: 2.6 Å

EMDB-65193, PDB-9vmo:
Cryo-EM structure of the ITA-OXGR1-Gq complex
Method: EM (single particle) / Resolution: 2.4 Å

EMDB-65194, PDB-9vmp:
Cryo-EM structure of the A-1-OXGR1-Gq complex
Method: EM (single particle) / Resolution: 2.5 Å

EMDB-65222, PDB-9vo2:
Cryo-EM structure of the OXGR1(CA)-Gq complex
Method: EM (single particle) / Resolution: 2.7 Å

Chemicals

ChemComp-AKG:
2-OXOGLUTARIC ACID

ChemComp-ITN:
2-methylidenebutanedioic acid

PDB-1e2r:
CYTOCHROME CD1 NITRITE REDUCTASE, REDUCED AND CYANIDE BOUND

Source
  • homo sapiens (human)
  • synthetic construct (others)
KeywordsMEMBRANE PROTEIN/IMMUNE SYSTEM / OXGR1 / Gq / a-KG / MEMBRANE PROTEIN / MEMBRANE PROTEIN-IMMUNE SYSTEM complex / ITA / A-1 / constitutive active

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