Heterobivalent Ligand for the Adenosine A(2A)-Dopamine D(2) Receptor Heteromer.

A G protein-coupled receptor heteromer that fulfills the established criteria for its existence in vivo is the complex between adenosine A(2A) (A(2A)R) and dopamine D(2) (D(2)R) receptors. Here, we have designed and synthesized heterobivalent ligands for the A(2A)R-D(2)R heteromer with various spacer lengths. The indispensable simultaneous binding of these ligands to the two different orthosteric sites of the heteromer has been evaluated by radioligand competition-binding assays in the absence and presence of specific peptides that disrupt the formation of the heteromer, label-free dynamic mass redistribution assays in living cells, and molecular dynamic simulations. This combination of techniques has permitted us to identify compound 26 [K(DB1) (A(2A)R) = 2.1 nM, K(DB1) (D(2)R) = 0.13 nM], with a spacer length of 43-atoms, as a true bivalent ligand that simultaneously binds to the two different orthosteric sites. Moreover, bioluminescence resonance energy transfer experiments indicate that 26 favors the stabilization of the A(2A)R-D(2)R heteromer.