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The conformationally dynamic GPCRs are powerhouses of signal transduction. The physiochemical properties of the binding pockets of these heptahelical receptors, as well as their physiological relevance underscore the need for GPCR ligand screening tools. As presented above, the PRESTO-Tango assay is rapid, sensitive and user-friendly, lending itself to drug development. Not only does this assay measure agonist-induced activation, but it can also be used to quantify the activity of antagonists and allosteric modulators19. In light of functional selectivity, a concept which suggests that different drug structures can elicit different receptor signaling cascades at a single receptor, comparing the activation of the G-protein pathway using G-protein dependent assays with β-arrestin recruitment using PRESTO-Tango could provide cues for the designing lead compounds with reduced negative side effects. Notably, its independence from detecting G-protein coupling helps identify coupling partners for orphan GPCRs that would not be have been previously detected by G-protein dependent assays.
To ensure consistency and robustness of PRESTO-Tango screens, care must be taken in all steps of the protocol, as perturbations introduced will be magnified due to the nature of this platform. Of course, there are general measures common to all HTS screens which should be taken into consideration, such as using reagents of the same lot/formulation to ensure identical stability and biological activity throughout, as well as keeping conditions on the HTS system consistent such as cell seeding density and drug incubation time. The miniaturized format of PRESTO-Tango demands attention to a couple of critical points: variation in cell seeding density and their homogeneous distribution (clumping versus single cell suspension) between wells, low transfection efficiency, and poor compound stimulation and delivery will prevent day-to-day and plate-to-plate reproducibility. To that effect, triturate the HTLA cell suspension to homogenize the solution before seeding and ensure a 50–70% cell confluency before transfection. The vehicle for the delivery of the compounds should be verified, with dimethyl sulfoxide being the most common carrier. Typically, the highest concentration of our dose curves is 10 μM, but this may change depending on the nature and potency of the compound; it is important to test various concentrations to deduce cellular tolerance and toxicity.
Given that some GPCRs have high constitutive activity, one issue that may arise during screening is a reduced dynamic range and a background signal that is higher than expected. This can be somewhat mitigated by ensuring that serum starvation is being performed with DMEM medium supplemented with 1% dFBS. It should be taken into consideration that if the luminescence output is high enough, there can still be bleed-through into adjacent wells, which may result in erroneously calculated fold changes. Undetectable or low signals (assuming a response is expected) can be explained in a number of ways, namely poor expression of GPCR(s) in HTLA cells, the biological activity of the compound is lost rendering it inefficacious, or the receptor(s) in question do not intrinsically recruit β-arrestin2. Respectively, assessing the quantity and quality of transfected plasmid receptor DNA, testing other preparations/lots of the inefficacious compound in question, and performing orthologous protein-protein interaction techniques such as BRET/FRET or co-immunoprecipitation are some suggested solutions to this problem. In addition, receptor expression could also be improved by subcloning Tango receptor(s) of interest into lentiviral vectors and transducing HTLA cells, generating a HTLA-GPCR stable cell line. A shift in the expected potency of an agonist during secondary screening could imply that the drug stimulation time and/or concentration of compound needed to stimulate a response is insufficient, or that the drug plate serial dilutions were incorrectly prepared. Use of an electronic multichannel pipette or an automated pipettor system without changing tips in between when creating drug serial dilutions could be an issue when working with sticky compounds.
Notable differences between the original Tango assay developed by Barnea et al.18 and the PRESTO-Tango platform include the design of the receptor in a modular format, consisting of codon-optimized sequences, which improves receptor expression in mammalian cells, epitope tags to validate said expression, and restriction sites which flank GPCRs, V2 tail and TEVcs-tTA, enabling for excision of parts and subcloning. Most importantly, PRESTO-Tango surpasses the Tango assay in terms of screening power and experimental design. Quadruplicate sample testing of approximately 300 GPCRs is accomplished in only 8 384-well plates, while accounting for negative background controls and positive controls to monitor transfection efficiency. While PRESTO-Tango is suitable for screening the GPCR-ome with only one compound of interest, interrogation with multiple ligands can also be performed, albeit at increased cost and use of resources, such as with pooled or arrayed small molecule compound libraries or biological samples which consist of mixtures of various chemical entities. Granted, this issue can be mitigated by reducing the number of compounds to interrogate by performing chemical similarity and diversity analyses of the compound libraries in question. While the PRESTO-Tango platform is more applicable for primary screening purposes, secondary profiling can be performed at a smaller scale, in medium or low-throughput formats, to confirm the functional consequences of ligand stimulation. However, as with all other GPCR assays, it must be acknowledged that there are no suitable positive controls for orphan receptors during secondary screening with the Tango assay. Nonetheless, potential positive hits can be identified if the output data can be fitted to a sigmoidal dose-response curve, with a computed signal window and EC50 value. It is also important to note that the mechanism of ligand activity, be it for orphan or non-orphan receptors, cannot be elucidated without running parallel assays.
With all components of PRESTO-Tango already optimized, including HTLA cell line and GPCR Tango constructs, little room for modification is required apart from choice of compound formulation(s) to be used for drug stimulation. If desired, an HTLA cell line stably expressing a receptor can be easily generated by cloning said GPCR-Tango receptor within the recommended pIRESbleo3 vector (Clonetech), and selecting clones using zeocin. With regard to the swap from pcDNA3.1 to pIRESbleo3, simply digest the GPCR Tango construct with NotI and XbaI and insert into the destination vector at restriction sites NotI and NheI. Notwithstanding, there are avenues for adapting and optimizing this technology. One of the pillars of this technology are HTLA cells, a HEK293T cell line stably expressing a β-arrestin2-TEV fusion gene and a tTA-dependent luciferase reporter, graciously supplied from the lab of Richard Axel. While a crucial component of PRESTO-Tango, there are currently no other alternatives in terms of cell line origin, or the genes they express. Moreover, future engineered cell lines can be generated to express other TEV fusion genes to track other proteins besides β-arrestin2, specifically those that have been previously shown to interact or found in residence to GPCRs, such as 14-3-322, SAP9723, and β-arrestin1, which is the more prevalent isoform of non-visual arrestins in vertebrates24. This can be achieved by using the parental HTL cells that solely contained the luciferase reporter controlled by the tetO7 promoter. One limitation to PRESTO-Tango is non-specific activation of the reporter promoter. Based on a tetracycline-dependent regulatory system (tet system), the tetracycline-responsive element (TRE) controls expression of the downstream luciferase reporter. However, previous studies have demonstrated "leaky" expression of luciferase due to endogenous transcription factors25,26. As a result, some compounds could activate the reporter independently of the β-arrestin2 recruitment or GPCR activation, increasing the number of false positives. Another issue that emerges, also common to other HTS methods, are "frequent hitters", promiscuous compounds that stimulate substantial responses in several targets27. Nonetheless, the PRESTO-Tango's parallel screening set-up facilitates identification of these artifacts, which can be further tested to confirm their effect on luciferase activity. Altogether, PRESTO-Tango has provided solid foundations for the study of arrestin recruitment to GPCRs, and in the larger scheme of drug discovery, as a utile GPCR ligand screening and deorphanization tool.