RT Journal Article T1 Structure‐guided design of G‐Protein‐Coupled receptor polypharmacology A1 Kampen, Stefanie A1 Duy Vo, Duc A1 Zhang, Xiaoqun A1 Panel, Nicolas A1 Yang, Yunting A1 Jaiteh, Mariama A1 Matricon, Pierre A1 Svenningsson, Per A1 Brea Floriani, José Manuel A1 Loza García, María Isabel A1 Kihlberg, Jan A1 Carlsson, Jens K1 Drug design K1 Parkinson’s disease K1 Polypharmacology K1 Receptors K1 Virtual screening AB Many diseases are polygenic and can only be treated efficiently with drugs that modulate multiple targets. However, rational design of compounds with multi-target profiles is rarely pursued because it is considered too difficult, in particular if the drug must enter the central nervous system. Here, a structure-based strategy to identify dual-target ligands of G-protein-coupled receptors is presented. We use this approach to design compounds that both antagonize the A2A adenosine receptor and activate the D2 dopamine receptor, which have excellent potential as antiparkinson drugs. Atomic resolution models of the receptors guided generation of a chemical library with compounds designed to occupy orthosteric and secondary binding pockets in both targets. Structure-based virtual screens identified ten compounds, of which three had affinity for both targets. One of these scaffolds was optimized to nanomolar dual-target activity and showed the predicted pharmacodynamic effect in a rat model of Parkinsonism PB Wiley YR 2021 FD 2021-04-27 LK https://hdl.handle.net/10347/45058 UL https://hdl.handle.net/10347/45058 LA eng NO S. Kampen, D. Duy Vo, X. Zhang, N. Panel, Y. Yang, M. Jaiteh, P. Matricon, P. Svenningsson, J. Brea, M. I. Loza, J. Kihlberg, J. Carlsson, Angew. Chem. Int. Ed. 2021, 60, 18022 NO Swedish Research Council (2017-4676), the Swedish brain foundation (FO2019-0299), Xunta de Galicia (ED431C 2018/21), the Spanish Ministry of Science and Innovation (SAF2017-85225-C3-1-R), and the European Regional Development Fund (ERDF) DS Minerva RD 29 abr 2026