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<article article-type="research-article" xml:lang="en" dtd-version="1.4"><front><journal-meta><journal-id journal-id-type="nlm-ta">BMC Biol</journal-id><journal-id journal-id-type="iso-abbrev">BMC Biol</journal-id><journal-id journal-id-type="pmc-domain-id">215</journal-id><journal-id journal-id-type="pmc-domain">bmcbiology</journal-id><journal-id journal-id-type="nlm-id">101190720</journal-id><journal-title-group><journal-title>BMC Biology</journal-title></journal-title-group><issn pub-type="epub">1741-7007</issn><?publisher_abbrev csg?><publisher><publisher-name>BMC</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="pmcid">PMC6979073</article-id><article-id pub-id-type="pmcid-ver">PMC6979073.1</article-id><article-id pub-id-type="pmcaid">6979073</article-id><article-id pub-id-type="pmcaiid">6979073</article-id><article-id pub-id-type="pmid">31973708</article-id><article-id pub-id-type="doi">10.1186/s12915-020-0739-0</article-id><article-id pub-id-type="publisher-id">739</article-id><article-version article-version-type="pmc-version">1</article-version><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group></article-categories><title-group><article-title>Control of glutamate release by complexes of adenosine and cannabinoid receptors</article-title></title-group><contrib-group><contrib contrib-type="author" equal-contrib="yes"><name name-style="western"><surname>Köfalvi</surname><given-names initials="A">Attila</given-names></name><xref ref-type="aff" rid="Aff1">1</xref></contrib><contrib contrib-type="author" equal-contrib="yes"><name name-style="western"><surname>Moreno</surname><given-names initials="E">Estefanía</given-names></name><xref ref-type="aff" rid="Aff2">2</xref></contrib><contrib contrib-type="author" equal-contrib="yes"><name name-style="western"><surname>Cordomí</surname><given-names initials="A">Arnau</given-names></name><xref ref-type="aff" rid="Aff3">3</xref></contrib><contrib contrib-type="author"><name name-style="western"><surname>Cai</surname><given-names initials="NS">Ning-Sheng</given-names></name><xref ref-type="aff" rid="Aff4">4</xref></contrib><contrib contrib-type="author"><name name-style="western"><surname>Fernández-Dueñas</surname><given-names initials="V">Victor</given-names></name><xref ref-type="aff" rid="Aff5">5</xref><xref ref-type="aff" rid="Aff6">6</xref></contrib><contrib contrib-type="author"><name name-style="western"><surname>Ferreira</surname><given-names initials="SG">Samira G.</given-names></name><xref ref-type="aff" rid="Aff1">1</xref></contrib><contrib contrib-type="author"><name name-style="western"><surname>Guixà-González</surname><given-names initials="R">Ramón</given-names></name><xref ref-type="aff" rid="Aff3">3</xref></contrib><contrib contrib-type="author"><name name-style="western"><surname>Sánchez-Soto</surname><given-names initials="M">Marta</given-names></name><xref ref-type="aff" rid="Aff4">4</xref></contrib><contrib contrib-type="author"><name name-style="western"><surname>Yano</surname><given-names initials="H">Hideaki</given-names></name><xref ref-type="aff" rid="Aff4">4</xref></contrib><contrib contrib-type="author"><name name-style="western"><surname>Casadó-Anguera</surname><given-names initials="V">Verònica</given-names></name><xref ref-type="aff" rid="Aff2">2</xref></contrib><contrib contrib-type="author"><name name-style="western"><surname>Cunha</surname><given-names initials="RA">Rodrigo A.</given-names></name><xref ref-type="aff" rid="Aff1">1</xref><xref ref-type="aff" rid="Aff7">7</xref></contrib><contrib contrib-type="author"><name name-style="western"><surname>Sebastião</surname><given-names initials="AM">Ana Maria</given-names></name><xref ref-type="aff" rid="Aff8">8</xref><xref ref-type="aff" rid="Aff9">9</xref></contrib><contrib contrib-type="author" corresp="yes"><name name-style="western"><surname>Ciruela</surname><given-names initials="F">Francisco</given-names></name><address><email>Fciruela@ub.edu</email></address><xref ref-type="aff" rid="Aff5">5</xref><xref ref-type="aff" rid="Aff6">6</xref></contrib><contrib contrib-type="author" corresp="yes"><name name-style="western"><surname>Pardo</surname><given-names initials="L">Leonardo</given-names></name><address><email>Leonardo.Pardo@uab.es</email></address><xref ref-type="aff" rid="Aff3">3</xref></contrib><contrib contrib-type="author" corresp="yes"><name name-style="western"><surname>Casadó</surname><given-names initials="V">Vicent</given-names></name><address><email>vcasado@ub.edu</email></address><xref ref-type="aff" rid="Aff2">2</xref></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid" authenticated="false">http://orcid.org/0000-0002-1747-1779</contrib-id><name name-style="western"><surname>Ferré</surname><given-names initials="S">Sergi</given-names></name><address><email>sferre@intra.nida.nih.gov</email></address><xref ref-type="aff" rid="Aff4">4</xref></contrib><aff id="Aff1"><label>1</label><institution-wrap><institution-id institution-id-type="ISNI">0000 0000 9511 4342</institution-id><institution-id institution-id-type="GRID">grid.8051.c</institution-id><institution>CNC-Center for Neuroscience and Cell Biology, </institution><institution>University of Coimbra, </institution></institution-wrap>3004-504 Coimbra, Portugal </aff><aff id="Aff2"><label>2</label><institution-wrap><institution-id institution-id-type="ISNI">0000 0004 1937 0247</institution-id><institution-id institution-id-type="GRID">grid.5841.8</institution-id><institution>Department of Biochemistry and Molecular Biomedicine, Faculty of Biology, and Institute of Biomedicine, </institution><institution>University of Barcelona, </institution></institution-wrap>08028 Barcelona, Spain </aff><aff id="Aff3"><label>3</label><institution-wrap><institution-id institution-id-type="GRID">grid.7080.f</institution-id><institution>Laboratori de Medicina Computacional, Unitat de Bioestadística, Facultat de Medicina, </institution><institution>Universitat Autònoma de Barcelona, </institution></institution-wrap>08193 Bellaterra, Spain </aff><aff id="Aff4"><label>4</label><institution-wrap><institution-id institution-id-type="ISNI">0000 0004 1936 8075</institution-id><institution-id institution-id-type="GRID">grid.48336.3a</institution-id><institution>Integrative Neurobiology Section, National Institute on Drug Abuse, Intramural Research Program, </institution><institution>National Institutes of Health, </institution></institution-wrap>Baltimore, MD 21224 USA </aff><aff id="Aff5"><label>5</label><institution-wrap><institution-id institution-id-type="ISNI">0000 0004 1937 0247</institution-id><institution-id institution-id-type="GRID">grid.5841.8</institution-id><institution>Unitat de Farmacologia, Departament Patologia i Terapèutica Experimental, Facultat de Medicina, IDIBELL, </institution><institution>Universitat de Barcelona, </institution></institution-wrap>L’Hospitalet de Llobregat, Spain </aff><aff id="Aff6"><label>6</label><institution-wrap><institution-id institution-id-type="ISNI">0000 0004 1937 0247</institution-id><institution-id institution-id-type="GRID">grid.5841.8</institution-id><institution>Institut de Neurociències, </institution><institution>Universitat de Barcelona, </institution></institution-wrap>Barcelona, Spain </aff><aff id="Aff7"><label>7</label><institution-wrap><institution-id institution-id-type="ISNI">0000 0000 9511 4342</institution-id><institution-id institution-id-type="GRID">grid.8051.c</institution-id><institution>Faculty of Medicine, </institution><institution>University of Coimbra, </institution></institution-wrap>Coimbra, Portugal </aff><aff id="Aff8"><label>8</label><institution-wrap><institution-id institution-id-type="ISNI">0000 0001 2181 4263</institution-id><institution-id institution-id-type="GRID">grid.9983.b</institution-id><institution>Instituto de Farmacologia e Neurociências, Faculdade de Medicina, </institution><institution>Universidade de Lisboa, </institution></institution-wrap>Lisbon, Portugal </aff><aff id="Aff9"><label>9</label><institution-wrap><institution-id institution-id-type="ISNI">0000 0001 2181 4263</institution-id><institution-id institution-id-type="GRID">grid.9983.b</institution-id><institution>Instituto de Medicina Molecular, Faculdade de Medicina, </institution><institution>Universidade de Lisboa, </institution></institution-wrap>Lisbon, Portugal </aff></contrib-group><pub-date pub-type="epub"><day>23</day><month>1</month><year>2020</year></pub-date><pub-date pub-type="collection"><year>2020</year></pub-date><volume>18</volume><issue-id pub-id-type="pmc-issue-id">348844</issue-id><elocation-id>9</elocation-id><history><date date-type="received"><day>10</day><month>10</month><year>2019</year></date><date date-type="accepted"><day>13</day><month>1</month><year>2020</year></date></history><pub-history><event event-type="pmc-release"><date><day>23</day><month>01</month><year>2020</year></date></event><event event-type="pmc-live"><date><day>29</day><month>01</month><year>2020</year></date></event><event event-type="pmc-last-change"><date iso-8601-date="2024-11-01 13:25:15.797"><day>01</day><month>11</month><year>2024</year></date></event></pub-history><permissions><copyright-statement>© The Author(s). 2020</copyright-statement><license license-type="OpenAccess"><ali:license_ref xmlns:ali="http://www.niso.org/schemas/ali/1.0/" specific-use="textmining" content-type="ccbylicense">https://creativecommons.org/licenses/by/4.0/</ali:license_ref><license-p><bold>Open Access</bold>This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (<ext-link xmlns:xlink="http://www.w3.org/1999/xlink" ext-link-type="uri" xlink:href="http://creativecommons.org/licenses/by/4.0/">http://creativecommons.org/licenses/by/4.0/</ext-link>), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (<ext-link xmlns:xlink="http://www.w3.org/1999/xlink" ext-link-type="uri" xlink:href="http://creativecommons.org/publicdomain/zero/1.0/">http://creativecommons.org/publicdomain/zero/1.0/</ext-link>) applies to the data made available in this article, unless otherwise stated.</license-p></license></permissions><self-uri xmlns:xlink="http://www.w3.org/1999/xlink" content-type="pmc-pdf" xlink:href="12915_2020_Article_739.pdf"><?pdf-name 12915_2020_Article_739.pdf?><?pdf-size 4286586?><?pdf-md5 071a76964e2336548aefc21a69f12ca8?><?pdf-image-server-status NEVER_LOAD?><?pdf-cloudpmc-urn urn:app:00b9/6979073/071a76964e23/12915_2020_Article_739.pdf?></self-uri><abstract id="Abs1"><sec><title>Background</title><p id="Par1">It has been hypothesized that heteromers of adenosine A<sub>2A</sub> receptors (A2AR) and cannabinoid CB<sub>1</sub> receptors (CB1R) localized in glutamatergic nerve terminals mediate the integration of adenosine and endocannabinoid signaling involved in the modulation of striatal excitatory neurotransmission. Previous studies have demonstrated the existence of A2AR-CB1R heteromers in artificial cell systems. A dependence of A2AR signaling for the Gi protein-mediated CB1R signaling was described as one of its main biochemical characteristics. However, recent studies have questioned the localization of functionally significant A2AR-CB1R heteromers in striatal glutamatergic terminals.</p></sec><sec><title>Results</title><p id="Par2">Using a peptide-interfering approach combined with biophysical and biochemical techniques in mammalian transfected cells and computational modeling, we could establish a tetrameric quaternary structure of the A2AR-CB1R heterotetramer. This quaternary structure was different to the also tetrameric structure of heteromers of A2AR with adenosine A<sub>1</sub> receptors or dopamine D<sub>2</sub> receptors, with different heteromeric or homomeric interfaces. The specific quaternary structure of the A2A-CB1R, which depended on intermolecular interactions involving the long C-terminus of the A2AR, determined a significant A2AR and Gs protein-mediated constitutive activation of adenylyl cyclase. Using heteromer-interfering peptides in experiments with striatal glutamatergic terminals, we could then demonstrate the presence of functionally significant A2AR-CB1R heteromers with the same biochemical characteristics of those studied in mammalian transfected cells. First, either an A2AR agonist or an A2AR antagonist allosterically counteracted Gi-mediated CB1R agonist-induced inhibition of depolarization-induced glutamate release. Second, co-application of both an A2AR agonist and an antagonist cancelled each other effects. Finally, a CB1R agonist inhibited glutamate release dependent on a constitutive activation of A2AR by a canonical Gs-Gi antagonistic interaction at the adenylyl cyclase level.</p></sec><sec><title>Conclusions</title><p id="Par3">We demonstrate that the well-established cannabinoid-induced inhibition of striatal glutamate release can mostly be explained by a CB1R-mediated counteraction of the A2AR-mediated constitutive activation of adenylyl cyclase in the A2AR-CB1R heteromer.</p></sec></abstract><kwd-group xml:lang="en"><title>Keywords</title><kwd>Adenosine A<sub>2A</sub> receptor</kwd><kwd>Cannabinoid CB<sub>1</sub> receptor</kwd><kwd>GPCR heteromers</kwd><kwd>Adenylyl cyclase</kwd><kwd>Glutamate transmission</kwd><kwd>Striatum</kwd></kwd-group><funding-group><award-group><funding-source><institution-wrap><institution-id institution-id-type="FundRef">http://dx.doi.org/10.13039/100000026</institution-id><institution>National Institute on Drug Abuse</institution></institution-wrap></funding-source><award-id>Intramural funds</award-id></award-group></funding-group><funding-group><award-group><funding-source><institution>Dirección General de Universidades e Investigación (ES)</institution></funding-source><award-id>SAF2015-74627-JIN, SAF2016-77830-R, SAF2017-87349-R</award-id><principal-award-recipient><name name-style="western"><surname>Casadó</surname><given-names>Vicent</given-names></name></principal-award-recipient></award-group></funding-group><funding-group><award-group><funding-source><institution>Fundação para a Ciência e a Tecnologia</institution></funding-source><award-id>PTDC/DTP-FTO/3346/2014 and PTDC/MED-NEU/31274/2017</award-id><principal-award-recipient><name name-style="western"><surname>Köfalvi</surname><given-names>Attila</given-names></name></principal-award-recipient></award-group></funding-group><funding-group><award-group><funding-source><institution>Catalan Government</institution></funding-source><award-id>2017 SGR 1604</award-id><principal-award-recipient><name name-style="western"><surname>Casadó</surname><given-names>Vicent</given-names></name></principal-award-recipient></award-group></funding-group><custom-meta-group><custom-meta><meta-name>pmc-status-qastatus</meta-name><meta-value>0</meta-value></custom-meta><custom-meta><meta-name>pmc-status-live</meta-name><meta-value>yes</meta-value></custom-meta><custom-meta><meta-name>pmc-status-embargo</meta-name><meta-value>no</meta-value></custom-meta><custom-meta><meta-name>pmc-status-released</meta-name><meta-value>yes</meta-value></custom-meta><custom-meta><meta-name>pmc-prop-open-access</meta-name><meta-value>yes</meta-value></custom-meta><custom-meta><meta-name>pmc-prop-olf</meta-name><meta-value>no</meta-value></custom-meta><custom-meta><meta-name>pmc-prop-manuscript</meta-name><meta-value>no</meta-value></custom-meta><custom-meta><meta-name>pmc-prop-legally-suppressed</meta-name><meta-value>no</meta-value></custom-meta><custom-meta><meta-name>pmc-prop-has-pdf</meta-name><meta-value>yes</meta-value></custom-meta><custom-meta><meta-name>pmc-prop-has-supplement</meta-name><meta-value>yes</meta-value></custom-meta><custom-meta><meta-name>pmc-prop-pdf-only</meta-name><meta-value>no</meta-value></custom-meta><custom-meta><meta-name>pmc-prop-suppress-copyright</meta-name><meta-value>no</meta-value></custom-meta><custom-meta><meta-name>pmc-prop-is-real-version</meta-name><meta-value>no</meta-value></custom-meta><custom-meta><meta-name>pmc-prop-is-scanned-article</meta-name><meta-value>no</meta-value></custom-meta><custom-meta><meta-name>pmc-prop-preprint</meta-name><meta-value>no</meta-value></custom-meta><custom-meta><meta-name>pmc-prop-in-epmc</meta-name><meta-value>yes</meta-value></custom-meta><custom-meta><meta-name>pmc-license-ref</meta-name><meta-value>CC BY</meta-value></custom-meta><custom-meta><meta-name>issue-copyright-statement</meta-name><meta-value>© The Author(s) 2020</meta-value></custom-meta></custom-meta-group></article-meta></front><body><sec id="Sec1"><title>Background</title><p id="Par4">Adenosine and endocannabinoids, such as anandamide and 2-arachidonylglycerol (2-AG), are very ubiquitous non-classical neurotransmitters that modulate the transmission ensured by other more classical neurotransmitters. In the striatum, the modulatory role of adenosine and endocannabinoids converge in excitatory synapses, where their signaling is integrated by G protein-coupled receptors (GPCRs) localized in glutamatergic nerve terminals [<xref ref-type="bibr" rid="CR1">1</xref>]. Adenosine is produced from the conversion of ATP (by ectonucleotidases) that is co-released with glutamate from the nerve terminals and from astrocytes [<xref ref-type="bibr" rid="CR1">1</xref>, <xref ref-type="bibr" rid="CR2">2</xref>]. Adenosine can then bind and activate adenosine receptors of the A<sub>1</sub> or A<sub>2A</sub> subtype (A1R or A2AR, respectively) localized presynaptically, promoting inhibition or facilitation of glutamate release, respectively [<xref ref-type="bibr" rid="CR1">1</xref>–<xref ref-type="bibr" rid="CR3">3</xref>]. On the other hand, endocannabinoids are produced “on demand” from endocannabinoid precursors by the action of enzymes localized in the postsynaptic plasma membrane [<xref ref-type="bibr" rid="CR4">4</xref>]. One of the best studied functions of endocannabinoids is “retrograde signaling” with stimulation of presynaptic cannabinoid CB<sub>1</sub> receptors (CB1R) and the consequent inhibition of neurotransmitter release [<xref ref-type="bibr" rid="CR4">4</xref>].</p><p id="Par5">We have previously hypothesized that adenosine and endocannabinoids exert a fine-tune modulation of striatal glutamate release from striatal glutamatergic terminals, by which low adenosine plus high endocannabinoid tone would produce the weakest, while high adenosine plus low endocannabinoid tone would produce the strongest glutamate release [<xref ref-type="bibr" rid="CR1">1</xref>]. We also hypothesized that this fine-tune modulation depends, not only on the adenosine and endocannabinoid tone, but on the ability of specific subtypes of adenosine and cannabinoid receptors to form heteromers, mainly A1R-A2AR and A2AR-CB1R heteromers, and on their unique biochemical properties (reviewed in [<xref ref-type="bibr" rid="CR1">1</xref>]). A1R-A2AR heteromers have been characterized both functionally and structurally, but some inconsistencies remain about the functional properties of A2AR-CB1R heteromers and even about their existence in striatal glutamatergic terminals (see below).</p><p id="Par6">The A1R-A2AR heteromer acts as a concentration-dependent switch that mediates the adenosine control of striatal glutamatergic transmission [<xref ref-type="bibr" rid="CR3">3</xref>]. Since adenosine binds with higher affinity to A1R than to A2AR [<xref ref-type="bibr" rid="CR5">5</xref>], low concentrations of adenosine inhibit glutamate release by activating the Gi-coupled A1R [<xref ref-type="bibr" rid="CR3">3</xref>]. On the other hand, high concentrations of adenosine produce the opposite effect, by activating the Gs-coupled A2AR, which promotes glutamate release by activating adenylyl cyclase (AC)-PKA signaling and allosterically counteracting A1R signaling within the A1R-A2AR heteromer [<xref ref-type="bibr" rid="CR3">3</xref>, <xref ref-type="bibr" rid="CR6">6</xref>]. The quaternary structure of the A1R-A2AR heteromer has been recently proposed and shown to be heterotetrameric, constituted by homodimers of A1R and A2AR coupled to their cognate G proteins [<xref ref-type="bibr" rid="CR6">6</xref>]. This is similar to the also recently described quaternary structure of the A2AR-dopamine D<sub>2</sub> receptor (D2R) heteromer [<xref ref-type="bibr" rid="CR7">7</xref>], which is localized postsynaptically in the striatum [<xref ref-type="bibr" rid="CR8">8</xref>].</p><p id="Par7">It has been recently demonstrated that the A2AR-D2R heteromer forms part of functional complexes that include A2AR-D2R heterotetramers, constituted by A2AR and D2R homodimers with their respective cognate Gs and Gi proteins, and AC subtype AC5 [<xref ref-type="bibr" rid="CR7">7</xref>]. The quaternary structure of these complexes is stabilized by specific interactions between transmembrane domains (TMs) of the receptors, which determine the homomeric and heteromeric interfaces in the A2AR-D2R heterotetramer, as well as between TMs of the receptors and TMs of AC5 [<xref ref-type="bibr" rid="CR7">7</xref>]. In addition, interactions between intracellular domains play a significant role in the stabilization of the complex, namely a strong electrostatic interaction between the C-terminal domain of the A2AR (A2AR-CT) and the intracellular end of TM 5 of the D2R [<xref ref-type="bibr" rid="CR9">9</xref>–<xref ref-type="bibr" rid="CR12">12</xref>] and between the N-terminal domain (NT) of AC5 and βγ-subunits of the G proteins [<xref ref-type="bibr" rid="CR13">13</xref>]. The predicted quaternary structure of the A2AR-D2R heterotetramer in complex with AC5 provided the frame for the canonical Gs-Gi antagonistic interaction at the AC level [<xref ref-type="bibr" rid="CR7">7</xref>]. This canonical interaction implies the ability of an activated Gi-coupled receptor to inhibit AC activation by a Gs-coupled receptor [<xref ref-type="bibr" rid="CR14">14</xref>] and requires the simultaneous respective interaction of the Ras-GTPase domain of the α-subunits of the Gs and Gi proteins with the C2 and C1 catalytic domains of AC [<xref ref-type="bibr" rid="CR15">15</xref>].</p><p id="Par8">Importantly, the heteromeric and homomeric interfaces of the A1R-A2AR heterotetramer were found to be different from those of the A2AR-D2R heterotetramer [<xref ref-type="bibr" rid="CR6">6</xref>, <xref ref-type="bibr" rid="CR7">7</xref>]. The consequent different conformation of the A1R-A2AR heterotetramer was associated with its inability to sustain a canonical Gs-Gi antagonistic interaction at the AC level [<xref ref-type="bibr" rid="CR6">6</xref>]. Particularly striking was the involvement of A2AR-CT, because its deletion enabled the canonical Gs-Gi antagonistic interaction by the A1R-A2AR heteromer. On the other hand, contrary to the A2AR-D2R heterotetramer, A2AR-CT deletion did not disrupt A1R-A2AR heteromerization, indicating its lack of involvement on the stabilization of the quaternary structure of the A1R-A2AR heterotetramer [<xref ref-type="bibr" rid="CR6">6</xref>]. These results also indicated that the ability of A1R in the A1R-A2AR heteromer to mediate inhibition of glutamate release in the striatal glutamatergic terminals was not dependent on the canonical Gs-Gi antagonistic interaction at the AC level and, therefore, on the inhibition of A2AR-mediated AC-PKA signaling. Instead, it would be most probably dependent on the classical inhibitory effect of βγ-subunits on presynaptic calcium channels [<xref ref-type="bibr" rid="CR16">16</xref>, <xref ref-type="bibr" rid="CR17">17</xref>].</p><p id="Par9">The ability of A2AR and CB1R to heteromerize was first suggested from results obtained in artificial cell systems using biophysical techniques [<xref ref-type="bibr" rid="CR18">18</xref>]. In the same study, signaling experiments performed in a neuroblastoma cell line indicated the existence of the conventional G protein coupling for both receptors and a dependence on A2AR signaling for the expression of the Gi-mediated inhibition of AC activity by CB1R agonists [<xref ref-type="bibr" rid="CR18">18</xref>]. As expected from the canonical interaction at the AC level, a CB1R agonist could counteract an A2AR agonist-induced AC activation. But, A2AR blockade also counteracted the ability of a CB1R agonist to inhibit forskolin-induced AC activation [<xref ref-type="bibr" rid="CR18">18</xref>]. It was then suggested that activation of A2AR in the A2AR-CB1R heteromer allows the effective coupling of CB1R to Gi proteins and, consequently, that CB1R signaling is entirely dependent on A2AR signaling [<xref ref-type="bibr" rid="CR18">18</xref>]. Strong evidence for physical interactions between A2AR and CB1R in striatal glutamatergic terminals was afterwards reported, including a robust co-localization and co-immunoprecipitation [<xref ref-type="bibr" rid="CR19">19</xref>]. In the same study, an A2AR agonist significantly decreased the potency of a CB1R agonist to inhibit striatal glutamate release and presynaptic corticostriatal glutamatergic transmission [<xref ref-type="bibr" rid="CR19">19</xref>]. More in line with the expected dependence on A2AR activation within the A2AR-CB1R heteromer, some studies also found evidence for counteraction of CB1R-mediated corticostriatal transmission by A2AR antagonists [<xref ref-type="bibr" rid="CR20">20</xref>, <xref ref-type="bibr" rid="CR21">21</xref>].</p><p id="Par10">Although apparently incompatible with the involvement of a single population of A2AR, forming heteromers with CB1R, similar effects of A2AR agonists and antagonists have also been obtained with the A2AR-D2R heteromer and found to depend on allosteric interactions that depend on its tetrameric structure. When either an A2AR agonist or an A2AR antagonist binds to the orthosteric sites of the A2AR homodimer in the A2AR-D2R heterotetramer, they both produce an allosteric decrease in the affinity and efficacy of D2R ligands [<xref ref-type="bibr" rid="CR12">12</xref>]. On the other hand, when an agonist and an antagonist bind simultaneously to the two orthosteric sites of the A2AR homodimer, they counteract each other’s effects [<xref ref-type="bibr" rid="CR12">12</xref>]. At the biochemical level, a negative allosteric interaction between orthosteric A2AR agonists and antagonists in an A2AR homodimer could be demonstrated in dissociation kinetic binding experiments of a radiolabeled A2AR antagonist <italic toggle="yes">versus</italic> A2AR agonists and antagonists, including the non-selective antagonist caffeine [<xref ref-type="bibr" rid="CR12">12</xref>]. At the behavioral level, these homomeric allosteric interactions could better explain the psychomotor stimulant effects of caffeine and selective A2AR antagonists than the classically assumed competitive antagonism between A2AR antagonists and endogenous adenosine for the same orthosteric site [<xref ref-type="bibr" rid="CR22">22</xref>, <xref ref-type="bibr" rid="CR23">23</xref>]. Thus, the allosteric homomeric interactions between A2AR agonists and antagonists predicted a counterintuitive counteraction of a high locomotor depressant dose of an A2AR antagonist in the rat with an also locomotor depressant dose of an A2AR agonist in the rat [<xref ref-type="bibr" rid="CR22">22</xref>].</p><p id="Par11">There is therefore a significant amount of evidence that supports the existence of functional A2AR-CB1R heteromers in the striatal glutamatergic terminals with similar structural and biochemical characteristics to those of the A2AR-D2R heteromers and that they constitute a main population of CB1R that play an essential role in striatal synaptic transmission and plasticity [<xref ref-type="bibr" rid="CR24">24</xref>–<xref ref-type="bibr" rid="CR28">28</xref>]. However, in a recent study, A2AR-CB1R complexes were identified by the proximity ligation assay in the mouse striatum and suggested to represent A2AR-CB1R heteromers localized postsynaptically in GABAergic striatopallidal neurons, but not in corticostriatal terminals. This conclusion was based on results obtained in mice with differential genetic blockade of CB1R in forebrain GABAergic neurons <italic toggle="yes">versus</italic> dorsal telencephalic glutamatergic neurons [<xref ref-type="bibr" rid="CR29">29</xref>]. In addition, parallel experiments in conditionally immortalized striatal neuroblasts suggested that A2AR-CB1R heteromers signal by Gq protein coupling, but not through Gs and Gi proteins [<xref ref-type="bibr" rid="CR29">29</xref>]. In view of these apparently controversial results, the goals of the present study were, first, to establish the quaternary structure and biochemical properties of the A2AR-CB1R heteromer and to compare them with those of the A1R-A2AR and A2AR-D2R heterotetramers. Second, we aimed at establishing the localization, biochemical properties, and functional significance of the A2AR-CB1R heteromers in the striatal glutamatergic terminals.</p></sec><sec id="Sec2"><title>Results</title><sec id="Sec3"><title>A2AR and CB1R in the A2AR-CB1R heteromer couple to their respective cognate Gs and Gi proteins in HEK-293T cells</title><p id="Par12">The complemented donor-acceptor resonance energy transfer (CODA-RET) assay was first used to analyze the preferred functional G protein coupling of A2AR and CB1R in the A2AR-CB1R heteromer, in transiently transfected HEK-293T cells. In this assay, two complementary halves of the bioluminescent protein <italic toggle="yes">Renilla</italic> luciferase (Rluc8 variant; nRluc and cRluc) are separately fused to two different GPCR units (protomers) putatively able to oligomerize, and a fluorescent protein, the mVenus variant of the yellow fluorescence protein (YFP), is fused to a Gα protein subunit. Ligand-induced changes in CODA-RET measurements imply, first, a successful complementation of Rluc and, therefore, oligomerization of the corresponding protomers. Second, although CODA-RET does not provide an estimate of the degree of oligomerization (affinity or stoichiometry), it represents the reading of a specific G protein activation through the GPCR heteromer [<xref ref-type="bibr" rid="CR30">30</xref>–<xref ref-type="bibr" rid="CR32">32</xref>]. A2AR was fused to cRluc, and CB1R was fused to nRluc and co-transfected with either Gαs, Gαi1 or Gαq fused to YFP. Concentration-response curves of ligand-induced changes in BRET were then determined in the presence of different concentrations of the non-selective adenosine receptor agonist NECA or the selective CB1R agonist CP55940. A concentration-response curve with NECA could only be obtained when the cells were transfected with Gαs-YFP (EC<sub>50</sub> values, in mean ± S.E.M: 0.35 ± 0.08 μM; <italic toggle="yes">n</italic> = 5 with triplicates), but not with Gαi1-YFP or Gαq-YFP (Additional file <xref rid="MOESM1" ref-type="media">1</xref>: Figure S1a; Additional file <xref rid="MOESM2" ref-type="media">2</xref>: Data values 1). On the other hand, a concentration-response with CP55940 could only be obtained when the cells were transfected with Gαi-YFP (EC<sub>50</sub> values, in mean ± S.E.M: 1.05 ± 0.39 μM; <italic toggle="yes">n</italic> = 5 with triplicates), but not with Gαs-YFP or Gαq-YFP (Additional file <xref rid="MOESM1" ref-type="media">1</xref>: Figure S1b; Additional file <xref rid="MOESM2" ref-type="media">2</xref>: Data values 1). A positive control of Gq coupling by a GPCR heteromer was obtained with the previously reported serotonin 5-HT<sub>2A</sub> receptor (5-HT2AR)-D2R heteromer [<xref ref-type="bibr" rid="CR33">33</xref>, <xref ref-type="bibr" rid="CR34">34</xref>]. A concentration-response curve was obtained with serotonin, but not dopamine, when the cells were transfected with 5-HT2AR fused to cRluc, D2R fused to nRluc and Gαq-YFP (EC<sub>50</sub> values, in mean ± S.E.M: 0.21 ± 0.05 μM; <italic toggle="yes">n</italic> = 5 with triplicates) (Additional file <xref rid="MOESM1" ref-type="media">1</xref>: Figure S1c; Additional file <xref rid="MOESM2" ref-type="media">2</xref>: Data values 1). These results indicate that within the A2AR-CB1R heteromer, A2AR and CB1R preferentially couple to their respective cognate Gs and Gi proteins. Nevertheless, the results do not discard the possible coupling to Gq by A2AR and CB1R in the A2AR-CB1R heteromer in another cellular environment, such as in the conditionally immortalized striatal neuroblasts and in the striatum, in the GABAergic striatopallidal neurons or astrocytes [<xref ref-type="bibr" rid="CR29">29</xref>].</p><p id="Par13">Remarkably, NECA (10 μM) produced a shift to the right in the concentration-response curve of CP55940 (Fig. <xref rid="Fig1" ref-type="fig">1</xref>a), with a significant increase in EC<sub>50</sub> values (Fig. <xref rid="Fig1" ref-type="fig">1</xref>b) and no significant difference in the <italic toggle="yes">E</italic><sub>max</sub> values (Fig. <xref rid="Fig1" ref-type="fig">1</xref>c). These results represent a readout of a negative allosteric interaction between two orthosteric agonists within the A2AR-CB1R heteromer, by which an A2AR agonist decreases the potency of a CB1R agonist-mediated Gi protein activation. If the A2AR-CB1R heteromer would exhibit a tetrameric structure similar to the A2AR-D2R heterotetramer, we could expect the same allosteric interaction with A2AR agonists and antagonists and their counteracting effect when simultaneously applied (see “<xref rid="Sec1" ref-type="sec">Background</xref>” and ref. [<xref ref-type="bibr" rid="CR12">12</xref>]). In fact, both NECA and caffeine produced a concentration-dependent decrease of the change in BRET ratio values induced by an EC<sub>50</sub> concentration of CP55940 (2 μM; Fig. <xref rid="Fig1" ref-type="fig">1</xref>d, e). In addition, effective concentrations of NECA (10 μM; Fig. <xref rid="Fig1" ref-type="fig">1</xref>d) and caffeine (3 mM; Fig. <xref rid="Fig1" ref-type="fig">1</xref>e) became ineffective when co-applied (Fig. <xref rid="Fig1" ref-type="fig">1</xref>e). These results therefore recapitulate allosteric interactions within the A2AR-D2R heterotetramer and, therefore, suggest an also tetrameric structure of the A2AR-CB1R heteromer.
<fig id="Fig1" position="float" orientation="portrait"><label>Fig. 1</label><caption><p>Modulation by A2AR ligands on CB1R-mediated G protein activation in the A2AR-CB1R heteromer. <bold>a–e</bold> CODA-RET experiments, where two complementary halves of Rluc (cRluc and nRluc) are respectively fused to the A2AR and CB1R and YFP is fused to the α-subunit of Gi. HEK-293T cells were transiently transfected with cDNAs of A2AR-cRluc (3.33 μg), CB1R-nRluc (1.67 μg), Gαi1-YFP (5 μg), and non-fused β1 and γ2 subunits (4.5 μg and 5 μg, respectively). <bold>a</bold> Concentration-response curves of the effect of the selective CB1R agonist CP55940 on the ligand-induced BRET changes, which are determined by changes in the interaction of the A2AR-CB1R heteromer with Gi, in the presence (blue plot) and absence (red plot) of the non-selective adenosine agonist NECA (10 μM). Data are means ± S.E.M. of triplicate BRET ratio values of a representative experiment. <bold>b</bold>, <bold>c</bold> EC<sub>50</sub> and <italic toggle="yes">E</italic><sub>max</sub> values of 12 independent experiments performed in triplicate, expressed as means ± S.E.M.; the EC<sub>50</sub> and <italic toggle="yes">E</italic><sub>max</sub> values were obtained by non-linear regression fitting to a sigmoidal concentration-response curve and analyzed statistically with a paired <italic toggle="yes">t</italic>-test (*: <italic toggle="yes">p</italic> &lt; 0.05, compared with the absence of NECA). <bold>d</bold>, <bold>e</bold> Modification by NECA (1 and 10 μM), caffeine (CAFF, 1 and 3 mM) and NECA (10 μM) plus caffeine (3 mM) on the effect of an EC<sub>50</sub> concentration of CP55940 (2 μM); values are means ± S.E.M. (<italic toggle="yes">n</italic> = 10–11 with triplicates) of the percentage of the effect of <ext-link xmlns:xlink="http://www.w3.org/1999/xlink" ext-link-type="pmc:entrez-protein" xlink:href="CPP55940">CPP55940</ext-link> alone and analyzed statistically with repeated measures ANOVA, followed by Dunnett’s multiple comparison test (**: <italic toggle="yes">p</italic> &lt; 0.01, compared with <ext-link xmlns:xlink="http://www.w3.org/1999/xlink" ext-link-type="pmc:entrez-protein" xlink:href="CPP55940">CPP55940</ext-link> alone)</p></caption><graphic xmlns:xlink="http://www.w3.org/1999/xlink" id="MO1" position="float" orientation="portrait" xlink:href="12915_2020_739_Fig1_HTML.jpg"><?image-name 12915_2020_739_Fig1_HTML.jpg?><?image-size 84826?><?image-md5 1a8ef90dd1f29d74efc301d2a03f7e64?><?image-image-server-status LOAD_COMPLETED?><?image-original-height 1656?><?image-original-width 1418?><?image-scaled-height 828?><?image-scaled-width 709?><?image-cloudpmc-urn urn:cdn:blobs/00b9/6979073/1a8ef90dd1f2/12915_2020_739_Fig1_HTML.jpg?><?thumb-name 12915_2020_739_Fig1_HTML.gif?><?thumb-size 3512?><?thumb-md5 5fbd25e1463071b9a2fe491159fde95d?><?thumb-image-server-status NEVER_LOAD?><?thumb-scaled-height 117?><?thumb-scaled-width 100?><?thumb-cloudpmc-urn urn:cdn:blobs/00b9/6979073/5fbd25e14630/12915_2020_739_Fig1_HTML.gif?></graphic></fig></p><p id="Par14">We also analyzed the possible opposite allosteric interaction by which a CB1R agonist could modify the potency of an A2AR agonist-mediated Gs protein activation (cells transfected with Gαs-YFP). CP55940 did not produce a significant shift in the concentration-response curve of NECA. EC<sub>50</sub> values of the concentration-response curves of NECA in the absence and presence of CP55940 (10 μM) were, in mean ± S.E.M, 0.52 ± 0.23 μM and 0.57 ± 0.13 μM, respectively (paired <italic toggle="yes">t</italic> test: <italic toggle="yes">p</italic> &gt; 0.05; <italic toggle="yes">n</italic> = 5 with triplicates); <italic toggle="yes">E</italic><sub>max</sub> values in the absence and presence of CP55940 (10 μM) were, in mean ± S.E.M, 0.009 ± 0001 and 0.009 ± 0.001 BRET ratio units (BRU), respectively (paired <italic toggle="yes">t</italic> test: <italic toggle="yes">p</italic> &gt; 0.05; <italic toggle="yes">n</italic> = 5 with triplicates) (Additional file <xref rid="MOESM1" ref-type="media">1</xref>: Figure S2; Additional file <xref rid="MOESM2" ref-type="media">2</xref>: Data values 2). These results indicate the existence of a unidirectional allosteric modulation between orthosteric ligands in the A2AR-CB1R heteromer.</p></sec><sec id="Sec4"><title>The A2AR-CB1R heteromer has a different quaternary structure compared to the A2AR-D2R and the A1R-A2AR heterotetramers</title><p id="Par15">The possible heterotetrameric structure of the A2AR-CB1R heteromers was further evaluated in HEK-293T transfected cells by a BRET experiment based on the double complementation of both BRET bioluminescent and fluorescent proteins [<xref ref-type="bibr" rid="CR12">12</xref>, <xref ref-type="bibr" rid="CR31">31</xref>], with complementary halves of Rluc and YFP separately fused to different protomers of A2AR and CB1R. As shown in Additional file <xref rid="MOESM1" ref-type="media">1</xref>: Figure S3, significantly higher BRET values could be obtained with co-transfection of A2AR-cRluc, A2AR-nRluc, CB1R-cYFP, and CB1R-nYFP, as compared with controls, where the A2AR or CB1R constructs were substituted by dopamine D<sub>1</sub> receptor (D1R) constructs, D1R-cRluc and D1R-nRluc or D1R-cYFP and D1R-nYFP.</p><p id="Par16">Bimolecular fluorescence complementation (BiFC) experiments with synthetic interfering peptides were then performed to elucidate the homomeric and heteromeric interfaces of the heterotetramer, which is the same strategy that was used to reveal the precise quaternary structure of the A1R-A2AR and A2AR-D2R heterotetramers [<xref ref-type="bibr" rid="CR6">6</xref>, <xref ref-type="bibr" rid="CR7">7</xref>]. While BiFC complex formation under in vitro conditions (purified complementary fluorescent proteins) has been considered to be essentially irreversible [<xref ref-type="bibr" rid="CR35">35</xref>], several studies, including our own on GPCR heteromers, indicate that under in vivo conditions (live cell preparations) BiFC complex formation can be reversible [<xref ref-type="bibr" rid="CR6">6</xref>, <xref ref-type="bibr" rid="CR7">7</xref>, <xref ref-type="bibr" rid="CR31">31</xref>, <xref ref-type="bibr" rid="CR36">36</xref>–<xref ref-type="bibr" rid="CR38">38</xref>]. Complementary halves of YFP were separately fused to A2AR (A2AR-cYFP) and CB1R (CB1R-nYFP) or two different molecules of A2AR (A2AR-nYFP and A2AR-cYFP) or CB1R (CB1R-nYFP and CB1R-cYFP), in the absence and presence of synthetic peptides with the amino acid sequence of all possible TMs of both receptors fused to the cell-penetrating HIV transactivator of transcription (TAT) sequence (TMs are abbreviated TM 1, TM 2,…; TM peptides are abbreviated TM1, TM2,…). We could first demonstrate the selective interference of BiFC of A2AR-cYFP and CB1R-nYFP with TM5 and TM6 of both A2AR and CB1R (Fig. <xref rid="Fig2" ref-type="fig">2</xref>a, b). These results point to the involvement of TM 5/6 in the A2AR-CB1R heteromer interface. Notably, the previously studied heteromer interface of A1R-A2AR was also TM 5/6 [<xref ref-type="bibr" rid="CR6">6</xref>], whereas the heteromer interface of A2AR-D2R was found to be TM 4/5 [<xref ref-type="bibr" rid="CR7">7</xref>]. BiFC of A2AR-nYFP and A2AR-cYFP (in the absence of CB1R) was only significantly reduced by TM6 (Fig. <xref rid="Fig2" ref-type="fig">2</xref>c), as previously reported [<xref ref-type="bibr" rid="CR7">7</xref>], and BiFC of CB1R-nYFP and CB1R-cYFP (in the absence of A2AR) was only reduced by TM4 (Fig. <xref rid="Fig2" ref-type="fig">2</xref>d). These results indicate that TM 6 forms the A2AR interface and TM 4 forms the CB1R interface for homodimerization, when each receptor is expressed alone. Significantly, the interface for both CB1R-CB1R and A2AR-A2AR homodimers changed in the presence of the other non-fused molecularly different receptor (Fig. <xref rid="Fig2" ref-type="fig">2</xref>e, f). Thus, TM4 and TM6 of A2AR reduced BiFC of A2AR-cYFP and A2AR-nYFP in the presence of non-fused CB1R (Fig. <xref rid="Fig2" ref-type="fig">2</xref>e) and TM4 and TM6 of CB1R reduced BiFC of CB1R-cYFP and CB1R-nYFP in the presence of non-fused A2AR (Fig. <xref rid="Fig2" ref-type="fig">2</xref>f). The results in Fig. <xref rid="Fig2" ref-type="fig">2</xref> are expressed as means ± S.E.M. of the percentage of the fluorescence in the control group, where control values (without interfering peptides) were always between 12,000 and 15,000 relative fluorescence units (RFU; value that depends on the gain setting in the measurement equipment). Non-transformed data show no significant change in fluorescence units upon co-transfection with a non-fused receptor.
<fig id="Fig2" position="float" orientation="portrait"><label>Fig. 2</label><caption><p>Heteromeric and homomeric interfaces in the A2AR-CB1R heterotetramer. <bold>a–f</bold> BiFC experiments with synthetic peptides with the amino acid sequence of all TMs of A2AR and CB1R. HEK-293T cells were transiently transfected with <bold>a</bold>, <bold>b</bold> cDNAs of A2AR and CB1R separately fused to complementary halves of YFP (A2AR-cYFP and CB1-nYFP; 6 μg in both cases); <bold>c</bold>, <bold>e</bold> cDNAs of two different molecules of A2AR separately fused to complementary halves of YFP (A2AR-cYFP and A2AR-nYFP; 3 μg in both cases) without (<bold>c</bold>) or with (<bold>e</bold>) co-transfection with cDNA of non-fused CB1R (1 μg); <bold>d</bold>, <bold>f</bold> cDNAs of two different molecules of CB1R separately fused to complementary halves of YFP (CB1R-cYFP and CB1R-nYFP; 3 μg in both cases) without (<bold>d</bold>) or with (<bold>f</bold>) co-transfection with cDNA of non-fused A2AR (1 μg). Cells were treated for 4 h with medium (control) or 4 μM of indicated TM peptides (numbered 1–7). Values are means ± S.E.M. (<italic toggle="yes">n</italic> = 6 with triplicates in all the experiments) of the percentage of the fluorescence in the control group and analyzed statistically with repeated measures ANOVA, followed by Dunnett’s multiple comparison test (***: <italic toggle="yes">p</italic> &lt; 0.001, compared with control)</p></caption><graphic xmlns:xlink="http://www.w3.org/1999/xlink" id="MO2" position="float" orientation="portrait" xlink:href="12915_2020_739_Fig2_HTML.jpg"><?image-name 12915_2020_739_Fig2_HTML.jpg?><?image-size 143345?><?image-md5 8baf060c735de94d36304544c301017c?><?image-image-server-status LOAD_COMPLETED?><?image-original-height 1946?><?image-original-width 1418?><?image-scaled-height 973?><?image-scaled-width 709?><?image-cloudpmc-urn urn:cdn:blobs/00b9/6979073/8baf060c735d/12915_2020_739_Fig2_HTML.jpg?><?thumb-name 12915_2020_739_Fig2_HTML.gif?><?thumb-size 5081?><?thumb-md5 466ccaeee730257e44054f125281347b?><?thumb-image-server-status NEVER_LOAD?><?thumb-scaled-height 137?><?thumb-scaled-width 100?><?thumb-cloudpmc-urn urn:cdn:blobs/00b9/6979073/466ccaeee730/12915_2020_739_Fig2_HTML.gif?></graphic></fig></p><p id="Par17">These results therefore demonstrate a change in a GPCR homodimeric interface imposed by an additional molecular interaction with another GPCR. Clearly, the observed TM 4/6 interface for CB1R-CB1R and A2AR-A2AR homodimerization in the A2AR-CB1R heterotetramer differs from the TM 4/5 interface for A1R-A1R and A2AR-A2AR homodimerization in the A1R-A2AR heterotetramer [<xref ref-type="bibr" rid="CR6">6</xref>] and from the TM 6 interface for A2AR-A2AR and D2R-D2R homodimerization in the D2R-A2AR heterotetramer [<xref ref-type="bibr" rid="CR7">7</xref>] (Fig. <xref rid="Fig3" ref-type="fig">3</xref>a). The almost complete reduction of fluorescence to background fluorescence levels induced by the TM6 peptide of A2AR in BiFC experiments with A2AR-nYFP and A2AR-cYFP indicate that, without the presence of A1R or CB1R, homodimerization with a TM 6 interface is the preferred oligomerization state of the A2AR, while higher-order A2AR oligomerization (homotrimers, heterotrimers) is clearly unlikely. Even though concomitant homomerization of A2AR by TM 6 or TM 4/5 interfaces is theoretically possible, our present and previous results indicate that the latter interface is conditional upon heteromerization with A1R.
<fig id="Fig3" position="float" orientation="portrait"><label>Fig. 3</label><caption><p>Quaternary structure of the A2AR-CB1R heterotetramer. <bold>a</bold> Schematic representation of the A2AR-CB1R heterotetramer (left) viewed from the extracellular side (colored arrows indicate the C-terminal segments of the internal protomers able to reach the external G protein-bound protomers) and the previously reported A2AR-A1R (middle) and A2AR-D2R (right) heterotetramers. Inactive/internal and active/external protomers of A2AR are shown in light and dark green, respectively, and inactive/internal and active/external protomers of CB1R, A1R, or D2R are shown in orange and red, respectively. The α-subunit of the G protein is shown in light gray, the β-subunit in dark gray, and the γ-subunit in purple. The α-helical domain (αAH) of the α-subunit, which performs a large-scale opening from the Ras domain, is shown in yellow. <bold>b</bold> A representative molecular representation of the A2AR-CB1R heterotetramer obtained from the MD simulation viewed from the membrane (left) or from the extracellular side (right). Color codes are as in panel <bold>a</bold>. <bold>c</bold> Proposed interaction between phosphorylated residues at the C-terminus of the CB1R (Gi-bound external protomer) with arginine residues at the end of TM 5 of the A2AR (internal protomer). <bold>d</bold> Proposed interaction between phosphorylated residues at the C-terminus of the A2AR (Gs-bound external protomer) with arginine residues at the end of TM 5 of the CB1R (internal protomer)</p></caption><graphic xmlns:xlink="http://www.w3.org/1999/xlink" id="MO3" position="float" orientation="portrait" xlink:href="12915_2020_739_Fig3_HTML.jpg"><?image-name 12915_2020_739_Fig3_HTML.jpg?><?image-size 197047?><?image-md5 4011709782bcbb963c74f0868da95b21?><?image-image-server-status LOAD_COMPLETED?><?image-original-height 2091?><?image-original-width 1418?><?image-scaled-height 1046?><?image-scaled-width 709?><?image-cloudpmc-urn urn:cdn:blobs/00b9/6979073/4011709782bc/12915_2020_739_Fig3_HTML.jpg?><?thumb-name 12915_2020_739_Fig3_HTML.gif?><?thumb-size 8822?><?thumb-md5 4bd096e26badff45920427fdc1ae8eb8?><?thumb-image-server-status NEVER_LOAD?><?thumb-scaled-height 147?><?thumb-scaled-width 100?><?thumb-cloudpmc-urn urn:cdn:blobs/00b9/6979073/4bd096e26bad/12915_2020_739_Fig3_HTML.gif?></graphic></fig></p><p id="Par18">We next constructed, using computational tools (see “<xref rid="Sec10" ref-type="sec">Methods</xref>”), a structural model of the A2AR-CB1R heterotetramer using the information of the TM interfaces, for homo- (TM 4/6) and hetero- (TM 5/6) dimerization, derived from the BiFC experiments in the absence and presence of the TAT-fused peptides. The symmetrical TM 5/6 interface for heteromerization was modeled as in the crystal structure of the μ-opioid receptor [<xref ref-type="bibr" rid="CR39">39</xref>]. The modeling of a symmetrical TM 4/6 interface for homomerization is not straightforward as it is not sterically feasible that these two helices in one protomer simultaneously interact with the same helices in the other protomer. To fit with the experimental data, in each homodimer, TM 4 of the internal protomer engaged in heteromerization should interact with TM 6 of the external protomer (an asymmetrical interface; Fig. <xref rid="Fig3" ref-type="fig">3</xref>a). In fact, crystal structures and molecular dynamics (MD) simulations have already provided evidence for the possibility that GPCRs show several possible symmetrical and asymmetrical homomeric TM interfaces [<xref ref-type="bibr" rid="CR40">40</xref>, <xref ref-type="bibr" rid="CR41">41</xref>]. What the present results indicate is that the preferred homomeric interfaces can be determined by their heteromeric partner in a GPCR heterotetramer.</p><p id="Par19">In our model of the A2AR-CB1R heterotetramer, Gi and Gs bind to the external protomer of the CB1R and A2AR homodimers, respectively, as we have previously suggested for the A1R-A2AR and A2AR-D2R heterotetramers [<xref ref-type="bibr" rid="CR6">6</xref>, <xref ref-type="bibr" rid="CR7">7</xref>]. The fact that the C-terminal α5-helix of the G protein binds an intracellular cavity of the receptor that is opened mainly by the outward movement of TM 6 (TM 5 also moves but to a lesser extent), adds complexity to the modeling process. Thus, the TM 4/6 interface was modeled with the internal protomer in the inactive conformation (TM 6 closed) and the external protomer in the active conformation (TM 6 open). The stability of these interfaces was evaluated using MD simulations (see “<xref rid="Sec10" ref-type="sec">Methods</xref>”), which yielded a converged structure for the complex with steady values for both root mean squared deviations and distance between protomers (not shown). Figure <xref rid="Fig3" ref-type="fig">3</xref> shows a scheme (Fig. <xref rid="Fig3" ref-type="fig">3</xref>a) and two different views of the computational model (Fig. <xref rid="Fig3" ref-type="fig">3</xref>b). The mechanism for receptor catalyzed nucleotide exchange in G proteins involves a large-scale opening of the α-helical domain (αAH) of the α-subunit, from the Ras domain, allowing GDP to freely dissociate [<xref ref-type="bibr" rid="CR42">42</xref>, <xref ref-type="bibr" rid="CR43">43</xref>]. Notably, the opening of αiAH and αsAH domains in the proposed models of the A2AR-CB1R and A2AR-D2R heteromers are pointing towards different directions (Fig. <xref rid="Fig3" ref-type="fig">3</xref>a [<xref ref-type="bibr" rid="CR7">7</xref>];), while they are facing each other in the A1R-A2AR heteromer (Fig. <xref rid="Fig3" ref-type="fig">3</xref>b [<xref ref-type="bibr" rid="CR6">6</xref>];).</p></sec><sec id="Sec5"><title>The C-terminal domain of the partner receptor determines the homomeric interfaces in the A2AR-CB1R heterotetramer</title><p id="Par20">A major question is the mechanism by which A2AR changes the CB1R-CB1R homomeric interface and CB1R changes the A2AR-A2AR interface (see above). A remarkable difference between the quaternary structure of the A2AR-CB1R heterotetramer and the A1R-A2AR and A2AR-D2R heterotetramers is the proximity of the C-terminal domain of the internal protomers to TM 5 and TM 6 of the external protomers (see arrows in Fig. <xref rid="Fig3" ref-type="fig">3</xref>a). Moreover, another difference among the three Gi-coupled partners of the A2AR is the long C-terminal domain of CB1R (73 residues) as compared to that of the A1R (34 residues) or the D2R (12 residues). We therefore speculated that the C-terminal domain of the partner receptor could be responsible for the change in the homomeric interface. To test this hypothesis, we engineered an A2AR mutant lacking the C-terminal end (A2A<sub>ΔCT</sub>R) and evaluated BiFC of CB1R-nYFP and CB1R-cYFP, in the presence and absence of each of the peptides of CB1R, and in the presence of A2A<sub>ΔCT</sub>R (Fig. <xref rid="Fig4" ref-type="fig">4</xref>a). While TM4 and TM6 reduced fluorescence in the presence of A2AR (Fig. <xref rid="Fig2" ref-type="fig">2</xref>f, see above), TM4 and TM5, but not TM6, reduced fluorescence in the presence of A2A<sub>ΔCT</sub>R (Fig. <xref rid="Fig4" ref-type="fig">4</xref>a). As an additional control, we tested whether A2A<sub>ΔCT</sub>R could modify the interface of the A1R homodimer in the A1R-A2AR heterotetramer. Clearly, the C-terminal domain of A2AR had no influence in the A1R homodimer (Fig. <xref rid="Fig4" ref-type="fig">4</xref>b, c). The same as for Fig. <xref rid="Fig2" ref-type="fig">2</xref>, the results in Fig. <xref rid="Fig4" ref-type="fig">4</xref> are expressed as means ± S.E.M. of the percentage of the fluorescence in the control group, where control values (without interfering peptides) were always between 12,000 and 15,000 RFU. Non-transformed data show no significant change in fluorescence units upon co-transfection with a non-fused receptor. Thus, we can conclude that the C-terminal domain of A2AR modifies the CB1R-CB1R homomeric interface stabilizing the asymmetric TM 4/6 interface. Since the structure of the heterotetramer is symmetrical, we hypothesize that the C-terminal domain of CB1R also modifies the A2AR-A2AR homomeric interface stabilizing the asymmetric TM 4/6 interface. These conclusions are in agreement with previous results in which we described strong electrostatic interactions between phosphorylated Thr<sup>467</sup>-Ser<sup>468</sup> at the C-terminal domain of CB1R and Arg<sup>205</sup>(5.66)-Arg<sup>206</sup>(5.67) at the intracellular end of TM 5 of A2AR as well as between phosphorylated Ser<sup>374</sup> at the C-terminal domain of A2AR and the <sup>215</sup>(5.64)VLRRRRKRVN<sup>224</sup> epitope at the intracellular end of TM 5 of D2R [<xref ref-type="bibr" rid="CR11">11</xref>]. Here, we propose similar interactions for the A2AR-CB1R heterotetramer. Although it is not possible to model the full-length C-terminal domain of either A2AR or CB1R, we modeled phosphorylated Ser<sup>374</sup> of A2AR and phosphorylated Thr<sup>467</sup>-Ser<sup>468</sup> of CB1R, connected by an arbitrary C-terminal domain (dotted lines in Fig. <xref rid="Fig3" ref-type="fig">3</xref>c, d). Figure <xref rid="Fig3" ref-type="fig">3</xref>c shows the electrostatic interactions between phosphorylated Thr<sup>467</sup>-Ser<sup>468</sup> of CB1R and Arg<sup>205</sup>(5.66)-Arg<sup>206</sup>(5.67) of A2AR, and Fig. <xref rid="Fig3" ref-type="fig">3</xref>d shows the interaction between phosphorylated Ser<sup>374</sup> of A2AR and Lys<sup>300</sup>(5.66)- Arg<sup>307</sup>(5.73)-Arg<sup>311</sup>(5.77) of CB1R. We hypothesize that these electrostatic interactions are the driving force for the conformational change, from the TM 4 interface of the CB1R homodimer in the absence of A2AR and from the TM 6 interface of the A2AR homodimer in the absence of CB1R, to the TM 4/6 interface that orients TM 5 towards the C-terminal domain of the partner receptor in the A2AR-CB1R heterotetramer.
<fig id="Fig4" position="float" orientation="portrait"><label>Fig. 4</label><caption><p>A2AR C-terminus-guided homomeric interface of the CB1R homodimer in the A2AR-CB1R heterotetramer. <bold>a–c</bold> BiFC experiments with synthetic peptides with the amino acid sequence of the TMs of CB1R and A1R. HEK-293T cells were transiently transfected with the following: <bold>a</bold> cDNA of two different molecules of CB1R separately fused to complementary halves of YFP (CB1R-cYFP and CB1R-nYFP; 3 μg in both cases) with co-transfection with cDNA of non-fused A2AR mutant lacking the C-terminal end (A2A<sub>ΔCT</sub>R; 1 μg); <bold>b</bold>, <bold>c</bold> cDNAs of two different molecules of A1R separately fused to complementary halves of YFP (A1R-cYFP and A1R-nYFP; 3 μg in both cases) with co-transfection with cDNA of non-fused A2AR (<bold>b</bold>; 1 μg) or non-fused A2A<sub>ΔCT</sub>R (<bold>c</bold>; 1 μg). Cells were treated for 4 h with medium (control) or 4 μM of indicated TM peptides (numbered 1–7). Values are means ± S.E.M. (<italic toggle="yes">n</italic> = 6 with triplicates in all the experiments) of the percentage of the fluorescence in the control group and analyzed statistically with repeated measures ANOVA, followed by Dunnett’s multiple comparison test (***: <italic toggle="yes">p</italic> &lt; 0.001, compared with control)</p></caption><graphic xmlns:xlink="http://www.w3.org/1999/xlink" id="MO4" position="float" orientation="portrait" xlink:href="12915_2020_739_Fig4_HTML.jpg"><?image-name 12915_2020_739_Fig4_HTML.jpg?><?image-size 65576?><?image-md5 5cb0f740d89989b4d9feb3ea853d7a17?><?image-image-server-status LOAD_COMPLETED?><?image-original-height 1247?><?image-original-width 1418?><?image-scaled-height 624?><?image-scaled-width 709?><?image-cloudpmc-urn urn:cdn:blobs/00b9/6979073/5cb0f740d899/12915_2020_739_Fig4_HTML.jpg?><?thumb-name 12915_2020_739_Fig4_HTML.gif?><?thumb-size 2840?><?thumb-md5 341807425c41d4d7eacafb107b2ae29a?><?thumb-image-server-status NEVER_LOAD?><?thumb-scaled-height 88?><?thumb-scaled-width 100?><?thumb-cloudpmc-urn urn:cdn:blobs/00b9/6979073/341807425c41/12915_2020_739_Fig4_HTML.gif?></graphic></fig></p></sec><sec id="Sec6"><title>The A2AR-CB1R heterotetramer provides a frame for the canonical Gs-Gi antagonistic interaction at the AC level</title><p id="Par21">The ability of A2AR-CB1R heterotetramer to modulate AC signaling was then tested in HEK-293T cells by using heteromer-interfering peptides. As expected from their respective coupling to Gi and Gs proteins, the CB1R agonist CP55940 (200 nM) decreased cAMP formation induced by forskolin (500 nM) and the selective A2AR agonist <ext-link xmlns:xlink="http://www.w3.org/1999/xlink" ext-link-type="pmc:entrez-protein" xlink:href="CGS21680">CGS21680</ext-link> (500 nM) increased cAMP in cells transfected with CB1R or A2AR, respectively (Additional file <xref rid="MOESM1" ref-type="media">1</xref>: Figure S4a and S4b). The same effect of both ligands was observed in cells co-transfected with A2AR and CB1R, where, in addition, CP55940 counteracted <ext-link xmlns:xlink="http://www.w3.org/1999/xlink" ext-link-type="pmc:entrez-protein" xlink:href="CGS21680">CGS21680</ext-link>-mediated increase in cAMP (Additional file <xref rid="MOESM1" ref-type="media">1</xref>: Figure S4c). This is in agreement with the ability of A2AR and CB1R to signal with their cognate G proteins and to establish the canonical Gs-Gi antagonistic interaction at the AC level in the A2AR-CB1R heterotetramer. Interfering peptides (TM4 to TM6 of CB1R and A2AR) were then used to demonstrate the dependence on the integrity of the A2AR-CB1R heterotetramer for the existence of this canonical Gs-Gi antagonistic interaction, as previously shown for the A2AR-D2R heterotetramer [<xref ref-type="bibr" rid="CR7">7</xref>]. None of these peptides significantly modified the effect of either CP55940 or <ext-link xmlns:xlink="http://www.w3.org/1999/xlink" ext-link-type="pmc:entrez-protein" xlink:href="CGS21680">CGS21680</ext-link> when activating their respective receptor (Fig. <xref rid="Fig5" ref-type="fig">5</xref>a–h; Additional file <xref rid="MOESM2" ref-type="media">2</xref>: Data values 3). On the other hand, TM5 and TM6 of both A2AR and CB1R, but not TM4 or TM7 (negative control), counteracted the canonical interaction (Fig. <xref rid="Fig5" ref-type="fig">5</xref>a–h; Additional file <xref rid="MOESM2" ref-type="media">2</xref>: Data values 3). Since TM 4 and TM 5 are selectively involved in homo- and heteromerization, respectively, while TM 6 is involved in both homo- and heteromerization, these results demonstrate that A2AR-CB1R heteromerization provides the necessary frame for the canonical Gs-Gi antagonistic interaction at the AC level. This effect was also present in the A2AR-D2R heterotetramer [<xref ref-type="bibr" rid="CR7">7</xref>] but absent in the A1R-A2AR heterotetramer, which was devoid of canonical interaction [<xref ref-type="bibr" rid="CR6">6</xref>]. This is rationalized by the fact that simultaneous opening of αiAH and αsAH is feasible in the A2AR-CB1R and A2AR-D2R heterotetramers (αAH opening is towards different direction) and is not feasible in A1R-A2AR because αiAH and αsAH face each other (Fig. <xref rid="Fig3" ref-type="fig">3</xref>a) [<xref ref-type="bibr" rid="CR6">6</xref>].
<fig id="Fig5" position="float" orientation="portrait"><label>Fig. 5</label><caption><p>Canonical Gs-Gi antagonistic interaction at the AC level in the A2AR-CB1R heterotetramer. <bold>a</bold>–<bold>h</bold> Effect of TM peptides on the cAMP formation induced by forskolin (500 nM) or by the A2AR agonist <ext-link xmlns:xlink="http://www.w3.org/1999/xlink" ext-link-type="pmc:entrez-protein" xlink:href="CGS21680">CGS21680</ext-link> (CGS, 500 nM) and counteractive effects of the CB1R agonist CP55940 (200 nM). HEK-293T cells were transiently transfected with the cDNAs of CB1R and A2AR (2 μg in both cases) and treated for 4 h with 4 μM of peptides TM4, TM5, TM6, or TM7 of the A2AR or CB1R. Values are means ± S.E.M. (<italic toggle="yes">n</italic> = 5 with triplicates in all experiments) of the percentage of forskolin-induced cAMP formation and analyzed statistically with repeated measures ANOVA, followed by Dunnett’s multiple comparison test (*, **, and ***: <italic toggle="yes">p</italic> &lt; 0.05, <italic toggle="yes">p</italic> &lt; 0.01, and <italic toggle="yes">p</italic> &lt; 0.001, respectively, compared with basal; <sup><bold>#</bold></sup>, <sup><bold>##</bold></sup>, and <sup><bold>###</bold></sup>: <italic toggle="yes">p</italic> &lt; 0.01 and <italic toggle="yes">p</italic> &lt; 0.001, respectively, compared to forskolin or CGS)</p></caption><graphic xmlns:xlink="http://www.w3.org/1999/xlink" id="MO5" position="float" orientation="portrait" xlink:href="12915_2020_739_Fig5_HTML.jpg"><?image-name 12915_2020_739_Fig5_HTML.jpg?><?image-size 161652?><?image-md5 d0eb45778f4e13c62e985433aca8282b?><?image-image-server-status LOAD_COMPLETED?><?image-original-height 2481?><?image-original-width 1403?><?image-scaled-height 1240?><?image-scaled-width 701?><?image-cloudpmc-urn urn:cdn:blobs/00b9/6979073/d0eb45778f4e/12915_2020_739_Fig5_HTML.jpg?><?thumb-name 12915_2020_739_Fig5_HTML.gif?><?thumb-size 5672?><?thumb-md5 f13fbdc6e92a5151ea40e5452c501aa2?><?thumb-image-server-status NEVER_LOAD?><?thumb-scaled-height 177?><?thumb-scaled-width 100?><?thumb-cloudpmc-urn urn:cdn:blobs/00b9/6979073/f13fbdc6e92a/12915_2020_739_Fig5_HTML.gif?></graphic></fig></p><p id="Par22">Experiments were also performed in cells transfected with both receptors and pre-treated with pertussis toxin (PTX) or cholera toxin (CTX) (for details, see legend to Additional file <xref rid="MOESM1" ref-type="media">1</xref>: Figure S4), which alter Gi- and Gs-mediated signaling, respectively. As expected, we observed blockade of CP55940-induced cAMP decrease by PTX, and blockade of <ext-link xmlns:xlink="http://www.w3.org/1999/xlink" ext-link-type="pmc:entrez-protein" xlink:href="CGS21680">CGS21680</ext-link>-induced cAMP increase by CTX (Additional file <xref rid="MOESM1" ref-type="media">1</xref>: Figure S4d and S4e). In addition, PTX and CTX also blocked the effect of <ext-link xmlns:xlink="http://www.w3.org/1999/xlink" ext-link-type="pmc:entrez-protein" xlink:href="CGS21680">CGS21680</ext-link> and CP55940, respectively (Additional file <xref rid="MOESM1" ref-type="media">1</xref>: Figure S4d and S4e). These results indicate that both A2AR- and CB1R-mediated signaling in the A2AR-CB1R heterotetramer are dependent on the functional integrity of both Gs and Gi proteins. The same phenomenon has been previously described for the A1R-A2AR heteromer [<xref ref-type="bibr" rid="CR6">6</xref>, <xref ref-type="bibr" rid="CR44">44</xref>], while the toxins maintained their expected selectivity for either Gs or Gi in the A2AR-D2R heteromer [<xref ref-type="bibr" rid="CR7">7</xref>]. This cross-communication is not fully understood but it could be related to the closer proximity of the α-subunits of Gs and Gi coupled to the A2AR-CB1R and A1R-A2AR heterotetramers.</p></sec><sec id="Sec7"><title>Presynaptic A2AR-CB1R heterotetramers mediate the cannabinoid-induced inhibition of striatal glutamate release</title><p id="Par23">The demonstration of the presence and functional significance of A2AR-CB1R heteromers in striatal glutamatergic terminals was then approached by analyzing the ability of the CB1R agonist WIN55,212-2 to inhibit depolarization-induced glutamate release from rat striatal synaptosomes (see “<xref rid="Sec10" ref-type="sec">Methods</xref>” and ref. [<xref ref-type="bibr" rid="CR19">19</xref>]). We would first expect that, as previously reported [<xref ref-type="bibr" rid="CR19">19</xref>, <xref ref-type="bibr" rid="CR21">21</xref>], A2AR agonists would reduce the effect, and more specifically the potency, of WIN55,212-2. Second, we should be able to demonstrate that A2AR antagonists would produce the same effect as A2AR agonists and that when co-applied they would counteract each other’s effect. Third, if these effects of A2AR agonists and antagonists would reflect functional correlations of the allosteric interactions within the A2AR-CB1R heterotetramer, they should be counteracted by a synthetic peptide that destabilizes the heteromeric interface. Finally, we should also find a correlate of the Gs-Gi canonical interaction at the AC level. Indeed, as shown in Fig. <xref rid="Fig6" ref-type="fig">6</xref>a–d, WIN55,212-2 inhibited evoked glutamate release (EC<sub>50</sub>, 5.5 nM) in a concentration-dependent fashion, reaching its maximal effect (77.0 ± 3.0% of DMSO control) at 0.03 μM. The concentration-response inhibitory curve of WIN55,212-2 was shifted to the right both by the A2AR agonist <ext-link xmlns:xlink="http://www.w3.org/1999/xlink" ext-link-type="pmc:entrez-protein" xlink:href="CGS21680">CGS21680</ext-link> (EC<sub>50</sub>, 36.8 nM) and the A2AR antagonist <ext-link xmlns:xlink="http://www.w3.org/1999/xlink" ext-link-type="pmc:entrez-protein" xlink:href="SCH58261">SCH58261</ext-link> (EC<sub>50</sub>, 40.0 nM) alone, but not when co-administered (EC<sub>50</sub>, 8.2 nM). In detail, <ext-link xmlns:xlink="http://www.w3.org/1999/xlink" ext-link-type="pmc:entrez-protein" xlink:href="CGS21680">CGS21680</ext-link> (0.03 μM) and <ext-link xmlns:xlink="http://www.w3.org/1999/xlink" ext-link-type="pmc:entrez-protein" xlink:href="SCH58261">SCH58261</ext-link> (0.1 μM) fully prevented the inhibition by 0.01 and 0.03 μM, but not by 0.1 μM of WIN55,212-2 of glutamate release (Fig. <xref rid="Fig6" ref-type="fig">6</xref>a–d). On the other hand, co-application of both <ext-link xmlns:xlink="http://www.w3.org/1999/xlink" ext-link-type="pmc:entrez-protein" xlink:href="CGS21680">CGS21680</ext-link> (0.03 μM) and <ext-link xmlns:xlink="http://www.w3.org/1999/xlink" ext-link-type="pmc:entrez-protein" xlink:href="SCH58261">SCH58261</ext-link> (0.1 μM) did not significantly modify the effect of WIN55,212-2 (Fig. <xref rid="Fig6" ref-type="fig">6</xref>a–d).
<fig id="Fig6" position="float" orientation="portrait"><label>Fig. 6</label><caption><p>A2AR-CB1R heteromer-mediated control of the evoked glutamate release from striatal nerve terminals. <bold>a</bold> Concentration-response curves of the inhibitory effect of WIN55,2121-2 (WIN) on the evoked glutamate release, expressed as the difference in % of the control value, alone or in the presence the A2AR agonist <ext-link xmlns:xlink="http://www.w3.org/1999/xlink" ext-link-type="pmc:entrez-protein" xlink:href="CGS21680">CGS21680</ext-link> (CGS, 0.03 μM), the A2AR antagonist <ext-link xmlns:xlink="http://www.w3.org/1999/xlink" ext-link-type="pmc:entrez-protein" xlink:href="SCH58261">SCH58261</ext-link> (SCH, 0.1 μM), or both. Data are means ± S.E.M. of 7–14 experiments with duplicates per treatment and concentration. <bold>b</bold>–<bold>d</bold> Individual results from the experiments shown in <bold>a</bold> with WIN at the concentrations of 0.01 μM (<bold>b</bold>), 0.03 μM (<bold>c</bold>), and 0.1 μM (<bold>d</bold>), administered alone or in the presence of CGS (0.03 μM), SCH (0.1 μM), or both (yellow dots). <bold>e</bold> Effect of the peptides TM5 and TM7 of the A2AR on the inhibitory effect of WIN (0.03 μM) on the evoked glutamate release, expressed as the difference in % of the control value, alone or in the presence of CGS (0.03 μM) or SCH (0.1 μM). <bold>f</bold> Effect of CGS (0.03 μM), SCH (0.1 and 10 μM), or SCH (10 μM) plus WIN (0.3 μM). <bold>b</bold>–<bold>f</bold> Values are means ± S.E.M. (<italic toggle="yes">n</italic> = 7–14 with duplicates) of the evoked glutamate release, expressed as the difference in % of the control value, and analyzed statistically with one-sample <italic toggle="yes">t</italic>-test (*: <italic toggle="yes">p</italic> &lt; 0.05/3; see “<xref rid="Sec10" ref-type="sec">Methods</xref>”)</p></caption><graphic xmlns:xlink="http://www.w3.org/1999/xlink" id="MO6" position="float" orientation="portrait" xlink:href="12915_2020_739_Fig6_HTML.jpg"><?image-name 12915_2020_739_Fig6_HTML.jpg?><?image-size 125509?><?image-md5 0f1567465339aa32e27fe32888436cd6?><?image-image-server-status LOAD_COMPLETED?><?image-original-height 1674?><?image-original-width 1418?><?image-scaled-height 837?><?image-scaled-width 709?><?image-cloudpmc-urn urn:cdn:blobs/00b9/6979073/0f1567465339/12915_2020_739_Fig6_HTML.jpg?><?thumb-name 12915_2020_739_Fig6_HTML.gif?><?thumb-size 4337?><?thumb-md5 00eaa2430f98d70e26ff54b732650a8f?><?thumb-image-server-status NEVER_LOAD?><?thumb-scaled-height 118?><?thumb-scaled-width 100?><?thumb-cloudpmc-urn urn:cdn:blobs/00b9/6979073/00eaa2430f98/12915_2020_739_Fig6_HTML.gif?></graphic></fig></p><p id="Par24">Striking results were obtained when evaluating the effect of the destabilizing A2AR-CB1R heteromer peptides. TM5, but not TM7, of A2AR significantly blocked WIN55,212-2-induced inhibition of glutamate release and no additional change was observed with the application of the A2AR ligands (Fig. <xref rid="Fig6" ref-type="fig">6</xref>e). These results would indicate that WIN55,212-2-induced inhibition of glutamate release is dependent on A2AR-CB1R heteromerization and would confirm the initial hypothesis of the permissive role of A2AR for CB1R signaling in the A2AR-CB1R heteromer [<xref ref-type="bibr" rid="CR18">18</xref>]. But the results would also indicate that the permissive role of A2AR would not rely on a ligand-dependent A2AR activation.</p><p id="Par25">Our assumption about presynaptic A2AR-CB1R heteromers determining all interactions between A2AR and CB1R ligands at the level of striatal glutamatergic transmission bears the question of how the activation of A2AR can be needed for CB1R signaling while, at the same time, A2AR ligands significantly decrease the potency of CB1R ligands. A possible answer to this apparent conundrum is the existence of a significant constitutive activity of A2AR in the A2AR-CB1R heteromer, which would produce a constitutive activation of AC. A CB1R receptor ligand, including endocannabinoids, would inhibit A2AR-mediated constitutive AC activation by the canonical Gi-Gs antagonistic interaction in the absence of A2AR ligands. In fact, a high constitutive activity of A2AR has been previously reported [<xref ref-type="bibr" rid="CR45">45</xref>–<xref ref-type="bibr" rid="CR47">47</xref>]. This would first imply that the CB1R-mediated inhibition of glutamate release is dependent on a Gi-coupling with or without heteromerization with A2AR. Synaptosomes were incubated for 4 h at 4 °C with or without PTX (2 μg/ml) before the regular release experiment procedure. While WIN55,212-2 (0.1 μM) significantly inhibited glutamate release in the toxin-naïve synaptosomes (in mean ± S.E.M and expressed as the difference in % of the control value: 82.9% ± 3.6%, <italic toggle="yes">n</italic> = 6; one-sample <italic toggle="yes">t</italic>-test: <italic toggle="yes">p</italic> &lt; 0.05/3; see “<xref rid="Sec10" ref-type="sec">Methods</xref>”), PTX fully prevented this inhibition (in mean ± S.E.M and expressed as the difference in % of the control value: 114.6% ± 6.8, <italic toggle="yes">n</italic> = 6; one-sample <italic toggle="yes">t</italic>-test: <italic toggle="yes">p</italic> &gt; 0.05/3). Finally, one would also expect that a high concentration of the A2AR inverse agonist, <ext-link xmlns:xlink="http://www.w3.org/1999/xlink" ext-link-type="pmc:entrez-protein" xlink:href="SCH58261">SCH58261</ext-link> [<xref ref-type="bibr" rid="CR46">46</xref>], should lead to a significant reduction of the ability of WIN55,212-2 to inhibit evoked glutamate release. Indeed, at 10 μM (but not 0.1 μM), <ext-link xmlns:xlink="http://www.w3.org/1999/xlink" ext-link-type="pmc:entrez-protein" xlink:href="SCH58261">SCH58261</ext-link> significantly inhibited the evoked glutamate release, which could not be further inhibited by a relatively high concentration of WIN55212-2 (0.3 μM; Fig. <xref rid="Fig6" ref-type="fig">6</xref>f). These results therefore indicate that a main mechanism by which CB1R localized in striatal nerve terminals modulate glutamate release is by counteracting a constitutive A2AR-mediated facilitation of glutamate release by a canonical Gi-Gs antagonistic interaction dependent on A2AR-CB1R heteromerization.</p><p id="Par26">The existence of a significant constitutive activity of A2AR in the A2AR-CB1R heterotetramer was confirmed with experiments in HEK-293T cells transiently transfected with A2AR alone or with additional transfection with CB1R, A1R, or D2R. A2AR showed a high constitutive activity (about 250% increase in cAMP formation in cells only transfected with A2AR, as compared with cells transfected with an empty control vector; see “<xref rid="Sec10" ref-type="sec">Methods</xref>”) (Fig. <xref rid="Fig7" ref-type="fig">7</xref>; Additional file <xref rid="MOESM2" ref-type="media">2</xref>: Data values 4). Very dramatic differential results were obtained when A2AR was co-transfected with either CB1R, A1R, or D2R. Thus, A2AR lost its constitutive activity when co-transfected with A1R or D2R, but it was not significantly modified with co-transfection with CB1R (Fig. <xref rid="Fig7" ref-type="fig">7</xref>; Additional file <xref rid="MOESM2" ref-type="media">2</xref>: Data values 4). Therefore, these results indicate that the constitutive activity of A2AR is blunted by heteromerization with either A1R or D2R, but not by heteromerization with CB1R; activation of CB1R in the A2AR-CB1R heterotetramer can, nevertheless, blunt the A2AR-mediated constitutive activation of AC (see “<xref rid="Sec8" ref-type="sec">Discussion</xref>”). The molecular mechanism of this heteromerization-dependent control of the constitutive activation of A2AR seems difficult to rationalize, but we hypothesize that the postulated interaction between TM 5 of the Gs-bound A2AR protomer and the C-terminal domain of the Gi-unbound CB1R protomer (Fig. <xref rid="Fig3" ref-type="fig">3</xref>c), may help to sustain the constitutive activity of A2AR in the A2AR-CB1R heterotetramer, in contrast to the short C-termini of the A1R or D2R in the A1R-A2AR and A2AR-D2R heterotetramers (Fig. <xref rid="Fig3" ref-type="fig">3</xref>a). In fact, TM 5 and TM 6 are the helices that move upon receptor activation.
<fig id="Fig7" position="float" orientation="portrait"><label>Fig. 7</label><caption><p>Differential A2AR constitutive activity (CA) in different A2AR heteromers. Constitutive activation of AC in cells expressing A2AR alone or with A2AR plus CB1R, A1R, or D2R. HEK-293T cells were transiently transfected with the cDNA of A2AR alone (3 μg) or with the cDNA of A2AR (1.5 μg) and the cDNA of CB1R, A1R, or D2R (1.5 μg in all cases). CA values are expressed as means ± S.E.M. (<italic toggle="yes">n</italic> = 5 with quintuplicates in all experiments) of the % of basal values, calculated by dividing the levels of cAMP obtained in each condition by the levels of cAMP in cells transfected with an empty vector (pcDNA3, 3 μg). In addition, the values were normalized by the levels of cell surface expression of A2AR, which was determined by means of SNAP staining (see “<xref rid="Sec10" ref-type="sec">Methods</xref>”). Statistical analysis was performed by using one-way ANOVA, followed by Tukey’s multiple comparison test (** and ***: <italic toggle="yes">p</italic> &lt; 0.01 and <italic toggle="yes">p</italic> &lt; 0.001, respectively, compared with cells only transfected with A2AR)</p></caption><graphic xmlns:xlink="http://www.w3.org/1999/xlink" id="MO7" position="float" orientation="portrait" xlink:href="12915_2020_739_Fig7_HTML.jpg"><?image-name 12915_2020_739_Fig7_HTML.jpg?><?image-size 34709?><?image-md5 2973475e2d1e1de48f11ee2e152c7730?><?image-image-server-status LOAD_COMPLETED?><?image-original-height 697?><?image-original-width 894?><?image-scaled-height 465?><?image-scaled-width 596?><?image-cloudpmc-urn urn:cdn:blobs/00b9/6979073/2973475e2d1e/12915_2020_739_Fig7_HTML.jpg?><?thumb-name 12915_2020_739_Fig7_HTML.gif?><?thumb-size 2465?><?thumb-md5 f159cd9d7d813129414f39bacbbe7f75?><?thumb-image-server-status NEVER_LOAD?><?thumb-scaled-height 80?><?thumb-scaled-width 102?><?thumb-cloudpmc-urn urn:cdn:blobs/00b9/6979073/f159cd9d7d81/12915_2020_739_Fig7_HTML.gif?></graphic></fig></p></sec></sec><sec id="Sec8"><title>Discussion</title><p id="Par27">In the present study, using a peptide-interfering approach combined with biophysical and biochemical techniques in mammalian transfected cells and computational modeling, we could establish the tetrameric quaternary structure of the A2AR-CB1R heterotetramer, having the same heteromeric but different homomeric interfaces than those of the A1R-A2AR heterotetramer. The long A2AR-CT played a significant role, determining the homomeric interface of the CB1R homodimer. The A2AR-CB1R heterotetramer showed the same allosteric interactions and canonical Gs-Gi antagonistic interaction at the AC level as the A2AR-D2R heterotetramer. The utilization of TAT-fused TM peptides in mammalian transfected cells and striatal primary neuronal cultures allowed demonstrating that the canonical interaction at the AC level between A2AR and D2R ligands required the right quaternary structure of the A2AR-D2R heterotetramer in the A2AR-D2R-AC5 complex. Application of TM peptides that specifically interfere with the heteromeric interface or with the receptor-AC5 interface specifically counteracted the ability of a D2R agonist to inhibit AC5 activation by an A2AR agonist, but not with the ability of D2R ligands to counteract forskolin-induced AC activation [<xref ref-type="bibr" rid="CR7">7</xref>]. More generally, these results indicate that to inhibit a Gs-coupled receptor-mediated AC activation, the ligands need to simultaneously interact with heterotetramers of the corresponding Gs-coupled and Gi-coupled receptors. This has been so far shown for the A2AR-D2R [<xref ref-type="bibr" rid="CR7">7</xref>], the A1R-D1R [<xref ref-type="bibr" rid="CR48">48</xref>], the D1R-D3R [<xref ref-type="bibr" rid="CR49">49</xref>], and now the A2AR-CB1R heterotetramers, where destabilization of their heteromeric interface leads to the disruption of the canonical Gs-Gi antagonistic interaction at the AC level without disruption of the Gi-coupled receptor-mediated inhibition of forskolin-induced AC activation.</p><p id="Par28">Different from the A2AR-D2R and A1R-A2AR heterotetramers, the A2AR-CB1R heterotetramer showed a significant A2AR-mediated constitutive activation of AC. Using the peptide-interfering approach in rat striatal synaptosomal preparations, we could then identify the A2AR-CB1R heteromer in striatal glutamatergic terminals, where it provides the main target by which cannabinoids inhibit glutamate release. The present study presents a new conceptual view about the mechanism by which cannabinoids presynaptically control striatal excitatory neurotransmission. Instead of the classically assumed direct inhibition of glutamate release by CB1R-mediated signaling, we demonstrate that cannabinoids inhibit glutamate release indirectly, by counteracting the stimulation of glutamate release induced by A2AR-mediated signaling. This mechanism is completely dependent on the heteromerization with A2AR, which provides the frame for the canonical Gi-Gs antagonistic interaction at the AC level. In addition, this mechanism operates in the absence of an adenosine-mediated activation of the A2AR, by the ability of CB1R activation to cancel A2AR-mediated constitutive activation of AC within the A2AR-CB1R heteromer. We could also demonstrate that the constitutive activity is also present when the A2AR is not forming heteromers and that it is lost upon heteromerization with A1R or D2R.</p><p id="Par29">We recently provided the proof of concept of a ligand-independent ability of one of the protomers in a GPCR heteromer to modify the constitutive activity of the other molecularly different protomer. That was the ability of the dopamine D4 receptor (D4R) to modify the constitutive activity in the D2R-D4R heteromer [<xref ref-type="bibr" rid="CR32">32</xref>], also localized in striatal glutamatergic terminals, where it mediates a presynaptic dopaminergic inhibitory control of glutamate release [<xref ref-type="bibr" rid="CR50">50</xref>–<xref ref-type="bibr" rid="CR52">52</xref>]. This effect was even dependent on the polymorphic variant of the D4R, demonstrating for the first time a functional difference between the two most common D4R polymorphic variants, D4.4 and D4.7 [<xref ref-type="bibr" rid="CR52">52</xref>]. The D4.7R-mediated increase in the constitutive activity of the D2R could explain the recently reported gain of function of the D2R in the control of striatal glutamate release when forming heteromers with the ADHD-associated polymorphic variant D4.7R [<xref ref-type="bibr" rid="CR52">52</xref>]. The constitutive activity of the D2R in the D2R-D4R heteromers and the constitutive activity of the A2AR in the A2AR-CB1R seem therefore to determine the basal degree of sensitivity of striatal glutamatergic terminals to release glutamate upon depolarization.</p><p id="Par30">The two A2AR heteromers, A2AR-CB1R and A1R-A2AR, allow an adenosine-mediated fine-tuned modulation of presynaptic striatal glutamatergic transmission, which is moderated by the extracellular levels of endocannabinoids [<xref ref-type="bibr" rid="CR2">2</xref>] (Additional file <xref rid="MOESM1" ref-type="media">1</xref>: Figure S5). First, the A2AR loses its constitutive activity when it forms heteromers with A1R and adenosine binds with more affinity to A1R than to A2AR. As mentioned in the “<xref rid="Sec1" ref-type="sec">Background</xref>”, low extracellular concentrations of adenosine should predominantly activate A1R within the A1R-A2AR heteromer, leading to a predominant inhibition of glutamate release (Additional file <xref rid="MOESM1" ref-type="media">1</xref>: Figure S5a). This would represent a mechanism of silencing corticostriatal “noise”. Retrograde endocannabinoid release following postsynaptic metabotropic glutamate receptor activation [<xref ref-type="bibr" rid="CR25">25</xref>] would further guarantee the low noise, by counteracting the A2AR-mediated constitutive activation of AC by the A2AR-CB1R heteromer (Additional file <xref rid="MOESM1" ref-type="media">1</xref>: Figure S5a). Upon strong corticostriatal activity, the increase in the presynaptic release and degradation of ATP would create locally high levels of adenosine, which in turn would activate A2AR to shut down A1R signaling in the A1R-A2AR heteromer [<xref ref-type="bibr" rid="CR3">3</xref>, <xref ref-type="bibr" rid="CR6">6</xref>] and to counteract CB1R signaling in the A2AR-CB1R heteromer, switching the effect of adenosine on glutamate release from inhibition to facilitation (Additional file <xref rid="MOESM1" ref-type="media">1</xref>: Figure S5b). This high-pass filter is expected to increase the reliability of information passage and should be maximized under conditions of low extracellular concentrations of endocannabinoids [<xref ref-type="bibr" rid="CR2">2</xref>].</p><p id="Par31">The present study seems to be in contradiction with our recent previous study, where A2AR-CB1R heteromers were described to be preferentially coupled to Gq and postsynaptically localized in the striatum, in GABAergic striatopallidal neurons [<xref ref-type="bibr" rid="CR53">53</xref>], while the present study shows their presynaptic localization in glutamatergic terminals and their preferential coupling to Gs and Gi proteins. Although CB1R couples preferentially to Gi/o proteins, its ability to couple to Gq has already been reported and shown to be ligand-dependent [<xref ref-type="bibr" rid="CR53">53</xref>]. Thus, WIN55,212-2 was found to be more and less potent than CP55940 at eliciting Gq-dependent intracellular calcium increase and at inhibiting forskolin-induced cAMP production, respectively [<xref ref-type="bibr" rid="CR53">53</xref>, <xref ref-type="bibr" rid="CR54">54</xref>]. Nevertheless, despite its relative functional selectivity for Gq protein-mediated signaling, in the present study, WIN55,212-2 was shown to inhibit striatal glutamate release by a PTX-sensitive mechanism. Therefore, the results of our previous and present studies indicate that the preference for a specific G protein coupling of the A2AR-CB1R heteromer depends mostly on the cellular environment. They also suggest that Gq coupling depends on an additional component that is present in immortalized striatal neuroblasts and GABAergic striatopallidal neurons (previous study) and absent in HEK-293T cells and glutamatergic terminals (present study). One very plausible candidate is the canonical Gq-coupled glutamate mGlu5 metabotropic receptor, which is abundantly expressed postsynapytically in the striatum [<xref ref-type="bibr" rid="CR25">25</xref>]. Thus, mGlu5R was previously reported to form functional heteromers with A2AR [<xref ref-type="bibr" rid="CR55">55</xref>, <xref ref-type="bibr" rid="CR56">56</xref>] and suggested to form complexes that include the three different GPCRs [<xref ref-type="bibr" rid="CR57">57</xref>]. Experiments are in progress to determine if the striatal Gq protein coupling of postsynaptic A2AR and CB1R depends on their ability to separately or simultaneously form heteromers with mGlu5R.</p><p id="Par32">The important role of the A2AR-CB1R heteromer in the inhibitory control of corticostriatal glutamate release makes it a potential target for neuropsychiatric disorders putatively associated with increased corticostriatal transmission, which includes obsessive-compulsive disorder [<xref ref-type="bibr" rid="CR58">58</xref>], schizophrenia [<xref ref-type="bibr" rid="CR59">59</xref>], and substance use disorders [<xref ref-type="bibr" rid="CR60">60</xref>]. In addition, changes in the stoichiometry of the presynaptic A1R-A2AR and A2A-CB1R receptor heteromers could have important implications in the pathogenesis of neuropsychiatric disorders. For instance, in Restless Legs Syndrome (RLS), there is recent preclinical evidence for the existence of downregulation of striatal A1R [<xref ref-type="bibr" rid="CR61">61</xref>], which promotes an increased sensitivity of corticostriatal terminals to release glutamate [<xref ref-type="bibr" rid="CR51">51</xref>, <xref ref-type="bibr" rid="CR62">62</xref>]. This should be associated with a relative functional upregulation of presynaptic A2AR due to an increase in the proportion of A2AR not forming heteromers or forming heteromers with CB1R, both endowed with constitutive activity. As expected, the increased sensitivity of corticostriatal terminals observed in the experimental animal could be counteracted by blocking the constitutive signaling of A2AR, with A2AR inverse agonists or CB1R agonists, or by activating A1R, by moderately increasing extracellular levels of adenosine with an inhibitor of the adenosine transporter. There is in fact preliminary clinical evidence for the successful application of these strategies in RLS patients [<xref ref-type="bibr" rid="CR63">63</xref>–<xref ref-type="bibr" rid="CR65">65</xref>].</p><p id="Par33">Finally, more studies need to be done to evaluate the possible existence of A2AR-CB1R heteromers, and therefore, the same type of adenosine-cannabinoid-mediated modulation of glutamate release, in other areas of the CNS. It is very plausible that A2AR-CB1R heteromers modulate neurotransmitter release in many other brain areas, such as the hippocampus. Those heteromers could mediate the reported ability of A2AR antagonists to prevent cannabinoid-induced memory and LTP impairments [<xref ref-type="bibr" rid="CR66">66</xref>, <xref ref-type="bibr" rid="CR67">67</xref>].</p></sec><sec id="Sec9"><title>Conclusions</title><p id="Par34">We demonstrate that the ability of cannabinoids to control excitatory transmission in the striatum depends on adenosine transmission, which is mediated by heteromers of specific subtypes of adenosine and cannabinoid receptors, A2AR and CB1R. The molecular analysis of the A2AR-CB1R heteromers supports our hypothesis about GPCR heteromers being often constituted by heteromers of homodimers [<xref ref-type="bibr" rid="CR68">68</xref>]. It also supports that these GPCR heterotetramers often include Gs- and Gi-coupled homodimers, providing the frame for the canonical Gs-Gi antagonistic interaction at the adenylyl cyclase level, forming part of GPCR signaling complexes that include GPCR heteromers and their common interacting effectors [<xref ref-type="bibr" rid="CR7">7</xref>, <xref ref-type="bibr" rid="CR69">69</xref>]. The comparison of the A2AR-CB1 receptor with other heterotetramers of A2AR added new information about the properties of GPCRs. It revealed that different heteromeric partners of A2AR determine profound differences in their pharmacological properties. This implies the need to consider the immediate context of a GPCR to truly understand its pharmacological properties and, therefore, its role in drug development.</p></sec><sec id="Sec10"><title>Methods</title><sec id="Sec11"><title>Expression vectors and fusion proteins</title><p id="Par35">Sequences encoding amino acids (aa) residues 1-229 and 230-311 of Rluc (Rluc8 variant) and amino acid residues 1-155 and 156-238 of YFP (mVenus variant) were subcloned in pcDNA3.1 vector to obtain complementary Rluc and YFP hemi-truncated proteins (nRluc, cRluc, nYFP, and cYFP). The cDNAs for human CB1R, A2AR, A1R, D1R, D2R (short isoform), and 5-HT2AR cloned into pcDNA3.1 were amplified without their stop codons using sense and antisense primers harboring EcoRI and BamHI sites to clone A2AR and D1R or EcoRI and KpnI to clone A1R and CB1R. The amplified fragments were subcloned to be in-frame with restriction sites of pcDNA3.1-nYFP, pcDNA3.1-cYFP, pcDNA3.1-nRluc, or pcDNA3.1-Rluc vectors to provide plasmids that express the receptor fused to nYFP, cYFP, nRluc, or cRluc on the C-terminal end of the receptor. The following human G protein constructs were used: Gαi1-YFP (with YFP, mVenus variant, inserted at position 91), Gαs-YFP (with YFP, mVenus variant, inserted at position 154 of Gαs, short isoform), and Gαq-YFP (with YFP, mVenus variant, inserted at position 97 of Gαs), untagged Gβ1, and untagged Gγ2. All the constructs were confirmed by sequencing analysis. Several constructs were shared by C. Gales at INSERM (Toulouse, France; Gαi1 construct) and N. Lambert (Georgia Regents University, Augusta, GA; Gαs). The expression of constructs was tested by confocal microscopy and the receptor-fusion protein functionality by ERK1/2 phosphorylation. An A2AR mutant with a deletion of aa 321 to aa 412 on the C-terminal domain of A2AR (A2A<sub>ΔCT</sub>R) was generated as previously described [<xref ref-type="bibr" rid="CR70">70</xref>].</p></sec><sec id="Sec12"><title>HIV TAT-fused TM peptides</title><p id="Par36">Peptides with the amino acid sequence of TMs of the CB1R, A2AR, and A1R were used as oligomer-destabilizing agents, as previously demonstrated [<xref ref-type="bibr" rid="CR6">6</xref>, <xref ref-type="bibr" rid="CR7">7</xref>, <xref ref-type="bibr" rid="CR12">12</xref>, <xref ref-type="bibr" rid="CR31">31</xref>, <xref ref-type="bibr" rid="CR71">71</xref>]. To allow intracellular delivery, a peptide can be fused to the cell-penetrating HIV transactivator of transcription (TAT) peptide (YGRKKRRQRRR). HIV TAT fused to a TM GPCR peptide can be inserted effectively into the plasma membrane as a result of both the penetration capacity of the TAT peptide and the hydrophobic property of the TM peptide [<xref ref-type="bibr" rid="CR72">72</xref>]. To obtain the right orientation of the membrane-inserted peptide, HIV TAT peptide was fused to the C-terminus of peptides with the amino acid sequence of TM 1, TM 3, TM 5, and TM 7 of CB1R, A2AR, or A1R (TM1, TM3, TM5, and TM7 peptides, respectively) or to the N-terminus of TM 2, TM 4, and TM 6 of CB1R, A2AR, or A1R (TM2, TM4, and TM6 peptides, respectively). All peptides were synthesized by Genemed Synthesis, Inc. Their sequences were as follows:VYITVELAIAVLAILGNVLVCWAVWYGRKKRRQRRR for TM1 of A2AR,YGRKKRRQRRRYFVVSLAAADIAVGVLAIPFAITI for TM2 of A2AR,LFIACFVLVLTQSSIFSLLAIAIYGRKKRRQRRR for TM3 of A2AR,YGRKKRRQRRRAKGIIAICWVLSFAIGLTPMLGW for TM4 of A2AR,MNYMVYFNFFACVLVPLLLMLGVYLYGRKKRRQRR R for TM5 of A2AR,YGRKKRRQRRRLAIIVGLFALCWLPLHIINCFTFF for TM6 of A2AR,LWLMYLAIVLSHTNSVVNPFIYAYYGRKKRRQRRR for TM7 of A2AR.LAIAVLSLTLGTFTVLENLLVLCVILYGRKKRRQRRR for TM1 of CB1R,YGRKKRRQRRRFIGSLAVADLLGSVIFVYSFI for TM2 of CB1R, FIGSLAVADLLGSVIFVYSFIYGRKKRRQRRR for TM3 of CB1R,YGRKKRRQRRRAVVAFCLMWTIAIVIAVLPLLGW for TM4 of CB1R,TYLMFWIGVTSVLLLFIVYAYMYILWYGRKKRRQRRR for TM5 of CB1R,YGRKKRRQRRRLVLILVVLIICWGPLLAIMVY for TM6 of CB1R,VFAFCSMLCLLNSTVNPIIYALYGRKKRRQRRR for TM7 of CB1RRRRQRRKKRGYAAVAIAGCWILSFVVGLTPMFGW for TM4 of A1R,MEYMVYFNFFVWVLPPLLLMVLIYLYGRKKRRQRRR for TM5 of A1R,RRRQRRKKRGYLALILFLFALSWLPLHILNCITLF for TM6 of A1R,ILTYIAIFLTHGNSAMNPIVYAFRIYGRKKRRQRRR for TM7 of A1R.</p></sec><sec id="Sec13"><title>Cell cultures and transient transfection</title><p id="Par53">Human embryonic kidney 293T (HEK-293T) cells obtained from ATCC were grown in Dulbecco’s modified Eagle’s medium (DMEM) (Gibco, Gaithersburg, MD) supplemented with 2 mM <sc>l</sc>-glutamine, 100 μg/ml sodium pyruvate, 100 U/ml penicillin/streptomycin, MEM non-essential amino acid solution (1/100), and 5% (v/v) heat inactivated fetal bovine serum (FBS) (all supplements were from Invitrogen, Paisley, Scotland, UK). Cells were maintained at 37 °C in an atmosphere of 5% CO<sub>2</sub>. For transient transfection, HEK-293T cells growing in six-well dishes were transfected with the corresponding fusion protein cDNA by the PEI (PolyEthylenImine, Sigma-Aldrich, Saint Louis, MO) method. Cells were incubated (4 h) with the corresponding cDNA together with PEI (5.47 mM in nitrogen residues) and 150 mM NaCl in a serum-starved medium. After 4 h, the medium was changed to a fresh complete culture medium. Forty-eight hours after transfection, cells were washed twice in quick succession in Hank’s balanced salt solution (HBSS; containing, in mM: 137 NaCl, 5 KCl, 0.34 Na<sub>2</sub>HPO<sub>4</sub>, 0.44 KH<sub>2</sub>PO<sub>4</sub>, 1.26 CaCl<sub>2</sub>, 0.4 MgSO<sub>4</sub>, 0.5 MgCl<sub>2</sub>, 10 HEPES, pH 7.4), supplemented with 0.1% glucose (w/v), detached, and resuspended in the same buffer. To control the cell number, sample protein concentration was determined using a Bradford assay kit (Bio-Rad, Munich, Germany) using bovine serum albumin dilutions as standards.</p></sec><sec id="Sec14"><title>Bimolecular fluorescence complementation (BiFC)</title><p id="Par54">HEK-293T cells transfected with the receptor fused to n-YFP and the receptor fused to the cYFP were treated with vehicle or the indicated TAT-fused TM peptides (4 μM) for 4 h at 37 °C. To quantify protein-reconstituted YFP Venus expression, cells (20 μg protein) were distributed in 96-well microplates (black plates with a transparent bottom; Porvair, King’s Lynn, UK), and emission fluorescence at 530 nm was read in a Fluo Star Optima Fluorimeter (BMG Labtechnologies, Offenburg, Germany) equipped with a high-energy xenon flash lamp, using a 10-nm-bandwidth excitation filter at 400 nm reading. Protein fluorescence was determined as fluorescence of the sample minus fluorescence of non-transfected cells. Cells expressing CB1R, A2AR, A1R, or D1R fused to nYFP or to cYFP, as well as cells expressing nYFP or cYFP or both complementary proteins (not fused to receptors) showed similar fluorescence levels to non-transfected cells.</p></sec><sec id="Sec15"><title>Bioluminescence resonance energy transfer (BRET) with donor and acceptor complementation</title><p id="Par55">HEK-293T cells were transfected with the corresponding receptors fused to nYFP, cYFP, nRluc, and cRluc (see figure legends). To quantify receptor-YFP expression, cells (20 μg protein) were distributed in 96-well microplates (black plates with a transparent bottom) and fluorescence at 530 nm was read as described above. Receptor fluorescence was determined as fluorescence of the sample minus the fluorescence of cells expressing only the BRET donor. For BRET measurements, cells (20 μg protein) were distributed in 96-well microplates (Corning 3600, White plates; Sigma-Aldrich) and BRET signal was collected 1 min after addition of 5 μM coelenterazine H (Molecular Probes, Eugene, OR) using a Mithras LB 940 microplate reader (Berthold Technologies, Bad Wildbad, Germany), which allows integration of the signals detected in the short-wavelength filter at 485 nm (440–500 nm) and the long-wavelength filter at 530 nm (510–590 nm). To quantify receptor-Rluc reconstitution, luminescence readings were also performed after 10 min of adding 5 μM of coelenterazine H. Both the fluorescence and luminescence of each sample were measured before each experiment to confirm similar donor expression (∼150,000 luminescent units). Net BRET is defined as [(long-wavelength emission)/(short-wavelength emission)]-Cf where Cf corresponds to [(long-wavelength emission)/(short-wavelength emission)] for the Rluc construct expressed alone in the same experiment. BRET is expressed as milli BRET units (mBU; net BRET × 1000).</p></sec><sec id="Sec16"><title>Complemented donor-acceptor resonance energy transfer (CODA-RET)</title><p id="Par56">HEK-293T cells transfected with A2AR fused to cRluc and CB1R fused to nRluc, or 5-HT2AR fused to cRluc and D2R (short isoform) fused to nRluc, and co-transfected with either Gαs, Gαi1, or Gαq fused to YFP were harvested, washed, and resuspended in phosphate-buffered saline (PBS). About 200,000 cells/well were distributed in 96-well plates, and 5 μM coelenterazine H was added to each well. One minute after addition of coelenterazine, different concentrations of the non-selective adenosine receptor agonist NECA, the selective CB1R agonist CP55940, dopamine, or serotonin were added to each well. In some experiments, NECA or caffeine were added 12 min before the addition of CP55940. Fluorescence of the acceptor was quantified (excitation at 500 nm and emission at 540 nm for 1-s recording) in the Mithras LB940 reader to confirm the constant expression level across experiments. In parallel, BRET signal from the same batch of cells was determined as the ratio of the light emitted by YFP (mVenus variant; 510–540 nm) over Rluc (485 nm). Results were calculated for the BRET change (BRET ratio for the corresponding drug minus BRET ratio in the absence of the drug) 10 min after addition of the agonists. Data manipulations and statistical analyses for all CODA-RET, BRET, and complementation experiments were performed with GraphPad Prism 7.0 software (La Jolla, CA).</p></sec><sec id="Sec17"><title>cAMP accumulation</title><p id="Par57">cAMP accumulation was measured using the LANCE Ultra cAMP kit (PerkinElmer, Waltham, MA, USA) as previously described [<xref ref-type="bibr" rid="CR73">73</xref>]. In brief, HEK-293T cells were seeded in white 384-wells plates in Dulbecco’s modified Eagle’s medium (DMEM) (Sigma-Aldrich) containing zardaverine (up to 50 μM; Calbiochem, San Diego, CA, USA) and, when using A2AR ligands, adenosine deaminase (ADA, 0.5 U/ml; Roche Diagnostics, GmbH, Mannheim, Germany). Cells were incubated for 1 h at 37 °C and for 4 h at 37 °C when using TAT-fused TM peptides. Subsequently, selective ligands and/or forskolin were added and cells were incubated for 30 min. Finally, Eu-cAMP tracer and ULight™-anti-cAMP reagents were prepared and added to the sample following the manufacturer’s instructions. The 384-wells plate was incubated 1 h at 22 °C in the dark and was then read on a CLARIOstar or PHERAstar microplate reader (BMG Labtech, Durham, NC, USA). Measurements at 620 nm and 665 nm were used to detect the TR-FRET signal and the concomitant cAMP levels were calculated following the manufacturer’s instructions. Data were fitted by non-linear regression using GraphPad Prism 6.01 (San Diego, CA, USA). When comparing the effect of different co-expression experiments, cells were labeled by means of SNAP staining as previously described [<xref ref-type="bibr" rid="CR47">47</xref>] and cAMP values were normalized according to the levels of cell surface expression of A<sub>2A</sub>R in each condition (A2AR, A2AR + A1R, A2AR + CB1R, A2AR + D2R). In brief, adherent cells expressing the A<sub>2A</sub>R<sup>SNAP</sup> were washed and incubated with DMEM containing 100 nM of SNAP-surface 488 substrate (New England BioLabs, Ipswich, MA) for 1 h at 37 °C. Cells were then washed three times with phenol red-free Hank’s balanced salt solution containing 1 g/l glucose (HBSS: 137 mM NaCl, 5.4 mM KCl, 0.3 mM Na<sub>2</sub>HPO<sub>4</sub>, 0.4 mM KH<sub>2</sub>PO<sub>4</sub>, 4.2 mM NaHCO<sub>3</sub>, 1.3 mM CaCl<sub>2</sub>, 0.5 mM MgCl<sub>2</sub>, 0.6 mM MgSO<sub>4</sub>, 5.6 mM glucose, pH 7.4) and fluorescence read on the CLARIOstar microplate reader (BMG Labtech).</p></sec><sec id="Sec18"><title>Computational model of the A2AR-CB1R heterotetramer</title><p id="Par58">The structural model of the A2AR-CB1R heterotetramer consists of a heteromer of homodimers. The A2AR homodimer is formed by an internal inactive protomer (interacting with CB1R), modeled with PDB id 5NM4 [<xref ref-type="bibr" rid="CR74">74</xref>, <xref ref-type="bibr" rid="CR75">75</xref>], and an external active protomer bound to Gs, modeled with PDB id 5G53 of A2AR in complex with a mini-Gs α-subunit [<xref ref-type="bibr" rid="CR76">76</xref>, <xref ref-type="bibr" rid="CR77">77</xref>]. Gs was modeled based on the mini-Gs α-subunit and the βγ-subunits of the A2AR-Gs structure with PDB id 6GDG [<xref ref-type="bibr" rid="CR78">78</xref>, <xref ref-type="bibr" rid="CR79">79</xref>]. The CB1R dimer is formed by an internal inactive protomer (interacting with A2AR), modeled with PDB id 5U09 [<xref ref-type="bibr" rid="CR80">80</xref>, <xref ref-type="bibr" rid="CR81">81</xref>], and an external active protomer bound to Gi, modeled with PDB id 6N4B of the CB1R-Gi complex [<xref ref-type="bibr" rid="CR82">82</xref>, <xref ref-type="bibr" rid="CR83">83</xref>]. The A2AR-CB1R heteromer was modeled via the TM 5/6 interface, using the structure of the μ-opioid receptor with PDB id 4DKL [<xref ref-type="bibr" rid="CR39">39</xref>, <xref ref-type="bibr" rid="CR84">84</xref>]. TMs 5 and 6 of inactive A2AR and CB1R were modeled as observed on the structure of the μ-opioid receptor to facilitate the formation of the highly packed TM 5/6 interface. The A2AR and CB1R homodimers were modeled via the TM 4/6 interface, using the structure of CB2R with PDB id 5ZTY [<xref ref-type="bibr" rid="CR85">85</xref>, <xref ref-type="bibr" rid="CR86">86</xref>]. The large outward movement of TM 6 for G protein coupling is not compatible with the TM 4/6 interface observed in this structure due to steric clashes. To avoid these clashes, the active protomer was manually rotated relative to the inactive protomer. The resulting tetrameric complex was refined using a 800-ns molecular dynamics simulation (as described in detail elsewhere [<xref ref-type="bibr" rid="CR6">6</xref>]).</p></sec><sec id="Sec19"><title>[<sup>14</sup>C]glutamate release assay from striatal glutamatergic terminals</title><p id="Par59">Male Wistar rats (180–240 g, 8-10 weeks old) were purchased from Charles-River (Barcelona, Spain), and housed with 12-h light on/off cycles under controlled temperature (23 ± 2 °C) and ad libitum access to food and water. Before brain extraction, the rats were deeply anesthetized with halothane (5%, 1 l/min flow rate; no reaction to tail pinch or handling, while still breathing). Experiments were carried out as previously described [<xref ref-type="bibr" rid="CR19">19</xref>]. Briefly, the two striata were rapidly dissected in ice-cold Krebs’ solution (in mM: NaCl 132, KCl 3, KH<sub>2</sub>PO<sub>4</sub> 1.2, MgSO<sub>4</sub> 1.2, CaCl<sub>2</sub> 2.5, NaHCO<sub>3</sub> 25, glucose 5.5, HEPES 10; pH 7.4) and moved into 2 ml of ice-cold sucrose solution (0.32 M, containing 15 mM HEPES; pH 7.4) for homogenization with a Teflon homogenizer (Thomas Scientific, NJ, USA). The heavy debris particles in the homogenate were decanted at 1000<italic toggle="yes">g</italic> for 10 min at 4 °C, and the supernatant was saved. The first pellet (P1) was resuspended once again and centrifuged as above. Subsequently, the supernatants from the two centrifugations were pelleted at 20,000<italic toggle="yes">g</italic> for 30 min, to obtain the P2 crude synaptosomal fraction. The two P2 pellets (synaptosomes) from each rat were subsequently combined and stored on ice until use. For the assays with pertussis toxin (PTX), synaptosomes from each animal were resuspended in 2 ml of Krebs-HEPES solution, pregassed with 95% O<sub>2</sub> and 5% CO<sub>2</sub>, containing PTX (2 μg/ml) and left tightly sealed at 4 °C for 4 h, then pelleted again for [<sup>3</sup>H]glutamate loading. Hereafter, all assay solutions contained the glutamate decarboxylase inhibitor, aminooxyacetic acid (100 μM), to prevent the transfer of [<sup>3</sup>H] labels to releasable molecules other than glutamate. Before the release experiments, synaptosomes from each animals were resuspended in 0.5 ml pregassed Krebs-HEPES solution and incubated in the presence of [<sup>3</sup>H]glutamate (specific activity, 60 Ci/mmol; final concentration, 200 nM; American Radiolabeled Chemicals Inc, Saint Louis, MO) for 15 min. When necessary, incubations with TM5 (20 μM) or with TM7 (20 μM) of A2AR occurred also during this period. Subsequently, a 8-microvolume chamber superfusion setup was filled with preloaded synaptosomes (chambers/rat) which were trapped by layers of Whatman GF/B filters (Sigma-Aldrich). Synaptosomes were superfused continuously at a rate of 0.8 ml/min with pre-gassed Krebs-HEPES solution (37 °C) until the end of the experiments. Upon termination of a 10-min washout and after collecting three 2-min samples as baseline, neurotransmitter release was stimulated twice with 30 mM KCl (S<sub>1</sub>, S<sub>2</sub>) with 10-min interval (Fig. <xref rid="Fig6" ref-type="fig">6</xref>a). The CB1R agonist WIN55,212-2 (Tocris Bioscience, Bristol, UK), A<sub>2A</sub>R ligands (Tocris Bioscience), or their solvent, DMSO (0.1% v/v), were added to the superfusion medium 4 min before S<sub>2</sub> and continued to be present until the end of the experiment (that is, there was no washout study).</p><p id="Par60">Treatments were performed in duplicate (i.e., 1 pair of control <italic toggle="yes">versus</italic> 3 pairs of different treatments per animal), and the intra-chamber S<sub>2</sub>/S<sub>1</sub> ratios served to evaluate the effect of drug treatments and expressed as % of DMSO control (Fig. <xref rid="Fig6" ref-type="fig">6</xref>a). All data are represented as means ± S.E.M. of “<italic toggle="yes">n</italic> ≥ 5” observations (rats) in duplicates. As control S<sub>2</sub>/S<sub>1</sub> ratios do not have biological significance, they were taken as 100% in each experiment, and treatment S<sub>2</sub>/S<sub>1</sub> ratios were normalized to them. Normalized data were then tested for normal distribution by the Kolmogorov-Smirnov test, and subsequently analyzed with one-sample <italic toggle="yes">t</italic>-test against the hypothetical value of 100 (%), and <italic toggle="yes">p</italic> &lt; 0.05/3 (a correction factor for three treatments using one control) was accepted for significant difference. Tests were performed using the GraphPad Prism 5.0 software.</p></sec></sec><sec sec-type="supplementary-material"><title>Supplementary information</title><sec id="Sec20"><p>
<supplementary-material content-type="local-data" id="MOESM1" position="float" orientation="portrait"><media xmlns:xlink="http://www.w3.org/1999/xlink" xlink:href="12915_2020_739_MOESM1_ESM.docx" position="float" orientation="portrait"><?suppdata-name 12915_2020_739_MOESM1_ESM.docx?><?suppdata-size 1068040?><?suppdata-md5 8f98f54de1e92ec2b3ff30937cdca6bb?><?suppdata-image-server-status NEVER_LOAD?><?suppdata-mime-type application?><?suppdata-mime-sub-type vnd.openxmlformats-officedocument.wordprocessingml.document?><?suppdata-cloudpmc-urn urn:app:00b9/6979073/8f98f54de1e9/12915_2020_739_MOESM1_ESM.docx?><caption><p><bold>Additional file 1: Figure S1.</bold> G protein coupling of A2AR and CB1R in the A2AR-CB1R heteromer. <bold>Figure S2.</bold> Lack of modulation by the CB1R agonist CP55940 on A2AR-mediated Gs protein activation in the A2AR-CB1R heteromer. <bold>Figure S3.</bold> Tetrameric structure of A2AR-CB1R heteromer. <bold>Figure S4.</bold> Gs-dependent A2AR-mediated modulation and Gi-dependent CB1R-mediated modulation of AC signaling in HEK-293T cells. <bold>Figure S5.</bold> Control of striatal glutamate release by A2AR-CB1R and A1R-A2AR heteromers.</p></caption></media></supplementary-material>
<supplementary-material content-type="local-data" id="MOESM2" position="float" orientation="portrait"><media xmlns:xlink="http://www.w3.org/1999/xlink" xlink:href="12915_2020_739_MOESM2_ESM.xlsx" position="float" orientation="portrait"><?suppdata-name 12915_2020_739_MOESM2_ESM.xlsx?><?suppdata-size 17716?><?suppdata-md5 e0f452e87d1e6bce24b734658b2679f7?><?suppdata-image-server-status NEVER_LOAD?><?suppdata-mime-type application?><?suppdata-mime-sub-type vnd.openxmlformats-officedocument.spreadsheetml.sheet?><?suppdata-cloudpmc-urn urn:app:00b9/6979073/e0f452e87d1e/12915_2020_739_MOESM2_ESM.xlsx?><caption><p><bold>Additional file 2.</bold> Data values 1. EC<sub>50</sub> values from Additional file <xref rid="MOESM1" ref-type="media">1</xref>: Figure S1. Data values 2. EC<sub>50</sub> and E<sub>max</sub> values from Additional file <xref rid="MOESM1" ref-type="media">1</xref>: Figure S2. Data values 3. Values of cAMP formation from Fig. <xref rid="Fig5" ref-type="fig">5</xref>. Data values 4. Values of constitutive activation (cAMP formation) from Fig. <xref rid="Fig7" ref-type="fig">7</xref>.</p></caption></media></supplementary-material>
</p></sec></sec></body><back><fn-group><fn><p><bold>Publisher’s Note</bold></p><p>Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.</p></fn><fn><p>Attila Köfalvi, Estefanía Moreno and Arnau Cordomí contributed equally to this work.</p></fn></fn-group><sec><title>Supplementary information</title><p><bold>Supplementary information</bold> accompanies this paper at 10.1186/s12915-020-0739-0.</p></sec><ack><title>Acknowledgements</title><p>Not applicable</p></ack><notes notes-type="author-contribution"><title>Authors’ contributions</title><p>AK, EM, AC, N-SC, VF-D, SGF, MS-S, and VC-A. conducted the experiments. AK, EM, AC, N-SC, VF-D, SGF, MS-S, FC, LP, VC, and SF analyzed the results. AK, EM, AC, HY, FC, LP, VC, and SF designed the experiments. All authors contributed to the writing and read and approved the final manuscript.</p></notes><notes notes-type="funding-information"><title>Funding</title><p>Work supported with the intramural funds of the National Institute on Drug Abuse, “Ministerio de Ciencia, Innovación y Universidades-Agencia Estatal de Investigación/FEDER” (SAF2015-74627-JIN, SAF2016-77830-R, SAF2017-87349-R) and ISCIII/FEDER (PIE14/00034), the Catalan government (2017 SGR 1604), “Fundació la Marató de TV3” (20152031), FWO (SBO-140028), “Fundação para a Ciência e a Tecnologia” (PTDC/DTP-FTO/3346/2014 and PTDC/MED-NEU/31274/2017), FEDER (QREN) through “Programa Operacional Factores de Competitividade” (COMPETE 2020, POCI-01-0145-FEDER-007440, CENTRO-01-0145-FEDER-000012-N2323P30, and UID/NEU/04539/2019), and through “Programa Mais Centro” (CENTRO-01-0246-FEDER-000010 and CENTRO-07-ST24-FEDER-002006).</p></notes><notes notes-type="data-availability"><title>Availability of data and materials</title><p>All data generated or analyzed during this study are included in this published article and its supplementary information files (Additional files <xref rid="MOESM1" ref-type="media">1</xref> and <xref rid="MOESM2" ref-type="media">2</xref>). The crystal structures 5NM4, 5G53, 6GDG, 5UO9, 6N4B, 4DKL, and 5ZTY, used to build the computational models, are available from Protein Data Bank (PDB; <ext-link xmlns:xlink="http://www.w3.org/1999/xlink" ext-link-type="uri" xlink:href="http://www.rcsb.org">http://www.rcsb.org</ext-link>; specific PDB entries included in the reference list).</p></notes><notes><title>Ethics approval</title><p id="Par61">All studies with animal preparations were conducted in accordance with the principles and procedures outlined as “3Rs” in the guidelines of EU (86/609/EEC), FELASA, and the National Centre for the 3Rs (Kilkenny et al., Brit. J. Pharmacol.; 2010, 160: 1577-1579), and were approved by the Animal Care Committee of the Center for Neuroscience and Cell Biology of the University of Coimbra, Portugal. 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