Target intelligence / Profile preview

G protein-coupled receptor kinase 5 (GRK5)

Target
GRK5
Molecular classification
Enzyme, Serine/threonine protein kinase, G protein-coupled receptor kinase (GRK family)
01

Overview

G protein-coupled receptor kinase 5 (GRK5) is a serine/threonine kinase that phosphorylates activated GPCRs, leading to desensitization (via arrestin recruitment), receptor internalization, and modulation of downstream signaling, including biased agonism. It is widely expressed, especially in the heart, lung, and placenta. Beyond classical receptor regulation, GRK5 can phosphorylate non-GPCR substrates such as α-synuclein, mediating additional non-receptor signaling roles. GRK5 is a promising target in cardiovascular disease and neurodegeneration, with selective inhibitors (e.g., CCG215022) under preclinical investigation. Genetic variants in GRK5 affect drug responses and disease susceptibility, highlighting its relevance as a biomarker and therapeutic target. Regulation of GRK5 involves calcium/calmodulin-mediated conformational controls and localization dynamics[1][2][3].

Other names
GRK5GPRK5G protein-coupled receptor kinase GRK5FP2025
02

Mechanism of action

Inhibition of GRK5 activity, preventing GPCR desensitization and altering downstream signaling[3] Modulation of arrestin-mediated bias signaling pathways (potential for biased agonism)[2] Interference with phosphorylation of non-receptor substrates such as α-synuclein[1]

03

Biological functions

Signal transductionGPCR desensitization (via phosphorylation)Arrestin-mediated signaling switchRegulation of cell surface receptor internalizationPhosphorylation of non-receptor substrates (e.g. α-synuclein)
04

Disease associations

Cardiovascular disease (e.g., regulation of beta-adrenergic receptors in the heart, asthma)Neurodegenerative disease (e.g., models for Alzheimer's disease)Developmental defects (e.g., heterotaxy/congenital heart disease)Potential involvement in cancer and inflammation (based on tissue expression and signaling roles, but less established)
05

Safety considerations

Potential off-target effects and specificity, as closely related GRKs have similar active sitesModulation of GRK5 may impact diverse physiological pathways due to wide expressionCardiac adverse effects (since GRK5 is highly expressed in heart tissue and regulates beta-adrenergic signaling)Effects on non-receptor substrates (for example, possible unintended impacts on neurodegeneration)
06

Interacting drugs

CCG215022 (potent GRK5 inhibitor)

4 more in the full profile.

07

Biomarkers

GRK5 tissue expression (notably in heart, lung, placenta)GRK5 Leu41 polymorphism (African ancestry, associated with asthma drug response)Altered phosphorylation status of GPCRs and α-synuclein (functional readouts rather than established clinical biomarkers)

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