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The gonadotropin-releasing hormone receptor is a rhodopsin-like, class A GPCR on anterior pituitary gonadotrope cells that binds hypothalamic GnRH to activate predominantly Gq/11, leading to phospholipase C activation, IP3/DAG signaling, Ca2+ mobilization, and secretion of LH and FSH; it is also expressed in several extra-pituitary tissues and certain tumors. Human type 1 GnRHR uniquely lacks a cytoplasmic C-terminal tail (helix 8) compared with most class A GPCRs; recent structural work has resolved antagonist-bound human GnRH1R and defined features of its orthosteric pocket relevant for drug design (e.g., elagolix binding). Mutations in conserved transmembrane networks of the receptor can impair expression or function and are linked to congenital hypogonadotropic hypogonadism.
Antagonists: competitively block GnRHR to rapidly suppress LH/FSH release and downstream gonadal steroids; Agonists: initially stimulate GnRHR (LH/FSH surge) but sustained exposure downregulates/desensitizes the receptor leading to hypogonadism and reduced gonadotropin release
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