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Pro-resolving G protein-coupled receptor

Molecular classification
G protein-coupled receptor, Receptor
01

Overview

"Pro-resolving G protein-coupled receptors" is not a single molecular entity but rather refers collectively to a subset of GPCRs that bind specialized pro-resolving mediators (SPMs) such as resolvins, protectins, maresins, and lipoxins. These receptors, including FPR2/ALX, GPR32, GPR18, chemerin 1, BLT1, and GPR37, play essential roles in actively terminating inflammation and restoring tissue homeostasis. Upon activation by endogenous or synthetic agonists, pro-resolving GPCRs drive the resolution phase of inflammation by promoting neutrophil apoptosis, enhancing macrophage phagocytosis (efferocytosis), and suppressing pro-inflammatory signaling. The system demonstrates poly-pharmacology, as multiple SPMs activate several receptors and vice versa, and therapeutic targeting faces challenges of specificity, complex signaling, and limited clinical translation thus far. These GPCRs are increasingly recognized as attractive—but currently complex and partly experimental—therapeutic targets in diverse inflammatory, cardiovascular, metabolic, neurodegenerative diseases, and cancer[5][3][1][2][6][7].

Other names
SPM receptorSpecialized pro-resolving mediator receptorPro-resolving GPCRSPM GPCR
02

Mechanism of action

Receptor agonist—activation by SPMs promotes resolution of inflammation via signaling pathways that drive apoptosis and phagocytosis of neutrophils/macrophages - Biased agonism—preferential activation of pro-resolving signaling pathways over pro-inflammatory ones - Allosteric modulation—binding at alternative receptor sites for specificity and efficacy[5][7][8]

03

Biological functions

Signal transductionImmune responseResolution of inflammationApoptosisPhagocytosisEfferocytosis
04

Disease associations

InflammationChronic inflammatory diseaseCardiovascular diseaseAsthmaNeurodegenerative diseaseCancerMetabolic disease
05

Safety considerations

Limited translational/clinical experience; efficacy and safety in humans still being establishedPotential for off-target immune modulation and undesired suppression or alteration of host defensesComplexity of poly-pharmacology and pleiotropy (multiple receptors and ligands can cause varied effects)[5][6][2]
06

Interacting drugs

SPM mimetics

4 more in the full profile.

07

Biomarkers

Changes in SPM (specialized pro-resolving mediator) levels in plasma or tissueExpression levels of receptor subtypes (e.g., FPR2/ALX, GPR32, GPR18, chemerin 1, BLT1, GPR37) on immune cells[5][6]

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