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Metabolite-gated vascular contractility switch: OXGR1 activation mechanism enables agonist therapy for rosacea erythema - PubMed

3 days ago
  • #rosacea
  • #OXGR1
  • #vascular disorders
  • Oxoglutaric acid (α-KG) is identified as a rosacea-associated metabolite, elevated in patients and correlated with erythema severity.
  • α-KG activates OXGR1 in vascular smooth muscle cells (VSMCs), inducing Gq signaling and enhancing MYL9 phosphorylation, leading to VSMC contraction and reduced vasodilation.
  • Cryo-EM structures reveal OXGR1-Gq complexes bound to α-KG or itaconate, showing a unique bipartite-acid pocket and activation mechanism distinct from classical GPCRs.
  • A synthetic selective OXGR1 agonist, A-1, was developed, showing efficacy in mitigating erythema and inflammation in rosacea-like models with enhanced safety.
  • The findings suggest OXGR1 agonism as a potential precision treatment for erythema and vascular disorders.