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Small-molecule modulation of β-arrestins.

Journal articles  - Journal Article
Kahsai, AW; Pakharukova, N; Kwon, HY; Shah, KS; Del Real, CT; Shreiber, BN; Liang-Lin, JG; Shim, PJ; Lee, MA; Ngo, VA; Schwalb, AM; Pham, U ...
Published in: Nature
June 24, 2026

β-Arrestins are multifunctional regulators of G-protein-coupled receptor (GPCR) signalling and orchestrate diverse downstream signalling events and physiological responses across the GPCR superfamily1-3. Although GPCR pharmacology has advanced to target orthosteric and allosteric sites, as well as G proteins and GPCR kinases, direct chemical tools to modulate β-arrestin activities have remained conspicuously absent. Here we report the identification of small-molecule inhibitors that selectively target β-arrestins and delineate their mechanism of action through integrated pharmacological, biochemical, biophysical and structural analyses. These inhibitors disrupt β-arrestin engagement with agonist-activated GPCRs, impairing desensitization, internalization and β-arrestin-dependent physiological functions while sparing G protein-receptor coupling. Cryo-electron microscopy, molecular dynamics simulations and structure-guided mutagenesis reveal that one modulator, Cmpd-5, engages a pocket within the central crest of β-arrestin1 formed by the middle, C and lariat loops, a critical receptor-binding interface, stabilizing a distinct conformation that is incompatible with full β-arrestin-receptor engagement. Together, these findings establish a mechanistic framework for β-arrestin modulation, reveal a novel allosteric site for structure-based drug design, and open new avenues for transducer-targeted, pathway-specific GPCR therapeutic agents.

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Published In

Nature

DOI

EISSN

1476-4687

Publication Date

June 24, 2026

Location

England

Related Subject Headings

  • General Science & Technology
 

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Kahsai, A. W., Pakharukova, N., Kwon, H. Y., Shah, K. S., Del Real, C. T., Shreiber, B. N., … Lefkowitz, R. J. (2026). Small-molecule modulation of β-arrestins. Nature. https://doi.org/10.1038/s41586-026-10683-5
Kahsai, Alem W., Natalia Pakharukova, Henry Y. Kwon, Kunal S. Shah, Caroline T. Del Real, Bowie N. Shreiber, Jason G. Liang-Lin, et al. “Small-molecule modulation of β-arrestins.Nature, June 24, 2026. https://doi.org/10.1038/s41586-026-10683-5.
Kahsai AW, Pakharukova N, Kwon HY, Shah KS, Del Real CT, Shreiber BN, et al. Small-molecule modulation of β-arrestins. Nature. 2026 Jun 24;
Kahsai, Alem W., et al. “Small-molecule modulation of β-arrestins.Nature, June 2026. Pubmed, doi:10.1038/s41586-026-10683-5.
Kahsai AW, Pakharukova N, Kwon HY, Shah KS, Del Real CT, Shreiber BN, Liang-Lin JG, Shim PJ, Lee MA, Ngo VA, Schwalb AM, Pham U, Chundi A, Jiang H, Flores-Espinoza E, Liu S, Nibley PC, Bassford DK, Hahn H, Kunzle CA, Thomas BN, Kim J, Zhou Y, Wang J, Zhang X, Smith JS, Rein LAM, Thomsen ARB, Shenoy SK, Rajagopal S, Shi L, Ahn S, Rockman HA, Masoudi A, Lefkowitz RJ. Small-molecule modulation of β-arrestins. Nature. 2026 Jun 24;
Journal cover image

Published In

Nature

DOI

EISSN

1476-4687

Publication Date

June 24, 2026

Location

England

Related Subject Headings

  • General Science & Technology