Adhesion G protein-coupled receptors (adhesion GPCRs) are a class of 33 human protein receptors with a broad distribution in embryonic and larval cells, cells of the reproductive tract, neurons, leukocytes, and a variety of tumours.[1] Adhesion GPCRs are found throughout metazoans and are also found in single-celled colony forming choanoflagellates such as Monosiga brevicollis and unicellular organisms such as Filasterea. The defining feature of adhesion GPCRs that distinguishes them from other GPCRs is their hybrid molecular structure. The extracellular region of adhesion GPCRs can be exceptionally long and contain a variety of structural domains that are known for the ability to facilitate cell and matrix interactions. Their extracellular region contains the membrane proximal GAIN (GPCR-Autoproteolsis INducing) domain. Crystallographic and experimental data has shown this structurally conserved domain to mediate autocatalytic processing at a GPCR-proteolytic site (GPS) proximal to the first transmembrane helix. Autocatalytic processing gives rise to an extracellular (α) and a membrane-spanning (β) subunit, which are associated non-covalently, resulting in expression of a heterodimeric receptor at the cell surface.[2][3] Ligand profiles and in vitro studies have indicated a role for adhesion GPCRs in cell adhesion and migration.[4] Work utilizing genetic models confined this concept by demonstrating that the primary function of adhesion GPCRs may relate to the proper positioning of cells in a variety of organ systems. Moreover, growing evidence implies a role of adhesion GPCRs in tumour cell metastasis.[5] Formal G protein-coupled signalling has been demonstrated for a number for adhesion GPCRs,[6][7] however, the orphan receptor status of many of the receptors still hampers full characterisation of potential signal transduction pathways. In 2011, the adhesion GPCR consortium was established to facilitate research of the physiological and pathological functions of adhesion GPCRs.
![](http://178.128.105.246/cars-http-upload.wikimedia.org/wikipedia/commons/thumb/e/ed/Adhesion3.tif/lossy-page1-220px-Adhesion3.tif.jpg)
Classification
editThe GPCR superfamily is the largest gene family in the human genome containing approximately 800 genes.[8] As the vertebrate superfamily can be phylogenetically grouped into five main families, the GRAFS classification system has been proposed, which includes the glutamate, rhodopsin, adhesion, Frizzled/Taste2, and secretin GPCR families.[9]
There are 33 human adhesion GPCRs that can be broken down into eight groups, with two independent receptors. Group I consists of LPHN1, LPHN2, LPHN3, and ETL. Group II consists of CD97, EMR1, EMR2, EMR3, and EMR4. Group III consists of GPR123, GPR124, and GPR125. Group IV consists of CELSR1, CELSR2, and CELSR3. Group V consists of GPR133 and GPR144. Group VI consists of GPR110, GPR111, GPR113, GPR115, and GPR116. Group VII consists of BAI1, BAI2, and BAI3. Group VIII consists of GPR56, GPR97, GPR112, GPR114, GPR126, and GPR64. Two additional adhesion GPCRs do not fit into these groups: VLGR1 and GPR128.[10]
Non-humans and evolution
editAdhesion GPCRs are found in fungi. They are believed to have evolved from the cAMP receptor family, arising approximately 1275 million years ago before the split of Unikonts from a common ancestor. Several fungi have novel adhesion GPCRs that have both short, 2–66 amino acid residues, and long, 312–4202 amino acid residues. Analysis of fungi showed that there were no secretin receptor family GPCRs, which suggests that they evolved from adhesion GPCRs in a later organism.[11]
Genome analysis of the Teleost Takifugu rubripes has revealed that it has only two adhesion GPCRs that showed homology to Ig-hepta/GPR116.[12] While the Fugu genome is relatively compact and limited with the number of adhesion GPCRs, Tetraodon nigroviridis, another species of puffer fish, has considerably more, totaling 29 adhesion GPCRs.[13]
Ligands
editA majority of the adhesion GPCRs are orphan receptors and work is underway to de-orphanize many of these receptors.[14] Adhesion GPCRs get their name from their N-terminal domains that have adhesion-like domains, such as EGF, and the belief that they interact cell to cell and cell to extra cellular matrix.[15] While ligands for many receptors are still not known, researchers are utilizing drug libraries to investigate compounds that can activate GPCRs and using these data for future ligand research.
One adhesion GPCR, GPR56, has a known ligand, collagen III, which is involved in neural migration inhibition.[16] GPR56 has been shown to be the cause of polymicrogyria in humans and may play a role in cancer metastasis. The binding of collagen III to GPR56 occurs on the N-terminus and has been narrowed down to a short stretch of amino acids. The N-terminus of GPR56 is naturally glycosylated, but this glycosylation is not necessary for collagen III binding. Collagen III, results in GPR56 to signal through Gα12/13 activating RhoA.
Signaling
editAdhesion GPCRs appear capable to follow standard GPCR signaling modes[4] and signal through Gαs, Gαq, Gαi, and Gα12/13.[14] As of today, many of the adhesion GPCRs are still orphan receptors and their signalling pathways have not been identified. Research groups are working to elucidate the downstream signaling molecules utilizing several methods, including chemical screens and analysis of second messenger levels in over-expressed cells. Adding drugs in vitro, while the cells are over-expressing an adhesion GPCR, has allowed the identification of the molecules activating the GPCR and the second messengers being utilized.[14]
GPR133 signals through Gαs to activate adenylyl cyclase.[15] It has been shown that overexpressing GPCRs in vitro can result in receptor activation in the absence of a ligand or agonist. By over expressing GPR133 in vitro, an elevation in reporter genes and cAMP was observed. Signaling of the overexpressed GPR133 did not require an N-terminus or GPS cleavage. Missense mutations in the 7TM region resulted in loss of signalling.[15]
The latrophilin homolog LPHN1 was shown in C. elegans to require a GPS for signaling, but cleavage at the GPS site was not necessary.[17] Furthermore, having a shortened 7 transmembrane domain, but with an intact GPS domain, resulted in a loss of signaling. This suggests that having both the GPS and 7 transmembrane domain intact is involved in signaling and that the GPS site could act as or be a necessary part of an endogenous ligand.
GPR56 has been shown to be cleaved at the GPS site and then remain associated with the 7TM domain.[18] In a study where the N-terminus was removed up to N342 (the start of the GPS), the receptor became constitutively active and an up regulation of Gα12/13 was seen. When receptors are active, they are ubiquitinated and GPR56 lacking an N-terminus was highly ubiquitinated.
Cleavage
editMany adhesion GPCRs undergo proteolytic events posttranslationally at highly conserved Cys-rich motifs known as GPCR proteolysis sites (GPS), located next to the first transmembrane region. This site is called the HL-S(T) site. Once this protein is cleaved, the pieces are expressed at the cell surface as a heterodimer. This cleavage is thought to happen from within the protein itself, through the conserved GAIN domain. This process seems to be similar to those found in other auto-proteolytic proteins such as the Ntn hydrolases and hedgehog proteins.
Domains
editOne characteristic of adhesion GPCRs is their extended extracellular region. This region is modular in nature, often possessing a variety of structurally defined protein domains and a membrane proximal GAIN domain. In the aptly named Very Large G protein-coupled Receptor 1 VLGR1 the extracellular region extends up to almost 6000 amino acids. Human adhesion GPCRs possess domains including EGF-like (Pfam PF00053), Cadherin (Pfam PF00028), thrombospondin (Pfam PF00090), Immunoglobulin (Pfam PF00047), Pentraxin (Pfam PF00354), Calx-beta (Pfam PF03160) and Leucine-rich repeats (Pfam PF00560). In non-vertebrate species multiple other structural motifs including Kringle, Somatomedin B (Pfam PF01033), SRCR (Pfam PF00530) may be contained with the extracellular region.[19] Since many of these domains have been demonstrated to mediate protein-protein interactions within other proteins, they are believed to play the same role in adhesion GPCRs. Indeed, many ligands have been discovered for adhesion GPCRs (see ligands section). Many of the adhesion GPCR possess long stretches of amino acids with little homology to known protein domains suggesting the possibility of new structural domains being elucidated within their extracellular regions.[2]
Roles
editImmune system
editA number of adhesion GPCRs may have important roles within the immune system. In particular, members the EGF-TM7 subfamily which possess N-terminal EGF-like domains are predominantly restricted to leukocytes suggesting a putative role in immune function. The human EGF‑TM7[20] family is composed of CD97, EMR1 (F4/80 receptor orthologue)[21] EMR2,[22] EMR3[23] and EMR4[24] (a probable pseudogene in humans). The human-restricted EMR2 receptor, is expressed by myeloid cells including monocytes, dendritic cells and neutrophils has been shown to be involved in the activation and migration of human neutrophils and upregulated in patients with systemic inflammatory response syndrome (SIRS).[22][25] Details of EMR1, CD97 needed. The adhesion‑GPCR brain angiogenesis inhibitor 1 (BAI1) acts as a phosphatidylserine receptor playing a potential role in the binding and clearance of apoptotic cells, and the phagocytosis of Gram-negative bacteria.[26][27] GPR56 has been shown to a marker for inflammatory NK cell subsets and to be expressed by cytotoxic lymphocytes.[28][29]
Neuronal development
editGPR126 is necessary for Schwann cell myelination. Knockouts of this adhesion GPCR in both Danio rerio and Mus musculus result in an arrest at the promyelinating stage.[30][31] Schwann cells arise from the neural crest, which migrates to peripheral nerves to form either myelinating or non-myelinating cells. In GPR126 knockouts, these precursor cells develop to the promyelinating stage, where they have wrapped approximately 1.5 times. Myelination is arrested at the promyelinating stage and in fish no myelin basic protein can be detected. In fish this can be rescued by adding forskolin during development, which rescues myelin basic protein expression.[31]
Bone marrow and hematapoietic stem cells
editGPR56 may play a role in the interactions between bone marrow and hematopoietic stem cells.[32]
Disease
editLoss of function mutations have been shown in a number of adhesion GPCRs, including GPR56, GPR126 and VLRG1. Many mutations affect function via decreased cell surface expression or inhibition of autoproteolysis within the GAIN domain. Mutations in GPR56 result in bilateral frontoparietal polymicrogyria in humans, characterized by abnormal neuronal migration and surface ectopias.,[33] Variants of GPR126 have been associated with adolescent idiopathic scoliosis,[34] as well as being responsible for severe arthrogryposis multiplex congenita.[35] Gain of function mutations within the GAIN domain of EMR2 have been shown to result in excessive degranulation by mast cells resulting in vibratory urticaria.[36]
References
edit- ^ Hamann, J; Aust, G; Araç, D; Engel, FB; Formstone, C; Fredriksson, R; Hall, RA; Harty, BL; Kirchhoff, C; Knapp, B; Krishnan, A; Liebscher, I; Lin, HH; Martinelli, DC; Monk, KR; Peeters, MC; Piao, X; Prömel, S; Schöneberg, T; Schwartz, TW; Singer, K; Stacey, M; Ushkaryov, YA; Vallon, M; Wolfrum, U; Wright, MW; Xu, L; Langenhan, T; Schiöth, HB (April 2015). "International Union of Basic and Clinical Pharmacology. XCIV. Adhesion G Protein-Coupled Receptors". Pharmacological Reviews. 67 (2): 338–67. doi:10.1124/pr.114.009647. PMC 4394687. PMID 25713288.
- ^ a b Araç, D; Boucard, AA; Bolliger, MF; Nguyen, J; Soltis, SM; Südhof, TC; Brunger, AT (Feb 14, 2012). "A novel evolutionarily conserved domain of cell-adhesion GPCRs mediates autoproteolysis". The EMBO Journal. 31 (6): 1364–78. doi:10.1038/emboj.2012.26. PMC 3321182. PMID 22333914.
- ^ Lin, HH; Chang, GW; Davies, JQ; Stacey, M; Harris, J; Gordon, S (Jul 23, 2004). "Autocatalytic cleavage of the EMR2 receptor occurs at a conserved G protein-coupled receptor proteolytic site motif". The Journal of Biological Chemistry. 279 (30): 31823–32. doi:10.1074/jbc.M402974200. PMID 15150276.
- ^ a b Langenhan, T; Aust, G; Hamann, J (May 21, 2013). "Sticky Signaling - Adhesion Class G Protein-Coupled Receptors Take the Stage". Science Signaling. 6 (276): r3. doi:10.1126/scisignal.2003825. PMID 23695165. S2CID 6958640.
- ^ Yang, L; Xu, L (April 2012). "GPR56 in cancer progression: current status and future perspective". Future Oncology (London, England). 8 (4): 431–40. doi:10.2217/fon.12.27. PMID 22515446.
- ^ Steinert, M; Wobus, M; Boltze, C; Schütz, A; Wahlbuhl, M; Hamann, J; Aust, G (November 2002). "Expression and regulation of CD97 in colorectal carcinoma cell lines and tumour tissues". The American Journal of Pathology. 161 (5): 1657–67. doi:10.1016/S0002-9440(10)64443-4. PMC 1850798. PMID 12414513.
- ^ Aust G (2010). "Adhesion-GPCRs in Tumorigenesis". In Yona S, Stacey M (eds.). Adhesion-GPCRs: Structure to Function. Advances in Experimental Medicine and Biology. Vol. 706. Landes Bioscience and Springer Science+Business Media, LLC. pp. 109–20. doi:10.1007/978-1-4419-7913-1_9. ISBN 978-1-4419-7912-4. PMC 5389670. PMID 21618830.
- ^ Lander, ES; Linton, LM; Birren; et al. (Feb 15, 2001). "Initial sequencing and analysis of the human genome" (PDF). Nature. 409 (6822). International Human Genome Sequencing, Consortium: 860–921. Bibcode:2001Natur.409..860L. doi:10.1038/35057062. PMID 11237011.
- ^ Fredriksson, R; Lagerström, MC; Lundin, LG; Schiöth, HB (June 2003). "The G-protein-coupled receptors in the human genome form five main families. Phylogenetic analysis, paralogon groups, and fingerprints". Molecular Pharmacology. 63 (6): 1256–72. doi:10.1124/mol.63.6.1256. PMID 12761335. S2CID 11203506.
- ^ Schiöth HB, Nordström KJ, Fredriksson R (2010). "The Adhesion GPCRs; Gene Repertoire, Phylogeny and Evolution". In Yona S, Stacey M (eds.). Adhesion-GPCRs: Structure to Function. Advances in Experimental Medicine and Biology. Vol. 706. Landes Bioscience and Springer Science+Business Media, LLC. pp. 1–13. ISBN 978-1-4419-7912-4.
- ^ Krishnan A, Almén MS, Fredriksson R, Schiöth HB (2012). "The origin of GPCRs: identification of mammalian like Rhodopsin, Adhesion, Glutamate and Frizzled GPCRs in fungi". PLOS ONE. 7 (1): e29817. Bibcode:2012PLoSO...729817K. doi:10.1371/journal.pone.0029817. PMC 3251606. PMID 22238661.
- ^ Sarkar A, Kumar S, Sundar D (2011). "The G protein-coupled receptors in the pufferfish Takifugu rubripes". BMC Bioinformatics. 12 (Suppl 1): S3. doi:10.1186/1471-2105-12-S1-S3. PMC 3044285. PMID 21342560. Art. No. S3.
- ^ Metpally RP, Sowdhamini R (2005). "Genome wide survey of G protein-coupled receptors in Tetraodon nigroviridis". BMC Evolutionary Biology. 5 (1): 41. Bibcode:2005BMCEE...5...41M. doi:10.1186/1471-2148-5-41. PMC 1187884. PMID 16022726. Art. No. 41.
- ^ a b c Gupte, Amila; Swaminath, Gayathri; Danao, Jay; Tian, Hui; Li, Yang; Wu, Xinle (2012). "Signaling property study of adhesion G-protein-coupled receptors". FEBS Letters. 586 (8): 1214–1219. doi:10.1016/j.febslet.2012.03.014. PMID 22575658.
- ^ a b c Bohnekamp, Jens; Schöneberg, Torsten (2011). "Cell Adhesion Receptor GPR133 Couples to Gs Protein". J. Biol. Chem. 286 (49): 41912–41916. doi:10.1074/jbc.C111.265934. PMC 3234928. PMID 22025619.
- ^ Luo, R; Jin, Z; Deng, Y; Strokes, N; Piao, X (2012). "Disease-Associated Mutations Prevent GPR56-Collagen III Interaction". PLOS ONE. 7 (1): e29818. Bibcode:2012PLoSO...729818L. doi:10.1371/journal.pone.0029818. PMC 3251603. PMID 22238662.
- ^ Prömel, S; Frickenhaus, M; Hughes, S; Mestek, L; Staunton, D; Woollard, A; Vakonakis, I; Schöneberg, T; Schnabel, R; Russ, AP; Langenhan, T (Aug 30, 2012). "The GPS motif is a molecular switch for bimodal activities of adhesion class G protein-coupled receptors". Cell Reports. 2 (2): 321–31. doi:10.1016/j.celrep.2012.06.015. PMC 3776922. PMID 22938866.
- ^ Paavola, KJ; Stephenson, JR; Ritter, SL; Alter, SP; Hall, RA (2011). "The N terminus of the adhesion G protein-coupled receptor GPR56 controls receptor signaling activity". J Biol Chem. 286 (33): 28914–28921. doi:10.1074/jbc.m111.247973. PMC 3190698. PMID 21708946.
- ^ Nordström, KJ; Fredriksson, R; Schiöth, HB (Jan 16, 2008). "The amphioxus (Branchiostoma floridae) genome contains a highly diversified set of G protein-coupled receptors". BMC Evolutionary Biology. 8 (1): 9. Bibcode:2008BMCEE...8....9N. doi:10.1186/1471-2148-8-9. PMC 2246102. PMID 18199322.
- ^ Gordon, S; Hamann, J; Lin, HH; Stacey, M (September 2011). "F4/80 and the related adhesion GPCRs". European Journal of Immunology. 41 (9): 2472–6. doi:10.1002/eji.201141715. PMID 21952799.
- ^ Hamann, J; Koning, N; Pouwels, W; Ulfman, LH; van Eijk, M; Stacey, M; Lin, HH; Gordon, S; Kwakkenbos, MJ (October 2007). "EMR1, the human homolog of F4/80, is an eosinophil-specific receptor". European Journal of Immunology. 37 (10): 2797–802. doi:10.1002/eji.200737553. PMID 17823986.
- ^ a b Yona, S; Lin, HH; Dri, P; Davies, JQ; Hayhoe, RP; Lewis, SM; Heinsbroek, SE; Brown, KA; Perretti, M; Hamann, J; Treacher, DF; Gordon, S; Stacey, M (March 2008). "Ligation of the adhesion GPCR EMR2 regulates human neutrophil function". FASEB Journal. 22 (3): 741–51. doi:10.1096/fj.07-9435com. PMID 17928360. S2CID 16235723.
- ^ Matmati, M.; Pouwels, W.; Van Bruggen, R.; Jansen, M.; Hoek, R. M.; Verhoeven, A. J.; Hamann, J. (February 2007). "The human EGF-TM7 receptor EMR3 is a marker for mature granulocytes". J. Leukoc. Biol. 81 (2): 440–8. doi:10.1189/jlb.0406276. PMID 17108056.
- ^ Hamann, J; Kwakkenbos, MJ; de Jong, EC; Heus, H; Olsen, AS; van Lier, RA (May 2003). "Inactivation of the EGF-TM7 receptor EMR4 after the Pan-Homo divergence". European Journal of Immunology. 33 (5): 1365–71. doi:10.1002/eji.200323881. PMID 12731063.
- ^ Lin, HH; Stacey, M; Hamann, J; Gordon, S; McKnight, AJ (Jul 15, 2000). "Human EMR2, a novel EGF-TM7 molecule on chromosome 19p13.1, is closely related to CD97". Genomics. 67 (2): 188–200. doi:10.1006/geno.2000.6238. PMID 10903844.
- ^ Park, D; Tosello-Trampont, Annie-Carole; Elliott, Michael R.; Lu, Mingjian; Haney, Lisa B.; Ma, Zhong; Klibanov, Alexander L.; Mandell, JW; Ravichandran, KS (Nov 15, 2007). "BAI1 is an engulfment receptor for apoptotic cells upstream of the ELMO/Dock180/Rac module". Nature. 450 (7168): 430–4. Bibcode:2007Natur.450..430P. doi:10.1038/nature06329. PMID 17960134.
- ^ Das, S; Owen, KA; Ly, KT; Park, D; Black, SG; Wilson, JM; Sifri, CD; Ravichandran, KS; Ernst, PB; Casanova, JE (Feb 1, 2011). "Brain angiogenesis inhibitor 1 (BAI1) is a pattern recognition receptor that mediates macrophage binding and engulfment of Gram-negative bacteria". Proceedings of the National Academy of Sciences of the United States of America. 108 (5): 2136–41. Bibcode:2011PNAS..108.2136D. doi:10.1073/pnas.1014775108. PMC 3033312. PMID 21245295.
- ^ Della Chiesa, M; Falco, M; Parolini, S; Bellora, F; Petretto, A; Romeo, E; Balsamo, M; Gambarotti, M; Scordamaglia, F; Tabellini, G; Facchetti, F; Vermi, W; Bottino, C; Moretta, A; Vitale, M (February 2010). "GPR56 as a novel marker identifying the CD56dull CD16+ NK cell subset both in blood stream and in inflamed peripheral tissues". International Immunology. 22 (2): 91–100. doi:10.1093/intimm/dxp116. PMID 20008459.
- ^ Peng, YM; van de Garde, MD; Cheng, KF; Baars, PA; Remmerswaal, EB; van Lier, RA; Mackay, CR; Lin, HH; Hamann, J (October 2011). "Specific expression of GPR56 by human cytotoxic lymphocytes". Journal of Leukocyte Biology. 90 (4): 735–40. CiteSeerX 10.1.1.1027.7072. doi:10.1189/jlb.0211092. PMID 21724806. S2CID 2885203.
- ^ Monk, KR; Oshima, K; Jörs, S; Heller, S; Talbot, WS. (Jul 2011). "Gpr126 is essential for peripheral nerve development and myelination in mammals". Development. 138 (13): 2673–80. doi:10.1242/dev.062224. PMC 3109596. PMID 21613327.
- ^ a b Monk, KR; Naylor, SG; Glenn, TD; Mercurio, S; Perlin, JR; Dominguez, C; Moens, CB; Talbot, WS. (Sep 2009). "A G protein-coupled receptor is essential for Schwann cells to initiate myelination. (2009)". Science. 325 (5946): 1402–5. Bibcode:2009Sci...325.1402M. doi:10.1126/science.1173474. PMC 2856697. PMID 19745155.
- ^ Saito, Y; Kaneda, K; Suekane, A; Ichihara, E; Nakahata, S; Yamakawa, N; Nagai, K; Mizuno, N; Kogawa, K; Miura, I; Itoh, H; Morishita, K (Aug 2013). "Maintenance of the hematopoietic stem cell pool in bone marrow niches by EVI1-regulated GPR56". Leukemia. 27 (8): 1637–1649. doi:10.1038/leu.2013.75. PMID 23478665.
- ^ Singer K., Luo R., Jeong S., Piao X. (2012) GPR56 and the Developing Cerebral Cortex: Cells, Matrix, and Neuronal Migration. Springer Science+Business Media, LLC 2012 10.1007/s12035-012-8343-0
- ^ Kou I, Takahashi Y, Johnson TA, Takahashi A, Guo L, Dai J, Qiu X, Sharma S, Takimoto A, Ogura Y, Jiang H, Yan H, Kono K, Kawakami N, Uno K, Ito M, Minami S, Yanagida H, Taneichi H, Hosono N, Tsuji T, Suzuki T, Sudo H, Kotani T, Yonezawa I, Londono D, Gordon D, Herring JA, Watanabe K, Chiba K, Kamatani N, Jiang Q, Hiraki Y, Kubo M, Toyama Y, Tsunoda T, Wise CA, Qiu Y, Shukunami C, Matsumoto M, Ikegawa S (June 2013). "Genetic variants in GPR126 are associated with adolescent idiopathic scoliosis". Nature Genetics. 45 (6): 676–9. doi:10.1038/ng.2639. PMID 23666238. S2CID 205347099.
- ^ Ravenscroft, G.; Nolent, F.; Rajagopalan, S.; Meireles, A. M.; Paavola, K. J.; Gaillard, D.; Alanio, E.; Buckland, M.; Arbuckle, S.; Krivanek, M.; Maluenda, J.; Pannell, S.; Gooding, R.; Ong, R. W.; Allcock, R. J.; Carvalho, E. D.; Carvalho, M. D.; Kok, F.; Talbot, W. S.; Melki, J.; Laing, N. G. (2015). "Mutations of GPR126 are responsible for severe arthrogryposis multiplex congenita". American Journal of Human Genetics. 96 (6): 955–61. doi:10.1016/j.ajhg.2015.04.014. PMC 4457946. PMID 26004201.
- ^ Boyden, SE; Desai, A; Cruse, G; Young, ML; Bolan, HC; Scott, LM; Eisch, AR; Long, RD; Lee, CC; Satorius, CL; Pakstis, AJ; Olivera, A; Mullikin, JC; Chouery, E; Mégarbané, A; Medlej-Hashim, M; Kidd, KK; Kastner, DL; Metcalfe, DD; Komarow, HD (18 February 2016). "Vibratory Urticaria Associated with a Missense Variant in ADGRE2". The New England Journal of Medicine. 374 (7): 656–63. doi:10.1056/NEJMoa1500611. PMC 4782791. PMID 26841242.