Computer simulations were performed on models of the beta(2)-adrenergic rec
eptor dimer, including 5,6-domain swapped dimers which have been proposed a
s the active, high affinity form (here the dimer interface lies between hel
ices 5 and 6). The calculations suggest that the domain swapped dimer is a
high energy structure in both the apo dimer and in the presence of proprano
lol. In the presence of agonist the energy of the domain swapped dimer is s
ignificantly lowered. Analysis of the dimer structure suggests that the ago
nist-induced conformational change optimizes the helix-helix interactions a
t the 5-6 interface. An antagonist on the other hand has little effect on t
hese interactions. These observations are consistent with the hypothesis th
at the agonist functions by shifting the equilibrium in favour of the domai
n swapped dimer, Indirect support for the domain swapping hypothesis was ob
tained from the correlated mutations amongst the external residues of the k
nown beta(2)-adrenergic receptors. These occur mainly at the 5-6 interface
at precisely the locations predicted by the simulations; site-directed muta
genesis data in support of a functional role for these lipid-facing correla
ted residues is presented. The article includes a review of the experimenta
l evidence for G-protein coupled receptor dimerization, Many other aspects
of G-protein coupled receptor activation are discussed in terms of this dom
ain swapping hypothesis.