Heterotrimeric G proteins couple membrane-bound heptahelical receptors to t
heir cellular effector systems (ion channels or enzymes generating a second
messenger). In current pharmacotherapy, the input to G protein-regulated s
ignalling is typically manipulated by targeting the receptor with appropria
te agonists or antagonists and, to a lesser extent, by altering second mess
enger levels, most notably by inhibiting phosphodiesterases that hydrolyse
cyclic nucleotides. When stimulated, G proteins undergo a cycle of activati
on and deactivation in which the a-subunits and the py-dimers sequentially
expose binding sites for their reaction partners (receptors, guanine nucleo
tides and effecters, as well as regulatory proteins). These domains can be
blocked by inhibitors and this produces effects that cannot be achieved by
receptor antagonists. Here, the structural and mechanistic information on G
protein antagonists is summarized and an outline of the arguments supporti
ng the hypothesis that G proteins per se are also potential drug targets is
provided.