Somatic mutations leading to constitutively active G-protein coupled recept
ors (GPCRs) are responsible for certain human diseases. A consistent struct
ural description of the molecular change underlying the conversion of GPCRs
from an inactive R state to an active R* state is lacking. Here, we show t
hat a series of constitutively active 5-HT4 receptors (mutated or truncated
in the C-terminal and the third intracellular loop) were characterized by
an increase in their denaturation rate at 55 degreesC. The thermal denatura
tion kinetics were monophasic, suggesting that we were measuring mainly the
denaturation rate of R*. Analysis of these kinetics revealed that constitu
tively active C-terminal domain mutants, were due to a change in the J cons
tant governing the R/R* equilibrium. However, the constitutive activity of
the receptor mutated within the third intracellular loop was the result of
both a change in the allosteric J constant and a change in the R* conformat
ion.