Addressing the architecture, dynamics and activation of the CGRP receptor
Lead Research Organisation:
University of Essex
Department Name: Life Sciences
Abstract
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Technical Summary
The CGRP receptor is a particularly interesting family B G-protein coupled receptor (GPCR) having an absolute requirement for an auxiliary protein known as Receptor activity modifying protein 1 (RAMP1). Class B GPCRs consist of a large extracellular domain (ECD) and a transmembrane domain (TMD). They frequently associate with accessory proteins belonging to the family of RAMPs. They act as receptors for a number of peptide hormones and neurotransmitters. They are attractive therapeutic targets but it has proved very difficult to obtain drugs that target them. Several crystal structures exist for the ECDs and there are crystal structures for two class B GPCRs (glucagon and CRF), but neither have bound peptides and the orientation between the TMD and ECD for any receptor remains speculative, as does the mechanism whereby agonists activate the receptors.
We have recently used a combination of site-directed mutagenesis and molecular modelling to propose a structure for CGRP bound to the TMD of CLR. This shows excellent agreement with the crystal structures, which were published after our modelled structures were deposited. Thus we propose that our methodology is robust. Furthermore, the presence of the RAMP provides additional constraints on the orientation of the ECD relative to the TMD, making the CGRP receptor especially amenable to modelling by greatly reducing the number of ways in which it could be modelled incorrectly.
We propose a strategy of photoaffinity cross-linking, disulphide trapping and point mutagenesis to provide experimental information on the architecture of the receptor when bound to CGRP and as a test for the modelling. This information will then be used to produce a model of the complex. We will use molecular dynamics and other modelling techniques to plan the experiments, to interpret the results and hence to determine the conformational changes caused by CGRP binding and so establish how the receptor is activated by its native agonist.
We have recently used a combination of site-directed mutagenesis and molecular modelling to propose a structure for CGRP bound to the TMD of CLR. This shows excellent agreement with the crystal structures, which were published after our modelled structures were deposited. Thus we propose that our methodology is robust. Furthermore, the presence of the RAMP provides additional constraints on the orientation of the ECD relative to the TMD, making the CGRP receptor especially amenable to modelling by greatly reducing the number of ways in which it could be modelled incorrectly.
We propose a strategy of photoaffinity cross-linking, disulphide trapping and point mutagenesis to provide experimental information on the architecture of the receptor when bound to CGRP and as a test for the modelling. This information will then be used to produce a model of the complex. We will use molecular dynamics and other modelling techniques to plan the experiments, to interpret the results and hence to determine the conformational changes caused by CGRP binding and so establish how the receptor is activated by its native agonist.
Planned Impact
The most immediate beneficiaries would be those companies with research programmes directed towards the development of CGRP antagonists for migraine, where there is clinical evidence of the effectiveness of these agents. Migraine alone is estimated to cost the UK economy £2.25 billion per annum (Steiner TJ., Lecture to the All Party Parliamentary Group on Primary Headache Disorders., 19 November 2008) and CGRP antagonists have been shown to be effective against migraine in clinical trials. There have been 66 new patent applications filed worldwide for CGRP antagonists since January 2010. Thus the development of new agents to target the CGRP receptor would be of considerable benefit both to the UK pharmaceutical industry and also the health and well-being of the UK population. The mode of binding of CGRP and the way it activates its receptor is likely to be shared by other peptides in this family such as amylin (implicated in the control of eating) and calcitonin (well-established for the treatment of osteoporosis), further adding to the value of the project. The spectrum of disorders covered by the CGRP family of peptides include many which are common amongst elderly populations (e.g. heart failure, osteoporosis) and so this project is relevant to the BBSRC's initiative on lifelong health and well-being. More broadly, the challenges resulting from CLR modelling have serendipitously resulted in the generation of a helix alignment program that can work below the twilight zone (Vohra et al., J. Roy. Soc. 2013, Taddese et al., Plant Phys 2014) and we expect other methodologies to result from this challenging problem. Here, the way in which the modelling is closely integrated with experiment be applicable to a wide range of proteins of pharmaceutical or other interest. These include G-protein coupled receptors but extend far beyond those. In this respect, the project also addresses the BBSRC initiative on Technology development for the biosciences.
Organisations
- University of Essex (Lead Research Organisation)
- Mayo Clinic (Collaboration)
- HARVARD UNIVERSITY (Collaboration)
- Heptares Therapeutics Ltd (Collaboration)
- University of Warwick (Collaboration)
- UNIVERSITY OF CAMBRIDGE (Collaboration)
- IMPERIAL COLLEGE LONDON (Collaboration)
- Monash University (Collaboration)
Publications

Bower RL
(2018)
Molecular Signature for Receptor Engagement in the Metabolic Peptide Hormone Amylin.
in ACS pharmacology & translational science

Dal Maso E
(2019)
The Molecular Control of Calcitonin Receptor Signaling.
in ACS pharmacology & translational science

Dal Maso E
(2018)
Extracellular loops 2 and 3 of the calcitonin receptor selectively modify agonist binding and efficacy
in Biochemical Pharmacology

Deganutti G
(2021)
Exploring Ligand Binding to Calcitonin Gene-Related Peptide Receptors.
in Frontiers in molecular biosciences

Deganutti G
(2019)
Peeking at G-protein-coupled receptors through the molecular dynamics keyhole.
in Future medicinal chemistry

Dong M
(2020)
Rational development of a high-affinity secretin receptor antagonist.
in Biochemical pharmacology

Dong M
(2020)
Structure and dynamics of the active Gs-coupled human secretin receptor
in Nature Communications

Hendrikse ER
(2020)
Identification of Small-Molecule Positive Modulators of Calcitonin-like Receptor-Based Receptors.
in ACS pharmacology & translational science

Koole C
(2017)
Genetically encoded photocross-linkers determine the biological binding site of exendin-4 peptide in the N-terminal domain of the intact human glucagon-like peptide-1 receptor (GLP-1R).
in The Journal of biological chemistry

Liang YL
(2018)
Cryo-EM structure of the active, Gs-protein complexed, human CGRP receptor.
in Nature
Description | 1. A homology model of the GLP1 receptor (Wotten et al., Mol Pharm, 2016) 2. Additional understanding on biased signalling (Wotten et al., Mol Pharm, 2016) 3. Additional understanding on the action of RAMPs on class B GPCs, namely glucagon. (Weston et al., JBC, 2015). 4. The cryo-EM structure of the CGRP receptor 5. The cryo-EM structure of the calcitonin receptor 6. The cryo-EM structure of the secretin receptor 7. Using the structures as a starting point, the dynamic behaviour of these related family B1 receptors has been determined by molecular dynamics. This includes the dynamic docking of the CGRP peptide and the secretin peptide to their respective receptors, indicating the pathway by which these peptides bind. This information may be useful in drug design since knowledge of the binding and dissociation pathways may be used to design more tightly binding drugs. |
Exploitation Route | The model of the GLP1 receptor, a class B GPCR similar to our target receptor, the CGRP receptor, is available as supporting information to the Mol Pharm 2016 article; this may be used in target-based drug design. (However, we have now studied the dynamics of 4 GLP-1 receptor:peptide complexes, including two new cryo-EM structures, not attributed to this award) The cryo-EM structures of the CGRP receptor is available from the protein databank (www.rcsb.org), pdb code 6e3y. The cryo-EM structures of the calcitonin receptor is available from the protein databank (www.rcsb.org), pdb code 6niy (the 3.3 A structure replaces an early 4.1 A structure). Both of the related cryo-EM structures can be used in structure-based drug design for a number of important diseases, e.g. migraine, heart disease, obesity. We now understand that dynamics can play a key role in peptide receptor ligand properties, and so the reports of CGRP and Secretin receptor dynamics may be particularly helpful in drug design, as may the simulations on peptide binding to these receptors. |
Sectors | Agriculture Food and Drink Chemicals Pharmaceuticals and Medical Biotechnology |
URL | https://www.essex.ac.uk/news/2018/09/13/key-villain-in-migraine-brought-to-life |
Description | Several newspaper articles reported our work on Biased signalling, (Wootten et al., Cell 2016) under a diabetes-related theme of designing better drugs. CAR has joined Heptares Therapeutics as a Royal Society Industry Fellow as a result of earlier publications (e.g. Cell 2016) to develop improved GPCR models. The applicant has a new collaboration (2021) with AstraZeneca based on our previous molecular dynamics work; htis has led to a new covid publication. An additional publication on the VPAC receptor family (related to CGRP) has been published. |
First Year Of Impact | 2016 |
Sector | Pharmaceuticals and Medical Biotechnology |
Impact Types | Economic |
Description | Allostery-driven G protein selectivity in the adenosine A1 receptor |
Amount | £1,079,733 (GBP) |
Funding ID | BB/W016974/1 |
Organisation | Biotechnology and Biological Sciences Research Council (BBSRC) |
Sector | Public |
Country | United Kingdom |
Start | 09/2022 |
End | 09/2025 |
Description | Functional characterisation of GLP1R gene variants and their effects on type 2 diabetes pathogenesis, treatment response and mood conditions |
Amount | £29,423,453 (GBP) |
Funding ID | 20/0006307 |
Organisation | Diabetes UK |
Sector | Charity/Non Profit |
Country | United Kingdom |
Start | 09/2021 |
End | 10/2024 |
Description | Pancreatic cancer UK |
Amount | £74,285 (GBP) |
Funding ID | RPG-2017-255 |
Organisation | Pancreatic Cancer UK |
Sector | Charity/Non Profit |
Country | United Kingdom |
Start | 03/2017 |
End | 02/2018 |
Description | Royal Society Industrial Fellowships |
Amount | £151,861 (GBP) |
Funding ID | IF160090 |
Organisation | The Royal Society |
Sector | Charity/Non Profit |
Country | United Kingdom |
Start | 08/2017 |
Description | Royal Society Summer Studentship |
Amount | £2,000 (GBP) |
Organisation | The Royal Society |
Sector | Charity/Non Profit |
Country | United Kingdom |
Start | 07/2017 |
End | 09/2017 |
Description | Summer studentship for Royal Society Industrial Fellowships |
Amount | £2,000 (GBP) |
Organisation | The Royal Society |
Sector | Charity/Non Profit |
Country | United Kingdom |
Start | 06/2019 |
End | 08/2019 |
Description | Summer studentship for Royal Society Industry Fellows |
Amount | £2,000 (GBP) |
Organisation | The Royal Society |
Sector | Charity/Non Profit |
Country | United Kingdom |
Start | 05/2018 |
End | 07/2018 |
Description | Tier 2 computer time |
Amount | £30,000 (GBP) |
Funding ID | EPSRC tier 2 award of computer time (3M core hours) at Cambridge; the cost above is an estimate of the value based on 1p per core hour |
Organisation | Engineering and Physical Sciences Research Council (EPSRC) |
Sector | Public |
Country | United Kingdom |
Start | 11/2018 |
End | 08/2019 |
Title | Method for generating GPCR models |
Description | We have published a method for generating class B G protein-coupled receptor (GPCR) structures from X-ray, NMR or homology modelled sub-structures that is particularly suited to the 2 domain extracellular domain (ECD)/transmembrane (TM) structure of class B GPCRs. The essential feature is to generate partially overlapping fragments, which can be achieved through carefully docking of the full peptide ligand to both the ECD and the TM domain. The method also involves a two-step approach to handing photoaffinity labelling by first generating the model containing the labels in the presence of constraints and then translating the constraints into equivalent constraints for the wild-type receptor. The method is described in a series of 2016 publications, including: Wootten, D.; Reynolds, C. A.; Smith, K. J.; Mobarec, J. C.; Koole, C.; Savage, E. E.; Pabreja, K.; Simms, J.; Sridhar, R.; Furness, S. G.; Liu, M.; Thompson, P. E.; Miller, L. J.; Christopoulos, A.; Sexton, P. M. The Extracellular Surface of the GLP-1 Receptor Is a Molecular Trigger for Biased Agonism. Cell 2016, 165, 1632-43. Weston, C.; Winfield, I.; Harris, M.; Hodgson, R.; Shah, A.; Dowell, S. J.; Mobarec, J. C.; Woodlock, D. A.; Reynolds, C. A.; Poyner, D. R.; Watkins, H. A.; Ladds, G. Receptor Activity-modifying Protein-directed G Protein Signaling Specificity for the Calcitonin Gene-related Peptide Family of Receptors. J. Biol. Chem. 2016, 291, 21925-21944. |
Type Of Material | Improvements to research infrastructure |
Year Produced | 2016 |
Provided To Others? | Yes |
Impact | The method was taken up by Heptares Therapeutics and was used to model a particular receptor (by Dr Conor Scully) as part of a drug design program. This enabled the programme to get off to a good start and the programme is progressing well. As a result, a REF impact case is being prepared. |
Title | Supervised molecular dynamics method for studying th ebinding of class B GPCR peptides |
Description | Supervised molecular dynamics, SuMD, is an adaptive sampling method for computationally modelling the binding of a ligand from outside of an enzyme/receptor to the receptor binding site. The method had been published previously, but we adapted the method for the binding of class B peptides to their receptor. Without such a method the simulations could take months. |
Type Of Material | Improvements to research infrastructure |
Year Produced | 2018 |
Provided To Others? | Yes |
Impact | The article was spotted by Miles Congreve at Sosei Heptares and circulated internally; the company are interested in drugs for class B G protein coupled receptors |
Title | supervised molecular dynamics (Path) method |
Description | An extension to the supervised molecular dynamics method that increases sampling |
Type Of Material | Improvements to research infrastructure |
Year Produced | 2020 |
Provided To Others? | Yes |
Impact | A better description of the pathway a drug takes during docking or dissociation. |
Title | CGRP |
Description | Computer models of the CGRP receptor have been deposited in the Essex Research Repository and are given a DOI from the relevant publications |
Type Of Material | Computer model/algorithm |
Year Produced | 2017 |
Provided To Others? | Yes |
Impact | Deeper understanding into the structure and function of the CGRP receptor that may be relevant to drug design and heart disease/migraine. |
URL | http://repository.essex.ac.uk |
Title | CTR/AMY |
Description | Molecular models of the calcitonin receptor (CTR) and the Amylin Receptor (AMY1R, i.e. CTR in complex with a receptor activity modifying protein). These models are stored in the Essex Research Repository and are referenced from associated publications / articles submitted. |
Type Of Material | Computer model/algorithm |
Year Produced | 2018 |
Provided To Others? | No |
Impact | Deeper understanding into the structure and dynamics of these calcitonin-based receptor models that are related to various diseases including osteoporosis, migraine and diabetes. |
URL | http://repository.essex.ac.uk/ |
Title | Data underpinning article "Photoaffinity cross-linking and unnatural amino acid mutagenesis reveal insights into calcitonin gene-related peptide binding to the calcitonin receptor-like receptor/receptor activity-modifying protein 1 (CLR/RAMP1) complex" |
Description | NULL |
Type Of Material | Database/Collection of data |
Year Produced | 2018 |
Provided To Others? | Yes |
Title | GLP-1R |
Description | Computer models have been generated of the GLP-1 receptor, the adrenomedullin receptor and the PTH2 receptor; these have been validated by collaborative experimental studies. The models are available from ftp.essex.ac.uk/pub/oyster/ |
Type Of Material | Database/Collection of data |
Year Produced | 2016 |
Provided To Others? | Yes |
Impact | The models have had a significant impact on explaining pharmacological data on important drug targets, as indicated in the following publications: 1. Wotten, D., Reynolds, C. A., Smith, K. J., Mobarec, J. C., Koole, C., Savage, E. E., Pabreja, K., Simms, J., Sridhar, R., and Furness, S. G., Miller, L. J., Christopoulos, A., and Sexton, P. M. (2016) The extracellular surface of the GLP-1 receptor is a molecular trigger for biased agonism. Cell 165,1632-1643. doi.org/10.1016/j.cell.2016.05.023 2. Wootten, D., Reynolds, C. A., Smith, K. J., Mobarec, J. C., Furness, S. G., Miller, L. J., Christopoulos, A., and Sexton, P. M. (2016) Key interactions by conserved polar amino acids located at the transmembrane helical boundaries in Class B GPCRs modulate activation, effector specificity and biased signalling in the glucagon-like peptide-1 receptor. Biochem. Pharmacol. 118,68-87. doi.org/10.1016/j.bcp.2016.08.015 3. Wootten, D., Reynolds, C. A., Koole, C., Smith, K. J., Mobarec, J. C., Simms, J., Quon, T., Coudrat, T., Furness, S. G., and Miller, L. J. (2016) A hydrogen-bonded polar network in the core of the glucagon-like peptide-1 receptor is a fulcrum for biased agonism: lessons from class B crystal structures. Mol. Pharmacol. 89,335-347. doi.org/10.1124/mol.115.101246 4. Weston, C., Winfield, I., Harris, M., Hodgson, R., Shah, A., Dowell, S. J., Mobarec, J. C., Woodlock, D. A., Reynolds, C. A., and Poyner, D. R. (2016) Receptor Activity-modifying Protein-directed G Protein Signaling Specificity for the Calcitonin Gene-related Peptide Family of Receptors. J. Biol. Chem. 291,21925-21944. doi.org/10.1074/jbc.M116.751362 5. Weaver, R. E., Mobarec, J. C., Wigglesworth, M. J., Reynolds, C. A., and Donnelly, D. (2016) High affinity binding of the peptide agonist TIP-39 to the parathyroid hormone 2 (PTH 2) receptor requires the hydroxyl group of Tyr-318 on transmembrane helix 5. Biochem. Pharmacol. doi.org/10.1016/j.bcp.2016.12.013 6. Watkins, H. A., Chakravarthy, M., Abhayawardana, R. S., Gingell, J. J., Garelja, M., Pardamwar, M., McElhinney, J. M., Lathbridge, A., Constantine, A., and Harris, P. W. (2016) Receptor Activity-modifying Proteins 2 and 3 Generate Adrenomedullin Receptor Subtypes with Distinct Molecular Properties. J. Biol. Chem. 291,11657-11675. doi.org/10.1074/jbc.M115.688218 |
URL | http://ftp.essex.ac.uk/pub/oyster/ |
Title | cryo-EM structure of the human CGRP receptor |
Description | The 3.3 A cryo-EM structure of the calcitonin receptor-like receptor (CLR) class B G protein coupled receptor (GPCR) in complex with the calcitonin gene-related peptide (CGRP), receptor activity-modifying protein 1 (RAMP1), the Gs protein heterotrimer and a stabilizing nanobody. |
Type Of Material | Database/Collection of data |
Year Produced | 2018 |
Provided To Others? | Yes |
Impact | 143 citations. SInce publication, a number of migraine drugs have been authorised, both antibody and traditional drugs. Clearly this structure came too late for the current drugs, but it will no doubt be used for the next generation of migraine drugs |
URL | https://www.rcsb.org/structure/6E3Y |
Description | Biased signalling in the GLP1 receptor |
Organisation | Mayo Clinic |
Department | Molecular Pharmacology and Experimental Therapeutics |
Country | United States |
Sector | Hospitals |
PI Contribution | homology Modelling the GLP1 receptor; molecular dynamics studies of the GLP1 receptor; docking studies on ligands binding to the receptor |
Collaborator Contribution | Experimental mutagenesis studies of the GLP1 receptor and an analysis of the preferred signalling pathways of the receptor in the presence of various agonists, namely GLP1 peptide, oxyntmodulin and exendin-4 |
Impact | Wootten, D.; Reynolds, C. A.; Koole, C.; Smith, K. J.; Mobarec, J. C.; Quon, T.; Coudrat, T.; Furness, S. G. B.; Miller, L. J.; Christopoulos, A.; Sexton, P. M. A hydrogen-bonded polar network in the core of the glucagon-like peptide-1 receptor is a fulcrum for biased agonism: lessons from class B crystal structures. Mol. Pharmacol. (resubmitted) 2016, 89, 335-347 |
Start Year | 2015 |
Description | Biased signalling in the GLP1 receptor |
Organisation | Monash University |
Country | Australia |
Sector | Academic/University |
PI Contribution | homology Modelling the GLP1 receptor; molecular dynamics studies of the GLP1 receptor; docking studies on ligands binding to the receptor |
Collaborator Contribution | Experimental mutagenesis studies of the GLP1 receptor and an analysis of the preferred signalling pathways of the receptor in the presence of various agonists, namely GLP1 peptide, oxyntmodulin and exendin-4 |
Impact | Wootten, D.; Reynolds, C. A.; Koole, C.; Smith, K. J.; Mobarec, J. C.; Quon, T.; Coudrat, T.; Furness, S. G. B.; Miller, L. J.; Christopoulos, A.; Sexton, P. M. A hydrogen-bonded polar network in the core of the glucagon-like peptide-1 receptor is a fulcrum for biased agonism: lessons from class B crystal structures. Mol. Pharmacol. (resubmitted) 2016, 89, 335-347 |
Start Year | 2015 |
Description | GLP-1 signalling and bias (with Imperial) |
Organisation | Imperial College London |
Country | United Kingdom |
Sector | Academic/University |
PI Contribution | Preliminary data on the structure of the GLP-1 receptor (GLP-1R) Dynamics data for joint publication: Pickford et al., Partial agonism improves the anti-hyperglycaemic efficacy of an oxytomodulin-derived GLP-1R/GCGR co-agonist, Molecular metabolism, 51, 101242. |
Collaborator Contribution | Preliminary data on identification of biased ligands for GLP-1R Pharmacology data for joint publication: Pickford et al., Partial agonism improves the anti-hyperglycaemic efficacy of an oxytomodulin-derived GLP-1R/GCGR co-agonist, Molecular metabolism, 51, 101242. |
Impact | Award of an MRC grant entitled XXX on GLP-1R signalling and bias, (PI: , Co-Is: ); CAR was very pleased to supply a letter of support |
Start Year | 2017 |
Description | Modelling the Adenosine Receptor |
Organisation | University of Cambridge |
Department | Department of Pharmacology |
Country | United Kingdom |
Sector | Academic/University |
PI Contribution | Molecular modelling of the adenosine A1 receptor |
Collaborator Contribution | Molecular pharmacology of the A1 receptor In vivo testing of adenosine A1 agonists as analgesics without cardiovascular side effects Synthesis of novel adenosine A1 agonists |
Impact | multi-disciplinary: molecular modelling and experimental pharmacology |
Start Year | 2017 |
Description | Modelling the Adenosine Receptor |
Organisation | University of Warwick |
Department | School of Life Sciences |
Country | United Kingdom |
Sector | Academic/University |
PI Contribution | Molecular modelling of the adenosine A1 receptor |
Collaborator Contribution | Molecular pharmacology of the A1 receptor In vivo testing of adenosine A1 agonists as analgesics without cardiovascular side effects Synthesis of novel adenosine A1 agonists |
Impact | multi-disciplinary: molecular modelling and experimental pharmacology |
Start Year | 2017 |
Description | Pleiotropic signalling in the thromboxane A2 receptor |
Organisation | Harvard University |
Country | United States |
Sector | Academic/University |
PI Contribution | Computer Modelling (i.e. molecular dynamics simulations) of the affect of alternative disulfide bond formation on the activation of the thromboxane A2 receptor |
Collaborator Contribution | Experimental data on the effect of protein disulfide isomerase on the rearrangement of disulfide bonds in the thromboxane A2 receptor and the subsequent effect on activation pathways. |
Impact | none published |
Start Year | 2023 |
Description | Royal Society Industrial Fellowship: Markov State Modelling |
Organisation | Heptares Therapeutics Ltd |
Country | United Kingdom |
Sector | Private |
PI Contribution | Expertise in modelling GPCRs |
Collaborator Contribution | Access to specialist software; specialist knowledge on GPCRs and drug design |
Impact | Summer student trained in bioinformatics |
Start Year | 2017 |
Description | Computational Chemistry for A level students |
Form Of Engagement Activity | Participation in an open day or visit at my research institution |
Part Of Official Scheme? | No |
Geographic Reach | Local |
Primary Audience | Schools |
Results and Impact | 3 students visited the research centre to take part in research-focused molecular modelling activities, which included molecular modelling (2 students) and coding in python (1 student); the students interest in science was greatly increased through involvement in research. |
Year(s) Of Engagement Activity | 2023,2024 |
Description | Drug Design Workshop for the giften and able |
Form Of Engagement Activity | Participation in an activity, workshop or similar |
Part Of Official Scheme? | No |
Geographic Reach | Local |
Primary Audience | Schools |
Results and Impact | 8 Gifted and able students from Bromfords School, Essex, attended a week-long drug design workshop, which greatly increased the pupils enthusiasm for science. |
Year(s) Of Engagement Activity | 2016 |
Description | Interview for local radio |
Form Of Engagement Activity | A press release, press conference or response to a media enquiry/interview |
Part Of Official Scheme? | No |
Geographic Reach | Regional |
Primary Audience | Public/other audiences |
Results and Impact | Interview with Radio Essex on the CGRP receptor - following a press release by Essex University |
Year(s) Of Engagement Activity | 2018 |