Nanobody-based immunoprecipitation coupled with native mass spectrometry reveals that mGluR2/3 heterodimers exist alongside mGluR2 homodimers in mammalian brain with region-specific abundance patterns, form distinct protein interaction networks in different cortical areas, and are selectively elevated in the orbitofrontal cortex of individuals with severe depression, establishing receptor subunit organization rather than expression level as a molecular correlate of psychiatric disease.

Molecular studies of brain receptors and transporters have typically relied on recombinant systems, limiting insight into their organization in native tissue. Here, we develop nanobody-based immunoprecipitation coupled with native mass spectrometry to interrogate endogenous protein assemblies from post-mortem mouse and human brain sections. We exemplify our approach by characterizing the synaptic proteins VGluT1 and mGluR2. From a single mouse brain, we discover mGluR2/3 heterodimers, alongside mGluR2 homodimers. Considering regions of human brain heterodimeric mGluR2/3 is highly abundant in the OFC and sgACC (∼70% and 50%, respectively) and forms regional-specific interactions with additional synaptic proteins. In a modest cohort of biobanked human tissue, associated with depression and suicide, we find increased mGluR2/3 in the OFC. Consistent with this, mice exhibit similar associations between heterodimer levels and stress-susceptibility. Overall, our approach provides a direct means for establishing molecular-behavioural links at the level of receptor organization in brain.