Steven E. Mansoor, Wei Lü, Wout Oosterheert, Mrinal Shekhar, Emad
Tajkhorshid, and Eric Gouaux.
X-ray structures define human P2X3 receptor gating cycle and
antagonist action.
Nature, 538:66-71, 2016.
(PMC: PMC5161641)
MANS2016A-ET
P2X receptors are trimeric, non-selective cation channels activated by ATP
that have
important roles in the cardiovascular, neuronal and immune systems.
Despite their central
function in human physiology and although they are potential targets of
therapeutic
agents, there are no structures of human P2X receptors. The mechanisms
of receptor
desensitization and ion permeation, principles of antagonism, and complete
structures of
the pore-forming transmembrane domains of these receptors remain
unclear. Here we
report X-ray crystal structures of the human P2X receptor in
apo/resting, agonist-
bound/open-pore, agonist-bound/closed-pore/desensitized and
antagonist-
bound/closed states. The open state structure harbours an intracellular
motif we term the
'cytoplasmic cap', which stabilizes the open state of the ion channel pore
and creates
lateral, phospholipid-lined cytoplasmic fenestrations for water and ion
egress. The
competitive antagonists TNP-ATP and A-317491 stabilize the apo/resting
state and
reveal the interactions responsible for competitive inhibition. These
structures illuminate
the conformational rearrangements that underlie P2X receptor gating and
provide a
foundation for the development of new pharmacological agents.
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