Key result
Cryo-EM structures of the human CaV3.3 channel reveal the gating mechanism at low voltages and demonstrate how structurally distinct drugs like mibefradil, otilonium bromide, and pimozide bind to the same central cavity.
Why the study?
T-type calcium channels regulate cellular excitability and resting membrane potential oscillatory behavior implicated in many diseases, but the structural mechanisms of CaV3.3 gating and drug recognition were unclear.
The structural elucidation of the human CaV3.3 channel and its drug-bound complexes provides molecular insights into T-type calcium channel gating and pharmacological modulation, aiding future subtype-specific drug design.
Structural insights into CaV3.3 gating and drug binding may guide selective T-type blocker design; leaves open clinical translation in cardiovascular disease.
The low-voltage activated T-type calcium channels regulate cellular excitability and oscillatory behavior of resting membrane potential which trigger many physiological events and have been implicated with many diseases. Here, we determine structures of the human T-type CaV3.3 channel, in the absence and presence of antihypertensive drug mibefradil, antispasmodic drug otilonium bromide and antipsychotic drug pimozide. CaV3.3 contains a long bended S6 helix from domain III, with a positive charged region protruding into the cytosol, which is critical for T-type CaV channel activation at low voltage. The drug-bound structures clearly illustrate how these structurally different compounds bind to the same central cavity inside the CaV3.3 channel, but are mediated by significantly distinct interactions between drugs and their surrounding residues. Phospholipid molecules penetrate into the central cavity in various extent to shape the binding pocket and play important roles in stabilizing the inhibitor. These structures elucidate mechanisms of channel gating, drug recognition, and actions, thus pointing the way to developing potent and subtype-specific drug for therapeutic treatments of related disorders.
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He et al. (2022) studied CaV3.3 channel structure and pharmacology. Mibefradil, otilonium bromide, and pimozide vs. Apo state (unbound) was evaluated on Cryo-EM structure determination and electrophysiological properties. Cryo-EM structures of the human CaV3.3 channel reveal the gating mechanism at low voltages and demonstrate how structurally distinct drugs like mibefradil, otilonium bromide, and pimozide bind to the same central cavity.
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