A tamoxifen receptor within a voltage-gated sodium channel.

A tamoxifen receptor within a voltage-gated sodium channel.
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DOI:
10.1016/j.molcel.2020.12.048
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发表时间:
2021-03-18
期刊:
影响因子:
16
通讯作者:
Wallace BA
Wallace BA
中科院分区:
生物学1区
文献类型:
--
作者:
Sula A;Hollingworth D;Ng LCT;Larmore M;DeCaen PG;Wallace BA

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Voltage-gated sodium channels are targets for many analgesic and antiepileptic drugs whose therapeutic mechanisms and binding sites have been well characterized. We describe the identification of a previously unidentified receptor site within the NavMs voltage-gated sodium channel. Tamoxifen, an estrogen receptor modulator, and its primary and secondary metabolic products bind at the intracellular exit of the channel, which is a site that is distinct from other previously characterized sodium channel drug sites. These compounds inhibit NavMs and human sodium channels with similar potencies and prevent sodium conductance by delaying channel recovery from the inactivated state. This study therefore not only describes the structure and pharmacology of a site that could be leveraged for the development of new drugs for the treatment of sodium channelopathies but may also have important implications for off-target health effects of this widely used therapeutic drug. Structure and function of tamoxifen/voltage-gated sodium channel complexes Tamoxifen binds to a previously unidentified drug binding site in sodium channels Sodium channel tamoxifen binding pocket shares features with the estrogen receptor X-ray crystallography and electrophysiology reveal the nature of the interactions of the drug tamoxifen (and its metabolic derivatives) with voltage-gated sodium channels.
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