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Cryo-EM structures of human P2X2/3 heteromer channel reveal the structural basis of ligand selectivity - PubMed

19 hours ago
  • #Ligand selectivity
  • #Cryo-EM structures
  • #P2X2/3 heteromer
  • First cryo-EM structures of human P2X2/3 heteromer in multiple ligand-bound states reveal its stoichiometries (1:2 and 2:1) and asymmetric pore organization.
  • The study identifies heteromer-specific structural changes affecting ATP binding and gating, providing a structural basis for understanding ligand selectivity.
  • Gefapixant binds a conserved interfacial allosteric pocket, leading to poor selectivity and taste-related side effects due to off-target inhibition of P2X2/3.
  • Camlipixant targets a divergent vestibular site unique to P2X3, offering over 10,000-fold selectivity and improved tolerability compared to first-generation antagonists.
  • These findings establish a structural framework for P2X2/3 assembly and drug recognition, aiding rational design of selective P2X modulators for enhanced safety and efficacy.