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Structural basis of antagonist selectivity in endothelin receptors
Junyi Hou1, Shenhui Liu2,3, Xiaodan Zhang2,3
1Cardiac Intensive Care Center, Zhongshan Hospital, Fudan University, Shanghai, China.
Structural insights into endothelin receptors (ETA and ETB) reveal how drugs like macitentan and ambrisentan bind. This work provides a framework for designing new therapies for pulmonary arterial hypertension and related conditions.
Area of Science:
- Structural biology
- Pharmacology
- Molecular mechanisms of receptor activation
Background:
- Endothelins and their receptors (ETA, ETB) are crucial for vascular homeostasis.
- ETA antagonists are effective treatments for pulmonary arterial hypertension (PAH) and other cardiovascular/renal diseases.
Purpose of the Study:
- To elucidate the molecular basis of endothelin receptor binding and activation.
- To provide a structural framework for the rational design of novel endothelin receptor-targeting therapeutics.
Main Methods:
- Cryo-electron microscopy (cryo-EM) to determine structures of ETA with drugs (macitentan, ambrisentan, zibotentan) and an antibody.
- Determination of active-state structures of ETA and ETB bound to endothelin-1 and an agonist (BQ3020).
Main Results:
- Detailed structures of ETA bound to PAH drugs and an antagonist.
- Identification of key residues conferring antagonist selectivity and the ETA activation mechanism.
- Epitope mapping for antibody-mediated antagonism on ETA.
Conclusions:
- The study provides a comprehensive structural understanding of endothelin receptor function and drug interactions.
- These findings facilitate the rational design of small molecules and antibodies targeting endothelin receptors for therapeutic benefit.
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