Improved higher resolution cryo-EM structures reveal the binding modes of hERG channel inhibitors
Yasuomi Miyashita1, Toshio Moriya2, Takafumi Kato3
1Department of Developmental Biology, Graduate School of Medicine, Chiba University, 1-8-1 Inohana, Chuo, Chiba 260-8670, Japan; Department of Chemistry, Graduate School of Science, Chiba University, 1-33 Yayoi-cho, Inage, Chiba 263-8522, Japan.
Insights
This study reveals new structures of the hERG channel, clarifying how drugs bind and potentially cause cardiac issues. These findings will help design safer medications by avoiding hERG channel inhibition.
Area of Science:
- Biochemistry
- Pharmacology
- Structural Biology
Background:
- The human ether-à-go-go-related gene (hERG) channel is critical for cardiac repolarization.
- hERG channel inhibition by drugs can cause dangerous arrhythmias like Torsades de Pointes.
- Previous structural studies of hERG inhibitors had limitations in resolution and orientation.
Purpose of the Study:
- To resolve orientation and resolution issues in hERG channel structural analysis.
- To elucidate the binding mechanisms of hERG channel inhibitors.
- To provide insights for safer drug design and improved cardiac safety.
Main Methods:
- Utilized digitonin for analyzing the apo state of the hERG channel.
- Determined the structure of hERG bound to astemizole.
- Analyzed binding modes of E-4031 and pimozide using the developed strategy.
Main Results:
- Digitonin improved hERG channel orientation and resolution.
- A clear map of astemizole binding within the hERG channel pore was obtained.
- Binding modes for E-4031 and pimozide were elucidated.
Conclusions:
- The study provides high-resolution structures of hERG channel-inhibitor complexes.
- Detailed insights into inhibitor interactions within the hERG channel pore were achieved.
- This work facilitates the design of safer drugs with reduced cardiac risks.
Abstract:
During drug discovery, it is crucial to exclude compounds with toxic effects. The human ether-à-go-go-related gene (hERG) channel is essential for maintaining cardiac repolarization and is a critical target in drug safety evaluation due to its role in drug-induced arrhythmias. Inhibition of the hERG channel can lead to severe cardiac issues, including Torsades de Pointes tachycardia. Understanding hERG inhibition mechanisms is essential to avoid these toxicities. Several structural studies have elucidated the interactions between inhibitors and hERG. However, orientation and resolution issues have so far limited detailed insights. Here, we used digitonin to analyze the apo state of hERG, which resolved orientation issues and improved the resolution. We determined the structure of hERG bound to astemizole, showing a clear map in the pore pathway. Using this strategy, we also analyzed the binding modes of E-4031 and pimozide. These insights into inhibitor interactions with hERG may aid safer drug design and enhance cardiac safety.
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