21 22 channel states, thus explaining their lesser efficacy, yet also populate agonist-bound open and 32 desensitized states. Measurements within the neurotransmitter binding pocket, as a function of 33 bound agonist, provide a metric to correlate the extent of agonist-induced conformational changes 34 to open channel probability across the Cys-loop receptor family. 35 36 to change the conformation to a short-lived pre-open intermediate (flipped/primed), rather than 62the reduced ability to open the receptor once the intermediate is reached 12,15,16 . 63Here we investigate the structural basis of partial agonist activation in GlyR, a paradigm 64Cys-loop receptor, exploiting extensive functional characterization showing that taurine and 65 GABA act as partial agonists [17][18][19] . Previous GlyR structures have shed light on the mechanism of 66 action of full agonists and antagonists 20-23 , but structures of the receptor bound to partial agonists 67 are still absent. Furthermore, the previously solved GlyR structures are in detergent micelles and 68 lack the M3/M4 cytoplasmic loop, factors that likely underlie the anomalously high Po of the 69 receptor constructs and the physiologically 'too large' open state of the ion channel pore 24,25 . 70Here we isolated the full length GlyR with native lipids and determined high resolution structures 71 of the receptor bound to glycine, taurine or GABA. The receptors were imaged by cryo-electron 72 microscopy (cryo-EM) in MSP nanodiscs or after solubilization by styrene maleic acid (SMA) 73 copolymers 26 , showing by MD simulations that the SMA complex adopts a physiologically relevant 74 open state. Importantly, cryo-EM structures of GlyR bound to taurine or GABA reveal, for the first 75 time, agonist-bound closed states as well as open and desensitized states. 76
Glycine-bound states 77The wild-type GlyR is robustly activated by glycine and single-channel analysis of clusters 78 of receptor activity, excluding the long-lived desensitized states, reveal a maximum open 79 probability (PO) of 97% at saturating concentrations of glycine (Fig. 1a). Macroscopic current 80 recordings of GlyR activity elicited by rapid application of 10 mM glycine to outside out patches 81show that the current decays to ~ 57% of peak after 1s application because of desensitization 82 (Extended Data Fig. 1a). Taken together, single channel and macroscopic results suggest that, 83 under steady state conditions, the glycine-bound GlyR substantially populates both open and 84 desensitized states. Hence, we reconstituted detergent-purified GlyR into nanodiscs or we directly 85 page 5 of 43 extracted the receptor using SMA copolymers, followed by preparation of cryo-EM grids in the 86 presence of 10 mM glycine. 87The glycine-bound receptor in nanodiscs (GlyR-nanodisc-gly) yielded a reconstruction 88 with a single 3D class at 3.2 Å resolution (Fig. 1c, Extended Data Fig. 7, Supplementary Fig. 1, 89 Supplementary Table 1). The receptor features are well resolved and there is clear density for 90 lipi...