17TRPC5 channel is a non-selective cation channel that participates diverse physiological 18 processes. Human TRPC5 inhibitors show promise in the treatment of anxiety disorder, 19 depression and kidney disease. Despite the high relevance of TRPC5 to human health, its 20 inhibitor binding pockets have not been fully characterized due to the lack of structural 21 information, which greatly hinders structure-based drug discovery. Here we show cryo-EM 22 structures of human TRPC5 in complex with two distinct inhibitors, namely clemizole and 23 HC-070, to the resolution of 2.7 Å. Based on the high-quality cryo-EM maps, we uncover the 24 different binding pockets and detailed binding modes for these two inhibitors. Clemizole 25 binds inside the voltage sensor-like domain of each subunit, while HC-070 binds close to the 26 ion channel pore and is wedged between adjacent subunits. Both of them exert the inhibitory 27 function by stabilizing the ion channel in a closed state. These structures provide templates 28 for further design and optimization of inhibitors targeting human TRPC5. 29 70 inhibitory mechanism of these two distinct inhibitors against human TRPC5 (hTRPC5), we 71 embarked structural studies of hTRPC5 in complex with CMZ or HC-070. Our high 72 resolution cryo-EM maps are sufficient to identify their binding pockets and will aid further 73 drug development. 74 75 76 Results 77 78
Structure of human TRPC5 in complex with inhibitors 79To reveal the binding sites of CMZ and HC-070 on hTRPC5, we expressed hTRPC5 in 80 HEK293F cells for structural studies. Similar to the mouse TRPC5 counterpart (mTRPC5) 81 (33), C-terminal truncation of hTRPC5 generated a construct (hTRPC5 1-764 ) that showed 82 higher expression level of the tetramer in comparison with the full length wild type hTRPC5 83 ( Fig. S1A). Moreover, we found hTRPC5 1-764 retained the pharmacological properties of full 84 length hTRPC5 such as activation by EA ( Fig. S1, B to E). Therefore, we used hTRPC5 1-764 85 protein for structural studies. Tetrameric hTRPC5 1-764 channel was purified in detergent 86 micelles (Fig. S1F and G). To obtain the CMZ-bound and the HC-070-bound TRPC5 87 structures, CMZ or HC-070 was added to the concentrated hTRPC5 1-764 protein for cryo-EM 88 sample preparation. We obtained maps of hTRPC5 in CMZ-bound state and HC-070-bound 89 state to the resolution of 2.7 Å (Fig. 1, Figs. S2 to S5; table S1). The map qualities were 90 sufficient for model building and ligand assignment (Fig. S3, D and E, and Fig. S5, D and E).91The overall architecture of inhibitor-bound hTRPC5 is similar to the structure of mTRPC5 in 92 apo state (33), occupying 100 Å × 100 Å × 130 Å in three-dimensional space (Fig. 1). The 93 four-fold symmetric channel has two layer architecture, composed of the intracellular 94 cytosolic domain (ICD) layer and the transmembrane domain (TMD) layer (Fig. 1). In ICD 95 layer, the N-terminal ankyrin repeats domain (ARD) is below the linker-helix domain (LHD) 96 region (Fig .1F). The TRP helix mediates interactions...