2018
DOI: 10.1038/s41594-018-0026-8
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Structural basis for recognition of diverse antidepressants by the human serotonin transporter

Abstract: Selective serotonin reuptake inhibitors are clinically prescribed antidepressants that act by increasing the local concentration of neurotransmitter at synapses and in extracellular spaces via blockade of the serotonin transporter. Here we report x-ray structures of engineered thermostable variants of the human serotonin transporter bound to the antidepressants sertraline, fluvoxamine, and paroxetine. The drugs prevent serotonin binding by occupying the central substrate binding site and stabilizing the transp… Show more

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Cited by 133 publications
(150 citation statements)
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References 50 publications
(57 reference statements)
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“…To facilitate 5HT reuptake, the transporter needs to undergo distinct conformational changes. In principle, these changes expose the substrate binding site(s) to one side of the membrane at a time, according to the so-called alternatingaccess mechanism [9], support for which has been provided by structural modeling and biochemical experiments [10][11][12], and recently also by X-ray and cryo-EM crystallography [13][14][15]. Taken together, the hSERT transport cycle can be represented roughly as shown in Fig 1, albeit with the caveat that several important details remain elusive.…”
Section: Introductionmentioning
confidence: 90%
“…To facilitate 5HT reuptake, the transporter needs to undergo distinct conformational changes. In principle, these changes expose the substrate binding site(s) to one side of the membrane at a time, according to the so-called alternatingaccess mechanism [9], support for which has been provided by structural modeling and biochemical experiments [10][11][12], and recently also by X-ray and cryo-EM crystallography [13][14][15]. Taken together, the hSERT transport cycle can be represented roughly as shown in Fig 1, albeit with the caveat that several important details remain elusive.…”
Section: Introductionmentioning
confidence: 90%
“…Selective serotonin reuptake inhibitors (SSRIs) are a class of drugs which inhibit SERT and are used to treat major depression and anxiety disorders 7 . Using x-ray crystallography and cryo-EM, we have determined structures of thermostabilized variants of human SERT complexed with SSRIs, which together explain many of the common features and differences associated with SERT-SSRI interactions 8,9 . SSRIs are competitive inhibitors that bind with high-affinity and specificity to a central substrate-binding site in SERT, preventing 5-HT binding and arresting SERT in an outward-open conformation 2,3,9 . The central site in NSSs is composed of three subsites: A, B, and C 10 (Fig.…”
Section: Introductionmentioning
confidence: 99%
“…The heterocyclic electronegative group of the ligand is positioned in subsite B 5 . For example, the alkoxyphenoxy groups of reboxetine and nisoxetine 11 in Drosophila DAT (dDAT) structures, the halophenyl groups of cocaine analogs in dDAT and Scitalopram in SERT, and the catechol derivatives in DCP-dDAT and sertraline-SERT all occupy subsite B 8,9,12 . In addition to the central binding site, the activity of SERT and NSSs can also be modulated by small-molecules which bind to an allosteric site located in an extracellular vestibule, typically resulting in non-competitive inhibition of transport 9,[13][14][15] .…”
Section: Introductionmentioning
confidence: 99%
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