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Drug inhibition and substrate transport mechanisms of human VMAT2

Author

Listed:
  • Feiwen Wei

    (Fudan University)

  • Huihui Liu

    (The Chinese University of Hong Kong)

  • Wei Zhang

    (Fudan University)

  • Jufang Wang

    (Fudan University)

  • Yanqing Zhang

    (Fudan University)

Abstract

Vesicular monoamine transporter 2 (VMAT2) is crucial for packaging monoamine neurotransmitters into synaptic vesicles, with their dysregulation linked to schizophrenia, mood disorders, and Parkinson’s disease. Tetrabenazine (TBZ) and valbenazine (VBZ), both FDA-approved VMAT2 inhibitors, are employed to treat chorea and tardive dyskinesia (TD). Our study presents the structures of VMAT2 bound to substrates serotonin (5-HT) and dopamine (DA), as well as the inhibitors TBZ and VBZ. Utilizing cryo-electron microscopy (cryo-EM), mutagenesis functional assays, and molecular dynamics (MD) simulations, we elucidate the mechanisms of substrate transport and drug inhibition. Our MD simulations indicate potential binding poses of substrate (5-HT) in both cytosol-facing and lumen-facing states, emphasizing the significance of protonation of key acidic residues for substrate release. We demonstrate that TBZ locks VMAT2 in a lumen-facing occluded state, while VBZ stabilizes it in a lumen-facing conformation. These insights enhance our understanding of VMAT2 function and provide valuable insights for the development of novel therapeutic strategies for psychiatric disorders.

Suggested Citation

  • Feiwen Wei & Huihui Liu & Wei Zhang & Jufang Wang & Yanqing Zhang, 2025. "Drug inhibition and substrate transport mechanisms of human VMAT2," Nature Communications, Nature, vol. 16(1), pages 1-11, December.
  • Handle: RePEc:nat:natcom:v:16:y:2025:i:1:d:10.1038_s41467-024-55361-0
    DOI: 10.1038/s41467-024-55361-0
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    References listed on IDEAS

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    1. Shabareesh Pidathala & Shuyun Liao & Yaxin Dai & Xiao Li & Changkun Long & Chi-Lun Chang & Zhe Zhang & Chia-Hsueh Lee, 2023. "Mechanisms of neurotransmitter transport and drug inhibition in human VMAT2," Nature, Nature, vol. 623(7989), pages 1086-1092, November.
    2. Dohyun Im & Mika Jormakka & Narinobu Juge & Jun-ichi Kishikawa & Takayuki Kato & Yukihiko Sugita & Takeshi Noda & Tomoko Uemura & Yuki Shiimura & Takaaki Miyaji & Hidetsugu Asada & So Iwata, 2024. "Neurotransmitter recognition by human vesicular monoamine transporter 2," Nature Communications, Nature, vol. 15(1), pages 1-10, December.
    3. Di Wu & Qihao Chen & Zhuoya Yu & Bo Huang & Jun Zhao & Yuhang Wang & Jiawei Su & Feng Zhou & Rui Yan & Na Li & Yan Zhao & Daohua Jiang, 2024. "Transport and inhibition mechanisms of human VMAT2," Nature, Nature, vol. 626(7998), pages 427-434, February.
    4. Ying Lyu & Chunting Fu & Haiyun Ma & Zhaoming Su & Ziyi Sun & Xiaoming Zhou, 2024. "Engineering of a mammalian VMAT2 for cryo-EM analysis results in non-canonical protein folding," Nature Communications, Nature, vol. 15(1), pages 1-9, December.
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