高解像度GlyT2構造により非オピオイド鎮痛剤開発の可能性を示唆(High-Resolution GlyT2 Structures Point to Non-Opioid Analgesic Options)

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2025-11-25 中国科学院(CAS)

中国科学院・生物物理研究所のZHAO Yan教授らは、GlyT2の3つの主要コンフォメーションの高分解能cryo-EM構造を解明し、痛み制御に重要なグリシン輸送機構を詳細に示した。特に、既知の2つに加え第三のNa⁺結合部位Na3を発見し、GlyT2が1サイクルあたり3つのNa⁺と1つのCl⁻を利用してグリシンを輸送する特異的機構を明らかにした。また、内因性脂質由来阻害剤が結合する新規アロステリックポケットを特定し、阻害活性を決める構造要因を提示した。さらにALX1393、opiranserin、ORG25543などの阻害剤結合構造から競合的・アロステリック的阻害の違いと選択性決定残基を解明した。本研究は非オピオイド鎮痛薬開発に向けた重要な構造基盤を提供する。

高解像度GlyT2構造により非オピオイド鎮痛剤開発の可能性を示唆(High-Resolution GlyT2 Structures Point to Non-Opioid Analgesic Options)
Binding modes of GlyT2 with substrate glycine and various analgesic inhibitors (Image by ZHAO Yan’s group)

<関連情報>

グリシントランスポーター2による輸送と鎮痛剤認識のメカニズム Mechanisms of transport and analgesic compounds recognition by glycine transporter 2

Yuhang Wang, Jiawei Su, Jun Zhao, +5 , and Yan Zhao
Proceedings of the National Academy of Sciences  Published:November 24, 2025
DOI:https://doi.org/10.1073/pnas.2506722122

Significance

Chronic pain is a significant health challenge due to the limited efficacy and severe side effects of current treatments. Glycine transporter 2 (GlyT2) is a key regulator of inhibitory neurotransmission in the spinal cord and brainstem, emerging as a promising target for novel analgesics. Our study provides critical insights into the transport mechanisms of GlyT2 and the binding actions of various analgesics. We determined high-resolution structures of GlyT2 in multiple conformations, revealing a unique third sodium binding site and distinct binding sites for different inhibitors, including a lipid-based inhibitor. These findings advance our understanding of neurotransmitter transporters and provide a structural basis for designing more effective and safer pain relief therapies, addressing a critical unmet need in pain management.

Abstract

Glycine transporter 2 (GlyT2) regulates inhibitory glycinergic neurotransmission, and its inhibition potentiates glycinergic signaling, which is a promising strategy for managing neuropathic pain. This study presents high-resolution structures of GlyT2 in its apo state and in complexes with the substrate glycine, analgesic inhibitors, captured in three functional states: outward-facing, occluded, and inward-facing. The glycine-bound structure reveals the binding mode of the substrate, Na+ and Cl. Specifically, we identified the Na3 binding site, offering fundamental insights into Na+/Cl coupled substrate binding and conformational changes. Moreover, we clearly elucidate a previously unseen allosteric binding pocket for the lipid-based oleoyl-D-lysine, which acts as a wedge to stabilize GlyT2 in the outward-facing conformation and prevents its transition. Furthermore, the complex structures with small compounds ALX1393, opiranserin, and ORG25543 reveal their competitive and allosteric inhibition mechanisms. Overall, our study provides a solid foundation for understanding glycine reuptake mechanisms and developing effective and safer analgesic agents.

有機化学・薬学
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