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    The poison dart toxin batrachotoxin is exceptional for its high potency and toxicity, and for its multifaceted modification of the function of voltage-gated sodium channels. By using cryogenic electron microscopy, we identify two homologous, but nonidentical receptor sites that simultaneously bind two molecules of toxin, one at the interface between Domains I and IV, and the other at the interface between Domains III and IV of the cardiac sodium channel. Together, these two bound toxin molecules stabilize α/π helical conformation in the S6 segments that gate the pore, and one of the bound BTX-B molecules interacts with the crucial Lys1421 residue that is essential for sodium conductance and selectivity via an apparent water-bridged hydrogen bond. Overall, our structure provides insight into batrachotoxin's potency, efficacy, and multifaceted functional effects on voltage-gated sodium channels via a dual receptor site mechanism. © 2024. This is a U.S. Government work and not under copyright protection in the US; foreign copyright protection may apply.

    Citation

    Lige Tonggu, Goragot Wisedchaisri, Tamer M Gamal El-Din, Michael J Lenaeus, Matthew M Logan, Tatsuya Toma, Justin Du Bois, Ning Zheng, William A Catterall. Dual receptor-sites reveal the structural basis for hyperactivation of sodium channels by poison-dart toxin batrachotoxin. Nature communications. 2024 Mar 14;15(1):2306

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    PMID: 38485923

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