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A tamoxifen receptor within a voltage-gated sodium channel

Sula, A; Hollingworth, D; Ng, LCT; Larmore, M; DeCaen, PG; Wallace, BA; (2021) A tamoxifen receptor within a voltage-gated sodium channel. Molecular Cell 10.1016/j.molcel.2020.12.048. (In press). Green open access

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Abstract

Voltage-gated sodium channels are targets for many analgesic and antiepileptic drugs whose therapeutic mechanisms and binding sites have been well characterized. We describe the identification of a previously unidentified receptor site within the NavMs voltage-gated sodium channel. Tamoxifen, an estrogen receptor modulator, and its primary and secondary metabolic products bind at the intracellular exit of the channel, which is a site that is distinct from other previously characterized sodium channel drug sites. These compounds inhibit NavMs and human sodium channels with similar potencies and prevent sodium conductance by delaying channel recovery from the inactivated state. This study therefore not only describes the structure and pharmacology of a site that could be leveraged for the development of new drugs for the treatment of sodium channelopathies but may also have important implications for off-target health effects of this widely used therapeutic drug.

Type: Article
Title: A tamoxifen receptor within a voltage-gated sodium channel
Location: United States
Open access status: An open access version is available from UCL Discovery
DOI: 10.1016/j.molcel.2020.12.048
Publisher version: https://doi.org/10.1016/j.molcel.2020.12.048
Language: English
Additional information: This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
Keywords: Channelopathies, Crystal Structure, Drug Binding, Electrophysiology, Estrogen Receptor, Novel Binding Site, Off-Target Drug Effects, Pharmacology, Tamoxifen, Voltage-gated Sodium Channels
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Life Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Life Sciences > Div of Biosciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Life Sciences > Div of Biosciences > Structural and Molecular Biology
URI: https://discovery.ucl.ac.uk/id/eprint/10121429
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