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TitleTransport mechanism and structural pharmacology of human urate transporter URAT1.
Journal, issue, pagesCell Res, Vol. 34, Issue 11, Page 776-787, Year 2024
Publish dateSep 9, 2024
AuthorsYaxin Dai / Chia-Hsueh Lee /
PubMed AbstractUrate is an endogenous product of purine metabolism in the liver. High urate levels in the blood lead to gout, a very common and painful inflammatory arthritis. Excreted urate is reabsorbed in the ...Urate is an endogenous product of purine metabolism in the liver. High urate levels in the blood lead to gout, a very common and painful inflammatory arthritis. Excreted urate is reabsorbed in the kidney mainly by URAT1 antiporter, a key target for anti-gout drugs. To uncover the mechanisms of urate transport and drug inhibition, we determined cryo-EM structures of human URAT1 with urate, counter anion pyrazinoate, or anti-gout drugs of different chemotypes - lesinurad, verinurad, and dotinurad. We captured the outward-to-inward transition of URAT1 during urate uptake, revealing that urate binds in a phenylalanine-rich pocket and engages with key gating residues to drive the transport cycle. In contrast to the single binding site for urate, pyrazinoate interacts with three distinct, functionally relevant sites within URAT1, a mechanism that has not yet been observed in other anion antiporters. In addition, we found that while all three drugs compete with substrates and halt the transport cycle, verinurad and dotinurad further hijack gating residues to achieve high potency. These insights advance our understanding of organic anion transport and provide a foundation for designing improved gout therapeutics.
External linksCell Res / PubMed:39245778 / PubMed Central
MethodsEM (single particle)
Resolution2.7 - 3.7 Å
Structure data

EMDB-44077, PDB-9b1f:
Human urate transporter 1 URAT1 in apo state
Method: EM (single particle) / Resolution: 2.9 Å

EMDB-44078, PDB-9b1g:
Human urate transporter 1 URAT1 in complex with dotinurad
Method: EM (single particle) / Resolution: 2.7 Å

EMDB-44079, PDB-9b1h:
Human urate transporter 1 URAT1 in complex with lesinurad
Method: EM (single particle) / Resolution: 2.9 Å

EMDB-44080, PDB-9b1i:
Human urate transporter 1 URAT1 in complex with verinurad
Method: EM (single particle) / Resolution: 3.7 Å

EMDB-44081, PDB-9b1j:
Urate bound human URAT1 in the inward-facing state
Method: EM (single particle) / Resolution: 3.0 Å

EMDB-44082, PDB-9b1k:
Urate bound human URAT1 in the occluded state
Method: EM (single particle) / Resolution: 3.3 Å

EMDB-44083, PDB-9b1l:
Urate bound human URAT1 in the outward-facing state.
Method: EM (single particle) / Resolution: 3.1 Å

EMDB-44084, PDB-9b1m:
Pyrazinoate bound human URAT1 in the inward-facing state (site1)
Method: EM (single particle) / Resolution: 3.0 Å

EMDB-44085, PDB-9b1n:
Pyrazinoate bound human URAT1 in the inward-facing state (site2)
Method: EM (single particle) / Resolution: 3.1 Å

EMDB-44086, PDB-9b1o:
Pyrazinoate bound human URAT1 in the inward-facing state (site3)
Method: EM (single particle) / Resolution: 3.1 Å

Chemicals

ChemComp-NAG:
2-acetamido-2-deoxy-beta-D-glucopyranose

PDB-1aik:
HIV GP41 CORE STRUCTURE

PDB-1ail:
N-TERMINAL FRAGMENT OF NS1 PROTEIN FROM INFLUENZA A VIRUS

PDB-1aij:
PHOTOSYNTHETIC REACTION CENTER FROM RHODOBACTER SPHAEROIDES IN THE CHARGE-NEUTRAL DQAQB STATE

ChemComp-URC:
URIC ACID

ChemComp-PO4:
PHOSPHATE ION

ChemComp-VGL:
PYRAZINE-2-CARBOXYLIC ACID

Source
  • homo sapiens (human)
KeywordsMEMBRANE PROTEIN / SLC transporter / SLC22A family / uric acid / inward facing / SLC22 family / inward open / inhibitor / outward facing

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