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Structure paper

TitleStructural pharmacology of SV2A reveals an allosteric modulation mechanism in the major facilitator superfamily.
Journal, issue, pagesNat Commun, Vol. 16, Issue 1, Page 10748, Year 2025
Publish dateNov 28, 2025
AuthorsShabareesh Pidathala / Xiao Chen / Yaxin Dai / Long N Nguyen / Christoph Gorgulla / Yiming Niu / Fangyu Liu / Chia-Hsueh Lee /
PubMed AbstractThe synaptic vesicle glycoprotein 2A (SV2A), a member of the major facilitator superfamily (MFS), is a key target for antiseizure medications and a biomarker for synaptic density imaging. Despite its ...The synaptic vesicle glycoprotein 2A (SV2A), a member of the major facilitator superfamily (MFS), is a key target for antiseizure medications and a biomarker for synaptic density imaging. Despite its clinical importance, the mechanisms underlying SV2A ligand binding and modulation remain poorly understood. Here, we report sub-3 Å resolution cryo-electron microscopy (cryo-EM) structures of human SV2A in its apo form and in complex with FDA-approved antiseizure medication levetiracetam; PET imaging tracer UCB-J; experimental antiseizure drug padsevonil; and allosteric modulator UCB1244283. We find that levetiracetam and UCB-J induce vestibule occlusion, a hallmark conformational transition of MFS transporters that had not been observed in previous SV2A structures. UCB1244283 binds to an allosteric site and enhances orthosteric ligand engagement by stabilizing the occluded state and slowing ligand dissociation. Notably, padsevonil occupies both orthosteric and allosteric sites, functionally precluding modulation. These findings uncover an allosteric mechanism of regulation and provide a structural framework for the development of modulators targeting SV2A and related MFS transporters.
External linksNat Commun / PubMed:41315229 / PubMed Central
MethodsEM (single particle)
Resolution2.39 - 3.03 Å
Structure data

EMDB-70562, PDB-9okf:
Cryo-EM structure of human SV2A in the apo state
Method: EM (single particle) / Resolution: 2.8 Å

EMDB-70563, PDB-9okg:
Cryo-EM structure of human SV2A in complex with levetiracetam
Method: EM (single particle) / Resolution: 2.58 Å

EMDB-70564, PDB-9okh:
Cryo-EM structure of human SV2A in complex with UCBJ
Method: EM (single particle) / Resolution: 2.39 Å

EMDB-70565, PDB-9oki:
Cryo-EM structure of human SV2A in complex with UCBJ and UCB1244283
Method: EM (single particle) / Resolution: 2.67 Å

EMDB-70566, PDB-9okj:
Cryo-EM structure of human SV2A in complex with padsevonil
Method: EM (single particle) / Resolution: 2.68 Å

EMDB-71812, PDB-9prs:
Cryo-EM structure of human SV2A in complex with Levetiracetam and UCB1244283
Method: EM (single particle) / Resolution: 3.03 Å

Chemicals


ChemComp, No image

ChemComp-UKX:
Unknown entry

PDB-1cca:
THE ASP-HIS-FE TRIAD OF CYTOCHROME C PEROXIDASE CONTROLS THE REDUCTION POTENTIAL, ELECTRONIC STRUCTURE, AND COUPLING OF THE TRYPTOPHAN FREE-RADICAL TO THE HEME

PDB-1b1i:
CRYSTAL STRUCTURE OF HUMAN ANGIOGENIN


ChemComp, No image

ChemComp-X3U:
Unknown entry

PDB-1b1j:
CRYSTAL STRUCTURE OF HUMAN ANGIOGENIN VARIANT H13A.

Source
  • homo sapiens (human)
KeywordsMEMBRANE PROTEIN / SLC transporter / SLC22 family / apo state / inhibitor / ligand binding

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