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9NMO

Structure of mouse RyR1 (Ca2+/CFF/ATP dataset; closed pore)

This is a non-PDB format compatible entry.
Summary for 9NMO
Entry DOI10.2210/pdb9nmo/pdb
EMDB information49535
DescriptorRyanodine receptor 1, Peptidyl-prolyl cis-trans isomerase FKBP1A, ZINC ION, ... (7 entities in total)
Functional Keywordscalcium, ion channel, transport protein
Biological sourceMus musculus (house mouse)
More
Total number of polymer chains8
Total formula weight2322081.89
Authors
Weninger, G.,Marks, A.R. (deposition date: 2025-03-04, release date: 2025-10-08, Last modification date: 2025-12-24)
Primary citationWeninger, G.,Dridi, H.,Reiken, S.,Yuan, Q.,Zhao, N.,Groom, L.,Leigh, J.,Liu, Y.,Tchagou, C.,Kang, J.,Chang, A.,Luna-Figueroa, E.,Miotto, M.C.,Wronska, A.,Dirksen, R.T.,Marks, A.R.
Structural basis for simvastatin-induced skeletal muscle weakness associated with type 1 ryanodine receptor T4709M mutation.
J.Clin.Invest., 135:-, 2025
Cited by
PubMed Abstract: Statins lower cholesterol, reducing the risk of heart disease, and are among the most frequently prescribed drugs. Approximately 10% of individuals develop statin-associated muscle symptoms (SAMS; myalgias, rhabdomyolysis, and muscle weakness), often rendering them statin intolerant. The mechanism underlying SAMS remains poorly understood. Patients with mutations in the skeletal muscle ryanodine receptor 1 (RyR1)/calcium release channel can be particularly intolerant of statins. High-resolution structures revealed simvastatin binding sites in the pore region of RyR1. Simvastatin stabilized the open conformation of the pore and activated the RyR1 channel. In a mouse expressing a mutant RyR1-T4709M found in a patient with profound statin intolerance, simvastatin caused muscle weakness associated with leaky RyR1 channels. Cotreatment with a Rycal drug that stabilizes the channel closed state prevented simvastatin-induced muscle weakness. Thus, statin binding to RyR1 can cause SAMS, and patients with RyR1 mutations may represent a high-risk group for statin intolerance.
PubMed: 41392983
DOI: 10.1172/JCI194490
PDB entries with the same primary citation
Experimental method
ELECTRON MICROSCOPY (2.4 Å)
Structure validation

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