Structural basis for inhibition of the lysosomal two-pore channel TPC2 by a small molecule antagonist

Structure. 2024 Aug 8;32(8):1137-1149.e4. doi: 10.1016/j.str.2024.05.005. Epub 2024 May 29.

Abstract

Two pore channels are lysosomal cation channels with crucial roles in tumor angiogenesis and viral release from endosomes. Inhibition of the two-pore channel 2 (TPC2) has emerged as potential therapeutic strategy for the treatment of cancers and viral infections, including Ebola and COVID-19. Here, we demonstrate that antagonist SG-094, a synthetic analog of the Chinese alkaloid medicine tetrandrine with increased potency and reduced toxicity, induces asymmetrical structural changes leading to a single binding pocket at only one intersubunit interface within the asymmetrical dimer. Supported by functional characterization of mutants by Ca2+ imaging and patch clamp experiments, we identify key residues in S1 and S4 involved in compound binding to the voltage sensing domain II. SG-094 arrests IIS4 in a downward shifted state which prevents pore opening via the IIS4/S5 linker, hence resembling gating modifiers of canonical VGICs. These findings may guide the rational development of new therapeutics antagonizing TPC2 activity.

Keywords: SG-094; TPC2; antagonist; cryo-EM; electrophysiology; ion channel; structural biology; two-pore channel; voltage-sensing domain.

MeSH terms

  • Binding Sites
  • Calcium / metabolism
  • Calcium Channel Blockers / chemistry
  • Calcium Channel Blockers / metabolism
  • Calcium Channel Blockers / pharmacology
  • Calcium Channels* / chemistry
  • Calcium Channels* / metabolism
  • HEK293 Cells
  • Humans
  • Lysosomes / metabolism
  • Models, Molecular
  • Protein Binding
  • Two-Pore Channels

Substances

  • TPCN2 protein, human
  • Calcium Channels
  • Calcium
  • Calcium Channel Blockers
  • Two-Pore Channels