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Study 16 of 27DSIP literatureNatureTop journal2026

Diverse binding poses of agonistic neurotoxins on human Na(v)1.6.

This study highlights the diverse binding mechanisms of peptide toxins on Na(v) channels, which could inform future therapeutic designs.

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8
Preclinical · this one
17
Observational
0
Open-label
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Randomised
2
Reviews

Summary and findings

This study examined the binding poses of three agonistic peptide toxins on the human Na(v)1.6-β1 channel complex using cryo-electron microscopy. It aimed to elucidate the mechanisms of action of these toxins to inform therapeutic development targeting Na(v) channels. Functional characterizations were also performed to support the findings.

How much of this paper we could read: title only (0.20). The feed gave us little more than the title, so our summary is thin. This says nothing about the study's quality — read the source. What this means →
Not reported in abstract.2026

Abstract

The authors’ words, as Nature supplied them

Voltage-gated sodium (Na<sub>v</sub>) channels are key targets of various venomous toxins. Deciphering the binding poses and mechanisms of action of representative toxins will help to dissect the functional mechanism of the channels and facilitate therapeutic development targeting Na<sub>v</sub> channels<sup>1,2</sup>. Here we present cryo-electron microscopy (cryo-EM) structures of distinct binding poses of three agonistic peptide toxins on the human Na<sub>v</sub>1.6-β1 channel complex. The globular β-scorpion toxin Cn2 nestles between the extracellular segment of voltage-sensing domain (VSD) in the second repeat of the Na<sub>v</sub>1.6 core α-unit (VSD<sub>II</sub>) and the pore extracellular loops in the third repeat of the Na<sub>v</sub>1.6 core α-unit (ECL<sub>III</sub>), where it is stabilized by interactions with both protein regions and the branched N1372-glycan. Cone snail ι-conotoxin RXIA adopts an elongated conformation, spanning VSD<sub>I</sub> and VSD<sub>IV</sub> to wrap around the shoulder of the pore domain (PD). The bullet ant-derived toxin δ-paraponeritoxin-Pc1a exists as a transmembrane helix that stands between VSD<sub>II</sub> and PD<sub>III</sub>. Our findings, corroborated by functional characterizations, illustrate the diversity in peptide toxin binding poses and mechanisms of action, link stabilization of the up state of VSD<sub>I</sub> or VSD<sub>II</sub> to channel activation, and provide clues to the rational design of selective Na<sub>v</sub> channel modulators.

Background

Not reported in abstract.

Methods

Not reported in abstract.

Results

Not reported in abstract.

Interpretation

Not reported in abstract.

Limitations

Not reported in abstract.

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