Evidence map›Paper›PMID 41315229›Full record

ArticleNature communications2025

Structural pharmacology of SV2A reveals an allosteric modulation mechanism in the major facilitator superfamily.

Shabareesh Pidathala, Xiao Chen, Yaxin Dai, Long N Nguyen, Christoph Gorgulla, Yiming Niu, Fangyu Liu, Chia-Hsueh Lee

Abstract read
In one paragraph

Article in Nature communications, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Shabareesh PidathalaDepartment of Structural Biology, St. Jude Children's Research Hospital, Memphis, TN, USA.ORCID http://orcid.org/0000-0002-2998-4117
Xiao ChenDepartment of Structural Biology, St. Jude Children's Research Hospital, Memphis, TN, USA.
Yaxin DaiDepartment of Structural Biology, St. Jude Children's Research Hospital, Memphis, TN, USA.ORCID http://orcid.org/0000-0002-8983-5279
Long N NguyenDepartment of Biochemistry, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore.ORCID http://orcid.org/0000-0002-9857-2239
Christoph GorgullaDepartment of Structural Biology, St. Jude Children's Research Hospital, Memphis, TN, USA.ORCID http://orcid.org/0000-0001-6986-5270
Yiming NiuLaboratory of Chromosome and Cell Biology, The Rockefeller University, New York, NY, USA.
Fangyu LiuDepartment of Pharmacology, UT Southwestern Medical Center, Dallas, TX, USA. fangyu.liu@utsouthwestern.edu.ORCID http://orcid.org/0000-0001-5022-0106
Chia-Hsueh LeeDepartment of Structural Biology, St. Jude Children's Research Hospital, Memphis, TN, USA. chiahsueh.Lee@stjude.org.ORCID http://orcid.org/0000-0003-0819-6477

Funding

Structural and functional investigations on synaptic vesicular transportersR01NS133147 · NINDS · ST. JUDE CHILDREN'S RESEARCH HOSPITAL · PI Chia-Hsueh Lee · 2024 to 2026
$1.6M
NINDS NIH HHS R01 NS133147
6 · The paper itself

Abstract

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.

Indexed as

Membrane GlycoproteinsNerve Tissue ProteinsAllosteric RegulationAllosteric SiteAnticonvulsantsCryoelectron MicroscopyHumansLevetiracetamLigandsModels, MolecularPositron-Emission TomographyProtein BindingAnticonvulsantsLevetiracetamLigandsMembrane GlycoproteinsNerve Tissue ProteinsSV2A protein, human

Identifiers

PMID41315229
PMCPMC12663137

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.