The Structural Basis for the Binding of Repaglinide to the Pancreatic KATP Channel

Cell Rep. 2019 May 7;27(6):1848-1857.e4. doi: 10.1016/j.celrep.2019.04.050.

Abstract

Repaglinide (RPG) is a short-acting insulin secretagogue widely prescribed for the treatment of type 2 diabetes. It boosts insulin secretion by inhibiting the pancreatic ATP-sensitive potassium channel (KATP). However, the mechanisms by which RPG binds to the KATP channel are poorly understood. Here, we describe two cryo-EM structures: the pancreatic KATP channel in complex with inhibitory RPG and adenosine-5'-(γ-thio)-triphosphate (ATPγS) at 3.3 Å and a medium-resolution structure of a RPG-bound mini SUR1 protein in which the N terminus of the inward-rectifying potassium channel 6.1 (Kir6.1) is fused to the ABC transporter module of the sulfonylurea receptor 1 (SUR1). These structures reveal the binding site of RPG in the SUR1 subunit. Furthermore, the high-resolution structure reveals the complex architecture of the ATP binding site, which is formed by both Kir6.2 and SUR1 subunits, and the domain-domain interaction interfaces.

Keywords: ABC transporter; K(ATP) channel; KNtp; Kir; SUR; diabetes; glibenclamide; glinides; repaglinide; sulfonylurea.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adenosine Triphosphate / analogs & derivatives
  • Adenosine Triphosphate / chemistry
  • Adenosine Triphosphate / metabolism
  • Amino Acid Motifs
  • Amino Acid Sequence
  • Animals
  • Binding Sites
  • Carbamates / chemistry*
  • Carbamates / metabolism*
  • HEK293 Cells
  • Humans
  • Mice
  • Models, Molecular
  • Pancreas / metabolism*
  • Piperidines / chemistry*
  • Piperidines / metabolism*
  • Potassium Channels, Inwardly Rectifying / chemistry*
  • Potassium Channels, Inwardly Rectifying / metabolism*
  • Protein Binding
  • Protein Interaction Mapping
  • Protein Subunits / chemistry
  • Protein Subunits / metabolism
  • Sulfonylurea Receptors / chemistry
  • Sulfonylurea Receptors / metabolism
  • Sulfonylurea Receptors / ultrastructure

Substances

  • Carbamates
  • Piperidines
  • Potassium Channels, Inwardly Rectifying
  • Protein Subunits
  • Sulfonylurea Receptors
  • adenosine 5'-O-(3-thiotriphosphate)
  • repaglinide
  • Adenosine Triphosphate