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Structural insights into antagonist recognition by the vasopressin V2 receptor

Tianwei Zhang, Hongli Liu, Chongzhao You, Yixiao Zhang, Youwei Xu, Benxun Pan, Canrong Wu, Sanshan Jin, Yu-Ling Yin, Kai Wu, Yue Chen, Hong Sun, Yuan Si, Yangxia Tan, Wanchao Yin, H. Eric Xu (), Dong Guo () and Yi Jiang ()
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Tianwei Zhang: Lingang Laboratory
Hongli Liu: Xuzhou Medical University
Chongzhao You: Chinese Academy of Sciences
Yixiao Zhang: Xuzhou Medical University
Youwei Xu: Chinese Academy of Sciences
Benxun Pan: Lingang Laboratory
Canrong Wu: Shanghai Jiao Tong University School of Medicine
Sanshan Jin: Lingang Laboratory
Yu-Ling Yin: Lingang Laboratory
Kai Wu: Chinese Academy of Sciences
Yue Chen: Xuzhou Medical University
Hong Sun: Xuzhou Medical University
Yuan Si: Lingang Laboratory
Yangxia Tan: Lingang Laboratory
Wanchao Yin: Chinese Academy of Sciences
H. Eric Xu: Chinese Academy of Sciences
Dong Guo: Xuzhou Medical University
Yi Jiang: Lingang Laboratory

Nature Communications, 2025, vol. 16, issue 1, 1-10

Abstract: Abstract The vasopressin V2 receptor (V2R), a class A G protein-coupled receptor, is essential for regulating body water homeostasis. V2R antagonists have emerged as promising treatments for hyponatremia; however, the absence of structural information for antagonist-bound V2R hampers our understanding of antagonist recognition and the targeted design of V2R antagonists. In this study, we present two cryo-electron microscopy structures of inactive V2R bound to the clinically approved antagonists tolvaptan and conivaptan. Combined with functional analyses and molecular dynamic simulations, these structures reveal distinct binding poses: tolvaptan is deeply inserted within the binding pocket, whereas conivaptan is positioned at a shallower depth. Integrated analyses further define critical pharmacophoric features governing antagonist activity and unveil a TM7 helical conformation-dependent antagonism mechanism that is distinct from classical GPCR inactivation modes. Our findings deepen understanding of antagonist recognition and antagonism of V2R, providing a foundation for the development of V2R-targeted therapies.

Date: 2025
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DOI: 10.1038/s41467-025-64735-x

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