RT Journal Article SR Electronic T1 Structural basis of organic cation transporter-3 inhibition JF bioRxiv FD Cold Spring Harbor Laboratory SP 2022.07.14.499921 DO 10.1101/2022.07.14.499921 A1 Basavraj Khanppnavar A1 Julian Maier A1 Freja Herborg A1 Ralph Gradisch A1 Erika Lazzarin A1 Dino Luethi A1 Jae-Won Yang A1 Chao Qi A1 Marion Holy A1 Kathrin Jäntsch A1 Oliver Kudlacek A1 Klaus Schicker A1 Thomas Werge A1 Ulrik Gether A1 Thomas Stockner A1 Volodymyr M. Korkhov A1 Harald H. Sitte YR 2022 UL http://biorxiv.org/content/early/2022/07/28/2022.07.14.499921.abstract AB Organic cation transporters (OCTs) facilitate the translocation of catecholamines and xenobiotics across the plasma membrane in various tissues throughout the human body. OCT3 plays a key role in low-affinity, high-capacity uptake of monoamines in most tissues including heart, brain and liver. Its deregulation plays a role in diseases. Despite its importance, the structural basis of OCT3 function and its inhibition has remained enigmatic. Here we describe the cryo-EM structure of human OCT3 at 3.2 Å resolution. Structures of OCT3 bound to two inhibitors, corticosterone and decynium-22, define the ligand binding pocket and reveal common features of major facilitator transporter inhibitors. In addition, we relate the functional characteristics of an extensive collection of previously uncharacterized human genetic variants to structural features, thereby providing a basis for understanding the impact of OCT3 polymorphisms.Competing Interest StatementThe authors have declared no competing interest.