PMID- 31129313 OWN - NLM STAT- MEDLINE DCOM- 20200513 LR - 20200513 IS - 1878-5832 (Electronic) IS - 1359-6446 (Linking) VI - 24 IP - 7 DP - 2019 Jul TI - Voltage-gated sodium channels: structures, functions, and molecular modeling. PG - 1389-1397 LID - S1359-6446(18)30448-3 [pii] LID - 10.1016/j.drudis.2019.05.014 [doi] AB - Voltage-gated sodium channels (VGSCs), formed by 24 transmembrane segments arranged into four domains, have a key role in the initiation and propagation of electrical signaling in excitable cells. VGSCs are involved in a variety of diseases, including epilepsy, cardiac arrhythmias, and neuropathic pain, and therefore have been regarded as appealing therapeutic targets for the development of anticonvulsant, antiarrhythmic, and local anesthetic drugs. In this review, we discuss recent advances in understanding the structures and biological functions of VGSCs. In addition, we systematically summarize eight pharmacologically distinct ligand-binding sites in VGSCs and representative isoform-selective VGSC modulators in clinical trials. Finally, we review studies on molecular modeling and computer-aided drug design (CADD) for VGSCs to help understanding of biological processes involving VGSCs. CI - Copyright (c) 2019 Elsevier Ltd. All rights reserved. FAU - Xu, Lei AU - Xu L AD - Institute of Bioinformatics and Medical Engineering, School of Electrical and Information Engineering, Jiangsu University of Technology, Changzhou 213001, China. FAU - Ding, Xiaoqin AU - Ding X AD - Beijing Institute of Pharmaceutical Chemistry, Beijing 102205, China. FAU - Wang, Tianhu AU - Wang T AD - Institute of Bioinformatics and Medical Engineering, School of Electrical and Information Engineering, Jiangsu University of Technology, Changzhou 213001, China. FAU - Mou, Shanzhi AU - Mou S AD - School of Mathematics and Physics, Jiangsu University of Technology, Changzhou 213001, China. FAU - Sun, Huiyong AU - Sun H AD - Department of Medicinal Chemistry, School of Pharmacy, State Key Laboratory of Natural Medicines, China Pharmaceutical University, Nanjing 210009, China. Electronic address: huiyongsun@cpu.edu.cn. FAU - Hou, Tingjun AU - Hou T AD - College of Pharmaceutical Sciences, Zhejiang University, Hangzhou 310058, China. Electronic address: tingjunhou@zju.edu.cn. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review DEP - 20190523 PL - England TA - Drug Discov Today JT - Drug discovery today JID - 9604391 RN - 0 (Voltage-Gated Sodium Channels) SB - IM MH - Animals MH - Binding Sites MH - Humans MH - Models, Molecular MH - Molecular Structure MH - Neuralgia MH - Voltage-Gated Sodium Channels/*chemistry/*physiology EDAT- 2019/05/28 06:00 MHDA- 2020/05/14 06:00 CRDT- 2019/05/27 06:00 PHST- 2019/01/23 00:00 [received] PHST- 2019/04/02 00:00 [revised] PHST- 2019/05/17 00:00 [accepted] PHST- 2019/05/28 06:00 [pubmed] PHST- 2020/05/14 06:00 [medline] PHST- 2019/05/27 06:00 [entrez] AID - S1359-6446(18)30448-3 [pii] AID - 10.1016/j.drudis.2019.05.014 [doi] PST - ppublish SO - Drug Discov Today. 2019 Jul;24(7):1389-1397. doi: 10.1016/j.drudis.2019.05.014. Epub 2019 May 23.