Secondary active transporters are ubiquitous integral membrane proteins that couple the potential energy stored in pre-existing ion gradients to the concentrative uptake of polar and charged molecules across the lipid bilayer (
1-
3). Members of the solute carrier 6 (SLC6) family of sodium-coupled transporters, also known as neurotransmitter sodium symporters (NSS), comprise one of the most widely investigated and pharmacologically important classes (
4,
5). SLC6 proteins play a central role in diverse physiological processes, ranging from the maintenance of cellular osmotic pressure (
6) to the reuptake of small molecule neurotransmitters in the brain (
7). SLC6 dysfunction is implicated in numerous debilitating illnesses such as depression (
8), obsessive-compulsive disorder (
9), epilepsy (
10), autism (
11), orthostatic intolerance (
12), X-linked creatine deficiency syndrome (
13), and retinal degeneration (
14). Importantly, the transport activity of these molecular machines can be inhibited by many different compounds, including tricyclic antidepressants (TCAs) (
15), selective-serotonergic reuptake inhibitors (SSRIs) (
15), anticonvulsants (
16) and cocaine (
17).
Unraveling the molecular principles that define a substrate, a molecule that can be transported, versus a competitive inhibitor, a molecule that can displace the substrate but is not itself transported, is intimately linked to the larger goal of elucidating transport mechanism and ultimately to the development of new therapeutic agents. LeuT, a prokaryotic SLC6 member (
18), affords an opportunity to couple functional and structural data to uncover the molecular mechanisms of transport and inhibition. Recently, a model for noncompetitive inhibition was proposed using a combination of steady-state kinetics (
19), binding, and crystallographic studies with LeuT and three TCAs (
19,
20). The structures of LeuT bound to the TCA clomipramine (
19), imipramine (
19), or desipramine (
19,
20) revealed that each of these drugs binds to LeuT in the extracellular vestibule, about 11 Å above the substrate and directly above the extracellular gating residues, R30 and D404 (
19,
20), stabilizing the occluded state in a closed conformation. Zhou et al. have proposed that the TCA binding site observed in LeuT is equivalent to the TCA site in SERT and the norepinephrine transporter (NET), the therapeutic targets in humans. However, in SERT and NET TCAs are competitive inhibitors (
21-
23) and their binding site likely overlaps with the substrate binding site (
24). Therefore, we suggest that the LeuT-TCA complexes do not provide a model for competitive inhibition of eukaryotic SLC6 transporters.
Here we show that LeuT is capable of transporting many hydrophobic amino acids and that a fundamental requirement for a molecule to be a substrate is that it must fit within the occluded substrate-binding cavity. Molecules such as tryptophan which can bind but are too large to be accommodated within the occluded state cavity are not substrates but instead are competitive, non-transportable inhibitors. Structural analysis of the LeuT-Trp complex reveals that tryptophan traps LeuT in an open-to-out conformation and unveils the movements that accompany transition from the occluded-to an open-to-out state. Molecular insights gleaned from our studies are especially relevant to transporter mechanism because many other transporter families, including SLC5 (
25), have the same fold as LeuT and likely share mechanistic principles.