... you can't invent a molecule and put it into a model, and be sure it fits or have electronic properties as you think it does. With good imagination you can imagine how a close structural analogue might bind, but even for a not so distantly related molecule it becomes too little. I'm wondering if making a model of a given receptor to be able to use it in computations would be a costly thing to do if you had access to a biochemical lab.
I am not sure if you're familiar with protein X-ray crystallography technique used to solve drug-receptor structure! If you ever been to a dentist, you have probably been subjected to the same technique! usually he'll order X-ray done to get a "picture" of teeth and gum, is that right? He'll put you in an X-ray machine and get a "picture" of your teeth and gum (ie the relative electrons density of different atoms of the organs and their relative locations). Hopefully no caries holes to fill!!
That's the EXACT same technique used to solve the structure of drug-receptor complexes by X-ray crystallography.
Same technique, same principles, same machines (may be more powerful) a dentist use to see patient teeth (the picture he gets IS NOT A COMPUTER predicted model. It is EXACTLY the location of teeth in real life ..the relative electronic density of bones, teeth, gums, other tissues..etc. Otherwise dentists would long be out of business if they were relying only on computer imagined model of the patient teeth to work on him/her.
Now take a drug (real compound! real powdered highly pure sample of a compound NOT A COMPUTER imagined model, real powder!) and a sample of a protein it binds to (like cocaine + DAT protein or meth + DAT) real protein, such as the powdered protein you can buy in health stores only highly purified. Not a computer model of the protein, real protein !! Mix the drug and the protein.. hopefully, you'll get a crystalline complex of protein+drug bound to it. filter the mix, recrystallize if necessary to purify and put the crystal thus obtained in a X-ray machine. Put that on a X-ray machine and record the picture of the complex (showing the electrons distribution and hence the position of different atoms in the complex including that of the drug.. that's what people are talking about when you see papers saying "X-ray structure of drug receptor complex at xyz Armgstrom resolution blablablabla.." Just like the picture the dentist use to see teeth and treat any dental pbs..The only thing computer does is rendered the picture. You don't have to use computer! They used to develop the X-ray thus obtained on films.. Some doctors still prefer the image on the film to that on computer! Here is the basic steps

The structure of psychostimulants in complex with DAT refer to are X-Ray Structures. What the Nature paper is telling you is the X-ray they've taken of cocaine molecule bound to drosophila dopamine transporter DAT protein ...Not a computer "imagined" model! Here is methamphetamine bound to DAT (will post later...)
Now having this "picture" in hand just like a dentist, you can see where there are holes .. what part of the drug is interacting with what parts of the receptor..etc With that information in hand, you can then predict what to add, subtracts or replace..etc in the original drug molecule so as to increase binding or selectivity ...etc etc.. You then go the lab, synthesize the molecule you've predicted, test it and use the information to design better drugs.. more later....
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