%0 Journal Article %T A neurodevelopmental disorder mutation locks G proteins in the transitory pre-activated state. %A Knight KM %A Krumm BE %A Kapolka NJ %A Ludlam WG %A Cui M %A Mani S %A Prytkova I %A Obarow EG %A Lefevre TJ %A Wei W %A Ma N %A Huang XP %A Fay JF %A Vaidehi N %A Smrcka AV %A Slesinger PA %A Logothetis DE %A Martemyanov KA %A Roth BL %A Dohlman HG %J Nat Commun %V 15 %N 1 %D 2024 Aug 5 %M 39103320 %F 17.694 %R 10.1038/s41467-024-50964-z %X Many neurotransmitter receptors activate G proteins through exchange of GDP for GTP. The intermediate nucleotide-free state has eluded characterization, due largely to its inherent instability. Here we characterize a G protein variant associated with a rare neurological disorder in humans. GαoK46E has a charge reversal that clashes with the phosphate groups of GDP and GTP. As anticipated, the purified protein binds poorly to guanine nucleotides yet retains wild-type affinity for G protein βγ subunits. In cells with physiological concentrations of nucleotide, GαoK46E forms a stable complex with receptors and Gβγ, impeding effector activation. Further, we demonstrate that the mutant can be easily purified in complex with dopamine-bound D2 receptors, and use cryo-electron microscopy to determine the structure, including both domains of Gαo, without nucleotide or stabilizing nanobodies. These findings reveal the molecular basis for the first committed step of G protein activation, establish a mechanistic basis for a neurological disorder, provide a simplified strategy to determine receptor-G protein structures, and a method to detect high affinity agonist binding in cells.