The crystal structure of calmodulin (CaM) bound to trifluoperazine (TF
P) has been determined and refined to a resolution of 2.45 Angstrom. O
nly one TFP is bound to CaM, but that is sufficient to cause distortio
n of the central a-helix and juxtaposition of the N- and C-terminal do
mains similar to that seen in CaM-polypeptide complexes. The drug make
s extensive contacts with residues in the C-terminal domain of CaM but
only a few contacts with one residue in the N-terminal domain. The st
ructure suggests that substrate binding to the C-terminal domain is su
fficient to cause the conformational changes in calmodulin that lead t
o activation of its targets.