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TitleCryo-EM of human P-glycoprotein reveals an intermediate occluded conformation during active drug transport.
Journal, issue, pagesNat Commun, Vol. 16, Issue 1, Page 3619, Year 2025
Publish dateApr 16, 2025
AuthorsAlan T Culbertson / Maofu Liao /
PubMed AbstractP-glycoprotein (Pgp) is an important human multidrug transporter that contributes to pharmacokinetics and multidrug resistance. Despite decades of study, the conformation transition cycle of Pgp ...P-glycoprotein (Pgp) is an important human multidrug transporter that contributes to pharmacokinetics and multidrug resistance. Despite decades of study, the conformation transition cycle of Pgp undergoing active drug transport is not defined, thus the precise relevance of all available Pgp structures to uninterrupted multidrug transport remains unclear. Here, we use cryo-EM of membrane-embedded human Pgp under continuous turnover conditions to analyze the conformational ensembles of Pgp transporting distinct substrates. These results delineate multiple conformations including inward-facing and closed conformations, highlighting the occluded conformation as a critical intermediate state between transporter closure and substrate release. A combination of structural, functional, and computational studies reveals the transmembrane helices 4 and 10 undergoing drastic rearrangement to coordinate substrate binding, occlusion, and release, and identifies a peripheral site involved in substrate capture and Pgp inhibition. Together, our results provide a set of snapshots of Pgp undergoing continuous drug transport, unveiling the intricate interplay between transporter dynamics and drug movement, and shed light on the mechanism of polyspecificity.
External linksNat Commun / PubMed:40240353 / PubMed Central
MethodsEM (single particle)
Resolution3.9 - 6.4 Å
Structure data

EMDB-40226, PDB-8gmg:
CryoEM structure of P-Glycoprotein in Apo state
Method: EM (single particle) / Resolution: 4.3 Å

EMDB-40227, PDB-8gmj:
CryoEM structure of P-Glycoprotein in collapsed closed state under continuous turnover conditions with verapamil
Method: EM (single particle) / Resolution: 4.4 Å

EMDB-40258, PDB-8sa0:
CryoEM structure of P-Glycoprotein in occluded closed state under continuous turnover conditions with verapamil
Method: EM (single particle) / Resolution: 4.1 Å

EMDB-40259, PDB-8sa1:
CryoEM structure of P-Glycoprotein in inward facing 2 state under continuous turnover conditions with verapamil
Method: EM (single particle) / Resolution: 4.4 Å

EMDB-40292, PDB-8sb7:
CryoEM structure of P-Glycoprotein in inward facing 1 state under continuous turnover conditions with verapamil
Method: EM (single particle) / Resolution: 4.0 Å

EMDB-40293, PDB-8sb8:
CryoEM structure of P-Glycoprotein in collapsed closed state with vanadate
Method: EM (single particle) / Resolution: 3.9 Å

EMDB-40294, PDB-8sb9:
CryoEM structure of P-Glycoprotein in inward facing 1 state under continuous turnover conditions with vinblastine
Method: EM (single particle) / Resolution: 4.1 Å

EMDB-40295, PDB-8sba:
CryoEM structure of P-Glycoprotein in inward facing 2 state under continuous turnover conditions with vinblastine
Method: EM (single particle) / Resolution: 3.9 Å

EMDB-40326: CryoEM structure of P-Glycoprotein in inward facing state with MgATP and vanadate
Method: EM (single particle) / Resolution: 4.5 Å

EMDB-40340: CryoEM structure of P-Glycoprotein in inward facing state 1 with vinblastine
Method: EM (single particle) / Resolution: 5.3 Å

EMDB-40341: CryoEM structure of P-Glycoprotein in inward facing state 2 with vinblastine
Method: EM (single particle) / Resolution: 4.5 Å

EMDB-40342: CryoEM structure of P-Glycoprotein in closed 1 state under continuous turnover conditions with vinblastine
Method: EM (single particle) / Resolution: 5.6 Å

EMDB-40343: CryoEM structure of P-Glycoprotein in closed 2 state under continuous turnover conditions with vinblastine
Method: EM (single particle) / Resolution: 6.4 Å

Chemicals

ChemComp-MG:
Unknown entry

ChemComp-ATP:
ADENOSINE-5'-TRIPHOSPHATE / ATP, energy-carrying molecule*YM

ChemComp-I6H:
Dexverapamil / medication, channel blocker*YM

ChemComp-AOV:
ADP ORTHOVANADATE / energy-carrying molecule analogue*YM

ChemComp-VLB:
(2ALPHA,2'BETA,3BETA,4ALPHA,5BETA)-VINCALEUKOBLASTINE / medication, chemotherapy*YM

Source
  • homo sapiens (human)
KeywordsTRANSPORT PROTEIN / multidrug resistance / ABC transporter / membrane protein / transporter / Transporter.

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