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Structure paper

TitleActive conformations of neuronal Na, K-ATPase isoforms and a disease-causing mutant.
Journal, issue, pagesNat Commun, Vol. 17, Issue 1, Year 2026
Publish dateJul 29, 2026
AuthorsMads Eskesen Christensen / Michael Habeck / Adriana Katz / Marlene Uglebjerg Fruergaard / Yoav Peleg / Uri Pick / Steven J D Karlish / Poul Nissen /
PubMed AbstractNa,K-ATPases establish and maintain the vital electrochemical gradients for Na and K across animal cell membranes. The protein is a ternary complex composed of α, β and FXYD subunits, of which ...Na,K-ATPases establish and maintain the vital electrochemical gradients for Na and K across animal cell membranes. The protein is a ternary complex composed of α, β and FXYD subunits, of which isoforms that fine-tune transport properties are expressed in a tissue-specific fashion. Here we report cryo-EM structures under active ATPase turn-over conditions of the ubiquitously expressed human α1β1FXYD1 and neuron-specific α3β1FXYD1 isoform complexes and probe their specific functional and biophysical properties. The data provides an extensive insight into Na-transport of ATP-activated enzyme through four distinct conformational states, including a sodium-bound phosphoenzyme intermediate, denoted [Na]E2P. This conformation reveals a crucial structural change that precedes Na release in the inward to outward (E1P-E2P) transition, within the general context of the sequential, active transport mechanism. We discuss the mechanism of the physiologically important differentiation in Na affinity of α3 compared to α1, the co-operative Na binding at the ion-binding sites, and the mechanistic aspects of cytoplasmic ion gating and extracellular Na release. Finally we present the structures of a disease-causing mutant form of α3, associated with Alternating Hemiplegia of Childhood (Q140L). The mutation compromises a specific phospholipid-binding pocket and impedes polyunsaturated phospholipid-mediated stimulation of Na,K-ATPase activity.
External linksNat Commun / PubMed:42669691 / PubMed Central
MethodsEM (single particle)
Resolution2.8 - 3.78 Å
Structure data

EMDB-54113, PDB-9ro9:
Human alpha3 Na+,K+-ATPase in the Na+-bound E1-ATP state
Method: EM (single particle) / Resolution: 3.27 Å

EMDB-54114, PDB-9roa:
Human alpha3 Na+,K+-ATPase in the Na+-occluded E1P-ADP state
Method: EM (single particle) / Resolution: 3.08 Å

EMDB-54115, PDB-9rod:
Human alpha3 Na+,K+-ATPase in the Na+-occluded E2P state
Method: EM (single particle) / Resolution: 3.12 Å

EMDB-54116, PDB-9roe:
Human alpha3 Na+,K+-ATPase in the outward open E2P state
Method: EM (single particle) / Resolution: 2.94 Å

EMDB-54117, PDB-9rof:
Human alpha3 Na+,K+-ATPase in the Na+-bound E1-ATP state obtained under turnover conditions
Method: EM (single particle) / Resolution: 3.27 Å

EMDB-54118, PDB-9rog:
Human alpha3 Na+,K+-ATPase in the Na+-occluded E1P-ADP state obtained under turnover conditions
Method: EM (single particle) / Resolution: 2.8 Å

EMDB-54119, PDB-9roh:
Human alpha3 Na+,K+-ATPase in the Na+-occluded E2P state obtained under turnover conditions
Method: EM (single particle) / Resolution: 2.92 Å

EMDB-54120, PDB-9roi:
Human alpha3 Na+,K+-ATPase in the K+-occluded E2P state obtained under turnover conditions
Method: EM (single particle) / Resolution: 2.94 Å

EMDB-54121, PDB-9roj:
Human alpha3 Q140L Na+,K+-ATPase in the Na+-bound E1 state
Method: EM (single particle) / Resolution: 3.58 Å

EMDB-54122, PDB-9rok:
Human alpha3 Q140L Na+,K+-ATPase in the Na+-occluded E1P-ADP state
Method: EM (single particle) / Resolution: 3.78 Å

EMDB-54123, PDB-9rol:
Human alpha3 Q140L Na+,K+-ATPase in the Na+-occluded E2P state
Method: EM (single particle) / Resolution: 3.54 Å

EMDB-54124, PDB-9rom:
Human alpha3 Q140L Na+,K+-ATPase in the outward open E2P state
Method: EM (single particle) / Resolution: 3.6 Å

EMDB-54125, PDB-9ron:
Human alpha1 Na+,K+-ATPase in the Na+-bound E1 state
Method: EM (single particle) / Resolution: 3.41 Å

EMDB-54126, PDB-9roo:
Human alpha1 Na+,K+-ATPase in the Na+-occluded E1P-ADP state
Method: EM (single particle) / Resolution: 3.5 Å

EMDB-54127, PDB-9rop:
Human alpha1 Na+,K+-ATPase in the Na+-occluded E2P state
Method: EM (single particle) / Resolution: 3.24 Å

EMDB-54128, PDB-9roq:
Human alpha1 Na+,K+-ATPase in the outward open E2P state
Method: EM (single particle) / Resolution: 3.33 Å

Chemicals

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

ChemComp-CLR:
CHOLESTEROL

ChemComp-MG:
Unknown entry

ChemComp-NA:
Unknown entry

ChemComp-NAG:
2-acetamido-2-deoxy-beta-D-glucopyranose

ChemComp-ADP:
ADENOSINE-5'-DIPHOSPHATE / ADP, energy-carrying molecule*YM

ChemComp-PO3:
PHOSPHITE ION

ChemComp-K:
Unknown entry

Source
  • homo sapiens (human)
KeywordsMETAL TRANSPORT / active ion transport / P-type ATPase / Na/K-ATPase / E1 / MEMBRANE PROTEIN / E1P / E2P

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