National Institutes of Health/National Heart, Lung, and Blood Institute (NIH/NHLBI)
R01HL153219
United States
National Institutes of Health/National Institute of Neurological Disorders and Stroke (NIH/NINDS)
R01NS112363
United States
National Institutes of Health/National Institute of Neurological Disorders and Stroke (NIH/NINDS)
R01NS111031
United States
National Institutes of Health/National Institute of Neurological Disorders and Stroke (NIH/NINDS)
R01NS129804
United States
Citation
Journal: Cell / Year: 2026 Title: Dynamic dimer-of-dimers architecture defines Mg transport in human CNNM4. Authors: Zhiyong Bai / X Edward Zhou / Wei Lü / Juan Du / Abstract: Mg is essential for all living organisms, yet its transport across mammalian membranes remains poorly understood. Here, we present cryoelectron microscopy (cryo-EM) structures of a full-length ...Mg is essential for all living organisms, yet its transport across mammalian membranes remains poorly understood. Here, we present cryoelectron microscopy (cryo-EM) structures of a full-length mammalian Mg transporter on the plasma membrane, human CNNM4, in outward-facing and occluded states, revealing an unexpected tetrameric assembly organized as a dimer of asymmetric dimers-distinct from the symmetric dimers in prokaryotic homologs and long assumed for eukaryotic CNNMs. We show that Mg/ATP binding stabilizes the dynamic intracellular domains and promotes tetramerization, while an acidic patch binds additional Mg, potentially acting as a sensor to couple cytoplasmic Mg levels to transport activity. Within the transmembrane domain, a key glutamate flips upon Na binding and destabilizes the Mg-binding site in the outward-facing state, thereby promoting Mg/Na exchange. Together, these findings establish a mechanistic framework for CNNM transport and regulation that diverges from prokaryotic models and links CNNM function to human physiology and disease.
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