Cited by 17Drug Transport and Resistance MechanismsAntibiotic Resistance in BacteriaATP Synthase and ATPases Research

Structural basis for the transport and regulation mechanism of the multidrug resistance-associated protein 2

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Koide, Eriko, Pietz, Harlan L., Beltran, Jean, Chen, Jue·2025·Nature Communications

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Abstract

Multidrug resistance-associated protein 2 (MRP2) is an ATP-powered exporter important for maintaining liver homeostasis and a potential contributor to chemotherapeutic resistance. Using cryogenic electron microscopy (cryo-EM), we determine the structures of human MRP2 in three conformational states: an autoinhibited state, a substrate-bound pre-translocation state, and an ATP-bound post-translocation state. In the autoinhibited state, the cytosolic regulatory (R) domain plugs into the transmembrane substrate-binding site and extends into the cytosol to form a composite ATP-binding site at the surface of nucleotide-binding domain 2. Substrate displaces the R domain, permitting conformational changes necessary for transport. These observations suggest that the R domain functions as a selectivity gauge, where only at sufficiently high concentrations can the substrate effectively initiate transport. Comparative structural analyzes of MRP2 bound to various substrates, as determined in this study and others, reveal how MRP2 recognizes a diverse array of compounds, supporting its role in multidrug resistance.

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Authors
Koide, E., Pietz, H. L., Beltran, J., & Chen, J.
Affiliations
  • Rockefeller University (US)
  • Howard Hughes Medical Institute (US)
Corresponding author
Chen, Jue
Venue
Nature Communications
Published
2025-01-08
Volume
16
Issue
1
Pages
484-484
ISSN
2041-1723 (ISSN-L)
OpenAlex
W4406152854
Cited by
17
References
44
Citations by year
2026: 11 · 2025: 5 · 2024: 1
FWCI
6.63
Type
journal article
Language
en
Open access
Locations
  • Nature Communications (publishedVersion, cc-by)
  • bioRxiv (Cold Spring Harbor Laboratory) (acceptedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • PubMed Central (submittedVersion)
  • RePEc: Research Papers in Economics (submittedVersion)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
Funders
Howard Hughes Medical Institute
Topics
  • Health Sciences › Medicine › Oncology › Drug Transport and Resistance Mechanisms
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Medicine › Antibiotic Resistance in Bacteria
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › ATP Synthase and ATPases Research
Keywords
MRP2, ABC transporters, ATP-binding cassette, substrate specificity, regulatory domain, autoinhibition, conformational change, nucleotide-binding domain, substrate binding, multidrug resistance, chemoresistance, liver homeostasis, drug efflux

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