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Structural basis for the transport and regulation mechanism of the Multidrug resistance-associated protein 2
Open accessPreprint — published as 10.1038/s41467-024-55810-w · Paper page
Abstract
Multidrug resistance-associated protein 2 (MRP2) is an ATP-powered exporter important for maintaining liver homeostasis and a potential contributor to chemotherapeutic resistance. Deficiencies in MRP2 function are associated with Dubin-Johnson Syndrome and increased vulnerability to liver injury from cytotoxic drugs. Using cryogenic electron microscopy (cryo-EM), we determined 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. These structures show that MRP2 functions through the classic alternating access model, driven by ATP binding and hydrolysis. Its cytosolic regulatory (R) domain serves as a selectivity gauge, wherein only sufficiently high concentrations of substrates can effectively compete with and disengage the R domain to initiate transport. Comparative structural analyses of MRP2 in complex with different substrates reveal how the transporter recognizes a diverse array of compounds, highlighting the transporter’s role in multidrug resistance.
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“Patients deficient in MRP2 function develop Dubin-Johnson Syndrome, a disease caused by an excess of the bile pigment bilirubin in the liver cells 3 – 5 .”
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“For example, P-gp and ABCG2 both contain a central hydrophobic cavity that many small-molecules, including substrates and inhibitors, can bind largely through van der Waals interactions 12 – 17 .”
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Metadata
- Authors
- Koide, E., Pietz, H. L., Beltran, J., & Chen, J.
- Affiliations
- Rockefeller University (US)
- Davidson College (US)
- Howard Hughes Medical Institute (US)
- Corresponding author
- Chen, Jue
- Venue
- Nature Communications
- Publisher
- openRxiv
- Published
- 2024-06-25
- Volume
- 16
- Issue
- 1
- Pages
- 484-484
- ISSN
- 2041-1723 (ISSN-L)
- PMC
- PMC11711199
- OpenAlex
- W4406152854
- Cited by
- 17
- References
- 20
- Citations by year
- 2026: 11 · 2025: 5 · 2024: 1
- FWCI
- 6.59
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- cc-by
- 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
- Weill Cornell Medical College (T32GM007739)
- National Cancer Institute (F30CA257282)
- National Institute of General Medical Sciences (T32GM007739)
- Topics
- Health Sciences › Medicine › Oncology › Drug Transport and Resistance Mechanisms
- Health Sciences › Medicine › Microbiology (medical) › 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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- Koide, E., Pietz, H. L., Beltran, J., & Chen, J. (2024). Structural basis for the transport and regulation mechanism of the Multidrug resistance-associated protein 2. Nature Communications. https://doi.org/10.1101/2024.06.24.600277
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