RT Journal Article SR Electronic T1 Cryo-EM analysis of the conformational landscape of human P-glycoprotein (ABCB1) during its catalytic cycle JF Molecular Pharmacology JO Mol Pharmacol FD American Society for Pharmacology and Experimental Therapeutics SP mol.116.104190 DO 10.1124/mol.116.104190 A1 Gabriel Frank A1 Suneet Shukla A1 Prashant Rao A1 Mario J Borgnia A1 Alberto Bartesaghi A1 Alan Merk A1 Aerfa Mobin A1 Lothar Esser A1 Lesley A. Earl A1 Michael M Gottesman A1 Di Xia A1 Suresh V. Ambudkar A1 Sriram Subramaniam YR 2016 UL http://molpharm.aspetjournals.org/content/early/2016/05/11/mol.116.104190.abstract AB The multidrug transporter P-glycoprotein (P-gp, ABCB1) is an ATP-dependent efflux pump that mediates the efflux of structurally diverse drugs and xenobiotics across cell membranes, affecting drug pharmacokinetics and contributing to the development of multidrug resistance. Structural information about the conformational changes in human P-gp during the ATP hydrolysis cycle has not been directly demonstrated, although mechanistic information has been inferred from biochemical and biophysical studies done with P-gp and its orthologs, or from structures of other ABC transporters. Using single particle cryo-electron microscopy, we report the surprising discovery that, in the absence of the transport substrate and nucleotides, human P-gp can exist in both open (nucleotide-binding-domains (NBDs) apart; inward-facing) and closed (NBDs close; outward-facing) conformations. We also probe conformational states of human P-gp during the catalytic cycle, and demonstrate that following ATP hydrolysis, P-gp transitions through a complete closed conformation to a complete open conformation in the presence of ADP.