Structure of multidrug-resistance proteins of the ATP-binding cassette (ABC) superfamily

Guillermo A Altenberg1

  • 1Membrane Protein Laboratory, Sealy Center for Structural Biology, and Department of Physiology and Biophysics, The University of Texas Medical Branch, Galveston, Texas 77555-0437. galtenbe@utmb.edu

Current Medicinal Chemistry. Anti-Cancer Agents
|February 3, 2004
PubMed

Insights

Multidrug resistance in tumors stems from ATP-binding cassette (ABC) proteins that pump out chemotherapy drugs. ATP binding, not hydrolysis, appears to drive this drug extrusion mechanism in proteins like P-glycoprotein.

Area of Science:

  • Biochemistry
  • Molecular Biology
  • Oncology

Background:

  • Multidrug resistance (MDR) in tumors hinders cancer treatment by conferring resistance to diverse anticancer agents.
  • Overexpression of ATP-binding cassette (ABC) proteins, such as P-glycoprotein and MRP1, is a primary cause of MDR.
  • These ABC proteins function as plasma-membrane efflux pumps, actively removing chemotherapeutic drugs from cancer cells.

Purpose of the Study:

  • To elucidate the molecular mechanisms underlying ATP-binding cassette (ABC) protein function in multidrug resistance.
  • To investigate the role of nucleotide-binding domains (NBDs) and transmembrane domains (TMDs) in drug transport.
  • To explore the proposed mechanism of NBD dimerization induced by ATP binding as a key step in substrate transport.

Main Methods:

  • Analysis of the structural and functional properties of ATP-binding cassette (ABC) proteins.
  • Investigation of the conserved structure of NBDs and their role in ATP binding/hydrolysis.
  • Examination of the drug-binding sites within the transmembrane domains (TMDs).

Main Results:

  • ABC proteins possess conserved NBDs responsible for ATP binding/hydrolysis and TMDs containing drug-binding sites.
  • ATP binding induces NBD dimerization, proposed as a critical step for coupling ATP hydrolysis to substrate transport.
  • In P-glycoprotein, ATP binding, rather than hydrolysis, appears to be the primary driver (power stroke) for drug transport, indicated by major conformational changes.

Conclusions:

  • ATP-binding cassette (ABC) protein function is central to tumor multidrug resistance.
  • NBD dimerization upon ATP binding is a key regulatory step in ABC transporter-mediated drug efflux.
  • Understanding these mechanisms, particularly the role of ATP binding in P-glycoprotein, offers potential targets for overcoming chemotherapy resistance.

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