Cryo-electron microscopy of Na⁺ ,K⁺ -ATPase reveals how the extracellular gate locks in the E2·2K⁺ state

Na⁺ ,K⁺ -ATPase (NKA) is one of the most important members of the P-type ion-translocating ATPases and plays a pivotal role in establishing electrochemical gradients for Na⁺ and K⁺ across the cell membrane. Presented here is a 3.3 Å resolution structure of NKA in the E2·2K⁺ state solved by cryo-electron microscopy. It is a stable state with two occluded K⁺ after transferring three Na⁺ into the extracellular medium and releasing inorganic phosphate bound to the cytoplasmic P domain. We describe how the extracellular ion pathway wide open in the E2P state becomes closed and locked in E2·2K⁺ , linked to events at the phosphorylation site more than 50 Å away. We also show, although at low resolution, how ATP binding to NKA in E2·2K⁺ relaxes the gating machinery and thereby accelerates the transition into the next step, that is, the release of K⁺ into the cytoplasm, more than 100 times.