Abstract
ABCB4 is an ATP-binding cassette transporter that extrudes phosphatidylcholine into the bile canaliculi of the liver. Its dysfunction or inhibition by drugs can cause severe, chronic liver disease or drug-induced liver injury. We determined the cryo-EM structure of nanodisc-reconstituted human ABCB4 trapped in an ATP-bound state at a resolution of 3.2 Å. The nucleotide binding domains form a closed conformation containing two bound ATP molecules, but only one of the ATPase sites contains bound Mg2+. The transmembrane domains adopt a collapsed conformation at the level of the lipid bilayer, but we observed a large, hydrophilic and fully occluded cavity at the level of the cytoplasmic membrane boundary, with no ligand bound. This indicates a state following substrate release but prior to ATP hydrolysis. Our results rationalize disease-causing mutations in human ABCB4 and suggest an ‘alternating access’ mechanism of lipid extrusion, distinct from the ‘credit card swipe’ model of other lipid transporters.
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Data availability
Source data for Figs. 1b,d,e and 4d as well as Extended Data Fig. 2a are available with the online version of this paper. Coordinates for the deposited model have been deposited at the Protein Data Bank under ID 6S7P. The associated cryo-EM map has been deposited at the Electron Microscopy Data Bank under ID EMD-10111.
References
Smit, J. J. et al. Homozygous disruption of the murine MDR2 P-glycoprotein gene leads to a complete absence of phospholipid from bile and to liver disease. Cell 75, 451–462 (1993).
Morita, S. Y. & Terada, T. Molecular mechanisms for biliary phospholipid and drug efflux mediated by ABCB4 and bile salts. Biomed. Res. Int. 2014, 954781 (2014).
Boyer, J. L. Bile formation and secretion. Compr. Physiol. 3, 1035–1078 (2013).
Fagerberg, L. et al. Analysis of the human tissue-specific expression by genome-wide integration of transcriptomics and antibody-based proteomics. Mol. Cell Proteomics 13, 397–406 (2014).
Oude Elferink, R. P. & Paulusma, C. C. Function and pathophysiological importance of ABCB4 (MDR3 P-glycoprotein). Pflugers Arch. 453, 601–610 (2007).
Lucena, J. F. et al. A multidrug resistance 3 gene mutation causing cholelithiasis, cholestasis of pregnancy and adulthood biliary cirrhosis. Gastroenterology 124, 1037–1042 (2003).
Jacquemin, E. et al. The wide spectrum of multidrug resistance 3 deficiency: from neonatal cholestasis to cirrhosis of adulthood. Gastroenterology 120, 1448–1458 (2001).
Gautherot, J. et al. Phosphorylation of ABCB4 impacts its function: insights from disease-causing mutations. Hepatology 60, 610–621 (2014).
Andress, E. J. et al. Molecular mechanistic explanation for the spectrum of cholestatic disease caused by the S320F variant of ABCB4. Hepatology 59, 1921–1931 (2014).
Morita, S. Y. et al. Bile salt-dependent efflux of cellular phospholipids mediated by ATP binding cassette protein B4. Hepatology 46, 188–199 (2007).
Delaunay, J. L. et al. A functional classification of ABCB4 variations causing progressive familial intrahepatic cholestasis type 3. Hepatology 63, 1620–1631 (2016).
Delaunay, J. L. et al. Functional defect of variants in the adenosine triphosphate-binding sites of ABCB4 and their rescue by the cystic fibrosis transmembrane conductance regulator potentiator, ivacaftor (VX-770). Hepatology 65, 560–570 (2017).
Andress, E. J., Nicolaou, M., McGeoghan, F. & Linton, K. J. ABCB4 missense mutations D243A, K435T, G535D, I490T, R545C and S978P significantly impair the lipid floppase and likely predispose to secondary pathologies in the human population. Cell. Mol. Life Sci. 74, 2513–2524 (2017).
Park, H. J. et al. Functional characterization of ABCB4 mutations found in progressive familial intrahepatic cholestasis type 3. Sci. Rep. 6, 26872 (2016).
Padda, M. S., Sanchez, M., Akhtar, A. J. & Boyer, J. L. Drug-induced cholestasis. Hepatology 53, 1377–1387 (2011).
Aleo, M. D., Shah, F., He, K., Bonin, P. D. & Rodrigues, A. D. Evaluating the role of multidrug resistance protein 3 (MDR3) inhibition in predicting drug-induced liver injury using 125 pharmaceuticals. Chem. Res. Toxicol. 30, 1219–1229 (2017).
Mahdi, Z. M., Synal-Hermanns, U., Yoker, A., Locher, K. P. & Stieger, B. Role of multidrug resistance protein 3 in antifungal-induced cholestasis. Mol. Pharmacol. 90, 23–34 (2016).
Yoshikado, T. et al. Itraconazole-induced cholestasis: involvement of the inhibition of bile canalicular phospholipid translocator MDR3/ABCB4. Mol. Pharmacol. 79, 241–250 (2011).
Tougeron, D., Fotsing, G., Barbu, V. & Beauchant, M. ABCB4/MDR3 gene mutations and cholangiocarcinomas. J. Hepatol. 57, 467–468 (2012).
Mhatre, S. et al. Common genetic variation and risk of gallbladder cancer in India: a case–control genome-wide association study. Lancet Oncol. 18, 535–544 (2017).
Kiehl, S. et al. ABCB4 is frequently epigenetically silenced in human cancers and inhibits tumor growth. Sci. Rep. 4, 6899 (2014).
Locher, K. P. Mechanistic diversity in ATP-binding cassette (ABC) transporters. Nat. Struct. Mol. Biol. 23, 487–493 (2016).
Ruetz, S. & Gros, P. Phosphatidylcholine translocase: a physiological role for the mdr2 gene. Cell 77, 1071–1081 (1994).
Smith, A. J. et al. The human MDR3 P-glycoprotein promotes translocation of phosphatidylcholine through the plasma membrane of fibroblasts from transgenic mice. FEBS Lett. 354, 263–266 (1994).
Crawford, A. R. et al. Hepatic secretion of phospholipid vesicles in the mouse critically depends on mdr2 or MDR3 P-glycoprotein expression. Visualization by electron microscopy. J. Clin. Invest. 100, 2562–2567 (1997).
Mi, W. et al. Structural basis of MsbA-mediated lipopolysaccharide transport. Nature 549, 233–237 (2017).
Perez, C. et al. Structure and mechanism of an active lipid-linked oligosaccharide flippase. Nature 524, 433–438 (2015).
Qian, H. et al. Structure of the human lipid exporter ABCA1. Cell 169, 1228–1239.e10 (2017).
Van der Bliek, A. M. et al. The human mdr3 gene encodes a novel P-glycoprotein homologue and gives rise to alternatively spliced mRNAs in liver. EMBO J. 6, 3325–3331 (1987).
Smith, A. J. et al. MDR3 P-glycoprotein, a phosphatidylcholine translocase, transports several cytotoxic drugs and directly interacts with drugs as judged by interference with nucleotide trapping. J. Biol. Chem. 275, 23530–23539 (2000).
Morita, S. Y. et al. Bile salt-stimulated phospholipid efflux mediated by ABCB4 localized in nonraft membranes. J. Lipid Res. 54, 1221–1230 (2013).
Wen, C. et al. Curcumin reverses doxorubicin resistance via inhibition the efflux function of ABCB4 in doxorubicinresistant breast cancer cells. Mol. Med. Rep. 19, 5162–5168 (2019).
Kino, K., Taguchi, Y., Yamada, K., Komano, T. & Ueda, K. Aureobasidin A, an antifungal cyclic depsipeptide antibiotic, is a substrate for both human MDR1 and MDR2/P-glycoproteins. FEBS Lett. 399, 29–32 (1996).
Schinkel, A. H., Roelofs, E. M. & Borst, P. Characterization of the human MDR3 P-glycoprotein and its recognition by P-glycoprotein-specific monoclonal antibodies. Cancer Res. 51, 2628–2635 (1991).
van Helvoort, A. et al. MDR1 P-glycoprotein is a lipid translocase of broad specificity, while MDR3 P-glycoprotein specifically translocates phosphatidylcholine. Cell 87, 507–517 (1996).
Prescher, M., Kroll, T. & Schmitt, L. ABCB4/MDR3 in health and disease—at the crossroads of biochemistry and medicine. Biol. Chem. 400, 1245–1259 (2019).
Aller, S. G. et al. Structure of P-glycoprotein reveals a molecular basis for poly-specific drug binding. Science 323, 1718–1722 (2009).
Alam, A. et al. Structure of a zosuquidar and UIC2-bound human-mouse chimeric ABCB1. Proc. Natl Acad. Sci. USA 115, E1973–E1982 (2018).
Alam, A., Kowal, J., Broude, E., Roninson, I. & Locher, K. P. Structural insight into substrate and inhibitor discrimination by human P-glycoprotein. Science 363, 753–756 (2019).
Kim, Y. & Chen, J. Molecular structure of human P-glycoprotein in the ATP-bound, outward-facing conformation. Science 359, 915–919 (2018).
Ishigami, M. et al. ATPase activity of nucleotide binding domains of human MDR3 in the context of MDR1. Biochim. Biophys. Acta 1831, 683–690 (2013).
Groen, A. et al. Complementary functions of the flippase ATP8B1 and the floppase ABCB4 in maintaining canalicular membrane integrity. Gastroenterology 141, 1927–1937 (2011).
Ellinger, P., Kluth, M., Stindt, J., Smits, S. H. & Schmitt, L. Detergent screening and purification of the human liver ABC transporters BSEP (ABCB11) and MDR3 (ABCB4) expressed in the yeast Pichia pastoris. PLoS One 8, e60620 (2013).
Kluth, M. et al. A mutation within the extended X loop abolished substrate-induced ATPase activity of the human liver ATP-binding cassette (ABC) transporter MDR3. J. Biol. Chem. 290, 4896–4907 (2015).
Higgins, C. F. & Linton, K. J. The ATP switch model for ABC transporters. Nat. Struct. Mol. Biol. 11, 918–926 (2004).
Tombline, G., Bartholomew, L. A., Urbatsch, I. L. & Senior, A. E. Combined mutation of catalytic glutamate residues in the two nucleotide binding domains of P-glycoprotein generates a conformation that binds ATP and ADP tightly. J. Biol. Chem. 279, 31212–31220 (2004).
Urbatsch, I. L., Sankaran, B., Weber, J. & Senior, A. E. P-glycoprotein is stably inhibited by vanadate-induced trapping of nucleotide at a single catalytic site. J. Biol. Chem. 270, 19383–19390 (1995).
Rosenthal, P. B. & Henderson, R. Optimal determination of particle orientation, absolute hand and contrast loss in single-particle electron cryomicroscopy. J. Mol. Biol. 333, 721–745 (2003).
Dawson, R. J. & Locher, K. P. Structure of a bacterial multidrug ABC transporter. Nature 443, 180–185 (2006).
Choudhury, H. G. et al. Structure of an antibacterial peptide ATP-binding cassette transporter in a novel outward occluded state. Proc. Natl Acad. Sci. USA 111, 9145–9150 (2014).
Zaitseva, J. et al. A molecular understanding of the catalytic cycle of the nucleotide-binding domain of the ABC transporter HlyB. Biochem. Soc. Trans. 33, 990–995 (2005).
Esser, L. et al. Structures of the multidrug transporter P-glycoprotein reveal asymmetric ATP binding and the mechanism of polyspecificity. J. Biol. Chem. 292, 446–461 (2017).
Hrycyna, C. A. et al. Mechanism of action of human P-glycoprotein ATPase activity. Photochemical cleavage during a catalytic transition state using orthovanadate reveals cross-talk between the two ATP sites. J. Biol. Chem. 273, 16631–16634 (1998).
Manolaridis, I. et al. Cryo-EM structures of a human ABCG2 mutant trapped in ATP-bound and substrate-bound states. Nature 563, 426–430 (2018).
Xu, D. et al. Cryo-EM structure of human lysosomal cobalamin exporter ABCD4. Cell Res. 29, 1039–1041 (2019).
Zhang, Z., Liu, F. & Chen, J. Conformational changes of CFTR upon phosphorylation and ATP binding. Cell 170, 483–491 (2017).
Albe, K. R., Butler, M. H. & Wright, B. E. Cellular concentrations of enzymes and their substrates. J. Theor. Biol. 143, 163–195 (1990).
Locher, K. P., Lee, A. T. & Rees, D. C. The E. coli BtuCD structure: a framework for ABC transporter architecture and mechanism. Science 296, 1091–1098 (2002).
Andersen, J. P. et al. P4-ATPases as phospholipid flippases-structure, function and enigmas. Front. Physiol. 7, 275 (2016).
Brunner, J. D., Schenck, S. & Dutzler, R. Structural basis for phospholipid scrambling in the TMEM16 family. Curr. Opin. Struct. Biol. 39, 61–70 (2016).
Falzone, M. E. et al. Structural basis of Ca2+-dependent activation and lipid transport by a TMEM16 scramblase. eLife 8, e43229 (2019).
Lee, B. C. et al. Gating mechanism of the extracellular entry to the lipid pathway in a TMEM16 scramblase. Nat. Commun. 9, 3251 (2018).
Malvezzi, M. et al. Out-of-the-groove transport of lipids by TMEM16 and GPCR scramblases. Proc. Natl Acad. Sci. USA 115, E7033–E7042 (2018).
Schneider, C. A., Rasband, W. S. & Eliceiri, K. W. NIH Image to ImageJ: 25 years of image analysis. Nat. Methods 9, 671–675 (2012).
Chifflet, S., Torriglia, A., Chiesa, R. & Tolosa, S. A method for the determination of inorganic phosphate in the presence of labile organic phosphate and high concentrations of protein: application to lens ATPases. Anal. Biochem. 168, 1–4 (1988).
Zheng, S. Q. et al. MotionCor2: anisotropic correction of beam-induced motion for improved cryo-electron microscopy. Nat. Methods 14, 331–332 (2017).
Zhang, K. Gctf: real-time CTF determination and correction. J. Struct. Biol. 193, 1–12 (2016).
Scheres, S. H. RELION: implementation of a Bayesian approach to cryo-EM structure determination. J. Struct. Biol. 180, 519–530 (2012).
Zivanov, J. et al. New tools for automated high-resolution cryo-EM structure determination in RELION-3. eLife 7, e42166 (2018).
Punjani, A., Rubinstein, J. L., Fleet, D. J. & Brubaker, M. A. cryoSPARC: algorithms for rapid unsupervised cryo-EM structure determination. Nat. Methods 14, 290–296 (2017).
Emsley, P., Lohkamp, B., Scott, W. G. & Cowtan, K. Features and development of Coot. Acta Crystallogr. D Biol. Crystallogr. 66, 486–501 (2010).
Adams, P. D. et al. PHENIX: a comprehensive Python-based system for macromolecular structure solution. Acta Crystallogr. D Biol. Crystallogr. 66, 213–221 (2010).
Waterhouse, A. et al. SWISS-MODEL: homology modelling of protein structures and complexes. Nucleic Acids Res. 46, W296–W303 (2018).
Chovancova, E. et al. CAVER 3.0: a tool for the analysis of transport pathways in dynamic protein structures. PLoS Comput. Biol. 8, e1002708 (2012).
Ho, B. K. & Gruswitz, F. HOLLOW: generating accurate representations of channel and interior surfaces in molecular structures. BMC Struct. Biol. 8, 49 (2008).
Dimitropoulos, D., Ionides, J. & Henrick, K. Using MSDchem to search the PDB ligand dictionary. Curr. Protoc. Bioinformatics 15, 14.3.1–14.3.21 (2006).
Pettersen, E. F. et al. UCSF Chimera—a visualization system for exploratory research and analysis. J. Comput. Chem. 25, 1605–1612 (2004).
Wendum, D. et al. Aspects of liver pathology in adult patients with MDR3/ABCB4 gene mutations. Virchows Arch. 460, 291–298 (2012).
Poupon, R. et al. Genotype–phenotype relationships in the low‐phospholipid‐associated cholelithiasis syndrome: a study of 156 consecutive patients. Hepatology 58, 1105–1110 (2013).
Pauli-Magnus, C. et al. BSEP and MDR3 haplotype structure in healthy caucasians, primary biliary cirrhosis and primary sclerosing cholangitis. Hepatology 39, 779–791 (2004).
Degiorgio, D. et al. Molecular characterization and structural implications of 25 new ABCB4 mutations in progressive familial intrahepatic cholestasis type 3 (PFIC3). Eur. J. Hum. Genet. 15, 1230–1238 (2007).
Rosmorduc, O., Poupon, R. & Hermelin, B. MDR3 gene defect in adults with symptomatic intrahepatic and gallbladder cholesterol cholelithiasis. Gastroenterology 120, 1459–1467 (2001).
Keitel, V. et al. Expression and localization of hepatobiliary transport proteins in progressive familial intrahepatic cholestasis. Hepatology 41, 1160–1172 (2005).
Davit-Spraul, A., Gonzales, E., Baussan, C. & Jacquemin, E. The spectrum of liver diseases related to ABCB4 gene mutations: pathophysiology and clinical aspects. Semin. Liver Dis. 30, 134–146 (2010).
Floreani, A. et al. Hepatobiliary phospholipid transporter ABCB4, MDR3 gene variants in a large cohort of Italian women with intrahepatic cholestasis of pregnancy. Dig. Liver Dis. 40, 366–370 (2008).
Acknowledgements
This research was supported by the Swiss National Science Foundation (grant nos. 310030B_166672 and 310030_189111 to K.P.L.) and by The Danish Council for Independent Research (grant no. DFF-4181-00021 to J.A.O.). Cryo-EM data were collected at the electron microscopy facility at ETH Zürich (ScopeM) and the authors thank the ScopeM staff for technical support.
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J.A.O. performed experiments and prepared samples. J.A.O., A.A. and J.K. collected the cryo-EM data. J.A.O., A.A. and J.K. processed the cryo-EM data. J.A.O. and K.P.L. built and validated the model of nucleotide-bound ABCB4. J.A.O. and K.P.L. designed the experiments. J.A.O., B.S. and K.P.L. conceived the project. J.A.O. and K.P.L. wrote the manuscript, with all authors contributing to revisions.
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Extended data
Extended Data Fig. 1 SEC and FSEC profiles of ABCB4.
a,b, FSEC profiles of eYFP-labeled protein extracted by DDM:CHS from pellets of WT ABCB4 expressing Flp-In T-Rex 293 cells collected after harvesting of media for extrusion experiments. Black lines indicates signal from cells with expression induced by addition of tetracycline, red lines indicates signal from uninduced cells. Samples were loaded on a TSKgel G4000SWXL column at 0.4 ml −1min. a, Signals from cells expressing wt-ABCB4). b, Signals from cells expressing ABCB4[EQ]. c-f, SEC profiles of purified ABCB4 reconstituted into LPL:CHS nanodiscs and run on a a TSKgel G3000SWXL column at 0.4 ml −1min. c, ABCB4[EQ] d, Reinjection of the peak fraction from (c) at around 18 min, as also shown in Fig. 1c. e, wt-ABCB4 with reinjected peak fraction shown in (f), as also shown in Fig. 1c.
Extended Data Fig. 2 Cryo-EM data processing of vanadate-trapped wt-ABCB4.
a, ATPase activity of vanadate-trapped wt-ABCB4 (black squares and curve) shown relative to the activity without vanadate (dashed blue line, curve from Fig. 1d). Data points indicate means of three independent measurements, error bars represent S.E.M. b, Representative motion-corrected micrograph of ABCB4 at a nominal magnification of 165kx and a defocus of 2.7 µm. c, Representative 2D classes from cryoSPARC. d, cryoSPARC processing workflow. Data for graph in panel a are available as.
Extended Data Fig. 3 Cryo-EM structure determination of nucleotide-bound ABCB4.
a, Representative motion-corrected micrograph of ABCB4 at nominal magnification of 165 kx and a defocus of 2.2 µm. Representative 2D classes from RELION are shown to the left. b, RELION processing workflow. c, Local resolution calculated with ResMap in RELION and presented on the sharpened EM map, color coded according to the scale bar next to the density. d, The 3.2 Å map used for model building (cyan) is displayed inside the unsharpened map contoured at lower level (grey). e, Fourier shell correlation curves from RELION. f, Distribution of orientations of particles going into the final class.
Extended Data Fig. 4 Cryo-EM map and model.
The model of nucleotide-bound ABCB4 built according to density. Contour level is set at σ = 5 and density is carved at a distance of 2 Å. a, Density contours from b-factor sharpened map is shown for all six helix pairs as well as the NBDs. b, Density contours shown around central slices of the NBDs, for the same views as shown in (a). Nucleotides are shown in red, Magnesium in yellow.
Extended Data Fig. 5 Stereo representations of disease causing mutations mapped onto the closed conformation of ABCB4.
Stereo representations of disease causing mutations mapped onto the closed conformation of ABCB4. a, Mutations affecting function. b, For clarity, panel (a) of main Fig. 4 is shown with residue identities indicated. c, Mutations affecting expression or trafficking. d, Panel (b) of main Fig. 4 is shown with residue identities labelled.
Extended Data Fig. 6 ABCB4 and ABCB1 chimeras reveal important residues.
a, The different levels of protein extracted with DDM:CHS from pellets of experiments in Fig. 4d are indicated by luminescence units relative to wt-ABCB4. Main peak heights (peak around 20 min) were used to normalize results of the extrusion assays. b, The three positions mutated in the 3 M construct (V985M, H989Q and A990V) are shown in a model of the ATP-Mg2+ bound ABCB4 in stick representation, and residues within 4 Å are shown in line representation. c, Residues V985, H989 and A990 and nearby residues on TMH12, from the model of ABCB4 in the closed conformation, are shown with associated density contoured at a level of σ = 6.5 and carved at a distance of 2 Å from residues. d, Residue positions corresponding to those in (a) are shown on the previously published model of human-mouse chimeric ABCB1 bound to the inhibitor zosuquidar44, used for homology modelling, with density from the associated map contoured at a level of σ = 6.5 and carved at a distance of 2 Å from residues.
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Supplementary Information
Supplementary Fig. 1 and Table 1.
Source data
Source Data Fig. 1
Raw data for Figs. 1b, 1d and 1e.
Source Data Fig. 4
Raw data for Fig. 4d.
Source Data Extended Data Fig. 2
Raw data for Extended Data Fig. 2a.
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Olsen, J.A., Alam, A., Kowal, J. et al. Structure of the human lipid exporter ABCB4 in a lipid environment. Nat Struct Mol Biol 27, 62–70 (2020). https://doi.org/10.1038/s41594-019-0354-3
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DOI: https://doi.org/10.1038/s41594-019-0354-3
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