Jeanne Mannery Fisher Memorial Lecture 1998. Structure-function studies of the sodium pump.

The Na+, K+-ATPase is an ubiquitous plasma membrane protein complex that belongs to the P-type family of ion motive ATPases. Under normal conditions, it couples the hydrolysis of one molecule of ATP to the exchange of three Na+ for two K+ ions, thus maintaining the normal gradient of these cations in animal cells. Despite decades of investigation of its structure and function, the structural basis for its cation specificity and for conformational coupling of the scalar energy of ATP hydrolysis to the vectorial movement of Na+ and K+ have remained a major unresolved issue. This paper summarizes our recent studies concerned with these issues. The findings indicate that regions(s) of the amino terminus and first cytoplasmic (M2/M3) loop act synergistically to affect the steady-state conformational equilibrium of the enzyme. Although carboxyl- or hydroxyl-bearing amino acids comprise the cation-binding and occlusion sites, our experiments also suggest that these interactions may be modulated by juxtapositioned cytoplasmic regions.