membrane transport na k atpase Flashcards

1
Q

what type of atpase transports do we have

A
  • P-type ATPases

V-type ATPases - in intracellular organs
proton-pumps

  • F-type ATPases

ABC transporters

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2
Q

what char. can you say about P-type atpase? (General characteristics since they also are subdivided to groups)

A

Integral membrane proteins

 Similarities in the structure:
				    T domain – transport
		    N domain – ATP/ADP binding
		    P domain – phosphorylation
		    A domain – phosphatase activity 

ATP hydrolysis

  • phosphorylation/dephosphorylation of the transporter
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3
Q

what else can you say about P type atpase

A

• The P type ATPases are a large group of evolutionarily related ion and lipid pumps that are found in bacteria, archaea and eukaryotes
• They are α helical bundle primary transporters referred to as P type ATPases because they catalyse auto- (or self) phosphorylation of a key conserved aspartate residue within the pump
• In addition, they all appear to interconvert between at least two different conformations, denoted by E1 and E2
• Most members of this transporter family are specific for the pumping of a large array of cations, however one subfamily is involved in
flipping phospholipids to maintain the asymmetric nature of the biomembrane (Flippases)

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4
Q

prominent examples of P type atpase

A

• Prominent examples of P4type ATPases are-

1) The sodium potassium pump (Na+,K+ATPase)
Having alpha 1, 2, 3 or 4 isoforms (located mainly in brain, 3 is in testies I think)

2) The plasma membrane proton pump (H+ATPase).
3) The proton potassium pump (H+,K+ATPase) located in the stomach parietal cells for K+ absorption and H+ excretion

4) The sarco/endoplasmic Ca2+ATPase
Having Isoforms:
A) SERCA1(striatal muscle)
B) SERCA1(smooth muscle and cardiac muscle)
C) SERCA3 (Platelets and endothelial cells).

5) Plasma membrane Calcium pumps atpase, which include Plasma membrane ATPases(PCMA) isoforms:
o PCMA1 General
o PCMA2 Neuronal(higher affinity for cAMP) phosphorylation than PCMA4 cAMP phosphorylation than PCMA4
o PCMA3 striatal muscle, brain
o PCMA4 General
and PMCA 5

6) ATP dependent aminophospholipid translocase
phosphatidyl serine, phosphatidyl etanolamine
asymetric membrane distribution
(the aminophospholipid translocases transport phosphatidylserine and phosphatidylethanolamine from one side of a bilayer to another)

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5
Q

Postulated mechanism of Na K atpase?

A
  1. The ATPase pump starts off in the E1-ATP conformation, then 3 Na+ molecules enter the pump from the intracellular environment. This will give the E1-ATP-3Na+ analog
  2. After the loss of ADP we get the E1-P-3Na+ analog (phosphorylated)
  3. Then, after the loss of one Na+ to the extracellular space, we get the E2-P-2Na+ analog. The pump has changed shape and is now in the E2 conformation.
    The next two Na+ also leave the pump in the extracellular space and get the E2-P conformation.
  4. Next 2 K+ ions will enter the pump, from the extracellular environment, to get the E2-P-2K analog. Then the phosphate leaves as inorganic phosphate Pi and we get the E2-2K analog
  5. When the phosphate has left, an ATP binds to the pump and we get the E2-2K-ATP analog. After the ATP has added, the pump returns to the E1 conformation E1-2K-ATP analog.
  6. The 2 K+ ions are pumped into the cytosolic side, after the conformational change, back to E1 and the pump returns to step 1 conformation E1-ATP
    • The E1 conformation has a high affinity for Na+ and ATP, and the E2 conformation has a low affinity for ATP, which supports this theory of the mechanism.

Na+ also leave the pump in the extracellular space and get the E21P conformation
4. Next 2 K+ ions will enter the pump, from the extracellular environment, to get the E21P12K analog. Then the phosphate leaves as inorganic phosphate Pi and we get the E212K analog
5. When the phosphate has left, an ATP binds to the pump and we get the E212K1 ATP analog. After the ATP has added, the pump returns to the E1 conformation E112K1ATP analog
6. The 2 K+ ions are pumped into the cytosolic side, after the conformational change, back to E1 and the pump returns to step 1 conformation E11ATP
• The E1 conformation has a high affinity for Na+ and ATP, and the E2 conformation has a low affinity for ATP, which supports this theory of the mechanism

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6
Q

what are the na k atpase domain functions? (T,N,P,A)

A

T domain – transport
N domain – ATP/ADP binding
P domain – phosphorylation
A domain – phosphatase activity

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7
Q

SERA CA PUMP structure:

A

The protein is divided into four functional domains despite consisting of only one polypeptide chain. These domains are denoted as M, N, P, and A. Domain M contains the transmembrane section described above as well as the calcium binding sites, and is the only domain of the protein in the lumen of the SR. It consists mostly of α-helices spanning the membrane, barring a few luminal loops. Located in the sarcoplasm, domains N, P, and A associate mostly with ATP hydrolysis. The catalytic site is formed from the association of A and P, the binding site is formed by the N domain, and the phosphorylated residue, Asp-351, is located in the P domain.

M domain- 10 transmembrane segemtns with 2 Ca+ binding sites.
Actuator (A) domain which mediates the movement of the N and P domains during catalytic function.
A nucleotide binding (N) domain with atp binding site.
Phosph

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8
Q

Theory of mechanism of serca Ca+ pump (not sure if needed to know…)

A
  1. Ca2+ bind on the transmembrane (M) domain in the two calcium binding sites. ATP binds in the nucleotide (N) binding domain. This will cause a conformational change in the N domain (E1-P conformation)
  2. The phosphoryl group from ATP is group transferred to Asp351 residue in the phosphorylation (P) domain resulting in ATP -> ADP. This process requires magnesium (E1-P conformation)
  3. The phosphorylation leads to conformational changes releasing calcium into the lumen (E2-P conformation)
  4. The activator (A) domain moves causing release of ADP (E2-P conformation)
  5. The P domain becomes dephosphorylated (E2-P conformation)
  6. The A domain returns to its original conformation releasing magnesium (E2 conformation)
  7. P and M domain resets to E1 conformation (E1 conformation)
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9
Q

Na K atpase structure (more detailed…)

A

The Na+-K+ pump is a P-type ATPase with a structure similar to the H+-K+-ATPase and the sarco(endo)plasmic reticulum Ca2+-ATPase (SERCA 3) . Overall, the structure of the sodium-potassium-pump is a transmembrane protein with three subunits labeled α, β, and FXYD.
α-Subunit

The α-subunit is the largest subunit and contains the binding sites for Na+, K+, and ATP. This subunit is composed of 10 transmembrane α-helices (M1-M10). These helices are centered around a three helix bundle formed by M4-M6[1]. The binding sites for K+ and Na+ are located within the transmembrane helices. Additionally, there are three functional domains located on the cytoplasmic face of the membrane: the actuator domain (A), the nucleotide-binding domain (N), and the phosphorylation domain (P)[5]. There are 4 known isoforms of the α-subunit, but even the two most divergent isoforms share 78% sequence identity. The majority of structural diversity among the isoforms occurs at the N-terminus, the first extracellular loop, and the third cytosolic domain. This diversity can influence the rate ion transport and the ability to act as a signaling receptor [4].
β-Subunit

The β-subunit is a single spanning membrane protein with a transmembrane α-helix and a glycosylated extracellular domain [2]. This subunit uses a cluster of aromatic residues to bind to the M7 and M10 helices of the α-subunit within the lipid bilayer. These residues also make contact with a cholesterol molecule, the presence of which is necessary for ion transport to occur. Contact between the α and β subunits also occurs at various residues in the extracellular domains [5]. The β-subunit has important roles in targeting the polypeptide to the membrane and in providing stability. It plays a role in providing binding specificity for potassium ions [5].
FXYD Subunit

The FXYD subunit, sometimes known as the γ-subunit, is an accessory regulatory protein comprised of a transmembrane α-helix and an extracellular domain (which is not shown in this structure)[2]. Regulation of ion pumping action by FXYD has been shown to be tissue and isoform specific [2].

  • ATP is hydrolyzed, leading to phosphorylation of the pump at a highly conserved aspartate369 residue and subsequent release of ADP
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10
Q

a bit from lecture about na/ k atpase:

A

Na,K-ATPase: at least two subunits (αβ), may be three:

  • α subunit 4 izoforms
  • β subunit 3 izoforms
    minimal αβ functional (at least 12 izoenzime compositions – different pharmacological and kinetic chracteristics)

FXYD (N-terminal segment Phe-X-Tyr-Asp motive)

  • regulates the transport kinetics of the α-subunit
  • not present in all tissues
  • its role in the kidney and heart muscle is known
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11
Q

Explain about Oubain (strophantine characteristics)

A

Ouabain (Strophantine)

Ouabain /wɑːˈbɑːɪn/[1] also known as g-strophanthin, is a plant derived toxic substance that was traditionally used as an arrow poison in eastern Africa for both hunting and warfare. Ouabain is a cardiac glycoside and in lower doses, can be used medically to treat hypotension and some arrhythmias.
- It is a potent inhibitor of the Na+/K+ ATPase pump (Increasing Na+ concentration intracellularily)
- Ouabain involves its binding to and inhibition of the plasma membrane Na+/K+ATPase, especially at the higher concentrations attainable in vitro or with intravenous dosage.
- Inhibition of the sodium potassium pump has a secondary effect on the handling of calcium ions by sodium calcium exchanger (NCX-1Ca out the cell for 3 sodium into the cell, electrogenic). The inhibition of the antiport (which used the electrochemical gradiant of Na++ to tranport ca out of the cell or into the SR) accumalates Ca+ in the cell and produces positive iontropic effect.
- Digoxin is a structurally related and more lipophilic cardiac glycoside that largely replaced Ouabain for therapy because of its superior oral bioavailability.
• Digoxin continues to be used therapeutically for many of the same indications in which Ouabain was used (including atrial fibrillation and congestive heart failure)

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12
Q

localization of the Alpha 1 subunit isofroms of the sodium postassium pump

A

α1 - all tissues (heart also), kidney outer medulla only α1

α2 - striatal muscle, smooth muscle, heart (T-tubules)
brain (astrocytes)
adipocytes

α3 - brain (neurons)
heart (small amount)
ovary
leukocytes

α4 - testis

  • They have a distinct sensitvity to Ouabain inhibition with α2 being the most sensitive ( can be affected at very low concentrations of just 0.1 pM).
  • α3 will be sensitive to Ouabain at a higher concentration of 30nM
  • α1 will be the least sensitive to Ouabain and is only affected at very high concentrations of 0.1mM.
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13
Q

what are Endogenous cardiac glycosides and what is their char and mechanism.

A

Endogenous cardiac glycosides:
steroid structure
synthesis in zona fasciculata from progesterone
concentration in the plasma: 10-9 M
role: regulation of the vascular tone (alpha 2 isoform)

they are related In certain forms of hypertension(Salt and volume/dependent – low renin level)

mechanism: 
Kidney 	Na+ loss       ↓
	   ↓
	[Na+] plasma  ↑
	   ↓
	Blood volume   ↑
               ?  ↓  ?
               Release of endogenous cardiac glycosides from the adrenal 	cortex
                   ↓
               Vascular tone   ↑
                          [Na+]i  ↑ →  Na+- Ca2+ exchange →  [Ca2+]i ↑

Sustained treatment with cardiac glycosides → → hypertension

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14
Q

Affinity of ATPASE characteristics:

A
  • The Km (substrate concentration at half maximum velocity( Vmax ) is how efficient the enzyme is for that particular substrate) values of the Na+/K+ ATPase pump are as follows:
    1. For K+ (extracellular) the Km is around 0.5mM which is quite low meaning at physiological conditions the K+ binding sites are saturated (High affinity for K+) (serum potassium levels are around 3.5-5~)
    2. For ATP the Km is around 0.15mM which is also very low meaning a high affinity for ATP and saturation at physiological conditions usually(except anoxic conditions such as the kidney medulla)
    3. The Km for Na+(intracellular) is 10-20mM which is a lot higher than of K+ or ATP. Hence there is a low affinity for Na+

• This means at physiological value of Na+ there will be less than 50%
saturation of the Na+ binding sites. Because of this the pump reacts only to changes in Na+ intracellular concentration!!

On the Citoplasmic C terminal loop-
cAMP-dependent phosphorylation – inhibition of the enzyme
phoshorylation by PKC – increased endocytosis of the enzyme

  • Nearly 30% of the total ATP production in the cell is used by Na+/K+ ATPase pumps
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15
Q

random unimportant facts about sodium potassium pump

A
  • Nearly 30% of the total ATP
  • In neurons 50% of ATP is used for the pumps
  • At normal physiological values of Na+ and K+ the pumps activity is around 15% which means it has a large revese capacity (it can pump a lot more, changing concentractions more acutely untill it reverses its flow)
  • In neurons the activity is increased nearly 25 times during an action potential.

K0.5 for ATP is 300 - 800 µM
Anoxia (extreme lack of oxygen)

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16
Q

the FXYD subunit – regulates the catalytic function of the α-subunit

A

γ subunit
- It is a regulator of the Na+/K+ ATPase pump in certain tissues
• It is a tissue specific regulator in the kidney, pancreas and fetal liver
- It is only 7.2 kDa in size (58 amino acids) with one transmembrane domain
- It is NOT an integral part of the enzyme and functions purely to increase the pumps affinity to ATP
- It is mainly important in Anoxia (Anoxia is a more severe form of hypoxia where the oxygen supplies are almost totally gone)

• This is important in the renal medulla which is almost anoxic under
normal physiological conditions

  • As some reabsorptions are under the influence of this pump, a moderate increase in the affinity of ATP causes increased pump activity. (Delicate balancing act as a large increase in the affinity would cause ATP levels to fall!!)
17
Q

examples of FXYD subunit:

A

Heart (FXYD1, phospholemman)

      -when dephosphorylated it decreases the Na+ affinity of the α-subunit
      -adrenergic β1 receptor stimulation → PKA stimulation → 
        phosphorylation of phospholemman → [Na+]i [Ca2+]i ↓ -prevention of 
        arrythmia

Kidney (FXYD2)
-increases the affinity of the enzyme for ATP
Kidney medulla is nearly anoxic under physiological conditions
- Some reabsorptions are under the control of the Na+-pump
- Moderate increase in the affinity for ATP → increased pump activity
(Fine tuning! Large affinity increase would cause further ATP ↓ !)

18
Q

Regulation of the Na/ K atpase pump… general

A

Hormones – tissue-specific effects

A)Short-term regulation
which word direct effects on the enzyme or changes in the translocation of the enzyme between the plasma membrane and the intracellular membranes.

B) Long-term regulation
– de novo synthesis of the Na,K-ATPase is influenced

Via-

1) Steroid hormones
2) Catecholamines (epi, noreepinephrin, dopamin)
3) Insulin

19
Q

Steroid hormone regulation of sodium potassium pump

A

Corticosteroids
most important:
1) mineralocorticoide aldosterone.
2) glucocorticoide dexamethazone.

having Long-term effect: increased expression of the Na+-pump

Via:
Mineralocorticoid type1 receptor-

• Are expressed in many tissues, such as the kidney, colon, heart, central nervous system (hippocampus), brown adipose tissue, sweat glands vascular smooth muscle

• Mineralocorticoids bind to the cytosolic mineralocorticoid receptor.
o This type of receptor gets activated upon ligand binding
o After a hormone binds to the corresponding receptor, the newly formed receptor-ligand complex translocates itself into the cell nucleus, where it binds to many hormone response
elements (HREs) in the promoter region of the target genes in the DNA.

o The opposite mechanism is called trans4-epression.

-> The hormone receptor without ligand binding interacts with heat shock proteins and prevents the transcription of targeted genes

o If you produce too much of the mineralocorticoids aldosteorne, hyperaldosteronism will develop

which generally results from adrenal cancers.
The two main resulting problems:
a. Hypertension and edema due to excessive Na+ and water retention
b. Accelerated excretion of potassium ions (K+). With extreme K+ loss there is muscle weakness and eventually paralysis

o Underproduction, or hypoaldosteronism, leads to the salt4 wasting state associated with Addison’s disease(the adrenal glands don’t produce enough steroid hormones)

Although classical congenital adrenal hyperplasia and other disease states may also cause this situation

Glucocorticoid type2 receptor

  • Is the receptor to which cortisol and other glucocorticoids bind
  • The GR is expressed in almost every cell in the body and regulates genes controlling the development, metabolism, and immune response.

because the receptor gene is expressed in several forms, it has many different (pleiotropic) effects in different parts of the body.

when the gr binds to glucopcorticoids, it’s primary mechanism of action is rtegulation of gene transcription.

o The unbound receptor resides in the nucleus of the cell
o After the receptor is bound to glucocorticoid, the receptor-glucorticoid complex can take either of two paths

The activated GR complex up-regulates the expression of anti-inflammatory proteins in the nucleus.
or It represses the expression of pro4inflammatory proteins in the cytosol (by preventing the translocation of
other transcription factors from the cytosol into the nucleus)

20
Q

aldosterone- regulation

A

Aldosterone
most important role:
adaptation in the kidney to a decreased Na+ or an
increased K+ intake

long-term upregulation – isoform-specific
α1 – vascular smooth muscle
α2 – heart
α3 – brain

short term effect:  1) increased activity of the enzyme. 2) translocation of the pump to the plasma membrane and/or increase in the affinity of the enzyme to Na+.
21
Q

Catecholamines-

A

epinephrine, norepinephrine and dopamine (often antagonistic)

22
Q

dopamin effects

A

Dopamine is synthesised in the kidney proximal tubules and displays both paracrine and autocrine effects

Dopamine – Natriuretic effect (The discharge of Na+ through urine)

23
Q

epinephrin/ norepinephrine

A

Epinephrine/norepinephrine

#	Stimulation of the Na+/K+ ATPase pump
#	Tissue specific effects:

• Epinephrine in skeletal muscle stimulates the uptake of K+ by the pump

o This is important during extreme exercise
o K+ is released from active muscle and the serum potassium rises (Hyperkalemia) to a point that would be dangerous at rest
o The stimulation of the Na+/K+ ATPase pump by epinephrine counteracts this effect
o High levels of epinephrine and norepinephrine have a protective effect on the cardiac electrophysiology because they bind to B2
adrenergic receptors which when activated, decrease K+ concentration extracellularly

• Norepinephrine

o In the kidney, norepinephrine has an antagonistic effect of dopamine as described above ( increased Na+ reabsorption)
o In the brain Norepinephrine restores the ion concentrations of Na+ and K+ after nerve impulses are fired in succession

Mechanism:

  • direct stimulation of the enzyme or chelating inhibitory ions
  • α and β receptors – PKA and PKC stimulation
24
Q

insulin

A

o Short term effect: direct stimulation of Na+,K+ATPase

o In skeletal muscle – only in oxidative, slow twitch muscles.

shown by translocation of the enzyme to the plasma membrane

o Long term effect: very complex, increased or decreased expression(could be important in diabetes mellitus)

25
Q

Secondary active transports- Na+ Co transport important in…

A
  • Glucose uptake
  • Amino acid uptake
  • Na+-Ca2+ exchanger
  • Choline uptake into cholinergic nerve terminals
  • Epinephrine, norepinephrine, dopamine, serotonin uptake by axon terminals
  • Na+-H+ csere

Inhibited by specific inhibitors and by ouabain

26
Q

Glucose uptake by intestinal lumen is by??

A

SGLT apical transport via NA+ conc gradiant produced on the basolateral side and transport of GLUT2 (carrier-passive) to the basolateral side and to blood—> vectorial transport.

27
Q

additional glucose trasnporters in the kidney tubules

A

SGLT2- low affinity (kt 6mM), at proximal part of the proximal tubules.
Has high capacity of transport.
Inhibited in diabetes- glucosuria.

SGLT1- High affinity but low capacity of transport.
Located at the proximal tubulue but more distal to type 2.

For some reason the slight difference explains the differences in glucose conc in the tubules.

28
Q

Na+/H+ exchanger (NHE)

A
  • Unlike the Na+/K+ATPase pump the NHE is not electrogenic
  • Sodium-Potassium exchanger maintains a voltage imbalance, or cell potential difference, between the inside of the cell and its surroundings
  • The exchanger is said to be electrogenic because it removes 3 sodium ions for every two ions of potassium it allows in.
  • However NHE exchanger transports 1H+ for every 1Na+ in a manner that is highly dependant on pH hence it is not electrogenic.
  • Physiology wise, this channel has actualy a gigantic role in managing acidemia and alkalemia due to it’s reverse nature in respect of proton conc out of the cell.
  • Cell is slightly more acidic (7.08 in respect to 7.38 outside the cell)
29
Q

isoforms of NHE (cotransporter and antiport)- isoforms

A
  • It has 5 isoforms with 12 transmembrane domains
    o NHE1- General (Basolateral membrane)
    o NHE3- Epithelial cells and apical membrane of enterocytes
    o NHE5- Brain and testes
30
Q

proton atapse in intraceullular vesicles mechanism

A

v type atpase in nerve terminals uses ATP to generate a H+ gradiant (concentration of H+ in vesciel is 6~, outside the vesciel it is 7.13~).
The conc. gradiant is exploited by the secondary co-transporter of neurotransmitter-H+ antiport.

31
Q

Vesicular neutrotransmitter antiport

A

Proton antiporter (vesicular membrane antiporters, VMAT)

o 12 transmembrane segments
o Broad selectivity: epinephrine, norepinephrine, dopamine, serotonin
o Several isoforms:
 VMAT1 brain, neuroendocrine cells
 VMAT2 neurons, adrenal chromaffin cells
 VAChT cholinergic synapses

o Inhibited by H+ ionophores

32
Q
ABC transporters (ATP binding cassete transporters)
what are they?
A

ATP-binding cassette transporters (ABC transporters) are members of a transport system superfamily that is one of the largest and is possibly one of the oldest families

ABC transporter often consist of multiple subunits, one or two of which are transmembrane proteins and one or two of which are membrane-associated ATPases. The ATPase subunits that utilize the energy of adenosine triphosphate (ATP) binding and hydrolysis to energize the translocation of various substrates across membranes, either for uptake or for export of the substrate. Most but not all uptake systems also have an extracytoplasmic receptor, a solute binding protein. Some homologous ATPases function in non-transport-related processes such as translation of RNA and DNA repair.
ABC transporters are considered to be with the ABC superfamily based on the sequence and organization of their ATP-binding cassette (ABC) domains, even though the integral membrane proteins may have evolved independently several times, and thus comprise different protein families.

Although most eukaryotic ABC transporters are effluxers, some are not directly involved in transporting substrates. In the cystic fibrosis transmembrane regulator (CFTR) and in the sulfonylurea receptor (SUR), ATP hydrolysis is associated with the regulation of opening and closing of ion channels carried by the ABC protein itself or other proteins.[4]

33
Q

ABC transporters (atp binding cassettes transporters)

A

FIGURE 11-41 An ABC transporter of E. coli. The vitamin B12 importer BtuCD (PDB ID 1L7V) is a homodimer with 10 transmembrane helical domains (blue) in each monomer and two nucleotide-binding domains (NBDs; red) that extend into the cytoplasm. The residues involved in ATP binding and hydrolysis are shown as ball-and-stick structures.

•	The residues involved in ATP binding and hydrolysis are shown as ball4
and4stick structures( between NBD’s in red).
#	The ABC Transporters are large family of ATP-dependent transporters for amino acids, peptides, metal ions, various lipids, bile salts, drugs
#	They are located in the plasma membrane, mitochondrial membrane and endoplasmic reticulum
#	They transport against a concentration gradient
#	One of them is the multi1drug transporter (MDR1) which pumps hydrophobic compounds (chemotherapeutical drugs) out of the cell 4 tumor resistance against antitumor drugs
#	In pathogenic microbes ABC Transporters facilitate antibiotic resistence
#	Plasmodium falciparum is one of the parasites which cause malaria in humans
–	antimalarial drug (chloroquine) resistence ( the drug is pumped out of the cell by ABC Transporters)
#	Mutations in the genes of these transporters cause several genetic diseases (cystic fibrosis, retinal degeneration, anemia, Tangier disease)
#	Tangier disease is caused by a defect in the gene for the ABC Transporter
ABCA1

• Cholesterol and phospholipids used to form HDL originate from inside cells but are transported out of the cell into the blood via
the ABCA1 transporter
• People with Tangier disease have defective ABCA1 transporter, resulting in a greatly reduced ability to transport cholesterol out of their cells
• This leads to an accumulation of cholesterol in many body tissues
• Reduced blood levels of high4density lipoproteins (HDL) is sometimes described as hypoalphalipoproteinemia, and is a sign of Tangier Disease

34
Q

ABC transporters….. types dear lord.

A

ABC transporters – 7 families: ABCA, ABCB, ABCC…
and further subfamilies

ABCA1 – cholesterol, phopholipid transport - reverse cholesterol transport

ABCA3 – translocation of pulmonary surfactant lipids
mutation: respiratory distress szindróma

ABCB1 (MDR1, multidrug resistence transporter)

- transport of lipophylic compounds – protection against toxins
- increased expression in tumor cells: drug resistence

ABCB4 – canalicular membrane of hepatocytes
bile acid, phospholipid transport into the bile

ABCC1 (MRP-1, multidrug resistence protein)
- phospholipids, glutathione conjugates, anti-tumor drugs (also other
than lipophylic!)
CFTR (ABCC7, cystic fibrosis transmembrane conductance regulator)
Cl- flux in the apical membrane of epithelial cells
mutation: cystic fibrosis (thick mucus in the bronchi and pancreas
- blockage, infection, foetal ileus)