Key result
AHC-causing Q140L mutation reduces neuronal Na+/K+-ATPase activity ~80% by impairing polyunsaturated phospholipid binding.
Why the study?
Na+,K+-ATPases maintain vital electrochemical gradients across cell membranes, but structural insights into active transport mechanisms across tissue-specific isoforms and disease-causing mutations remained to be defined.
Cryo-EM structures reveal the active conformations of neuronal Na+,K+-ATPase isoforms and show how the Q140L mutation impedes phospholipid-mediated stimulation, providing mechanistic insights into Alternating Hemiplegia of Childhood.
Answers are grounded in this paper and cite their sources.
Structural insights into cardiac α1 and neuronal α3 isoforms under turnover; leaves open selective modulator development.
Na+,K+-ATPases establish and maintain the vital electrochemical gradients for Na+ and K+ across animal cell membranes. The protein is a ternary complex composed of α, β and FXYD subunits, of which isoforms that fine-tune transport properties are expressed in a tissue-specific fashion. Here we report cryo-EM structures under active ATPase turn-over conditions of the ubiquitously expressed human α1β1FXYD1 and neuron-specific α3β1FXYD1 isoform complexes and probe their specific functional and biophysical properties. The data provides an extensive insight into Na+-transport of ATP-activated enzyme through four distinct conformational states, including a sodium-bound phosphoenzyme intermediate, denoted [Na3]E2P. This conformation reveals a crucial structural change that precedes Na+ release in the inward to outward (E1P-E2P) transition, within the general context of the sequential, active transport mechanism. We discuss the mechanism of the physiologically important differentiation in Na+ affinity of α3 compared to α1, the co-operative Na+ binding at the ion-binding sites, and the mechanistic aspects of cytoplasmic ion gating and extracellular Na+ release. Finally we present the structures of a disease-causing mutant form of α3, associated with Alternating Hemiplegia of Childhood (Q140L). The mutation compromises a specific phospholipid-binding pocket and impedes polyunsaturated phospholipid-mediated stimulation of Na+,K+-ATPase activity. α3 Na,K-ATPase is a vital ion pump in neurons. Mutations cause severe neurological diseases. Christensen et al. present functional data and cryo-EM structures obtained at turnover for wild-type and disease mutant Q140L and discuss mechanistic implications.
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Christensen et al. (2026) studied Alternating Hemiplegia of Childhood (AHC). Q140L mutation in alpha3 Na+,K+-ATPase vs. Wild-type alpha3 Na+,K+-ATPase was evaluated on Na+,K+-ATPase activity and turnover rate. The AHC-causing Q140L mutation in the neuronal alpha3 Na+,K+-ATPase isoform impairs specific polyunsaturated phospholipid binding, reducing ATPase activity to less than 20% of wild-type levels.
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