Cryo-EM structures of Cdr1 reveal snapshots of substrate transport and diverse inhibitor recognition
-a World Health Organization fungal priority pathogen-overexpression of the adenosine triphosphate (ATP)-binding cassette transporter Cdr1 drives multidrug resistance. We present seven cryo-electron microscopy structures capturing substrate entry and expulsion. An inward-facing transmembrane channel with three on-off substrate binding sites defines a proposed entry pathway for a single substrate molecule. Coordinated ATP binding to both nucleotide-binding domains induces transmembrane domain closure, driving the substrate expulsion; adenosine diphosphate release following ATP hydrolysis resets the transporter to an inward-open conformation, enabling substrate entry for the next translocation cycle. Structures with three structurally diverse inhibitors resolve two distinct binding modes: one occupying all three substrate sites and another specifically binding two extracellular-proximal sites. These findings provide snapshots of the substrate translocation cycle and structural blueprints for antifungal drug design.
Authors
- Xuekui Yu (ORCID: https://orcid.org/0000-0002-4434-2040)
- Alastair I.H. Murchie (ORCID: https://orcid.org/0000-0002-6746-6054)
- Rongchao Gao
- Yulong Wang (ORCID: https://orcid.org/0000-0002-0763-3690)
- Hengyi Jiang (ORCID: https://orcid.org/0000-0003-2884-2296)
- Zhen Wang (ORCID: https://orcid.org/0000-0003-0920-3173)
- Lili Dong (ORCID: https://orcid.org/0000-0002-8740-079X)
- Yue Zhou (ORCID: https://orcid.org/0000-0003-2595-0929)
- Jiaxuan Qiu (ORCID: https://orcid.org/0000-0002-3335-0782)
- Shuting Yang (ORCID: https://orcid.org/0009-0003-9022-1156)
- Binyu Zhang (ORCID: https://orcid.org/0009-0009-2383-6816)
- Fengying Fan
- Yinxia Li (ORCID: https://orcid.org/0009-0003-7025-0419)
- Xiurui Li (ORCID: https://orcid.org/0009-0000-4072-6509)
Institutions
- Nanjing University of Chinese Medicine (CN)
- Shanghai Medical College of Fudan University (CN)
- Chinese Academy of Sciences (CN)
- Fudan University (CN)
- Shanghai Institute of Materia Medica (CN)
- Pudong Medical Center (CN)
- University of Chinese Academy of Sciences (CN)
Publication Details
- Journal
- Science Advances
- Published
- 2026-08-28
- DOI
- https://doi.org/10.1126/sciadv.aef7706
- Primary Topic
- Drug Transport and Resistance Mechanisms
- Type
- article
- Field-Weighted Citation Impact
- 0.00
Funders
- Natural Science Foundation of Shanghai
- National Natural Science Foundation of China