RT Journal Article SR Electronic T1 Substrate Transport and Specificity in a Phospholipid Flippase JF bioRxiv FD Cold Spring Harbor Laboratory SP 2020.06.24.169771 DO 10.1101/2020.06.24.169771 A1 Yong Wang A1 Joseph A Lyons A1 Milena Timcenko A1 Felix Kümmerer A1 Bert L. de Groot A1 Poul Nissen A1 Vytautas Gapsys A1 Kresten Lindorff-Larsen YR 2021 UL http://biorxiv.org/content/early/2021/08/27/2020.06.24.169771.abstract AB Type 4 P-type ATPases are lipid flippases which help maintain asymmetric phospholipid distribution in eukaryotic membranes by driving unidirectional translocation of phospholipid substrates. Recent cryo-EM and crystal structures have provided a detailed view of flippases, and we here use molecular dynamics simulations to study the first steps of phospholipid transport and lipid substrate specificity. Our simulations and new cryo-EM structure shows phospholipid binding to a groove and subsequent movement towards the centre of the membrane, and reveal a preference for phosphatidylserine lipids. We find that only the lipid head group stays in the groove while the lipid tails remain in the membrane, thus visualizing how flippases have evolved to transport large substrates. The flippase also induces deformation and thinning of the outer leaflet facilitating lipid recruitment. Our simulations provide insight into substrate binding to flippases and suggest that multiple sites and steps in the functional cycle contribute to substrate selectivity.Competing Interest StatementThe authors have declared no competing interest.