P-glycoprotein is a plasma-membrane glycoprotein which confers multidr
ug-resistance on cells and displays ATP-driven drug-pumping in vitro.
It contains two nucleotide-binding domains, and its structure places i
t in the 'ABC transporter' family, We review recent evidence that both
nucleotide-sites bind and hydrolyse Mg-ATP. The two catalytic sites i
nteract strongly, A minimal scheme for the MgATP hydrolysis reaction i
s presented. An alternating catalytic sites scheme is proposed, in whi
ch drug transport is coupled to relaxation of a high-energy catalytic
site conformation generated by the hydrolysis step. Other ABC transpor
ters may show similar catalytic features.