Evidence map›Paper›PMID 33020312›Full record

ArticleProceedings of the National Academy of Sciences of the United States of America2020

Cryo-EM structures reveal distinct mechanisms of inhibition of the human multidrug transporter ABCB1.

Kamil Nosol, Ksenija Romane, Rossitza N Irobalieva, Amer Alam, Julia Kowal, Naoya Fujita, Kaspar P Locher

Open access · greenAbstract read
In one paragraph

Article in Proceedings of the National Academy of Sciences of the United States of America, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 134 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
134citing papers in PubMed, 1 pooled it
10.8field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

134 citing papers in PubMed, 1 synthesis or guideline pooled it, 241 citations in OpenAlex.

  1. Pooled it
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  5. FromACS omega · 2026
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  14. A dual sensor regulates P-glycoprotein's structural plasticity.bioRxiv : the preprint server for biology · 2026
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74 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 3 countries.

Kamil NosolInstitute of Molecular Biology and Biophysics, ETH Zürich, 8093 Zürich, Switzerland.ORCID 0000-0003-2865-9125
Ksenija RomaneInstitute of Molecular Biology and Biophysics, ETH Zürich, 8093 Zürich, Switzerland.ORCID 0000-0003-1769-7951
Rossitza N IrobalievaInstitute of Molecular Biology and Biophysics, ETH Zürich, 8093 Zürich, Switzerland.ORCID 0000-0003-3540-4294
Amer AlamInstitute of Molecular Biology and Biophysics, ETH Zürich, 8093 Zürich, Switzerland.
Julia KowalInstitute of Molecular Biology and Biophysics, ETH Zürich, 8093 Zürich, Switzerland.ORCID 0000-0003-4694-1896
Naoya FujitaThe Cancer Chemotherapy Center, Japanese Foundation for Cancer Research, 3-8-31, Ariake, 135-8550 Koto-ku, Tokyo, Japan.ORCID 0000-0002-9631-9264
Kaspar P LocherInstitute of Molecular Biology and Biophysics, ETH Zürich, 8093 Zürich, Switzerland; locher@mol.biol.ethz.ch.ORCID 0000-0002-8207-2889
ETH Zurich · CHJapanese Foundation For Cancer Research · JPUniversity of Minnesota · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

ABCB1 detoxifies cells by exporting diverse xenobiotic compounds, thereby limiting drug disposition and contributing to multidrug resistance in cancer cells. Multiple small-molecule inhibitors and inhibitory antibodies have been developed for therapeutic applications, but the structural basis of their activity is insufficiently understood. We determined cryo-EM structures of nanodisc-reconstituted, human ABCB1 in complex with the Fab fragment of the inhibitory, monoclonal antibody MRK16 and bound to a substrate (the antitumor drug vincristine) or to the potent inhibitors elacridar, tariquidar, or zosuquidar. We found that inhibitors bound in pairs, with one molecule lodged in the central drug-binding pocket and a second extending into a phenylalanine-rich cavity that we termed the "access tunnel." This finding explains how inhibitors can act as substrates at low concentration, but interfere with the early steps of the peristaltic extrusion mechanism at higher concentration. Our structural data will also help the development of more potent and selective ABCB1 inhibitors.

Indexed as

AcridinesAntibodies, MonoclonalAntineoplastic Agents, PhytogenicATP Binding Cassette Transporter, Subfamily BCell ProliferationCryoelectron MicroscopyDrug Resistance, MultipleHEK293 CellsHumansModels, MolecularProtein BindingProtein ConformationTetrahydroisoquinolinesVincristineABCB1 protein, humanAcridinesAntibodies, MonoclonalAntineoplastic Agents, PhytogenicATP Binding Cassette Transporter, Subfamily BElacridarTetrahydroisoquinolinesVincristineABCB1ABC transporterP-glycoproteinsingle-particle cryoelectron microscopystructure

Identifiers

PMID33020312
PMCPMC7585025
OpenAlexW3090016913

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.