Multidrug resistance proteins are members of the family of ATP-Binding Cassette (ABC) transporters -
the largest family of transmembrane proteins.
ABC transporters are characterized by two well conserved nucleotide binding domains (NBD) and two transmembrane domains (TMD) which are typically distinct.
In the genomes of Plasmodium falciparum and Plasmodium yoelii, both MDR1 and MDR2 have been annotated.
While MDR1 includes both pairs of domains on one protein, MDR2 functions as a dimer with each subunit containing one NBD and one TMD each.
Signature motifs included in the NBD of a ABC transporter are the phosphate-binding loop called the Walker A (GXXGXGKS/T), the magnesium-binding site known as Walker B (hhhhD, where h stands for a hydrophobic residue), and the ABC transporter family signature sequence (LSGGQ[Q/R/K]QR). In Plasmodium MDR2, including
P. falciparum, P. yoelii and P. vivax, these motifs are conserved with only a single variation in the signature sequence: LSGGERQR where the glutamine is replaced by a glutamic acid.
Py-MDR2 has 57% overall identity to Plasmodium falciparum MDR2 (Pf-MDR2, PF14_0455); however, the identity is significantly higher when comparing the NBDs alone without the TMDs.
Furthermore, the ATP binding domains of Plasmodium MDR2 proteins are typically over 40% identical
to the same domain in E. coli.
In contrast to its annotation, there is no evidence to support its role in mediating drug resistance in Plasmodium falciparum.
Pf-MDR2 is reported to have predicted structural similarity to heavy-metal tolerance gene, hmt1 from Schizosaccharomyces pombe.
This has led to the suggestion that Plasmodium MDR2 is involved in metal homeostatis of the parasite,
specifically an efflux pump on the membrane of food vacuoles.
Nevertheless, the precise biological role of MDR2 remains unknown,
while Pf-MDR1 has been better characterized and is implicated in clinical drug tolerance.
The related ABC transporter structure of the NBD domain of HisP (1B0U) is similar to Py-MDR2 (25 % sequence identity in NBD).
Overall, its structure has been described as an ‘L’ with the ATP binding domain in arm 1 (the shorter of the two arms).
Complete structures of the related ATP transporters (~35 % overall sequence identity) including the NBDs and the TMDs have also been solved: MsbA (1PF4 and 1JSQ) and MsbA with ADP and vanadate (1Z2R).