Drug and peptide transport in humans

Peptide Transporter Function & Structure

Human promiscuous peptide transporter 1 (PepT1) plays a crucual role in nutrition, transporting di- and tri-peptides from digested protein into intestinal cells.^[1] It is also crucial in uptake of orally delivered drugs.^[1] It is a member of the proton-coupled oligopeptide transporter (POT) family. These secondary active transporters are powered by the inward-directed electrochemical proton gradient, enabling intracellular accumulation of peptides/drugs above extracellular concentrations.^[1].

with an extracellular domain (beta sheets), and a transmembrane transporter domain (alpha helices) with a cytoplasmic amphipathic linker (green protrusion). The latter looks like the toe of a boot formed by the linker (toe) with the transmembrane domain. The function of the extracellular and cytoplasmic linker domains are not well understood, although the extracellular domain appears to be important in transport^[2].

The transmembrane domain has a (enabling it to sit within the lipid bilayer membrane) which is . The cytoplamic linker "toe" has a net positive charge, enabling it to bind to the inner leaflet of the lipid bilayer, which typically has a negative charge.

Rocker-Switch Transport Mechanism

PepT1 is believed to transport using a rocker-switch mechanism, in which the outer (extracellular) face opens a pocket to bind peptides to a conserved binding site, then the outer face closes and the inner (cytoplasmic) face opens to release the peptide. However, prior to 2021, no structure was captured with an outward-facing opening, despite 47 structures in the PDB for bacterial homologs, representing 10 different bacterial POTs^[1].

In 2021, Killer et al. reported human PepT1 structures in outward-open conformations (with and without bound dipeptide)^[1]. This greatly furthered understanding of the transport mechanism.

(7pmx and 7pmy) of the transmembrane domain (extracellular domain hidden) illustrates the rocker-switch-like mechanism of transport. (7pmy is actually human PepT2, a different transporter with a very similar structure, and about 65% sequence identify with PepT1 in the transporter core domain.) This morph is oversimplified. Killer et al. actually captured 4 different conformations, revealing additional details of the rocker-switch mechanism. Their supplementary materials include a revealing morph movie (see also the movie explanation) that includes all 4 conformations.

. Rotate to position the opposite side in front to see into the inward-facing open but partially occluded channel.

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