Phospholipid flippases in the type IV P-type ATPase (P4-ATPases) family establish membrane asymmetry and play critical roles in vesicular transport, cell polarity, signal transduction, and neurologic development. All characterized P4-ATPases flip glycerophospholipids across the bilayer to the cytosolic leaflet of the membrane, but how these enzymes distinguish glycerophospholipids from sphingolipids is not known. We used a directed evolution approach to examine the molecular mechanisms through which P4-ATPases discriminate substrate backbone. A mutagenesis screen in the yeast Saccharomyces cerevisiae has identified several gain-offunction mutations in the P4-ATPase Dnf1 that facilitate the transport of a novel lipid substrate, sphingomyelin. We found that a highly conserved asparagine (N220) in the first transmembrane segment is a key enforcer of glycerophospholipid selection, and specific substitutions at this site allow transport of sphingomyelin.sphingomyelin | P4-ATPase | membrane asymmetry | directed evolution T he asymmetry of the membrane bilayer is a fundamental feature of the eukaryotic plasma membrane (1). Phospholipid (PL) species such as phosphatidylserine (PS), phosphatidylinositol (PI), and phosphatidylethanolamine (PE) dominate the cytofacial leaflet, whereas phosphatidylcholine (PC) and various sphingolipids (SLs) populate the exofacial leaflet (2, 3). Organelle membrane asymmetry has proven more difficult to study, and the precise distribution of PLs is still unclear; however, evidence suggests that the organelles of the secretory and endocytic pathways also exhibit asymmetric membranes. For example, PS is initially enriched in the luminal leaflet of the endoplasmic reticulum (ER) but flips to the cytofacial leaflet at the trans-Golgi network (4). This asymmetric membrane architecture has been demonstrated to affect membrane curvature (5-8), secretory function (6, 9-16), membrane polarization (17), and intra-and intercellular signaling (17)(18)(19)(20).PL flippases in the type IV P-type ATPase family (P4-ATPases) help establish membrane asymmetry by using ATP to transport specific glycerophospholipids (GPLs) from the luminal/exofacial to the cytofacial leaflet of the membrane (21, 22). P4-ATPases have been implicated in a host of diverse diseases such as hepatic cholestasis (23-25), aberrant lymphocyte development (26, 27), anemia (27, 28), hearing loss (29), neurologic disease (30-32), and diabetes (33). Eukaryotic organisms express several P4-ATPases that have different subcellular localizations, tissue specificities, and substrate preferences (34). Understanding the substrate preferences of these enzymes and the physical means of substrate discrimination is important for understanding their role in membrane biology, development, and disease.The P-type ATPase family shares a conserved enzyme architecture that can be separated into four primary domains: the actuator (A), the nucleotide-binding (N), the phosphorylation (P), and the transmembrane (TM) domains (35). P4-ATPase substrate selection a...