“…On the basis of amino acid sequence alignment, the P4-ATPases are predicted to structurally resemble the classic P-type ATPase cation pumps Na + ,K + -ATPase and Ca 2+ -ATPase, possessing a transmembrane domain with 10 helices (M1-M10) and three cytoplasmic domains, P (phosphorylation), N (nucleotide binding), and A (actuator) (Fig. 1A), known from crystal structures to undergo large movements during the catalytic cycle (8,9). Recently, we showed that the P4-ATPase ATP8A2, like the cation pumps, forms an aspartyl-phosphorylated intermediate and undergoes a catalytic cycle involving the conformations E 1 , E 1 P, E 2 P, and E 2 similar to the Post-Albers scheme originally proposed for the Na + ,K + -ATPase ( Fig.…”