Cu؉ -ATPases drive metal efflux from the cell cytoplasm. Paramount to this function is the binding of Cu ؉ within the transmembrane region and its coupled translocation across the permeability barrier. Copper is an essential micronutrient (1, 2). It has critical catalytic and electron transfer roles in a number of key proteins (tyrosinase, lysyl oxidase, ferroxidase ceruloplasmin, plastocyanin, etc.). However, when free, copper participates in the production of reactive oxygen species leading to cellular damage. Toward sustaining intracellular copper balance, transmembrane transport systems maintain the copper cell quota, Cu ϩ chaperone proteins traffic the bound metal to specific cellular targets, and metal-sensing transcription factors control copper dependent protein expression (3-5). The metal coordination geometry in these proteins is central to the efficiency of the Cu ϩ mobilization processes. In this direction, the coordination should ensure the specificity and prevent the release of free Cu ϩ to the cytoplasm. Canonical copper metalloproteins have long been characterized and classified based on spectroscopic and magnetic properties (Types I, II, and III) (6 -8). Their study has provided great detail on copper coordination in "permanent" sites where copper is bound during the functional life of the proteins. Cu ϩ linear coordination by invariant Cys residues of chaperone proteins has been described, providing insight into the mechanism of copper trafficking and exchange among similar domains (9, 10). More recently, trigonal coordination by Cys 2 -His sites has been observed, for instance, in Mycobacterium tuberculosis transcription factor CsoR (11). Alternatively, Met n His was found in several Cu ϩ -trafficking proteins located in the oxidizing periplasm of prokaryotes (12)(13)(14). Despite this progress, Cu ϩ distribution and balance cannot be understood without describing the selective coordination during compartmental transmembrane transport.In eukaryotic cells, members of the Ctr family of proteins transport Cu ϩ inside the cell (15). Ctr1 organizes as homotrimers forming transmembrane pores that facilitate Cu ϩ transmembrane translocation by an apparently energy-independent undefined mechanism (16, 17). Although relevant Cu ϩ -binding Met have been observed in the extracellular loops of Ctr1 (15); none of the invariant transmembrane residues appear to be required for transport, and no direct coordination is evident (17).As a counterpart to influx systems, Cu ϩ -ATPases are responsible for cytoplasmic Cu ϩ efflux. Mutations of the human Cu ϩ -ATPase genes, ATP7A and ATP7B, lead to Menkes syndrome and Wilson disease, respectively (18,19). Cu ϩ -ATPases are members of the superfamily of P-type ATPases (20, 21). These couple Cu ϩ transport to the hydrolysis of ATP, following a classical Post catalytic/transport cycle (19,21). In this mechanism, transmembrane metal-binding sites (TMMBSs) 4 are responsible for handling the ion during transmembrane translocation (22). These transmembrane sites are expos...