ATP binding cassette (ABC) transporters make up one of the largest superfamilies of proteins known and have been shown to transport substrates ranging from lipids and antibiotics to sugars and amino acids. The dysfunction of ABC transporters has been linked to human pathologies such as cystic fibrosis, hyperinsulinemia, and macular dystrophy. Several bacterial ABC transporters are also necessary for bacterial survival and transport of virulence factors in an infected host. MsbA is a 65kDa protein that forms a functional homodimer consisting of two six-helix transmembrane domains and two approximately 250 amino acid nucleotide binding domains (NBD). The NBDs contain several conserved regions such as the Walker A, LSGGQ and H-motif that bind directly to ATP and align it for hydrolysis. MsbA transports lipid A, its native substrate, across the inner membrane of Gram-negative bacteria. Loss or dysfunction of MsbA results in a toxic accumulation of lipid A inside the cell, leading to cell membrane instability and cell death. Using site-directed spin labeling (SDSL) electron paramagnetic resonance (EPR) spectroscopy, conserved motifs within the MsbA NBD have been evaluated for structure and dynamics upon substrate binding. It has been determined that the LSGGQ NBD consensus sequence is consistent with an α-helical conformation and that these residues maintain extensive tertiary contacts throughout hydrolysis. The dynamics of the LSGGQ and the H-motif region have been studied in the presence of ATP, ADP, and ATP plus vanadate to identify the residues that are directly affected by interactions with the substrate before, after, and during hydrolysis, respectively. ATP binding cassette (ABC) transporters are one of the largest superfamilies of proteins known (1;2). They are classified by their ability to couple the hydrolysis of ATP to the transport of a variety of substrates either into or out of cells (1;3;4). Defects in endogenous human ABC transporters have been implicated in several pathologies including cystic fibrosis, cholestasis, artherosclerosis, hypoglycemia, hyperbiliruginemia, and macular dystrophy and degeneration diseases (3). Also in humans, ABC transporters such as P-glycoprotein are able to transport chemotherapeutic drugs and lipids resulting in the reduced effectiveness of cancer treatments (5;6). ABC transporters in bacteria are not only essential for survival but are also able to secrete toxins and antimicrobial agents. This ability to expel antimicrobial agents may be involved in the development of multidrug resistance (MDR) (7-13). MDR has become a serious problem facing the medical community today, and its impact can be seen in the treatment of diseases ranging from cancer to human immunodeficiency virus (HIV), to numerous bacterial infections. These facts make ABC transporters an important target in the fight against MDR. By studying these transporters in detail it may be possible to identify new and novel agents to combat infections by pathogens. Bacterial efflux ABC transporters transpo...