The P4 subfamily of P-type ATPases includes phospholipid transporters. Moving such bulky amphipathic substrate molecules across the membrane poses unique mechanistic problems. Recently, three papers from three different laboratories have offered insights into some of these problems. One effect of these experiments will be to ignite a healthy debate about the path through the enzyme taken by the substrate. A second effect is to suggest a counterintuitive model for the critical substrate-binding site. By putting concrete hypotheses into play, these papers finally provide a foundation for investigations of mechanism for these proteins.Keywords P4 ATPase . Phospholipid transport . ATPase reaction cycleFraming the problem P-type ATPases are ATP-dependent ion transporters that derive their name from an aspartate that becomes transiently phosphorylated during the reaction cycle [17]. The structures of several members of the family have been determined at atomic resolution in the last decade, and they all have a large tripartite cytoplasmic domain and a small extracellular domain connected by six to ten transmembrane helices. The P4 subfamily of P-type ATPases was first defined in 1996, when the gene encoding an aminophospholipid translocase, ATP8A1, from bovine chromaffin granules [26] was found to be a relative of the previously identified yeast P-type ATPase, Drs2p [23]. P4 type ATPases are found in all eukaryotic organisms but not in prokaryotes. In vertebrates, there are 14 genes that encode P4 ATPases [9] while in yeast there are five; Drs2, Dnf1, Dnf2, Dnf3, and Neo1 [19]. Unlike the other subfamilies of P-type ATPases, which all transport simple ions, the only known substrates of the P4 ATPases are phospholipids.The transport mechanism of the P-type ATPases depends on sequential partial reactions of ATP hydrolysis-phosphorylation and dephosphorylation of the critical aspartic acid residue in the cytoplasmic P domain-and linked sequential conformational changes; coordination between chemical and conformational steps drives substrate across the membrane against a concentration gradient. The conformational changes link a binding pocket for the transported ion to either the cytoplasm (the E1 conformation) or the extracytoplasmic, or lumenal space (the E2 conformation). In the classic Post-Albers model [1,22], binding of ions in the E1 conformation enables phosphorylation to the E1P form; this form is conformationally unstable, and converts to the E2P conformation. Loss of ions into the luminal space from that conformation is the key to dephosphorylation to the E2 form. The latter is also conformationally unstable, and the enzyme thus converts back into the E1 conformation [1,22].There is a subtlety about this sequence of events which should be mentioned here, particularly as it applies to the E2P conformation. This latter designation must define two conformations; indeed, both have been crystallized in the case of the Ca-ATPase [15,16,27]. One is the form that releases the cytoplasmically bound ions into th...