Multidrug resistance-associated protein (MRP1) transports solutes in an ATP-dependent manner by utilizing its two nonequivalent nucleotide binding domains (NBDs) to bind and hydrolyze ATP. We found that ATP binding to the first NBD of MRP1 increases binding and trapping of ADP at the second domain (Hou, Y., Cui, L., Riordan, J. R., and Chang, X. (2002) J. Biol. Chem. 277, 5110 -5119). These results were interpreted as indicating that the binding of ATP at NBD1 causes a conformational change in the molecule and increases the affinity for ATP at NBD2. However, we did not distinguish between the possibilities that the enhancement of ADP trapping might be caused by either ATP binding alone or hydrolysis. We now report the following. 1) ATP has a much lesser effect at 0°C than at 37°C. 2) After hexokinase treatment, the nonhydrolyzable ATP analogue, adenyl 5-(yl iminodiphosphate), does not enhance ADP trapping. 3) Another nonhydrolyzable ATP analogue, adenosine 5-(,␥-methylene)triphosphate, whether hexokinase-treated or not, causes a slight enhancement. 4) In contrast, the hexokinase-treated poorly hydrolyzable ATP analogue, adenosine 5-O-(thiotriphosphate) (ATP␥S), enhances ADP trapping to a similar extent as ATP under conditions in which ATP␥S should not be hydrolyzed. We conclude that: 1) ATP hydrolysis is not required to enhance ADP trapping by MRP1 protein; 2) with nucleotides having appropriate structure such as ATP or ATP␥S, binding alone can enhance ADP trapping by MRP1; 3) the stimulatory effect on ADP trapping is greatly diminished when the MRP1 protein is in a "frozen state" (0°C); and 4) the steric structure of the nucleotide ␥-phosphate is crucial in determining whether binding of the nucleotide to NBD1 of MRP1 protein can induce the conformational change that influences nucleotide trapping at NBD2.Multidrug resistance is a major obstacle to successful chemotherapeutic treatment of many types of cancers. Over-expression of P-glycoprotein (P-gp) 1 and/or multidrug resistanceassociated protein (MRP1) confers resistance to a broad range of anti-cancer drugs (1, 2). Both proteins transport anticancer drugs out of cells in an ATP-dependent manner by utilizing their membrane-spanning domains and two nucleotide binding domains (NBDs) (3-5), i.e. they couple ATP binding and hydrolysis to transport of solutes (6 -15). However, it is unknown whether they share the same mechanism of this coupling. In the extensively studied P-gp, the two NBDs have been shown to be functionally equivalent with identical ATP hydrolysis steps occurring alternately at each NBD (16 -20) and coupling one transport event with one ATP hydrolysis (21). Ambudkar's group (22) reported that there are two independent ATP hydrolysis events in a single drug transport cycle, one ATP hydrolysis is associated with efflux of drug, whereas the other causes conformational resetting to the original state of the molecule (23). However, in their interpretation the ATP binding/hydrolysis sites of P-gp are recruited in a random manner during hydrolysis (23...