The lactose permease of Escherichia coli (LacY), a highly dynamic polytopic membrane protein, catalyzes stoichiometric galactoside/ H + symport by an alternating access mechanism and exhibits multiple conformations, the distribution of which is altered by sugar binding. We have developed single-domain camelid nanobodies (Nbs) against a LacY mutant in an outward (periplasmic)-open conformation to stabilize this state of the WT protein. Twelve purified Nbs inhibit lactose transport in right-side-out membrane vesicles, indicating that the Nbs recognize epitopes on the periplasmic side of LacY. Stopped-flow kinetics of sugar binding by WT LacY in detergent micelles or reconstituted into proteoliposomes reveals dramatic increases in galactoside-binding rates induced by interaction with the Nbs. Thus, WT LacY in complex with the great majority of the Nbs exhibits varied increases in access of sugar to the binding site with an increase in association rate constants (k on ) of up to ∼50-fold (reaching 10 7 M −1 ·s −1 ). In contrast, with the double-Trp mutant, which is already open on the periplasmic side, the Nbs have little effect. The findings are clearly consistent with stabilization of WT conformers with an open periplasmic cavity. Remarkably, some Nbs drastically decrease the rate of dissociation of bound sugar leading to increased affinity (greater than 200-fold for lactose).membrane transport proteins | fluorescence | major facilitator superfamily T ypical of many transport proteins, from organisms as widely separated evolutionarily as Archaea and Homo sapiens, the lactose permease of Escherichia coli (LacY), a paradigm for the Major Facilitator Superfamily (1), catalyzes the coupled, stoichiometric translocation of a galactopyranoside and an H + (galactoside/H + symport) across the cytoplasmic membrane (reviewed in refs. 2 and 3). Although it is now generally accepted that membrane transport proteins operate by an alternating access mechanism, this has been documented almost exclusively for LacY (reviewed in refs. 4 and 5). By this means, galactoside-and H + -binding sites become alternatively accessible to either side of the membrane as the result of reciprocal opening/closing of cavities on the periplasmic and cytoplasmic sides of the molecule. LacY is highly dynamic, and alternates between different conformations (6, 7).Until recently, six X-ray structures of LacY have exhibited the same inward-facing conformation with an aqueous cavity open to the cytoplasmic side, a tightly sealed periplasmic side, and sugarand H + -binding sites in the middle of the molecule (8-11). Numerous studies confirm that this conformation prevails in the absence of sugar (12-16). Recently, however, the X-ray structure of double-Trp mutant G46W/G262W with bound sugar reveals a conformation with a narrowly open periplasmic pathway and a tightly sealed cytoplasmic side (PDB ID code 4OAA) (17), thereby providing structural evidence that an intermediate occluded conformation occurs between the outward-and inwardfacing conformations in ...