Note that the transmembrane domains undergo no major movements in the transition between E2-P and E2.Pi. However, as explained above, conformational transitions occur upon Cu+ binding to the NMBD and TNBS, as well as upon utilization of ATP. Most importantly, the (Cu•) E1 P to (Cu•) E2-P conformational transition is related to utilization of phosphorylation potential, resulting in vectorial displacement of bound Cu+. Reprinted by permission from Macmillan Publishers Ltd: Nature Structural and Molecular Biology [35] Andersson, M., Mattle, D., Sitsel, O., Klymchuk, T., Nielsen, A. M., Møller, L. B., White, S. H., Nissen, P. and Gourdon, P. (2014) Copper-transporting P-type ATPases use a unique ion-release pathway. Nat. Struct. Mol. Biol. 21, 43–48, copyright (2014)