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  • Perspective
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13 September 2025

Recent Advances in Elucidating the Mechanism of the NADPH–Cytochrome P450 Reductase-Mediated Electron Transfer Cycle: Experimental and Computational Perspectives

and
Warshel Institute for Computational Biology, School of Medicine, The Chinese University of Hong Kong, Shenzhen 518172, China
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Author to whom correspondence should be addressed.

Abstract

NADPH–cytochrome P450 reductase (CPR) is an essential redox partner for a wide range of metal-containing proteins, mediating the stepwise transfer of two electrons from nicotinamide adenine dinucleotide phosphate (NADPH) to the redox centers of its partner proteins. This Perspective summarizes recent advances in understanding the mechanisms underlying the CPR-mediated electron transfer (ET) cycle. Emphasis is placed on human and other mammalian CPRs, which provide critical insights into human biology and drug metabolism. Recent experimental and computational approaches that have deepened our mechanistic understanding of CPR function are highlighted. Selected studies are reviewed to illustrate progress in elucidating the interflavin ET within CPR, the interplay between its redox states and structural dynamics, and its protein–protein interactions with redox partners, along with the associated ET pathways. Finally, the remaining challenges and future research directions are outlined.

1. Introduction

Reduction of the iron in the heme prosthetic group is a critical step in the catalytic function of cytochrome P450 enzymes (P450s) across a diverse range of organisms [1,2,3]. In human P450s, two electrons are transferred from the two-electron donor nicotinamide adenine dinucleotide phosphate (NADPH) to the heme during each catalytic cycle, enabling the formation of the highly reactive intermediate Compound I (Cpd I) and facilitating physiologically and pharmacologically significant oxidative transformations (Figure 1a) of substrates, including endogenous compounds and drugs [2,4,5]. Class II P450s, which are typically found in eukaryotic organisms and localized to the endoplasmic reticulum (ER) membrane (Figure 1b), depend on NADPH–cytochrome P450 reductase (CPR) to mediate electron transfer (ET) from NADPH [6]. CPR also mediates ET to other one-electron acceptor proteins, such as heme oxygenase (HO), cytochrome b5 (cyt b5), and squalene mono-oxygenase (Figure 1b) [7,8,9,10,11]. In addition, CPR contributes to the activation of several clinically approved anticancer drugs [12,13] and has emerged as a potential therapeutic target in the regulation of ferroptosis [14,15]. Because of the central importance of these ET processes, extensive research has focused on elucidating CPR’s structure, function, and role in human disease since its initial discovery and characterization in the 1950s [7,16,17,18,19,20].
Figure 1. (a) Schematic illustration of the P450 catalytic cycle, with two supplied electrons and Cpd I highlighted in red. (b) Schematic representation of CPR and its redox partner proteins embedded in the ER membrane. Note that, although shown as spatially separated for illustrative purposes, the actual ET processes occur through protein–protein interactions.
Mammalian CPR is a ubiquitous ~78 kDa membrane-bound protein that contains the cofactors flavin adenine dinucleotide (FAD) and flavin mononucleotide (FMN), which are bound to distinct domains (Figure 2a) and serve as essential relay centers for transferring electrons from NADPH to redox partners such as P450s. Initially, two electrons are transferred from NADPH to FAD as a hydride (states 1 to 2 in Figure 2b). These electrons are then passed sequentially from FAD to FMN, generating the FMN hydroquinone intermediate (FMNH2 in Figure 2b). The reduced FMN subsequently donates the electrons one at a time to redox partner proteins [21]. This ET cascade activates the partner proteins, enabling them to carry out their biochemical functions [1,7].
CPR displays a highly conserved structure and amino acid sequence across biological kingdoms. It is composed of three distinct domains, preceded by an N-terminal membrane anchor [7,22]. The first domain, the FMN-binding domain, is approximately 160 amino acids in length and binds the FMN cofactor (Figure 2a). Adjacent to it is the connecting domain, comprising roughly 220 amino acids, which functions as a structural bridge between the FMN-binding domain and the C-terminal FAD-binding domain. The latter accommodates both the FAD and NADPH cofactors [23].
Figure 2. (a) Crystal structure of NADP+-bound rat CPR in the closed conformation (PDB 4YAL, [11]) [23]. Different domains are distinguished by color: FAD-binding domain (red), connecting domain (yellow), and FMN-binding domain (green). Carbon atoms in FAD, FMN, and NADP+ are shown in blue. The lower panel depicts the primary structure of CPR, with the amino acid range indicated for each domain. (b) Schematic diagram illustrating the proposed conformational changes and cofactor redox states at different stages of the CPR-mediated ET cycle [21].
The CPR-mediated ET process is tightly coupled to large-scale conformational transitions between a compact closed state and an extended open state (Figure 2b) [24]. The closed conformation promotes efficient interflavin ET from FAD to FMN, whereas the open conformation facilitates effective ET from FMN to its redox partners [25,26,27,28]. The mechanistic complexity arises from the interplay of multiple factors, including conformational changes, the redox transitions of the FAD and FMN cofactors, the spatial distribution of local electric fields, and the influence of the lipid membrane environment, making detailed mechanistic elucidation particularly challenging [28,29,30,31,32,33]. Furthermore, the structural diversity and heterogeneity of CPR redox partners further complicate efforts to fully define the regulatory principles governing ET within the CPR-dependent system. Continued research is therefore essential to elucidate the mechanisms underlying CPR function.
In this Perspective, we provide an overview of recent advances and outline future directions in the study of the CPR-mediated ET cycle, with particular focus placed on human and other mammalian CYPs, although the coverage may not be entirely comprehensive. Plant and bacterial CPRs, although sharing overall three-dimensional (3D) structural similarity with mammalian CPR, exhibit relatively low sequence identity and are therefore not within the scope of this Perspective [34,35]. We begin by describing recent experimental and computational techniques that have greatly enhanced the resolution and accuracy of probing CPR’s structural and dynamic properties. These methodological advances have enabled more detailed characterization of CPR’s conformational states, redox transitions, and interactions with redox partner proteins. We then highlight key studies that reveal emerging trends in CPR research, with particular emphasis on the coupling between redox transitions, structural rearrangements, and the molecular basis of CPR’s interactions with its diverse redox partners.

2. Recent Advances in Techniques for Studying CPR ET Properties

Detailed characterization of the CPR-mediated ET cycle requires investigation of protein conformational dynamics while accounting for additional factors, including redox states, NADPH binding and dissociation, and interactions with redox partner proteins. To address these challenges, a variety of experimental methodologies have been applied over the past few decades. For instance, the combined use of biochemical measurements and X-ray crystallography has enabled researchers to correlate high-resolution structural information on CPR with its biological functions [22,25,36,37,38,39]. In addition, nanodisc technology has been employed to examine the orientation of CPR within a membrane-mimetic lipid bilayer, allowing assessment of its spatial configuration and the redox potentials of its flavin cofactors under physiologically relevant conditions [33,40,41]. Ultraviolet–visible (UV–Vis) spectroscopy has also been applied to distinguish the redox states of the FAD and FMN cofactors based on their characteristic absorption spectra, thereby facilitating the identification and monitoring of intermediate states [42,43,44]. While these approaches have yielded valuable quantitative insights into CPR function, recent efforts have increasingly shifted toward obtaining more detailed, physiologically relevant, and time-resolved mechanistic information. Current research aims to elucidate the dynamic conformational changes tightly coupled to CPR’s redox transitions and to capture transient intermediates and protein–partner interactions at higher resolution. These evolving objectives have driven the development and application of advanced biophysical and computational methodologies, which will be briefly discussed in the following sections.
The development of nonionic inulin-based polymer nanodiscs has further advanced the construction of CPR–P450 complexes in membrane-mimicking environments, even when the proteins carry opposite net charges. As mentioned above, the nanodisc technique enables the investigation of CPR orientations and ET properties in physiologically relevant membrane settings [33,40,41]. However, synthetic amphipathic polymers commonly used to form nanodiscs, such as poly(diisobutylene-alt-maleic acid) (DIBMA) or poly(styrene-co-maleic acid) (SMA), are enriched in charged and aromatic moieties that may engage in nonspecific interactions with membrane proteins, leading to destabilization and conformational changes. These properties limit the utility of traditional polymer nanodiscs for studying membrane-bound proteins with opposite net charges. The recently developed nonionic pentyl-functionalized inulin polymer (pentyl-inulin) addresses this limitation. Lacking ionic groups yet exhibiting strong nanodisc-forming ability when mixed with liposomes [45], pentyl-inulin enables the assembly of stable nanodiscs suitable for investigating the structure, dynamics, and functions of oppositely charged membrane proteins and protein complexes [46,47].
A particularly powerful strategy integrates site-specific incorporation of noncanonical amino acids (ncAAs) with single-molecule Förster resonance energy transfer (smFRET) [48] and site-directed spin labeling electron paramagnetic resonance (SDSL-EPR) [49,50]. These complementary techniques enable high-resolution distance measurements and provide dynamic structural insights across a broad range of conformational states and timescales. smFRET is especially effective for monitoring real-time domain motions within the 2–10 nm range, although its accuracy critically depends on the precise placement of fluorescent dyes, which are typically attached through cysteine residues. Because native cysteines in CPR are proposed to play functional roles, recent approaches have utilized orthogonal translation systems to incorporate ncAAs, such as p-propargyloxy-L-phenylalanine (PrF) and cyclopropene-L-lysine (CpK) [51]. These ncAAs provide unique bioorthogonal chemical handles, enabling efficient, site-specific, and minimally perturbative fluorescent dye conjugation. This strategy facilitates robust FRET efficiency measurements and accurate quantification of conformational changes under diverse biochemical conditions. In parallel, SDSL-EPR, when combined with the double electron–electron resonance (DEER) technique, yields distance distributions by detecting spin–spin dipolar interactions, which scale with a 1/r3 dependence [52,53,54]. Notably, ncAA-based spin labeling minimizes interference with protein function, and the paramagnetic FMN semiquinone state in CPR can, in principle, serve as a native spin center, allowing direct measurement of flavin-to-spin label distances. Together, these ncAA-enabled biophysical approaches constitute a versatile and highly effective toolkit for probing the structural and functional dynamics of CPR under diverse biochemical and redox conditions.
However, certain limitations should be recognized. Because CPR’s redox cofactors are strongly coupled to interdomain motions, signals from fluorescent or paramagnetic markers may be influenced by redox transitions, complicating interpretation. Furthermore, the spatial information obtained from these markers is restricted to local distance constraints between specific labeling sites, providing only limited coverage of the protein’s overall conformational landscape. As a result, they cannot fully characterize the conformational ensemble present in solution or detect subtle local rearrangements. These considerations indicate that while redox-sensitive markers are valuable tools, further refinement and integration with complementary approaches will greatly enhance their utility in studying CPR dynamics.
Beyond advanced biophysical techniques, computational approaches such as molecular dynamics (MD) simulations and quantum mechanics/molecular mechanics (QM/MM) methods have been increasingly applied to CPR systems. MD simulations, which typically rely on classical force fields, model the time-dependent motions of biomolecules at atomic detail [55]. They have been widely used to investigate processes ranging from ligand binding [56,57,58] to large-scale protein conformational changes [59,60,61,62,63,64], thereby providing mechanistic insights and revealing transient intermediate states that are often inaccessible to experimental techniques. Given the limited number of experimental structures of full-length CPR in distinct conformational states and in complex with its redox partner proteins, homology modeling and docking, in combination with MD simulations, continue to play a pivotal role in characterizing CPR conformational dynamics and protein–protein interactions.
Meanwhile, the QM/MM method, a multiscale computational approach that combines the electronic accuracy of quantum mechanics with the efficiency of classical molecular mechanics, has proven particularly powerful for probing chemical processes in complex biological environments [65]. Unlike purely quantum mechanical studies restricted to small model systems, QM/MM accounts for the influence of the surrounding protein environment on reactive processes. This approach has been extensively applied to diverse biological systems, including drug-metabolizing human P450s [66,67,68], human respiratory complex I [69,70], DNA/RNA polymerases [71,72], HIV-1 protease [73,74], and photosynthetic reaction centers [75,76]. When applied to CPR, QM/MM provides atomistic mechanistic insights that remain beyond the reach of experimental techniques alone.

4. Conclusions and Outlook

In this Perspective, we have reviewed recent advances in experimental and computational approaches used to investigate the mechanisms underlying the CPR-mediated ET cycle, highlighting selected case studies. These studies have clarified several previously unresolved aspects of CPR function, particularly regarding its complex formation with redox partners and the associated ET processes. Nevertheless, the intrinsic complexity of CPR’s structure and its ET cycle continues to pose obstacles to a comprehensive understanding of how CPR’s redox states coordinate with structural rearrangements during ET to different partners.
One major challenge lies in identifying the factors that control or gate the equilibrium between CPR conformational states. A domain-opening mechanism has been proposed involving sequential sub-events, beginning with FAD reduction, followed by interflavin ET, Trp677 indole ring rearrangement, NADP+ dissociation, Asp632 loop extension, and ultimately CPR opening [21]. However, the precise order of these events remains uncertain. Addressing this issue will require carefully designed experiments capable of independently monitoring each step with sufficient temporal resolution to resolve their sequence. Computational approaches such as MD simulations also hold considerable promise for probing how protein dynamics and local structural rearrangements influence CPR function. Although not yet widely applied to this specific question, such methods have been successfully employed in studies of other biological systems [62,63,64] and in analyses of CPR–P450 complex dynamics [23,92,93,94].
A comprehensive understanding of CPR orientation within the membrane and its spatial relationship to redox partner proteins remains another critical goal for elucidating the molecular mechanisms of membrane-associated ET. The membrane environment strongly influences the structure and function of membrane proteins [104,105,106]. Moreover, CPR’s numerous redox partners differ substantially in structure and ET requirements, making it essential to define the specific interactions of CPR with each partner. The intrinsic flexibility of CPR’s hinge segment enables large-scale domain rearrangements that modulate binding modes, ET pathways, and catalytic efficiency. Understanding how these dynamic motions coordinate with partner-specific recognition will advance mechanistic insight and guide the rational engineering of CPR–partner systems for biomedical and biotechnological applications.
Despite the biological importance of these interactions, all currently available CPR structures are truncated and lack the N-terminal transmembrane helix, while structural data on intact CPR–redox partner complexes remain scarce. These gaps limit our understanding of CPR in its native membrane-bound state and of the structural determinants governing CPR–partner interactions. Recent advances in cryo-electron microscopy (cryo-EM) and artificial intelligence (AI)-based structural prediction may help overcome these challenges. Cryo-EM, aided by optimized detergents, now enables the study of membrane proteins without the need for well-diffracting crystals [107,108,109]. AI-based tools such as AlphaFold [110] have demonstrated remarkable capabilities in predicting structures of previously uncharacterized proteins and protein–protein complexes. By leveraging evolutionary and structural information, these models can provide highly accurate predictions even in the absence of close homologs, offering valuable insights into protein function and molecular interactions.
In the coming decades, continued progress in both experimental and computational methodologies is expected to further advance our understanding of the structural and mechanistic complexities of CPR and its ET cycle. The integration of high-resolution experimental techniques with robust theoretical frameworks, combined with expanding computational power, will likely enable major breakthroughs in elucidating the molecular details of CPR–redox partner interactions and in uncovering how ET processes are regulated.

Author Contributions

Conceptualization, S.X.; writing—original draft preparation, S.X.; writing—review and editing, S.X. and H.H.; supervision, H.H.; project administration, H.H. All authors have read and agreed to the published version of the manuscript.

Funding

This work was supported by the Guangdong Natural Science Foundation Grant (General) (2023A1515010317) and by funding for the Warshel Institute for Computational Biology from Shenzhen Municipal Government (C10120180043) and Longgang District (LGKCSDPT2024001).

Institutional Review Board Statement

Not applicable.

Data Availability Statement

Not applicable.

Conflicts of Interest

The authors declare no conflict of interest.

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