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Updated: Jun 21, 2026

In vitro Investigation of the MexAB Efflux Pump From Pseudomonas aeruginosa
Published on: February 17, 2014
Efflux pump inhibitors reduce the invasiveness of Pseudomonas aeruginosa
Yoichi Hirakata1, Akira Kondo, Kazuki Hoshino
1Department of Infection Control and Laboratory Diagnostics, Tohoku University Graduate School of Medicine, Aoba-ku, Sendai 980-8574, Japan. hiraichi@mail.tains.tohoku.ac.jp
Abstract:
Efflux systems are thought to contribute to antimicrobial resistance in Pseudomonas aeruginosa. The mexAB-oprM deletion strain of P. aeruginosa PAO1 is compromised in its capacity to invade Madin-Darby canine kidney (MDCK) cells, suggesting that P. aeruginosa exports invasion determinants using a MexAB-OprM system. The influences of efflux pump inhibitors (EPIs), including the broad-spectrum EPI Phe-Arg-beta-naphthylamide (PAbetaN) and MexAB-OprM-specific EPI D13-9001, on the invasion of wild-type (WT) P. aeruginosa PAO1 and its MexAB-OprM-overproducing nalB strain were examined. The invasiveness of PAO1 WT and nalB strains was inhibited in the presence of EPIs in a concentration-dependent manner. Reduction of the invasiveness of both strains was greater for D13-9001 compared with PAbetaN. EPIs are thought to be useful in reducing the invasiveness and antimicrobial resistance of P. aeruginosa and thus may be promising as new anti-infectious agents.
Insights
Efflux pump inhibitors (EPIs) reduce Pseudomonas aeruginosa invasion of host cells. Specific EPIs targeting the MexAB-OprM system show promise in combating antimicrobial resistance and infection.
Area of Science:
- Microbiology
- Molecular Biology
- Infectious Diseases
Background:
- Efflux systems, particularly MexAB-OprM, are implicated in antimicrobial resistance in Pseudomonas aeruginosa.
- A mexAB-oprM deletion strain exhibits reduced invasion capacity in Madin-Darby canine kidney (MDCK) cells, suggesting MexAB-OprM exports invasion factors.
Purpose of the Study:
- To investigate the effect of efflux pump inhibitors (EPIs) on the invasiveness of wild-type (WT) and MexAB-OprM-overproducing (nalB) P. aeruginosa strains.
- To compare the efficacy of a broad-spectrum EPI (PAbetaN) and a MexAB-OprM-specific EPI (D13-9001) in inhibiting bacterial invasion.
Main Methods:
- Treatment of P. aeruginosa PAO1 WT and nalB strains with varying concentrations of Phe-Arg-beta-naphthylamide (PAbetaN) and D13-9001.
- Assessment of bacterial invasiveness into Madin-Darby canine kidney (MDCK) cells in the presence of EPIs.
Main Results:
- Bacterial invasiveness was inhibited by both EPIs in a concentration-dependent manner for both WT and nalB strains.
- The MexAB-OprM-specific EPI, D13-9001, demonstrated greater inhibition of invasiveness compared to the broad-spectrum EPI, PAbetaN.
Conclusions:
- Efflux pump inhibitors can effectively reduce the invasiveness of P. aeruginosa.
- EPIs, especially those targeting specific efflux systems like MexAB-OprM, hold potential as novel anti-infective agents to combat P. aeruginosa infections and resistance.
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