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Updated: May 12, 2026

In vitro Investigation of the MexAB Efflux Pump From Pseudomonas aeruginosa
Published on: February 17, 2014
Diversity in structural consequences of MexZ mutations in Pseudomonas aeruginosa
1Department of Biostatistics, University of Alabama at Birmingham, Birmingham, AL 35294, USA. sjahandideh@uab.edu
Abstract:
Pseudomonas aeruginosa is the major cause of morbidity and mortality in patients with cystic fibrosis. The high level of intrinsic and acquired antibiotic resistance of P. aeruginosa is attributable to the low permeability of its outer membrane in combination with the expression of several multidrug resistance efflux systems. MexZ, the negative regulator of the MexXY efflux pump, is found to be the most frequently mutated gene in P. aeruginosa isolated from cystic fibrosis patient lungs, confirming its importance in multidrug resistance. Structural consequences of four MexZ mutations, including L25P, G46V, P151L, and S202F, have been explored based on the known structure of MexZ using both molecular modeling and molecular dynamics methods. According to obtained results, G46V mutation, which completely abolishes the ability of MexZ binding to DNA, occurs in a specific evolutionary conserved region of MexZ. In addition, the most fluctuation values occur in DNA-binding domain and Helix4. The obtained results explore details of diversity in structural consequences of MexZ mutations in P. aeruginosa.
Insights
Mutations in MexZ, a regulator of antibiotic resistance in Pseudomonas aeruginosa, significantly impact its DNA binding and function. Understanding these changes is crucial for combating infections in cystic fibrosis patients.
Area of Science:
- Microbiology
- Structural Biology
- Computational Biology
Background:
- Pseudomonas aeruginosa is a primary cause of morbidity and mortality in cystic fibrosis (CF) patients.
- High antibiotic resistance in P. aeruginosa stems from its outer membrane permeability and multidrug resistance (MDR) efflux systems.
- MexZ, the negative regulator of the MexXY efflux pump, is frequently mutated in P. aeruginosa from CF lungs, highlighting its role in MDR.
Purpose of the Study:
- To investigate the structural consequences of specific MexZ mutations (L25P, G46V, P151L, S202F) in P. aeruginosa.
- To elucidate how these mutations affect MexZ's function, particularly its interaction with DNA.
Main Methods:
- Utilized molecular modeling and molecular dynamics simulations based on the known MexZ structure.
- Analyzed the impact of four distinct MexZ mutations on protein structure and dynamics.
Main Results:
- The G46V mutation was identified as completely abolishing MexZ's DNA binding ability.
- This critical G46V mutation is located within an evolutionarily conserved region of MexZ.
- Significant fluctuations were observed in the DNA-binding domain and Helix4, indicating altered protein dynamics.
Conclusions:
- Structural analysis reveals diverse consequences of MexZ mutations in P. aeruginosa.
- The G46V mutation's disruption of DNA binding is a key mechanism contributing to antibiotic resistance in CF.
- These findings provide insights into the molecular basis of MDR in P. aeruginosa and potential therapeutic targets.
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