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Updated: Feb 18, 2026

In vitro Investigation of the MexAB Efflux Pump From Pseudomonas aeruginosa
Published on: February 17, 2014
Dynamics of Intact MexAB-OprM Efflux Pump: Focusing on the MexA-OprM Interface
Cesar A López1, Timothy Travers1,2, Klaas M Pos3,4
1Theoretical Biology and Biophysics Group, Los Alamos National Laboratory, Los Alamos, New Mexico, 87545, United States.
Abstract:
Antibiotic efflux is one of the most critical mechanisms leading to bacterial multidrug resistance. Antibiotics are effluxed out of the bacterial cell by a tripartite efflux pump, a complex machinery comprised of outer membrane, periplasmic adaptor, and inner membrane protein components. Understanding the mechanism of efflux pump assembly and its dynamics could facilitate discovery of novel approaches to counteract antibiotic resistance in bacteria. We built here an intact atomistic model of the Pseudomonas aeruginosa MexAB-OprM pump in a Gram-negative membrane model that contained both inner and outer membranes separated by a periplasmic space. All-atom molecular dynamics (MD) simulations confirm that the fully assembled pump is stable in the microsecond timescale. Using a combination of all-atom and coarse-grained MD simulations and sequence covariation analysis, we characterized the interface between MexA and OprM in the context of the entire efflux pump. These analyses suggest a plausible mechanism by which OprM is activated via opening of its periplasmic aperture through a concerted interaction with MexA.
Insights
This study models the Pseudomonas aeruginosa MexAB-OprM efflux pump, revealing how its components interact to activate antibiotic expulsion. Understanding this mechanism is key to combating bacterial multidrug resistance.
Area of Science:
- Biochemistry
- Molecular Biology
- Microbiology
Background:
- Antibiotic efflux pumps are critical to bacterial multidrug resistance.
- These pumps are complex, tripartite machines spanning bacterial membranes.
- Understanding their assembly and dynamics is vital for new resistance-fighting strategies.
Purpose of the Study:
- To build and analyze an atomistic model of the Pseudomonas aeruginosa MexAB-OprM efflux pump.
- To investigate the stability and dynamics of the assembled pump.
- To elucidate the interaction mechanism between MexA and OprM.
Main Methods:
- All-atom and coarse-grained molecular dynamics (MD) simulations.
- Construction of a Gram-negative membrane model with inner and outer membranes.
- Sequence covariation analysis.
Main Results:
- The intact MexAB-OprM pump model demonstrated stability over microsecond timescales.
- Characterization of the MexA-OprM interface within the complete pump structure.
- Identification of a plausible activation mechanism for OprM involving MexA-induced aperture opening.
Conclusions:
- The study provides a stable, atomistic model of the MexAB-OprM efflux pump.
- A detailed mechanism for OprM activation by MexA was proposed.
- Findings offer insights for developing novel anti-resistance therapies.
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