Structures of the wild-type MexAB-OprM tripartite pump reveal its complex formation and drug efflux mechanism
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Updated: Jan 26, 2026

In vitro Investigation of the MexAB Efflux Pump From Pseudomonas aeruginosa
Published on: February 17, 2014
Kenta Tsutsumi1, Ryo Yonehara1, Etsuko Ishizaka-Ikeda1
1Institute for Protein Research, Osaka University, Suita, 565-0871, Osaka, Japan.
Abstract:
In Pseudomonas aeruginosa, MexAB-OprM plays a central role in multidrug resistance by ejecting various drug compounds, which is one of the causes of serious nosocomial infections. Although the structures of the components of MexAB-OprM have been solved individually by X-ray crystallography, no structural information for fully assembled pumps from P. aeruginosa were previously available. In this study, we present the structure of wild-type MexAB-OprM in the presence or absence of drugs at near-atomic resolution. The structure reveals that OprM does not interact with MexB directly, and that it opens its periplasmic gate by forming a complex. Furthermore, we confirm the residues essential for complex formation and observed a movement of the drug entrance gate. Based on these results, we propose mechanisms for complex formation and drug efflux.
Insights
The MexAB-OprM pump structure in Pseudomonas aeruginosa was determined, revealing its drug efflux mechanism. This finding is crucial for understanding and combating multidrug resistance in bacterial infections.
Area of Science:
- Microbiology
- Structural Biology
- Biochemistry
Background:
- The MexAB-OprM efflux pump in *Pseudomonas aeruginosa* is a key factor in multidrug resistance.
- This pump contributes to serious nosocomial infections by expelling various drugs.
- Previous structural studies only solved individual components, not the fully assembled pump.
Purpose of the Study:
- To determine the near-atomic resolution structure of the wild-type MexAB-OprM pump.
- To elucidate the mechanisms of complex formation and drug efflux mediated by MexAB-OprM.
- To identify key residues and conformational changes involved in pump function.
Main Methods:
- X-ray crystallography was used to obtain high-resolution structures of the MexAB-OprM pump.
- Structures were determined in the presence and absence of drugs.
- Biochemical methods were employed to confirm essential residues for complex formation.
Main Results:
- The structure reveals that OprM does not directly interact with MexB; complex formation is mediated differently.
- A periplasmic gate in OprM opens via complex formation.
- Movement of the drug entrance gate was observed, and essential residues for complex formation were identified.
Conclusions:
- The study proposes novel mechanisms for MexAB-OprM complex formation and drug efflux.
- Understanding these mechanisms can inform strategies to overcome multidrug resistance.
- The structural insights provide a foundation for developing new antimicrobial therapies targeting efflux pumps.
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