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Published on: August 15, 2017
Structural and Functional Diversity of Resistance-Nodulation-Cell Division Transporters
Philip A Klenotic1, Mitchell A Moseng1, Christopher E Morgan1
1Department of Pharmacology, Case Western Reserve University School of Medicine, Cleveland, Ohio 44106, United States.
Abstract:
Multidrug resistant (MDR) bacteria are a global threat with many common infections becoming increasingly difficult to eliminate. While significant effort has gone into the development of potent biocides, the effectiveness of many first-line antibiotics has been diminished due to adaptive resistance mechanisms. Bacterial membrane proteins belonging to the resistance-nodulation-cell division (RND) superfamily play significant roles in mediating bacterial resistance to antimicrobials. They participate in multidrug efflux and cell wall biogenesis to transform bacterial pathogens into "superbugs" that are resistant even to last resort antibiotics. In this review, we summarize the RND superfamily of efflux transporters with a primary focus on the assembly and function of the inner membrane pumps. These pumps are critical for extrusion of antibiotics from the cell as well as the transport of lipid moieties to the outer membrane to establish membrane rigidity and stability. We analyze recently solved structures of bacterial inner membrane efflux pumps as to how they bind and transport their substrates. Our cumulative data indicate that these RND membrane proteins are able to utilize different oligomerization states to achieve particular activities, including forming MDR pumps and cell wall remodeling machineries, to ensure bacterial survival. This mechanistic insight, combined with simulated docking techniques, allows for the design and optimization of new efflux pump inhibitors to more effectively treat infections that today are difficult or impossible to cure.
Insights
Multidrug resistant bacteria pose a global threat. Understanding resistance-nodulation-cell division (RND) pumps is key to developing new treatments against these superbugs.
Area of Science:
- Microbiology
- Structural Biology
- Biochemistry
Background:
- Multidrug resistant (MDR) bacteria are a growing global health concern, diminishing the effectiveness of common antibiotics.
- Bacterial resistance-nodulation-cell division (RND) superfamily proteins are crucial in mediating antimicrobial resistance through multidrug efflux and cell wall biogenesis.
- These RND proteins contribute to the development of 'superbugs' resistant to even last-resort antibiotics.
Purpose of the Study:
- To review the RND superfamily of efflux transporters, focusing on the assembly and function of inner membrane pumps.
- To analyze the structures of bacterial inner membrane efflux pumps and their substrate binding/transport mechanisms.
- To provide mechanistic insights for designing novel efflux pump inhibitors.
Main Methods:
- Literature review of RND superfamily efflux transporters.
- Analysis of recently solved structures of bacterial inner membrane efflux pumps.
- Integration of mechanistic insights with simulated docking techniques.
Main Results:
- RND inner membrane pumps are critical for extruding antibiotics and transporting lipid moieties to the outer membrane, ensuring cell stability.
- Bacterial RND proteins can adopt different oligomerization states to perform various functions, including forming MDR pumps and cell wall remodeling machinery.
- Structural analysis reveals how these pumps bind and transport their substrates.
Conclusions:
- Understanding the structure-function relationship of RND efflux pumps is vital for combating bacterial resistance.
- Mechanistic insights into RND pump activity facilitate the design of new inhibitors to treat difficult-to-cure infections.
- Targeting RND pumps offers a promising strategy to overcome multidrug resistance in bacterial pathogens.
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