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.

Chemical Reviews
|November 19, 2020
PubMed

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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